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Inspection visit

Health inspection

Avir at BeaumontCMS #4550011 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

This survey cited 1 deficiency. The full statement and the facility’s plan of correction follow, verbatim from the federal record.

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

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Citations

1 citation recorded*CMS

What do CMS severity letters mean?

Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.

General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.

Each letter combines severity with scope: how many residents the deficiency affected.

  • 0690GeneralS&S Dpotential for harm

    F690 - Incontinence

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

FAQ · About this visit

Common questions about this visit

What happened during the November 18, 2025 survey of Avir at Beaumont?

This was a inspection survey of Avir at Beaumont on November 18, 2025. The surveyor cited 1 deficiency, recorded on the federal Form 2567 statement of deficiencies.

Were any deficiencies cited at Avir at Beaumont on November 18, 2025?

Yes, 1 deficiency was cited, each with a CMS Scope and Severity grade. The first was: "Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, an..."

What type of survey was this?

This was a inspection survey conducted by state surveyors under federal Centers for Medicare & Medicaid Services (CMS) oversight. Findings are published on CMS Care Compare.

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Data from CMS Care Compare public records. Dataset last refreshed . If you believe any information is inaccurate, report it here.