Avir at Houston

In the surveyor’s words

From the most serious findings on record at Avir at Houston, in the surveyor’s own words.

• Immediate jeopardy, patternF686Dec 2, 2025

  Based on interview and record review the facility failed to ensure a resident with pressure ulcer (injury/bedsore) is skin and tissue damage from prolonged pressure, friction, or shear) receives necessary treatment services consistent with professional standards of practice to promote healing, prevent infection, and prevent new pressure ulcers from developing for 1 of 4 closed record (CR) #1 reviewed for pressure ulcers in that: 1. The facility failed to prevent the development of a pressure ulcers to CR #1's 1-left foot measuring (Length x Width x Depth) 2x2x0 centimeters (cm).2. The facility failed to prevent the development of a pressure ulcers to CR #1's right lateral ankle measuring 1x1x1 cm.3. […]

• Immediate jeopardy, patternF580Nov 8, 2023

  Based on observation, interviews, and record reviews, the facility failed to immediately consult with the resident's physician when there was a significant change in the resident's condition or need to alter treatment significantly for 1of 5 residents (CR#1) reviewed for physician notification. The facility failed to notify the physician of Resident #1's continued change in condition, including low blood pressure and high pulse rate, for approximately 12 hours. After approximately 12 hours Resident #1 was sent to the hospital via emergency transport and was admitted with Pneumonia, Acute Kidney Failure, and Septic Shock and was placed on life-support. An IJ was identified on 11/6/2023. The IJ template was provided to the facility on [DATE] at 4:13pm. […]

• Immediate jeopardy, patternF684Nov 8, 2023

  Based on interview, and record review the facility failed to ensure that residents received treatment and care in accordance with professional standards of practice and the residents' choices for 1 of 5 residents (CR# 1) reviewed for quality of care. The facility failed to ensure that CR #1 received treatment and care in accordance with professional standards of practice. The facility failed to call 911 services to transport CR#1 to a higher level of care, instead, attempted to use their non-emergency transportation to send resident to the hospital when CR #1 ' s blood pressure was extremely low and pulse extremely high. The facility failed to transfer CR #1 to the hospital in a timely manner when resident ' s vitals began to decline. […]

• Immediate jeopardy, isolatedF627May 8, 2026

  Based on interview and record review, the facility failed to provide and document sufficient preparation and orientation to residents to ensure safe and orderly transfer or discharge from the facility for one (Resident #93) of five residents reviewed for discharges. The facility failed to safely discharge Resident #93 when she was:1. discharged home on [DATE] by EMS via stretcher, incontinent of bowel and bladder, and unable to ambulate, with no support services from home health.2. discharged without an AMA (This occurs when a patient chooses to leave a hospital or healthcare facility before the treating physician recommends discharge), discharge notice, or notice to the Ombudsman per facility policy. […]

• Immediate jeopardy, isolatedF695Feb 20, 2024

  Based on observation, interview, and record review the facility failed to ensure that a resident who needs respiratory care, including tracheostomy care and tracheal suctioning is provided such care, consistent with professional standards of practice, the comprehensive person-centered care plan, the resident goals and preference for 1 (Resident #81) of 1 reviewed for tracheostomy care. -LVN A failed to reconnect Resident #81's trach to oxygen after removing it to gather trach supplies. -LVN A failed to properly secure Resident #81's trach when removing the trach tie. -LVN A failed to clean Resident #81's trach stoma to prevent infection. An IJ was identified on 02/16/2024. The IJ template was provided to the facility on [DATE] at 5:44PM. […]