Avir at Dripping Springs

Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to properly store, prepare, and distribute food in accordance with professional standards for food service safety for 1 of 1 kitchen. The facility failed to ensure food was properly labeled and dated. These deficient practices could place residents who were served from the kitchen at risk for health complications and foodborne illnesses. Findings Included:Observation on 12/29/2025, at 7:07 AM revealed 3 clear plastic bags containing food items that were undated and unlabeled. The bags contained one bag of corn, one bag of cookie dough, and one bag containing five pie crusts. In an interview on 12/31/2025, at 8:41 AM DA stated she was in-serviced two weeks ago on labeling and dating but does not remember the date. She stated each person in the kitchen is responsible for the labeling and dating of food items. [...]

Inspectors wroteBased on observations, interviews, and record review, the facility failed to ensure each resident was treated with respect and dignity in an environment that promotes maintenance or enhancement of his or her quality of life for 4 of 5 residents (Resident #7, Resident #10, Resident #41, and Resident #45) reviewed for resident rights. The facility failed to ensure that Resident #7, and Resident #45 were fed their lunch in a timely manner. The facility failed to ensure that Resident #7, and Resident #10, were covered completely before transporting them in the hall to/from the shower room. The facility failed to ensure that Resident #41 were covered completely and dressed before taken to the common area. This failure placed all residents at risk for not receiving adequate care and diminished quality of life and embarrassment.

Inspectors wroteBased on observation, interview, and record review, the facility failed to provide an ongoing program of activities based on the comprehensive assessment to meet the interests and support the physical, mental, and psychosocial well-being of 4 of 4 (Residents #7, #13, #29 and #30) residents reviewed for activities. 1. The facility did not provide Resident #7, , #29 and #30 with individual or group activities. These failures placed residents at risk for a decline in their physical, mental, and psychosocial well-being due to a lack of ongoing activities.

Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 4 (CNA D, HK G, MA B, and AD) staff members reviewed for hand hygiene. HK G, CNA D, MA B, and AD failed to perform hand hygiene when performing tasks for or around residents and their environment. 1. HG failed to perform hand hygiene in between cleaning resident rooms and failed to remove gloves after cleaning in resident rooms. 2. CNA D failed to perform hand hygiene after she removed bagged dirty linen from a resident room and entered another resident's room and proceed to assist another resident. 3. [...]

Inspectors wroteBased on observations, interviews, and record review the facility failed to ensure residents received services in the facility with reasonable accommodations of resident's needs and preferences except when to do so would endanger the health and safety of the resident or other residents for 3 of 5 residents (Resident #6, Resident #14, and Resident #50) reviewed for resident rights. The facility failed to ensure Resident #6, Resident #14, and Resident #50's call lights were within reach on 09/24/2024. This failure could place residents at risk of needs not being met.

Inspectors wroteBased on interview and record review, the facility failed to ensure the resident's assessment accurately reflected the resident's status for 1 (Resident #11) of 4 residents reviewed for MDS assessments. The facility failed to include Resident #11's psychiatric diagnose on his quarterly MDS and significant change MDS. This failure could place residents at risk of not having their care and treatment needs assessed to ensure necessary care and services were provided.

Inspectors wroteBased on observation, interview and record review the facility failed to provide pharmaceutical services to assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals to meet the needs of each resident for 1 of 3 medication carts reviewed in that: The medication cart Contained 3 loose pills. These deficient practices could affect residents and result in a drug diversion due to medications not being properly disposed and secured.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure all alleged violations involving abuse or neglect were reported immediately or no later than 24 hours for one (Resident #1) of four residents reviewed for abuse and neglect, in that: The facility failed to report to HHSC an allegation that Resident #1 was overdosed with opioid medication. This failure could place residents at risk of abuse or neglect.

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure all drugs and biologicals were stored in locked compartments under proper temperature controls and permitted only authorized personnel to have access to the keys in 2 medication carts of 3 medication carts (the Nurses Medication Cart and the Treatment Cart) reviewed for medication storage, in that; The facility failed to ensure the Treatment Cart was locked when it was left unattended in the common area of the 200-hallway; and the facility failed to ensure the Nurses Medication Cart was locked when it was left unattended on two different occasions in a common area near the nurses' station. This deficient practice could place residents at risk of medication misuse or drug diversion.

Inspectors wroteBased on interviews and record reviews, the facility failed to provide an MDS assessment that accurately reflected the resident's status for one resident (#58) of three residents reviewed for accurate assessments in that: Resident #58's MDS inaccurately reflected he discharged to the hospital. This deficient practice could affect residents who receive MDS assessments and could result in disruption of continuity of care.

Inspectors wroteBased on interviews, and record reviews the facility failed to maintain medical records on each resident that are complete; accurately documented; readily accessible; and systematically organized, for 1 of 22 residents (Resident #13) reviewed for accurate medical records, in that: Resident #13's electronic medical record inaccurately care planned an anti-convulsive medication as an anti-Parkinson's medication. This failure could cause confusion about the residents diagnoses and place residents at risk for harm due to inaccurate records.

Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment to help prevent the development and transmission of communicable diseases and infections, in that; The facility failed to ensure that staff sanitized the blood pressure cuff between 2 of 3 residents (Resident # 44 and Resident #18) to prevent cross contamination. This deficient practice had the potential to affect residents in the facility by placing them at risk of contracting, spreading and/or exposing them to pathogens that could lead to the spread of communicable diseases.

Inspectors wroteBased on observation, interview, and record review the facility failed to maintain all mechanical, electrical, and patient care equipment in safe operating condition for 1 of 1 stovetop grill in the kitchen reviewed for essential equipment. The facility did not ensure the stovetop grill was in working order. This failure could place the residents at risk of not having safe operating equipment.