Avir at Killeen

In the surveyor’s words

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

• Immediate jeopardy, patternF689Mar 13, 2024

  Based on observation, interview, and record review the facility failed to ensure that the residents' environment remained as free of accident hazards as was possible in 6 (room [ROOM NUMBER], 504, 506, 701, 707, and 801) of 38 resident room sinks and 1 (600 Hall Shower) of 2 resident shower rooms reviewed for hot water in the facility's 500 - 800 hallways. The facility failed to maintain resident use hot water at safe and comfortable temperatures (between 100-110). Resident use hot water was not reliably controlled and ranged from between 117.1 F and 145.0 F in reviewed locations. These failures resulted in an Immediate Jeopardy (IJ) situation on 03/12/2024. […]

• Immediate jeopardy, patternF600Oct 21, 2023

  Based on observation, interview, and record review, the facility failed to ensure the residents were free from abuse for 2 (Residents #1 and #2) of 7 residents reviewed for abuse. The facility failed to ensure Residents #1 and #2 were protected from verbal abuse including verbally aggressive behavior, such as cursing, insulting, and intimidation from Residents #3 and #4. Residents #1 and #2 suffered continual negative psychosocial outcomes including fear, anxiety, feelings of hopelessness, and withdrawal from former social patterns. An IJ was identified on 10/20/23. The IJ template was provided to the facility on [DATE] at 9:57 PM. […]

• Immediate jeopardy, patternF684Jul 21, 2023

  Based on interview and record review, the facility failed to ensure that resident received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, for one (Resident #1) of two residents reviewed for quality of care, in that: The facility failed to monitor PT/INR values to ensure anticoagulant medication daily dosage was appropriate for Resident #1. An IJ was identified on 07/19/2023. The IJ template was provided to the facility on [DATE] at 6:12 PM. […]

• Immediate jeopardy, isolatedF689Jun 26, 2025

  Based on observation, interview and record review, the facility failed to ensure each resident received adequate supervision for 1 of 10 residents (Resident #1) reviewed for accidents and supervision.The facility failed to ensure Resident #1 did not exit the facility without staff's knowledge and ambulate approximately 100 yards down their driveway to a busy street with a speed limit of 65 MPH on 05/25/25. The facility failed to ensure staff were knowledgeable on how to properly secure the doors using the door security box located at 2 of 2 nurses' stations (both the skilled nursing and long-term care sides of the facility). Staff were identified by ADON B pressing the door release button with a key emblem instead of the round door secure button resulting in the doors not being secured. […]

• Immediate jeopardy, isolatedF600May 13, 2024

  Based on observations, interviews and record reviews, the facility failed to ensure each resident had the right to be free from abuse for 1 (Resident #1) of 5 residents reviewed for abuse. The facility failed to ensure Resident #1 was safe from sexual abuse. On 02/27/24, Resident #1 alleged she was sexually assaulted, facility staff transferred her to the hospital, and hospital staff took a sexual assault exam. On 04/16/24, the sexual assault exam results showed a presence of semen in Resident #1's brief and on and in her vagina. An IJ was identified on 05/10/24. The IJ template was provided to the facility on [DATE] at 6:24 p.m. […]