Avir at Sherman

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF641Aug 5, 2026

  Based on interview and record review, the facility failed to ensure the MDS assessment accurately reflected the residents status. for 4 of 12 residents (Resident #84, Resident #6, Resident #31 and Resident #73) reviewed for accuracy of MDS assessment. 1. The facility failed to accurately reflect discharge information on Resident #84's Discharge MDS assessment completed on 6/22/26.2. The facility failed to accurately reflect Resident #6's therapy services on his Quarterly MDS assessment completed on 6/7/26.3. The facility failed to accurately reflect Resident #31's smoking status on his admission MDS assessment completed on 7/27/26.4. The facility failed to accurately reflect Resident #73's smoking status on his Quarterly MDS assessment completed 6/27/26. […]

• No harm, potential for more than minimal, patternF656Aug 5, 2026

  Based on interview and record review, the facility failed to ensure the comprehensive care plan described the services that were to be furnished to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being for three of 19 (Resident #12, Resident #10, and Resident #73) of 19 residents reviewed for comprehensive care plans. 1.The facility failed to ensure Resident #12's comprehensive care plan was revised to reflect his discontinued Hospice Services. 2. The facility failed to ensure Resident #10's comprehensive care plan reflected therapy recommendations of home exercise program.3. The facility to address Resident #73's use of tobacco and need to be supervised while smoking in her care plan. […]

• No harm, potential for more than minimal, patternF695Aug 5, 2026

  Based on observation, interview and record review the facility failed to ensure that a resident who needed respiratory care, including tracheostomy care and tracheal suctioning, was provided with such care, consistent with professional standards of practice, the comprehensive person-centered care plan and the resident's goals and preferences for four of four residents (Resident #61, Resident # 11, Resident #90 and Resident #88) reviewed for respiratory care.1. The facility failed to ensure RN A maintained sterile/aseptic technique during tracheostomy care for Resident #61 on 08/03/26. 2. The facility failed to ensure the supplemental oxygen was provided at the physician ordered rate for Resident # 11 on 08/03/26 and 08/04/26.3. […]

• No harm, potential for more than minimal, patternF759Aug 5, 2026

  Based on observation, interview and record review the facility failed to ensure that the medication error rate was not 5% or greater. The facility had a medication error rate of 5.56 %, based on 2 errors out of 36 opportunities, which involved two of five residents (Resident #18 and Resident # 46) and two of four staff (LVN B and MA D) observed during medication administration reviewed for medication errors. 1. The facility failed to ensure LVN B administered the correct dosage of Resident #18's Seroquel Oral Tablet at the correct scheduled time on 08/04/26. 2. The facility failed to ensure MA K administered Resident #46's Allergy Eye Ophthalmic Solution 0.025-0.3 % (Naphazoline with Pheniramine) as ordered by physician on 08/04/26. […]

• No harm, potential for more than minimal, patternF761Aug 5, 2026

  Based on observation, interview and record review the facility failed to ensure all drugs and biologicals used in the facility were labeled in accordance with currently accepted professional principles, and included the appropriate accessory and cautionary instructions, and the expiration date when applicable and failed to ensure, in accordance with State and Federal laws, all drugs and biologicals were stored in locked compartments under proper temperature controls, and permitted only authorized personnel to have access to the keys for five of nine residents (Resident #71, Resident #7, Resident #11, Resident # 31 and Resident # 1) reviewed for the storage of drugs and biologicals. 1. […]