Inspection·February 18, 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, interviews, and record reviews the facility failed to ensure personal privacy for 1 of 6 residents (Resident #1) reviewed for privacy while receiving care. 1. The facility failed to ensure the privacy of Resident #1 by not closing the door or pulling the privacy curtain during perineal care. This failure could place residents at risk of loss of privacy and dignity.Findings included: Review of Resident #1's face sheet dated 02/18/26 reflected a [AGE] year-old female admitted to the facility on [DATE] with diagnoses that included paranoid schizophrenia (characterized as experiencing significant paranoia and delusions), reduced mobility, abnormalities of gait and mobility, muscle weakness, major depressive disorder (persistent feelings of sadness)- recurrent-severe with psychotic symptoms, and edema (swelling caused by trapped fluid in body tissues). Review of Resident #1's quarterly MDS assessment dated [DATE] reflected a BIMS score of 06 indicating severe cognitive impairment. Section GG for functional abilities reflected Resident #1 was completely dependent on staff for toileting hygiene. Section H for bowel and bladder reflected Resident #1 was always incontinent of urinary and bowel continence. Review of Resident #1's care plan last revised 12/05/25 reflected a focus resident is incontinent of bowel and bladder with intervention incontinent: check [Resident #1] frequently and as required for incontinence. Wash, rinse, and dry perineum. Change clothing PRN after incontinence episodes. During an observation on 02/18/26 at 12:45 PM, while walking down the hall, Resident #1's door was observed opened. From the hallway CNA A was observed on the opposite side of the bed (window side) providing perineal care to Resident #1. Resident #1 could be seen from the hallway fully exposed from the lower body while perineal care was performed as the curtain was not drawn and the door was fully opened. Surveyor knocked on the door and CNA A shouted resident care. Surveyor stepped to the side of the door in the hall waiting for any action from CNA A, however, CNA A continued with incontinent care with no privacy provided. Surveyor once again knocked on the door a second time and CNA A once again only stated resident care and continued to finish perineal care without drawing the curtain or closing the door to the room. CNA A was then observed leaving the room after care was provided to throw out the trash and remove soiled items. During an interview on 02/18/26 at 12:48 PM with CNA A, she stated she was in Resident #1's room providing perineal care. She stated that it is the expectation and procedure to shut the door or ensure the curtain is used to provide privacy to a resident when assisting with incontinent care. CNA A alleged that she initially did close the door but it did not latch and opened back up on its own. CNA A stated a potential negative outcome of failing to provide privacy for residents who are getting perineal care and are exposed would make them feel uncomfortable. During an interview on 02/18/26 at 12:54 PM with Resident #1, she stated CNA A was just in the room providing incontinent care for her and changing her brief. She stated that typically when that is performed the door is closed for her and there is privacy. She stated the lack of privacy that had occurred during this incident did not make me feel good. During an interview on 02/18/26 at 01:13 PM with the Residents Affected - Few (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: 675096 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 675096 B. Wing A. Building (X3) DATE SURVEY COMPLETED 02/18/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Avir at Hillsboro 411 Old Brandon Rd Hillsboro, TX 76645 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)