Avir at Kennedale

In the surveyor’s words

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

• Immediate jeopardy, patternF656Sep 3, 2025

  Based on interviews, and record reviews, the facility failed to develop and implement a comprehensive person-centered care plan for each resident that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the comprehensive assessment for 1 resident (Resident #24) of 6 residents reviewed for care plans. The facility failed to develop a person-centered comprehensive care plan for Resident #24, who was at high risk for elopement and who had exit-seeking behaviors. Resident #24 eloped from the facility on 08/08/25, she was found near an apartment complex on a busy street next to the facility by a passerby and brought her back to the facility. The noncompliance was identified as past non-compliance. […]

• Immediate jeopardy, patternF880Oct 24, 2023

  Based on observation, interview, and record review, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for four (Residents #1, #2, #3, and #4) of six residents and two (CNA B and CNA C) out of five staff in the facility reviewed for infection control practices and transmission-based precautions. 1. The facility failed to ensure Residents #1 and #2 were separated after Resident #2 tested positive for COVID on 10/19/23, and Resident #1 did not. 2. The facility failed to ensure Residents #3 and #4 were separated after Resident #4 tested positive for COVID on 10/19/23, and Resident #3 did not. 3. […]

• Immediate jeopardy, isolatedF689Sep 3, 2025

  Based on observation, interview, and record review, the facility failed to ensure that the resident environment remained as free of accident hazards as is possible and each resident received adequate supervision and assistive devices to prevent accidents for 1 of 6 residents (Resident #24) reviewed for supervision. The facility failed to ensure Resident #24, who had a history of exit seeking behaviors and was a high risk for elopement, eloped from the facility on 08/08/25. The resident was found near an apartment complex on a busy street next to the facility by a passerby, who brought her back to the facility. The noncompliance was identified as past non-compliance. The Immediate Jeopardy (IJ) began on 08/08/25 and ended on 08/12/25. […]

• No harm, potential for more than minimal, widespreadF727Nov 17, 2022

  Based on interview and record review the facility failed to use the services of a registered nurse for at least 8 consecutive hours a day, 7 days a week and designate a Registered Nurse to served as the DON on a full-time basis. The facility failed to designate a Registered Nurse to serve as the Director of Nursing on a full-time basis from 04/15/22 through 11/14/22. The facility failed to employ a Registered Nurse to provide 8 consecutive hours of RN coverage, seven days a week for 70 days between 04/15/22 and 11/14/22. […]

• No harm, potential for more than minimal, patternF727Apr 15, 2026

  Based on interview and record review, the facility failed to use the service of a Registered Nurse (RN) for at least eight consecutive hours a day, seven days a week for 13 of 60 days reviewed during a look back period from 02/07/26 to 04/05/26 for weekend coverage. The facility failed to have RN coverage in the facility for eight consecutive hours on 02/08/26, 02/14/26, 02/15/26, 02/21/26, 02/22/26, 02/29/26, 03/07/26, 03/08/26, 03/14/26, 03/15/26, 03/22/26, 03/28/26, 03/29/26.This failure could place residents at risk of not having their nursing and medical needs met and improper care.Findings included: Record review of the facility's Detailed Hours report, printed on 04/15/26, reflected there was no RN coverage on the weekends for the following dates:02/08/26, 02/14/26, 02/15/26,… […]