Health inspection·January 2, 2026

F 0583 Keep residents' personal and medical records private and confidential. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review, the facility failed to ensure the resident's right to personal privacy and confidentiality of his or her personal and medical records for 10 (Residents #1, #2, #3, #4, #5, #6, #7, #8, #9, and #10) of 13 residents reviewed for privacy and confidentiality. 1. The facility failed to ensure the care plan for Residents #1, #2, #5 and #6 was not left in the public survey binder in the lobby of the facility. 2. The facility failed to ensure the PIR that contained the SSN and PHI of Residents #3 and #4 was not left in the public survey binder in the lobby of the facility. 3. The facility failed to ensure that the Resident Identifier sheet and corresponding survey containing PHI of Residents #7, #8, #9, and #10 were not left in the public survey binder in the lobby of the facility. These failures could place the residents at risk of their medical information being exposed to unauthorized individuals.Findings included: Record review of Resident #1's Face Sheet, dated 12/31/2025, reflected a [AGE] year old female, admitted on [DATE]. The resident was diagnosed with dementia (a decline in mental ability affecting memory, thinking, language and judgement) and schizoaffective disorder, unspecified (delusions and disorganized thinking). Record review of Resident #2's Face Sheet, dated 12/31/2025, reflected a [AGE] year old female admitted on [DATE]. The resident was diagnosed with acute respiratory failure with hypoxia (when the lungs cannot get enough oxygen), acute kidney failure (sudden loss of kidney function), and atrial fibrillation (rapid, irregular heartbeat), Record review of Resident #3's Face Sheet, dated 12/31/2025, reflected a [AGE] year old female admitted on [DATE]. The resident was diagnosed with cerebral palsy (permanent brain damage causing movement, muscle control, posture and balance). Record review of Resident #4's Face Sheet, dated 12/31/2025, reflected a [AGE] year old female admitted on [DATE]. The resident was diagnosed with systemic Lupus Erythematosus (an autoimmune disease where the immune system attacks itself). Record review of Resident #5's Face Sheet, dated 12/31/2025, reflected a [AGE] year old male admitted on [DATE]. The resident was diagnosed with diffuse traumatic brain injury with loss of consciousness greater than 24 hours without returning to pre-existing conscious level with patient surviving sequela (extensive brain disruption with lasting deficits), and heart failure. Record review of Resident #6's Face Sheet, dated 12/31/2025, reflected a [AGE] year old male admitted on [DATE]. The resident was diagnosed with unspecified injury at unspecified level of cervical spinal cord subsequent encounter (spinal cord injury of unknown origin and location). Record review of Resident #7's Face Sheet, dated 12/31/2025, reflected a [AGE] year old male admitted on [DATE]. The resident was diagnosed with autistic disorder (developmental condition affecting communication, social interactions, and behaviors). Record review of Resident #8's Face Sheet, dated 12/31/2025, reflected a [AGE] year old male admitted on [DATE]. The resident was diagnosed with anoxic brain injury (brain injury caused by a lack of oxygen). Record review of Resident #9's Face Sheet, dated 12/31/2025, reflected a [AGE] year old male admitted on [DATE]. The resident was diagnosed with quadriplegia (paralysis of all four limbs). Record review of Resident Residents Affected - Some (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: 455429 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 455429 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/02/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Avir at Rose Trail 930 S Baxter Tyler, TX 75701 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)