Avir at Texarkana

In the surveyor’s words

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

• Immediate jeopardy, isolatedF600Apr 30, 2026

  Based on observation, interview, and record review, the facility failed to ensure residents were free from abuse for 1 of 10 residents (Resident #1) reviewed for abuse. 1. The facility failed to ensure Resident #1 was free from physical abuse on 01/30/26, when CNA A open-handed slapped Resident #1 in the face, which was witnessed by CNA B. 2. The facility failed to ensure Resident #1 was protected from further abuse by CNA A on 01/30/26, when CNA B briefly left the room to notify the nurse. The noncompliance was identified as PNC. The immediate jeopardy (IJ) began on 01/30/26 and ended on 02/02/26. The facility had corrected the noncompliance before the survey began. […]

• Immediate jeopardy, isolatedF697Mar 6, 2026

  Based on observation, interview, and record review the facility failed to ensure pain management was provided to residents who require such services, consistent with professional standards of practice for 1 of 3 residents (Resident #2) reviewed for pain. The facility failed to ensure Resident #2 had his scheduled pain medication Hydrocodone-Acetaminophen tablet 10-325 mg by mouth three times daily from [DATE] - [DATE]. The facility failed to notify the Physician when Resident #2 was experiencing uncontrolled, excruciating pain with behavioral changes. The facility failed to ensure that Resident #2 received adequate pain medication management options. An IJ was identified on [DATE]. The IJ template was provided to the facility on [DATE] at 09:49 AM. […]

• Immediate jeopardy, isolatedF755Mar 6, 2026

  Based on interview, observation and record review, the facility failed to provide pharmaceutical services, including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals, to meet the needs of each resident for 2 of 4 residents (Resident #1 and Resident #2) reviewed for pharmacy services. The facility failed to administer Resident #1's ordered Topamax 25 mg (seizure prevention medication) by the physician from 02/10/2026 - 02/15/2026 (5 days). Resident #1 missed 15 dosages of Topamax resulting in Resident #1 being hospitalized for seizure like activity on 02/13/2026 and 02/15/2026. […]

• Immediate jeopardy, isolatedF684Feb 16, 2023

  Based on interview and record review the facility failed to ensure that residents receive treatment and care in accordance with professional standards of practice for 3 of 7 (Resident #1) residents reviewed for quality of care. 1. The facility did not ensure Resident #1 was provided the proper therapeutic diet during an activity which resulted in him choking, having CPR performed, being sent to the hospital, and his death. 2. The facility failed to keep the dietary binders up to date with the resident's diet orders putting residents at risk for choking. This failure resulted in an identification of an Immediate Jeopardy (IJ) at 4:25 p.m. on [DATE]. […]

• Immediate jeopardy, isolatedF803Feb 16, 2023

  Based on interview and record review the facility failed to follow the menu for a resident on mechanical soft diet for 1 of 7 (Resident #1) residents reviewed for therapeutic diets. The facility did not ensure Resident #1 was provided the proper therapeutic diet during an activity which resulted in him choking, having CPR performed, being sent to the hospital, and his death. This failure resulted in an identification of an Immediate Jeopardy (IJ) at 4:25 p.m. on [DATE]. While the IJ was removed on [DATE], the facility remained out of compliance at actual harm that is not immediate jeopardy with a scope identified as isolated due to the facility's need to complete in-service training and evaluate the effectiveness of the corrective systems. […]