Avir at Seguin

In the surveyor’s words

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

• Immediate jeopardy, isolatedF686Jul 7, 2024

  Based on observation, interview and record review the facility failed to ensure that a resident receives care, consistent with professional standards of practice, to prevent pressure ulcers based on the comprehensive assessment for 1 of 4 Residents (Resident #1) whose records were reviewed for pressure ulcer care. The facility failed to obtain a physician order for treatment and wound care for Resident #1's right heel resulting in the wound declining from a blister to a stage 4 pressure injury that was later found to have maggots. An IJ was identified on 7/5/2024. The IJ template was provided to the facility on [DATE] at 8:26 pm. […]

• Immediate jeopardy, isolatedF925Jul 7, 2024

  Based on observation, interview, and record review, the facility failed to maintain an effective pest control program to keep the facility free from pests for 1 of 4 residents (Resident #1) reviewed for pest control, in that: The facility failed to ensure an effective pest control program was in place to keep flies out of resident rooms resulting in an infestation of maggots in Resident #1's right heel wound. The noncompliance was identified as PNC. The IJ began on 06/16/2024 and ended on 06/18/2024. The facility had corrected the noncompliance before the investigation began. The failure could place residents with wounds at risk for infection or infestations from pests. […]

• Actual harm, isolatedF600Jan 30, 2026

  Based on interviews and record reviews, the facility failed to protect right of residents to be free from physical abuse for 1 of 4 (Resident #1) reviewed for abuse.Resident #1 was hit on the head by NA B.The noncompliance was identified as a PNC. The facility corrected the noncompliance on 8/6/2025 before the surveyor's entry to the facility.This failure could place residents at risk for abuse with injury, intimidation and a decreased quality of life. The findings were: Record review of Resident #1's face sheet dated 1/29/2026 revealed an [AGE] year-old male was admitted to the facility on [DATE] with diagnoses: major depressive disorder, dementia, hypertension (high blood pressure) and anxiety disorder. […]

• No harm, potential for more than minimal, widespreadF812Jun 5, 2024

  Based on observations, interviews, and record reviews the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for 1 of 1 kitchen observed for food service. 1. The facility failed to ensure all open items in the freezers were labeled and dated. a. 4 bags of open frozen foods not labeled with contents or date opened/used by 2. The facility failed to ensure all foods in the refrigerator were labeled and dated. a. Two trays of portioned foods covered and not labeled in the reach in refrigerator (1 of 2) 3. The facility failed to ensure all equipment was clean and sanitary. a. Spilled and partially dried liquid in the bottom of the reach in refrigerator (1 of 2) b. […]

• No harm, potential for more than minimal, widespreadF727May 5, 2023

  Based on interview and record review, the facility failed to ensure a registered nurse was present in the facility for at least eight consecutive hours per day and seven days per week, and designate a registered nurse to serve as the director of nursing, for 1 of 1 facility reviewed for registered nursing coverage and presence of a director of nursing, in that: A registered nurse was not present in the facility for at least eight consecutive hours per day and seven days per week, and the facility did not have a director of nursing in its employ for approximately five months prior to the survey period. This failure could affect all residents receiving care from facility staff who did not have the advanced training of a registered nurse. […]