Avir at Houston

Inspectors wroteBased on observation, interview, and record review, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe environment and to help prevent the development and transmission of communicable diseases and infections for 3 of 6 residents (Resident #1, Resident#2, and Resident #3) and 1of 3 staff (MA B). MA B failed to wash or sanitize hands between administering medications to Resident #1, Resident #2, and Resident #3 on 7/9/26 during medication administration. These failures could place residents at risk for spread of infection, cross contamination, and decrease in quality of life. Findings Included:Resident #1Review of Resident #1's admission assessment dated [DATE] reflected she was an [AGE] year-old female who was admitted to the facility on [DATE]. [...]

Inspectors wroteBased on observation, interview and record review, the facility failed to ensure services provided by the facility, as outlined by the comprehensive care plan, met professional standards of quality for one (Resident #1) of one resident reviewed. On 7/9/26, MA B administered a larger amount of Med Pass 2.0 (a high-calorie, high-protein nutritional shake) than what was written in Resident #1's physician orders. These failures could place residents at risk for fluid overload, weight gain, aspiration pneumonia, and abdominal discomfort. Findings Included: Review of Resident #1's admission assessment on 7/9/26 reflected she was an [AGE] year-old female who was admitted to the facility on [DATE]. [...]

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure that the medication error rate was not five percent or greater. The facility had a medication error rate of 7%, based on 2 errors out of 26 opportunities, which involved 2 of 6 residents (Residents #1 and #2) and 1 of 2 staff (MA B) reviewed for medication errors, in that: -MA B failed to administer medication Potassium Chloride ER (Extended Release is a prescription mineral supplement used to treat or prevent low potassium levels in the blood, ER medications the tablet or capsule is designed to dissolve slowly releasing a steady, controlled amount of potassium over several hours. [...]

Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to ensure that residents were free of significant medication errors for 2 (Resident #1 and Resident #2) of 6 residents reviewed for pharmacy services. MA B failed to administer medication Potassium Chloride ER (Extended Release is a prescription mineral supplement used to treat or prevent low potassium levels in the blood, ER medications the tablet or capsule is designed to dissolve slowly releasing a steady, controlled amount of potassium over several hours. [...]

Inspectors wroteBased on observation, interview and record review, the facility failed to develop and implement a baseline care plan for each resident that includes the instructions needed to provide effective and person-centered care of the resident that meet professional standards of quality care including initial goals based on admission orders and physician orders for 2 of 4 residents (Resident #18 and Resident #2) reviewed for comprehensive care plans. 1. The facility failed to develop a care plan and interventions to address Resident #18's two diabetic ulcers and a pressure injury in a timely manner.2. The facility failed to develop a care plan and interventions to address Resident #2's great big toe ulcer in a timely manner. These failures could place residents at risk of not having their individual, medical and functional needs identified and cause a physical decline in health.1. [...]

Inspectors wroteBased on observation, interview and record review the facility failed to ensure residents received proper treatment and care to maintain mobility and good foot health and provide foot care and treatment, in accordance with professional standards of practice, including to prevent complications from the resident's medical conditions and if necessary, assist the resident in making appointments with a qualified person, and arranging for transportation to and from such appointments for 1 of 5 (Resident #2) residents reviewed for foot care .1. The facility failed to ensure Resident #2 did not have long toenails around 3 mm on the three middle bilateral toes, observed on 06/26/2026.2. [...]

Inspectors wroteBased on observation, interview and record review the facility failed ensure that the hospice services met professional standards and principles that apply to individuals providing services in the facility, and to the timeliness of the services and to meet the resident's personal care and nursing needs in coordination with the hospice representative, and ensure that the level of care provided is appropriately based on the individual resident's needs for 1 of 4 residents (Resident #2) reviewed for hospice and personal care. The facility failed in notifying Resident #2's Hospice that Resident #2's NP recommended he see a Podiatrist for his long toenails. This failure could place residents at risk of not receiving foot care treatment in a timely manner. [...]

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that each resident receives adequate supervision for 1 (Resident #1) of 1 reviewed for supervision. The facility failed to provide supervision for Resident #1 when he eloped from the facility on 6/7/2026 between the hours of 9:15 a.m. and 9:40 a.m., when Resident #1 was found by law enforcement outside the perimeter of the facility in the grass. This failure could place all residents at risk of experiencing pain, physical, emotional distress, and possible death. Record Review of Resident #1's chart reveals he was a [AGE] year-old male with a BIMS score of 6, admitted to the facility on [DATE]. Resident #1's primary diagnosis was dehydration. He was also diagnosed with unspecified mood disorder, bipolar, major depression, hyperlipidemia, post traumatic stress disorder, and unspecified dementia. [...]

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents who were incontinent of bladder received appropriate treatment and services to prevent urinary tract infections and to restore continence to the extent possible for 1 of 3 residents (Resident #1) reviewed for incontinent care. The facility failed to ensure CNA A properly cleaned Resident #1 during incontinent care when CNA A did not around Resident #1's buttocks on 06/16/2026. This failure could place residents at risk for pain, infection, injury, and hospitalization.

Inspectors wroteBased on observation, interview and record review, the facility failed to maintain an infection and prevention control program that included, at a minimum, a system for preventing and controlling infections and to help prevent the development and transmission of communicable diseases and infections for 1 (Resident #1) of 3 residents reviewed for infection control. - The facility failed to ensure CNA A washed or sanitized her hands and performed glove changes appropriately while providing incontinence care to Resident #1 on 06/16/26. This deficient practice placed residents at risk for cross contamination and the spread of infection.

Inspectors wroteBased on interview and record review, the facility failed to provide and document sufficient preparation and orientation to residents to ensure safe and orderly transfer or discharge from the facility for one (Resident #93) of five residents reviewed for discharges. The facility failed to safely discharge Resident #93 when she was:1. discharged home on [DATE] by EMS via stretcher, incontinent of bowel and bladder, and unable to ambulate, with no support services from home health.2. discharged without an AMA (This occurs when a patient chooses to leave a hospital or healthcare facility before the treating physician recommends discharge), discharge notice, or notice to the Ombudsman per facility policy. During less than 24 hours after Resident #93 was discharged home she urinated and defecated on herself and was unable to change her clothing and clean her body. [...]

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure each resident was treated with respect and dignity and care in a manner and in an environment that promoted maintenance or enhancement of his or her quality of life, recognizing each resident's individuality for 4 of 15 residents (Resident #20, Resident #59, Resident #64 and Resident #102) reviewed for resident rights. The facility failed to ensure CNA B knocked on Resident #20, and Resident #59 and Resident #64's doors when going into the residents' rooms. The facility failed to ensure Resident #102's catheter had privacy cover on it. These failures could place residents at risk of poor self-esteem and feeling like their privacy was being invaded.

Inspectors wroteBased on interview and record review, the facility failed to provide an ongoing activities program to support residents in their choice of activities, both facility sponsored group and individual activities, and independent activities, designed to meet the interests of and support the physical, mental, and psychosocial well-being of each resident, encouraging both independence and interaction in the community for 3 of 3 residents (Resident #27, Resident #73, and #85) reviewed for activities. The facility failed to provide Resident #27 with activities he was able to do, failed to offer Resident #73 activities, and failed to provide Resident #85 activities that interested him. This failure could place residents at risk for boredom, depression, and diminished quality of life.

Inspectors wroteBased on observation and interview, the facility failed to ensure storage of drugs and biologicals used in the facility for 2 of 8 medication carts observed for medication storage and labeling. The facility failed to ensure loose medications were removed from the medication carts. This failure could place residents who received medications at risk of not receiving the intended therapeutic effect of the medication. This failure could lead to unsafe and unsecure storage of all medication to reduce, minimize loss, or diversions for all medications.

Inspectors wroteBased on observation, interview, and record review the facility failed to serve food and drink that was palatable, attractive, and a safe and appetizing temperature for residents for one (1) of one (1) kitchen reviewed for food and nutrition services. The facility failed to serve warm food to residents. These failures could place residents at risk of decreased food intake, hunger, unwanted weight loss, and diminished quality of life.

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 (Resident #7, Resident #32, Resident #95 and Resident #101) of 7 residents reviewed for infection control. The facility failed to ensure CNA A wore PPE as required for Resident # 32, who was on enhanced barrier precautions. The facility failed to ensure Central Supply wore PPE as required for Resident # 95, who was on enhanced barrier precautions. The facility failed to ensure LVN D followed infection control and prevention by not cleaning the glucometer prior to and after checking Resident #101's blood sugar, and by not cleaning the insulin vial prior to withdrawing a dose. [...]

Inspectors wroteBased on observation, interview, and record review the facility failed to provide reasonable accommodation of resident needs and preferences for one (Resident #27) of one residents reviewed for vision impairment. The facility failed to ensure Resident #27 1. Was told what food he was having for breakfast and where it was located on his tray and it was free from cellophane 2. Received large print reading materials This failure could place residents at risk of needs and accommodation being unmFindings Include: [...]

Inspectors wroteBased on interview and record review, the facility failed to ensure a new resident was not admitted with mental illness unless the state mental health authority determined, based on independent physical and mental evaluation performed by a person or entity other than the State mental health authority, prior to admission for 2 of 12 residents (Resident #35 and Resident #65) reviewed for PASRR services. The facility failed to ensure a PASRR screening was completed correctly for Resident #35 and for Resident #65. This failure could place residents at risk for not obtaining the services needed to treat their mental health diagnoses.

Inspectors wroteBased on observation, interview 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 6 of 10 residents (Resident #2, Resident #3, Resident #4, Resident #5, Resident #6, and Resident #7) reviewed for pharmacy services. The facility failed to administer Resident #2, Resident #3, Resident #4, Resident #5, Resident #6, and Resident #7's medications greater than one hour after the scheduled administration time. This failure placed residents at risk for receiving less than therapeutic benefits from medicationsFindings included:Record review of Resident #2's face sheet, dated 04/15/26, reflected Resident #2 was admitted to the facility on [DATE]. [...]

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that residents, who needed respiratory care, were provided such care consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences for 1 of 4 residents (Resident #1) reviewed for respiratory care. The facility failed to ensure Resident #1's O2 nasal cannula and water bottle changed every week as ordered by the physician. This failure placed residents at risk for respiratory infections through contamination.

Inspectors wroteBased on interview and record review the facility failed to ensure a resident with pressure ulcer (injury/bedsore) is skin and tissue damage from prolonged pressure, friction, or shear) receives necessary treatment services consistent with professional standards of practice to promote healing, prevent infection, and prevent new pressure ulcers from developing for 1 of 4 closed record (CR) #1 reviewed for pressure ulcers in that: 1. The facility failed to prevent the development of a pressure ulcers to CR #1's 1-left foot measuring (Length x Width x Depth) 2x2x0 centimeters (cm).2. The facility failed to prevent the development of a pressure ulcers to CR #1's right lateral ankle measuring 1x1x1 cm.3. The facility failed to prevent the development of a pressure ulcers to CR #1's 1-left hip measuring 4x4x0 cm.4. [...]

Inspectors wroteBased on interview and record review the facility failed to ensure residents discharge to an appropriate setting that could meet the resident's needs for 1 of 4 closed record (CR #2) reviewed for discharge in that: 1. The facility discharged CR #2 to a homeless shelter for men where he had difficulties performing his activities of daily living (ADL) and administer and store his medications. This failure could place residents at risk of unsafe discharges, sadness, fear, injury, and death. Record review of CR #2's Facesheet dated 11/11/2025 reflected a [AGE] year-old male who admitted to the facility on [DATE] and discharged on 07/31/2025 to a private home/apartment with no home health services. [...]

Inspectors wroteBased on interview and record review, the facility failed to ensure an MDS was completed for a resident and entered MDS data into the facility's assessment software resident's assessment was completed within 7 days after completing the MDS and electronically transmit the MDS data to CMS within and 14 days after completing the MDS, and electronically transmit encoded, accurate, and complete MDS data to the CMS System for a subset of items upon a resident's transfer, reentry, discharge, and death for 1 of 4 discharged residents (CR #2 ) reviewed for encoding and transmitting resident assessments., in that: - The facility failed to complete and transmit a discharge MDS for CR #2. This failure could place discharged residents at risk of not having a proper discharge and not receiving services post discharge.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident who was incontinent of bladder received appropriate treatment and services to prevent urinary tract infections and to restore continence to the extent possible for 1 of 3 residents (CR #3) reviewed for incontinent care. -The facility failed to ensure CR #3 had her urine output monitored 3/14/2025 and 3/19/2025 as ordered. This failure could place residents at risk for pain, infection, injury, and hospitalization. Record review of CR #3's face sheet, dated 10/23/2025, reflected a [AGE] year-old female originally admitted to the facility on [DATE] and discharged [DATE] to a private home. [...]

Inspectors wroteBased on observation, interviews, and record review the facility failed to provide, based on the preferences of each resident, activities designed to meet the interests of and support the physical, mental, and psychosocial well-being of each resident for 5 of 5 confidential residents reviewed for activities. The facility failed to provide activities to meet the residents' interests on Saturdays and Sundays for 5 confidential residents. These failures placed residents at risk for decline in quality of life, social and mental psychosocial wellbeing. Findings Include: During a confidential group interview on 03/19/2025 and 10:04 a.m., with 5 confidential residents, all residents stated that there are no weekend activities. They stated that they could attend church on Sundays, but no other activities were provided. [...]

Inspectors wroteBased on observation, interview and record review, the facility failed to ensure that parenteral fluids were administered consistent with professional standards of practice and in accordance with physician orders, the comprehensive person-centered care plan, and the resident's goals and preferences for 1 out of 7 residents (Resident # 42) reviewed who were receiving parenteral fluids. -The facility failed to change Resident # 42's PICC line (a longer catheter threaded into a larger vein near the heart) dressing every 7 days as ordered by the physician. -LVN B failed to measure Resident #42's external PICC line catheter prior to removing the old dressing to ensure that the tip of the catheter had not dislodged. -LVN B failed to properly remove Resident #42's PICC line dressing to prevent dislodgement. [...]

Inspectors wroteBased on observation, interview and record review, the facility failed to ensure that its medication error rate was not 5 percent or greater. The medication error rate was 14 percent with 5 errors out of 35 opportunities involving 1 of 3 staff members (LVN B) and 2 of 7 residents (Resident #392, Resident #393) reviewed for medication administration. - LVN B administered 3 medications to Resident #392 via PEG tube (feeding tube) in a manner that was not in accordance with accepted professional standards and principles. She crushed the medications into a powder form in each medication cup, dissolved it in water, LVN B did not ensure she got all the medication out of the medication cup during administration. [...]

Inspectors wroteBased on record review and interview, the facility failed to assess each resident annual assessment using the Annual Minimum Data Set (MDS) form specified by the state and approved by Center for Medicare and Medicaid Services (CMS) for review of 12-closed record and 1 of 5 Residents (Resident #1) reviewed for annual assessments. The facility failed to complete Resident #1's MDS Assessment within 124 days (11/08/2024 through 03/20/2025) of the previous MDS assessment. This failure could place all residents at-risk of not having their assessments completed timely.

Inspectors wroteBased on interview and record review the facility failed to assess a resident using the quarterly review instrument specified by the State and approved by CMS not less frequently than once every 3 months for review of 1 of 5 Residents (Resident #1) and 12-closed records reviewed for assessments. The facility failed to complete a quarterly assessment for Resident #1 every 3 months (11/08/2024 through 03/20/2025). This failure could place residents at risk for not getting an accurate assessment and could result in lack of care.

Inspectors wroteBased on interview and record review, the facility failed to transmit ensure an MDS was completed and electronically transmitted to the CMS System for 14 days after completion resident assessment within the required time frame for 1 of 5 (Resident #1) and 12 closed records, reviewed for data transmission in that: The facility failed to complete and transmit Resident #1's quarterly MDS. This failure could place residents at risk of not having their assessments transmitted timely and an incomplete record. Findings Include: Record review of Resident #1's Facesheet dated 03/20/2025 revealed Resident #1 was an 88-years old female who admitted to the facility on [DATE]. Record review on 03/20/2025 at 02:35 p.m., revealed that Resident #1's quarterly assessment due 02/22/2025 showed an In Progress status and had not been uploaded. [...]

Inspectors wroteBased on observation, interview and record review, the facility failed to develop and implement a comprehensive person-centered care plan for each resident that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the comprehensive assessment for 1 (Resident #42) of 11 residents reviewed for comprehensive care plans. - Resident # 42 was not care planned on 03/10/2025 for a PICC line insertion ordered on 03/07/25. These failure place resident at risk for infections and unwanted hospitalization.

Inspectors wroteBased on observation, interview and record review, the facility failed to ensure services provided by the facility, as outlined by the comprehensive care plan, met professional standards of quality for one (Resident #392) of one resident observed for gastrostomy tube feedings. The facility failed to ensure LVN B administered medication and water to Resident #392 via her gastrostomy tube (g-tube) by following physician's order These failures could place residents at risk for fluid overload weight loss, aspiration pneumonia, and abdominal discomfort.

Inspectors wroteBased on observation, interview, and record review the facility failed to provide the necessary services to maintain grooming and personal care for 2 (Resident #195 and Resident #192) of 7 residents reviewed for ADL care, in that: - The Ffacility failed to give Resident #195 his schedule showers on Tuesday, Thursday, and Saturday on a consistent basis. - The facility failed to ensure Resident #192 was provided incontinent care in a timely manner. These failures placed residents a risk for skin break down, offensive odors, and decrease in quality of life.

Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to ensure that residents were free of significant medication errors for 1 (Resident #392) of 7 residents reviewed for pharmacy services. The facility failed to ensure Resident #392 was free of significant medication errors when Resident #392, atorvastatin (medication to treat high cholesterol), Lamotrigine (medication to treat seizure), and Fluoxetine (which is an antidepressant) was administered by LVN B on 03/19/2025. LVN B failed to administer 3 medications to Resident #392 via PEG tube (feeding tube) in a manner that was not in accordance with accepted professional standards and principles. She crushed the medications into a powder form in each medication cup, dissolved it in water, LVN B did not ensure she got all the medication out of the medication cup during administration. [...]

Inspectors wroteBased on observation, interview, and record review the facility failed to provide the necessary services to maintain grooming and personal care for 2 (Resident #2 and Resident #1) of 7 residents reviewed for ADL care, in that: - The facility failed to ensure Resident #2 was provided personal grooming (dry patches and flaky skin) by facility staff. - The Facility failed to give Resident #1 his schedule showers on Tuesday, Saturday, and Saturday on a consistent basis. These failures placed resident a risk for skin break down, offensive odors, and decrease in quality of life.

Inspectors wroteBased on observations, interviews and record reviews, the facility failed to ensure residents received proper treatment and care to maintain mobility and good foot health for one (Resident #2) of four residents reviewed for food care. Resident #2 was not seen by a podiatrist for long, thick, and deformed toenails. This failure placed residents at risk of not receiving foot care consistent with professional standards of practice.

Inspectors wroteBased on record review and interview, the facility failed to maintain medical records in accordance with accepted professional standards and practices that were accurately documented for 1 of 5 (Resident #7) residents reviewed for accurate medical records. -LVN C and LVN D failed to document why Resident #7's Tramadol Hcl Oral Tablet 100 MG for pain every 8 hours was not given on 2/13/2025 at 2:00am and 10:00am. This failure could place residents at risk of having care provided based on inaccurate monitoring and documentation.

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure that a resident who needs respiratory care, including tracheostomy care and tracheal suctioning is provided such care, consistent with professional standards of practice, the comprehensive person-centered care plan, the resident goals and preference for 1 (Resident #81) of 1 reviewed for tracheostomy care. -LVN A failed to reconnect Resident #81's trach to oxygen after removing it to gather trach supplies. -LVN A failed to properly secure Resident #81's trach when removing the trach tie. -LVN A failed to clean Resident #81's trach stoma to prevent infection. An IJ was identified on 02/16/2024. The IJ template was provided to the facility on [DATE] at 5:44PM. [...]

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure that the nursing staff were able to demonstrate competency in skills and techniques necessary to provide tracheostomy care for 1 (Resident #81) of 1 resident reviewed for tracheostomy care. -LVN A failed to reconnect Resident #81's trach to oxygen after removing to gather trach supplies. -LVN A failed to properly secure Resident #81's trach when removing the trach tie. -LVN A failed to clean Resident #81's trach stoma to prevent introducing micro-organism (bacteria) inside of tracheostomy. An IJ was identified on 02/16/2024. The IJ template was provided to the facility on [DATE] at 5:44PM. [...]

Inspectors wroteBased on interviews and record reviews the facility failed to complete a performance review at least every 12 months for 2 of 5 nursing staff (CNA M, CNA N) reviewed for training. The facility did not complete a performance review at least once every 12 months on CNAs M and N. This failure could place residents at risk by being cared for by nurse aides with inadequate training and skills and not being provided the in-services needed based on these reviews.

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure that its medication error rates are not 5 percent or greater. There were 3 errors out of 36 opportunities which resulted in an 8 percent error rate involving Resident # 79 and Resident #80. -LVN A failed to administer Resident #79's omeprazole 20mg before their meal. -LVN fFailed to administer Resident #80's omeprazole 20mg before their meal. -LVN Failed to administer Resident #80 lidocaine patch 5% as ordered by the physician. These failures placed residents at risk for not receiving therapeutic benefits of their medication.

Inspectors wroteBased on observations, interview, and record review, the facility failed to ensure that each resident received adequate supervision for 1 (Resident # 1) of 5 residents reviewed for supervision. The facility failed to ensure Resident # 1 received supervision while in the elevator. The facility failed to monitor and supervise Resident # 1 as she was unable to operate the elevator. This failure could place residents at risk of being in an unsafe environment or serious injuries as Resident #1 was in the elevator alone for over seven minutes.

Inspectors wroteBased on observation, interviews, and record reviews, the facility failed to immediately consult with the resident's physician when there was a significant change in the resident's condition or need to alter treatment significantly for 1of 5 residents (CR#1) reviewed for physician notification. The facility failed to notify the physician of Resident #1's continued change in condition, including low blood pressure and high pulse rate, for approximately 12 hours. After approximately 12 hours Resident #1 was sent to the hospital via emergency transport and was admitted with Pneumonia, Acute Kidney Failure, and Septic Shock and was placed on life-support. An IJ was identified on 11/6/2023. The IJ template was provided to the facility on [DATE] at 4:13pm. [...]

Inspectors wroteBased on interview, and record review the facility failed to ensure that residents received treatment and care in accordance with professional standards of practice and the residents' choices for 1 of 5 residents (CR# 1) reviewed for quality of care. The facility failed to ensure that CR #1 received treatment and care in accordance with professional standards of practice. The facility failed to call 911 services to transport CR#1 to a higher level of care, instead, attempted to use their non-emergency transportation to send resident to the hospital when CR #1 ' s blood pressure was extremely low and pulse extremely high. The facility failed to transfer CR #1 to the hospital in a timely manner when resident ' s vitals began to decline. [...]

Inspectors wroteBased on interview and record review, the facility failed to ensure residents who were incontinent of bladder and bowel and unable to carry out activities of daily living (ADLs) and received necessary services to maintain personal hygiene for 3 of 3 residents reviewed for ADLs, (Resident #s 1, 2, and 3) The facility did not provide Resident #1 with incontinent care for more than 10 hours on 09/12/23 and 09/16/23. The facility did not provide Resident #2 with incontinent care for more than 10 hours on t. On 09/09/23, Resident #2 had a colostomy bag that overflowed leaving feces on the resident, resident's wheelchair, and floor. The facility did not provide Resident #3 with incontinent care for more than 10 hours on 09/14/2023, 09/15/2023 and 09/16/23. [...]