Avir at Luling

In the surveyor’s words

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

• Immediate jeopardy, patternF689May 6, 2025

  Based on observation, interviews and record review, the facility failed to ensure each resident received adequate supervision and assistive devices to prevent accidents for 3 (Resident #1, Resident #2, and Resident #3) of 5 residents reviewed for accidents and hazards. A) The facility failed to ensure Resident #1 did not leave the facility without supervision and/or staff knowledge as Resident #1 was returned to the facility by a community member on 04/03/2025. B) The facility failed to ensure staff were educated that Resident #2 was a high elopement risk and implement interventions. C) The facility failed to ensure Resident #3's bed was in a low position with a fall mat in place when he fell on [DATE] and sustained a left hip fracture. […]

• Immediate jeopardy, isolatedF689Oct 11, 2024

  Based on observation, interview, and record review, the facility failed to ensure the residents environment remained as free of accident hazards possible and ensure each resident received adequate supervision for one (Resident #1) of three residents reviewed for accidents and hazards. The facility failed to ensure Resident #1 was not missing from the facility on 10/07/24 for an unknown amount of time until EMS contacted and notified them that he was approximately .9 miles away and had fallen and found on the railroad tracks. Approximately 500 feet from the facility was a busy highway with through traffic of commercial vehicles to include semi-trucks. This failure resulted in an identification of an Immediate Jeopardy (IJ) on 10/10/24 at 2:47 PM and an IJ template was given. […]

• Actual harm, isolatedF600Jul 22, 2025

  Based on interview and record review, the facility failed to ensure all residents were free from physical abuse for one (Resident #1) of four resident reviewed for abuse. 1. 1. The facility failed to ensure Resident #1 was not physically abused by Resident #2 on 07/12/2025.2. 2. The facility failed to implement interventions to ensure Resident #1 was not physically abused by Resident #2 on 07/13/2025. This failure could place residents at risk of ongoing abuse, injury and psychosocial harmBased on interview and record review, the facility failed to ensure all residents were free from physical abuse for one (Resident #1) of four resident reviewed for abuse. 1. 1. The facility failed to ensure Resident #1 was not physically abused by Resident #2 on 07/12/2025. 2. 2. […]

• No harm, potential for more than minimal, widespreadF908Nov 21, 2025

  Based on observation, interview, and record review the facility failed to maintain all mechanical, electrical, in safe operating condition for 1 of 1 kitchen reviewed for safe operating condition. 1. The facility failed to ensure refrigerator #2 maintained a safe storage temperature and not allow food items to be improperly stored.2. The facility failed to ensure the inside kitchen freezer maintained a safe storage temperature and did not allow food items to thaw. These failures pose a risk to all residents of the facility who eat food from the kitchen as they are at risk for food borne illnesses. Findings included: Observation on 9/23/2025 at 7:20 AM, Refrigerator #2 silver in color, temperature revealed to be at 52 degrees. […]

• No harm, potential for more than minimal, widespreadF812Sep 6, 2024

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed for kitchen sanitation, in that: 1. The facility failed to store clean plastic cups in a manner that allowed for air circulation. 2. The facility failed to ensure the tabletop can opener blade and base were free of buildup of grime and debris. 3. The facility failed to ensure an opened 5-lb. bag of pancake mix was stored in a sealed bag or container in the dry storage room. 4. The facility failed to ensure the interior racks, walls and floor of the reach-in refrigerator were free of dirt and debris. 5. […]