Avir at San Antonio

In the surveyor’s words

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

• Immediate jeopardy, patternF689Aug 30, 2025

  Based on observation, interviews and record reviews, the facility failed to ensure the resident environment remained as free of accident hazards as was possible and each resident received adequate supervision and assistance devices to prevent accidents for 2 of 16 residents (Residents #9 and #63) reviewed for accidents and hazards. 1. Resident #9 was observed with her own smoking paraphernalia which included a lighter (a self-contained ignition source used to lite cigarettes) and was observed smoking on the facility property without supervision and or at the assigned agreed upon times for supervised smoking. 2. […]

• Immediate jeopardy, isolatedF805Jul 26, 2024

  Based on observations, interviews and record reviews, the facility failed to ensure provided food was prepared in the proper form to meet residents needs for 1 of 6 residents reviewed, (Resident #1), reviewed for food form. On 7/21/24 the facility failed to ensure Resident #1 was given the correct physician-ordered diet texture of a meal which led to choking. An IJ was identified on 07/22/24. The IJ template was provided to the facility on [DATE] at 7:07 pm. While the IJ was removed on 07/26/24 the facility remained out of compliance at a scope of isolated with a potential for more than minimal harm that is not immediate jeopardy, due to the facility's need to evaluate the effectiveness of the corrective systems. […]

• Actual harm, isolatedF584Sep 20, 2025

  Based on observation, interview, and record review, the facility failed to ensure the resident's right to a safe, clean, comfortable, and homelike environment for 1 (Resident #1's room) of 12 resident rooms reviewed for physical environment.The facility failed to ensure there were no pests in Resident #1's room on 9/5/25.This failure could place residents at risk of psychosocial harm due to diminished quality of life and/or physical harm. Findings included:Record review of Resident #1's admission Record, dated 9/20/25, revealed the resident was admitted on [DATE] with diagnoses which included: Need for Assistance with Personal Care, Muscle Weakness, Polyneuropathies (disorder affecting multiple peripheral nerves, causing damage/dysfunction), and history of other diseases of the nervous… […]

• No harm, potential for more than minimal, patternF656May 8, 2026

  Based on observation, interview and record review, the facility failed to develop and implement a comprehensive person-centered care plan for each resident, consistent with the resident rights, 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 5 of 5 residents (Residents #1, #2, #3, #4, and #5) reviewed for care plans: The facility failed to develop a comprehensive care plan for Resident #1 and Resident #5.The facility failed to ensure Residents #2, #3, and #4 had a completed comprehensive care plan. […]

• No harm, potential for more than minimal, patternF605Aug 30, 2025

  Based on interview and record review, the facility failed to ensure that the residents were free from chemical restraints not required to treat the residents' medical symptoms for 1 (Resident #60) of 6 residents reviewed for unnecessary medications.The facility failed to ensure Resident #60 received a gradual dose reduction for anti-psychotic medication, Zyprexa. This deficient practice could affect any resident receiving medications and could result in adverse effects and ultimately a decline in physical condition.The findings were:Review of Resident #60's face sheet dated 8/30/35 revealed she was admitted to the facility on [DATE] with diagnoses including Vascular dementia, unspecified severity, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety, Major… […]