F 0690
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate
catheter care, and appropriate care to prevent urinary tract infections.
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
observation, interview and record review the facility failed to ensure that residents with loss of bladder
control receive treatment or services to prevent urinary tract infections and to restore continence to the
extent possible for 1 of 6 residents reviewed for incontinent care. (Resident #1) The facility failed to provide
Resident #1 assistance with timely incontinence care from 09:30 a.m. until 01:45 p.m. on 10/06/2025. This
failure could place the residents at risk for decreased feelings of self-worth, skin breakdown, and
infection.Findings included: Record review of Resident #1's face sheet, dated 10/06/2025, indicated
Resident #1 was a [AGE] year-old male, admitted to the facility on [DATE]. Record review of Resident #1's
Quarterly MDS assessment, dated 08/19/2025, indicated Resident #1 had severe impairment of cognition
abilities with a BIMS score of 05. Resident #1 was noted to be dependent on staff for toileting, showering,
and lower body dressing. Resident #1 required substantial/max assistance with eating and oral hygiene.
Resident #1 was always incontinent of urinary and bowel. During observations of Resident #1 on
10/06/2025 from 09:30 a.m. through 2:00 p.m., the following was noted: 09:30 a.m. - Resident #1 was
watching TV while sitting in a wheelchair. No urine or body odor noted. 10:38 a.m. - A Priest visited facility
and Resident #1 received communion; 10:47 a.m. - Resident #1 received one cup of water from the staff;
11:32 a.m. - Resident #1 transported via wheelchair to dining room for the noon meal; 11:36 a.m. Resident #1 transported via wheelchair to outside smoking area for smoke time; 11:48 a.m. - Resident #1
returned to dining room for noon meal; 12:33 p.m. - Resident #1 remains in dining room eating meal; 12:54
p.m. - Resident #1 transported to common area Unit 100 and sat in wheelchair in front of the TV; 1:20 p.m. Resident #1 remained sitting in front of the TV with his head down and was seen occasionally dozing off
and on. No urine or body odor noted; and 1:45 - 2:00 p.m. Resident #1 was finally provided incontinent care
after 4.5 hours of observations. Resident #1 was transported to his room by CNA A. Resident #1 was
transferred to bed by CNA A and CNA B. Resident #1's brief was removed, and he had recently had bowel
movement. Resident #1's brief was wet but not soaked. No open areas noted to buttocks. Incontinent care
was provided, and CNA A applied a barrier ointment to Resident #1's buttocks as a preventative. Resident
#1 tolerated well. During a joint interview on 10/07/2025 at 11:05 a.m., CNA B said they checked on
residents as they passed by them or if they called out to them. She said they were supposed to do every
2-hour checks on residents, to assess whether they had been incontinent and the staff were constantly all
over the area. She added it was important to check residents at least every 2 hours for incontinence due to
potential skin breakdown from sitting in wet briefs. CNA B said they performed spot checks on residents to
see if they need any care performed. CNA A said Resident #1 was not a heavy wetter and she should stop
and check on Resident #1 and the others more frequently. CNA A said Resident #1 had no skin breakdown
currently. She said she applied a barrier ointment to the buttocks with each incontinent episode as a
(continued on next page)
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other
safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the
date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date
these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER
REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Facility ID:
If continuation sheet
Page 1 of 2
Event ID:
455001
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
455001
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
11/18/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Avir at Beaumont
4195 Milam St
Beaumont, TX 77707
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0690
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
FORM CMS-2567 (02/99)
Previous Versions Obsolete
preventative. During an interview on 10/07/2025 at 12:45 p.m., the Administrator said her expectations were
for staff to check residents on rounds at least every 2 hours and throughout their shift when residents were
in common areas. She added the staff should be offering fluids, snacks, and generally conversing with
residents. During an interview on 10/08/2025 at 10:00 a.m., the DON said she expected the CNAs and the
Nurses to work together to complete incontinent care as needed. The DON stated CNAs were responsible
for doing rounds every 2 hours on residents to ensure they were clean and dry. The DON stated nurses
were also responsible for checking on their residents to ensure they were doing okay. The DON stated
leaving Resident #1 wet with urine or stool placed him at risk of skin breakdown, infection, and pressure
sores. The DON said there was no facility policy on perineal care or incontinent care of residents. Record
review of the facility's Activities of Daily Living policy, dated February 2025, indicated the following:
Residents who are unable to carry out activities of daily living independently will receive the services
necessary to maintain good nutrition, grooming, and personal and oral hygiene.2. Appropriate care and
services will be provided for residents who are unable to carry out ADLs independently, with the consent of
the resident and in accordance with the plan of care, including appropriate support and assistance with: a)
hygiene and c) elimination.
Event ID:
Facility ID:
455001
If continuation sheet
Page 2 of 2