Avir at Sealy

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents who were unable to carry out activities of daily living received necessary services to maintain grooming and personal hygiene for three residents (Resident #45, Resident #6, and Resident #5) out of four residents reviewed for ADLs. -The facility failed to provide personal hygiene to Resident #45 and Resident #6, which resulted in the residents having facial hair on their chin.-The facility failed to provide personal hygiene to Resident #5, which resulted in dry, flaky, and ashy skin from below the shoulders to the lower back and both lower extremities. These deficient practices could have placed residents at risk of skin breakdown and reduced feelings of self-worth. [...]

Inspectors wroteBased on observation, interview and record review, the facility failed to ensure that residents who are continent of bladder and bowel on admission receives services and assistance to maintain continence and that residents who are incontinent of bladder receives appropriate treatment and services to prevent urinary tract infections and to restore continence to the extent possible for 2 of 4 residents (Residents #15 and #5) reviewed for incontinent care. -Resident #15's foley catheter bag was observed more than half full and was not emptied as needed on 05/03/2026.-CNA G and CNA J left Resident #5's foley bag on the bed, did not hold down the tube while cleaning it and did not secure Resident #5's foley bag with a stabilization device during incontinent care observed on 05/04/2026. These failures could cause residents to be at risk of infection, pain, injury, hygiene, and hospitalization. [...]

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 1 of 6 residents (Resident #3) reviewed for medication administration. The facility failed to ensure LVN Z administered Resident #3's Risperidone oral tablet 1.5 tablet orally two times a day during the night shift for 2 days in March 2026 and 8 days in April 2026. The medication was in the facility, but LVN Z marked the medication as not in the facility and that it was on reorder. This failure could affect residents receiving medication and place them at risk of receiving incorrect or no medication resulting in an adverse reaction or a decline in health. [...]

Inspectors wroteBased on observation, interview and record review the facility failed to ensure that food was prepared by a method that conserved nutritive value, flavor, attractive in appearance in one of one kitchen. The facility failed to ensure that squash and mashed potatoes for lunch were not placed on the steam table 3 hours prior to lunch resulting in the squash being mushy and unattractive. This failure places all residents who ate meals prepared by the kitchen at risk of not getting the nutrients needed to prevent malnutrition and weight loss. Observation on 5/3/2026 at 9:00am of the steam table revealed cooked squash and mashed potatoes were on the steam table for lunch resulting in these menu items being overcooked, mushy and unattractive in appearance. Observation during lunch on 5/3/2026 at 12:05pm revealed squash served for lunch was mushy and unattractive in appearance. [...]

Inspectors wroteBased on observation, interview and record review the facility failed to ensure food was stored, prepared, distributed, and served in accordance with professional standards for food service safety for one of one kitchen reviewed for food and nutrition services. 1. The facility failed to ensure that divided plates, bowls, and cups with dried food particles and were not stored with clean plates, bowls and cups. 2. The facility failed to ensure that clean pots and pans were free of grease and food particles. 3. The facility failed to ensure the crates holding soiled plates and the deep fat fryer were clean, and the oil in the deep fat fryer was not black. 4. The facility failed to ensure the floor tiles between the ice machine and the stove were in good repair and the floor was free of dust and a black substance. 5. The facility failed to ensure that open foods were sealed and dated. 6. [...]

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure that the resident environment remained as free of accident hazards as was possible and each resident received adequate supervision and assistance devices to prevent accidents for 1 of 6 (Residents #3 and #15) residents reviewed for accident hazards. -Resident #15 was transferred from her wheelchair to her bed by Hospice Aide T using a one-person transfer resulting in a fall with a head injury and being sent out to the hospital on [DATE].-Resident #3 went into a staff bathroom which was supposed to be locked and did not have a call light on 04/30/2026. These failures could place residents at risk of serious injury or harm. Resident #15Record review of Resident #15's face sheet dated 05/03/2026, she was an [AGE] year-old female originally admitted on [DATE] with the following diagnoses: [...]

Inspectors wroteBased on interview and record review the facility failed to ensure that a resident was free from significant medication error for 1 of 6 residents (Resident #12) reviewed for medication error. -The facility failed to ensure that Resident #12's blood pressure medication Metoprolol was held within the parameter the physician ordered. This failure could place residents with high or low blood pressure at risk of fainting or a stroke due to not getting their blood pressure medication as ordered by their physician. Record review of Resident #12's admission face sheet dated 5/6/2026 revealed she was an [AGE] year-old female who was admitted to the facility on [DATE] and readmitted on [DATE]. [...]

Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain an infection control program designed to help prevent the development and transmission of disease and infection for 1 (Resident #5) of 3 residents observed for infection control. -The facility failed to ensure Resident #5's foley bag and privacy cover did not touch the floor.- The facility failed to ensure CNA J followed proper infection control and hand-washing procedures during foley care for Resident #5. These failures could have placed residents at risk by exposing them to care that could have led to the spread of infections, secondary infections, or communicable diseases. Record review of Resident #5's face sheet dated 05/04/26 revealed a [AGE] year-old female who was initially admitted on [DATE] and readmitted on [DATE] from the hospital. Resident #5 had diagnoses which included: [...]

Inspectors wroteBased on observation, interviews and record review the facility failed to ensure that residents were given therapeutic diets as prescribed by their physicians in 4 of 8 residents (Resident #1, Resident #2, Resident #3 and Resident # 4). The facility failed to ensure that Resident #1 was given fortified meal plan as ordered by the physician. The facility failed to ensure that Resident #2 was given fortified pudding and fortified meal plan as ordered by the physician. The Facility failed to ensure that Resident #3 was given fortified pudding or ice cream for lunch and dinner as ordered by the physician. The facility failed to ensure that Resident #4 was given fortified pudding/supapudding and fortified meal plan as ordered by the physician. This failure placed all residents to be at risk of weight loss and ultimately malnutrition. [...]

Inspectors wroteBased on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen: A rack for the can goods had an orange brownish substance that had spilled on the rack and on the floor under the rack. The bins with flour had a white residue on the outside of the top and the sugar bin had holes under the handles and there was a black residue on the outside of the bin's top. 3 Shelves in the kitchen that held clean pots and pans were lined with foil and mesh covering on top with a dirty greasy film that covered them. The grill had black grease on the knobs and the fryer was covered with grease and food particles. [...]

Inspectors wroteBased on record review the facility failed to use the services of a registered nurse for at least 8 consecutive hours a day, 7 days a week for 1 of 1 facilities reviewed for nursing services. The facility did not have RN coverage for 12 days on 10/5/24, 10/6/24, 10/12/24, 10/13/24, 10/19/24, 11/2/24, 11/3/24, 11/16/24, 11/17/24, 11/30/24, 12/1/24, and 12/5/24. This failure could place the residents at risk of not receiving needed services and care.

Inspectors wroteBased on observation and interview, the facility failed to post the nurse staffing data on a daily basis at the beginning of each shift for 1 of 1 facilities reviewed for nursing services. The facility daily staff posting was not updated on 3/18/25 and 3/19/25. This could place residents, and visitors at risk of not knowing the facility's nursing staffing for the day.

Inspectors wroteBased on interview and record review, the facility failed to use the services of a registered nurse for at least 8 consecutive hours a day, 7 days a week for 7 of 7 weekends reviewed. - The facility failed to have registered nurse (RN) coverage for several weekends. This could place all residents at risk for not having their nursing care and medical needs assessed and met.

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 for 1 of 5 residents (Resident #35) reviewed for medication administration in that: -LVN B failed to administer Resident #35 morning dose of baclofen 10mg by mouth TID. -the facility failed to reorder and administer Resident #35's Vitamin D 50,000-units once a week on Tuesdays per physician order. These failures placed residents at risk for unwanted pain and decrease in quality of life.

Inspectors wroteBased on record review and interview, the facility failed to maintain clinical records on each resident in accordance with accepted professional standards and practices that are readily accessible for 1 of 8 residents (Resident #1) reviewed for clinical records in that: - Resident # 1 had blood tests that were missing and unavailable for review. This failure could place residents at risk of incomplete records which could impact their treatment and health.

Inspectors wroteBased on observation, interview, and record review the facility failed to maintain an infection control program to provide a safe, sanitary, and comfortable environment to help prevent the transmission of infection for 1 of 12 residents (Resident #30) reviewed for infection control. -The facility failed to change Resident #30's oxygen nasal cannula tubing and humidifier bottle. This failure placed residents at risk for unwanted infection and hospitalization.

Inspectors wroteBased on observation, interview and record review, the facility must properly dispose of garbage and rubbish in accordance with current state laws for 1 of 1 dumpster reviewed for garbage disposal. The facility failed to ensure the dumpster lids and doors were secured. This failure could place residents at risk of infection from improperly disposed garbage.