Avir at Schertz

In the surveyor’s words

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

• Immediate jeopardy, patternF684May 1, 2023

  26869 Based on observations, interviews and record reviews the facility failed to ensure receive treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices for 1 of 9 (Resident #1) reviewed for quality of care, in that: 1. On 04/17/2023, nursing staff found Resident #1's left heel/ankle wound had a strong foul odor and purulent drainage on the wound dressing. Resident #1 was sent to the hospital and admitted on [DATE] for a wound evaluation. At the hospital Resident #1 was intubated, went septic on 04/26/2023 and while at the hospital, an emergency left lower extremity amputation was performed on 04/26/2023 a. Resident #1 had 4 maggots on a heel/ankle wound removed by LVN B on 4/14/2023. […]

• Immediate jeopardy, isolatedF600Jan 9, 2026

  Based on interview, and record review the facility failed to ensure the resident had the right to be free from abuse, neglect, misappropriation of resident property, and exploitation for 1 out of 8 residents (Resident #1) reviewed for abuse/neglect. 1.The facility failed to ensure Resident #1 was free from abuse when RN A verbally abused Resident #1 by calling her a whore and a slut.2. The facility failed to ensure Resident #1 was free from abuse when RN A physically abused by forcefully pushing the resident's wheelchair and forcefully removing her clothes on 10/4/25 around 5:20 a.m. The noncompliance was identified as PNC. The IJ began on 10/4/25 and ended on 10/8/25. The facility had corrected the noncompliance before the investigation began. […]

• Immediate jeopardy, isolatedF609Jan 9, 2026

  Based on observation, interview and record review the facility failed to ensure that all alleged violations involving abuse, neglect, including injuries of unknown source were reported immediately, but not later than 2 hours after the allegation was made, if the events that caused result in serious bodily injury for 1 of 8 residents (Resident #1) whose records were reviewed for abuse and neglect: The facility failed to ensure verbal and physical abuse that occurred on 10/4/25 at 5:20 a.m. of Resident #1 by RN A was immediately reported to the abuse coordinator. The abuse was reported to the administrator on 10/7/25.The noncompliance was identified as PNC. The IJ began on 10/4/25 and ended on 10/8/25. […]

• Immediate jeopardy, isolatedF689Nov 23, 2024

  Based on interview, and record review, the facility failed to ensure residents received adequate supervision to prevent accidents for 5 of 16 residents (Resident #9, Resident #21, Resident #36, Resident #40 and Resident #48) reviewed for accidents and supervision. The facility failed to provide adequate supervision to Resident #36 after Resident #36 was suspected to be under the influence of illicit substances. Resident #9, Resident #21, Resident #36, and Resident #40 all tested positive for amphetamines. The facility did not lock and adequately supervise the back door. Further observation revealed Resident #9 and Resident #48 were smoking outside unattended. An IJ was identified on [DATE]. The IJ template was provided to the facility on [DATE] at 1:10 p.m. […]

• Immediate jeopardy, isolatedF689Sep 1, 2021

  Based on observation, interview and record review, the facility failed to ensure that each resident received adequate supervision to prevent elopement for 1 of 5 residents (Resident #1) reviewed for accident hazards and supervision. The facility failed to ensure Resident #1 was being supervised during the evening shift resulting in the resident eloping from the facility and being found on the side of the road by a community member. Resident was unaccounted for during the 2-10 p.m. shift for approximately 2.5 hrs. and the resident eloped from the facility. This failure resulted in an identification of an Immediate Jeopardy (IJ) on 8/30/2021 at 6:45 p.m. While the IJ was removed on 9/1/21 at 4:45 p.m. […]