Health inspection·January 28, 2026

F 0559 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review, the facility failed to ensure the right to receive written or verbal notice of a room change before the change was made for 1 of 6 residents (Resident #2) reviewed for resident rights. The facility failed to ensure Resident #2's Responsible Party (RP) received verbal or written notice prior to a room change. This failure could place residents at risk for being displaced without notice and/or reason in order to accommodate other individuals.Findings included: Record review of Resident #2's admission record, dated 01/28/26 revealed a [AGE] year-old female who was admitted to the facility on [DATE] and readmitted to the facility on [DATE] with the following diagnoses: hemiplegia and hemiparesis following a cerebrovascular disease (paralysis), peripheral vascular disease (poor circulation) and major depressive disorder (mood disorder). Record review of Resident #2's annual MDS dated [DATE] reflected Resident #2 had a BIMS score of 04 indicating severe cognitive impairment. Record review of Resident #2's progress note, dated 12/11/25 written by LVN A stated, .resident moved to [a room] for contact isolation precautions. Resident aware. Awaiting new orders from physician. During a phone interview on 01/28/26 at 2:32 PM, LVN A stated she was the nurse who moved Resident #2 to an isolation room back in December 2025. LVN A stated she did not remember contacting the family regarding the room change. LVN A stated the DON had stated she would contact the family, but she did not. LVN A stated it was ultimately her responsibility to contact the family regarding the room change. LVN A stated a potential negative outcome to the residents with moving rooms and not notifying family was the resident was at a higher risk for falls. During a phone interview on 01/28/26 at 3:45 PM, Resident #2's RP stated she did not receive a call from the facility notifying her of a room change back in December 2025. The RP stated she was not aware of a room change for Resident #2 until the family went to visit Resident #2 and she was in a different room. During an interview on 01/28/26 at 4:42 PM, the DON stated she expected family or a resident who was cognitively intact to be notified of a room change right away if it was an unexpected room change. The DON stated the nurses were trained to notify the residents RP for room changes and stated the nurse who changed the resident's room should have contacted the family. The DON stated she did not know why the family was not notified regarding Resident #2's room change. The DON stated the family would think there were risks to the residents' changing rooms but did not give an exact answer. During an interview on 01/28/26 at 4:53 PM, the Interim ADM stated the nurses were trained to contact the residents' RP when changing rooms. The Interim ADM stated he did not know why Resident #2's family was not contacted prior to her moving rooms back in December 2025. The Interim ADM stated a potential negative outcome to the residents was that the residents gets used to another room and may get confused or the family may go to the facility and not be able to find their loved one. Record review of the facility's policy titled, Change in Resident's Condition or Status, with a revised date of April 2025, reflected the following: Policy Statement: Our facility promptly notifies the resident, his (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 3 Event ID: 675055 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 675055 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/28/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Avir at Childress 1200 7th St NW Childress, TX 79201 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)