Avir at New Braunfels

In the surveyor’s words

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

• Immediate jeopardy, patternF600Dec 22, 2024

  Based on observation, interview and record review, the facility failed to ensure the right to be free from abuse for 6 of 11 residents (Residents #4, #5, #7, #8, #10, and #11) reviewed for abuse as evidenced by: 1. Facility failed to address that Resident #3 sexually assaulted Resident #4 on [DATE]. 2. Facility failed to address that Resident #3 physically assaulted Resident #5 on [DATE]. 3. Facility failed to address that Resident #7 reported to CNA B that Resident #3 was sexual inappropriate with Resident #7 on [DATE]. 4. Facility failed to address that Resident #3 was sexually inappropriate with Resident #10 and reported to Social Worker A on [DATE]. 5. […]

• Immediate jeopardy, patternF760Mar 31, 2023

  Based on interview and record review, the facility failed to ensure residents are free of significant medication errors for 1 (Resident #1) of 5 residents reviewed for safe administration of medications, in that: Resident #1's order for levothyroxine was not entered by nursing staff during her initial admittance and upon readmission to the facility. Resident #1 was not given twenty-four doses of levothyroxine for her diagnosis of hypothyroidism as ordered by a physician, as a result, Resident #1 was hospitalized with a myxedema coma. This failure resulted in identification of an Immediate Jeopardy (IJ) situation; an IJ was identified on 03/30/2023. The IJ template was provided to the facility on [DATE] at 10:48 a.m. […]

• Immediate jeopardy, patternF880Jan 21, 2022

  Based on observations, interviews, and record reviews, 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 3 of 24 (Resident # 20, 79, 115) reviewed for mitigation of Covid 19. Facility failed to isolate COVID-19 positive resident # 79 and #115 after they tested positive for COVID-19 and continued to cohort with 22 other negative residents on the women's secure unit. Resident # 79 (positive) and resident #20 (negative) were cohorting in the same room on the women's secure unit. […]

• Immediate jeopardy, isolatedF600Apr 24, 2026

  Based on observations, interviews and record review, the facility failed to ensure residents had the right to be free from abuse, neglect, and misappropriation of property for 1 of 6 residents (Resident #1) reviewed for abuse. On [DATE] at 10:25 p.m., CNA A pried Resident # 1's hands off a chair and grabbed the wrists and physically pushed Resident # 1 causing Resident # 1 to fall to the floor and against the wall which required an evaluation at the local ER due to redness to the wrists and back. This failure was identified as past noncompliance IJ as the facility had instituted adequate corrective measure to prevent recurrence of the noncompliance. The noncompliance began on [DATE] and ended on [DATE]. The facility corrected the noncompliance before the survey began. […]

• Immediate jeopardy, isolatedF689Aug 29, 2025

  Based on observations, interviews, and record review the facility failed to ensure residents received adequate supervision, to the extent possible for 2 of 8 residents (Resident #48 and Resident #64) reviewed for safety. The facility failed to ensure Resident #48, and Resident #64 were provided adequate supervision as the residents walked out of the women's secure unit doors and out into the facility parking lot on 8/23/25, where Resident #64 fell in-between staff vehicles and obtained a laceration to the back of her head requiring 2 sutures. An IJ was identified on 08/28/2025. The IJ Template was provided to the facility on [DATE] at 05:02 PM. […]