Health inspection·January 21, 2026

F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review, the facility failed to provide residents a safe, clean, comfortable and homelike environment for 1 of 5 showers (Shower A) and 1 of 5 residents (Resident #1) reviewed for environment. The facility failed to ensure when a torn shower curtain and broken shower head holders were observed in a shared facility shower.This failure could place all residents at risk of diminished quality of life.Findings included: Review of an admission Record dated 1/21/26, for Resident #1 indicated she was a [AGE] year-old female admitted to the facility on [DATE] with diagnoses of Parkinson's Disease (neurological disorder that affects movement), Type 2 Diabetes Mellitus, and muscle wasting and atrophy (weakness). Record review of a quarterly MDS, dated [DATE], indicated Resident #1 had moderately impaired cognition with a BIMS of 11. Record review of a comprehensive care plan, dated 3/19/23, indicated Resident #1 required supervision to set-up assistance for all ADLs. Care planned appropriate interventions were in place including allow extra time to complete ADLs, monitor for pain/intolerance during self-care, and provide supervision to set-up assistance for all ADLs. During an interview on 1/20/26 at 8:50 a.m., Resident #1 said she did not like taking showers in the shared showers because they were always dirty. Resident #1 said the showers were not cleaned regularly between residents. Resident #1 said she complained about the showers for four months, but nothing was corrected. Resident #1 said the shower head holders were broken and she had to hang the shower head on the grab bars in the shower. Resident #1 said the shower head often slipped from the grab bars to the floor. Resident #1 said the showers were unsanitary. During an observation on 1/20/26 at 2:15 p.m., Shower A, a shared shower room for Halls 1 and 2, was noted to have a ripped/torn shower curtain, missing or broken shower head holders, and disposable gloves on the floor. During an interview on 1/20/26 at 4:00 p.m., Resident #1 said the shower curtain was ripped and the shower head holders were broken for over a month. Resident #1 said a CNA always stayed to provide shower assistance, if needed, but she never saw them clean or sanitize the shower between residents. During an interview on 1/21/25 at 9:12 a.m., the Maintenance Supervisor said the staff reported to him verbally, by phone, or through a computerized maintenance system for facility maintenance needs. The Maintenance Supervisor said he recently replaced the shower head holders in Shower A, approximately 1.5 weeks ago. The Maintenance Supervisor said there was no work order for the repair because he was informed verbally by staff. The Maintenance Supervisor said there was no invoice for parts available because parts used in repair were on hand. The Maintenance Supervisor said he was unaware of the shower curtain being torn. During an interview on 1/21/26 at 9:20 a.m., LVN A said CNAs were expected to clean and sanitize the showers between residents. LVN A said housekeeping also cleaned the showers daily, but not between each resident. LVN A said she ensured CNAs were cleaning the showers by going into the showers with them to perform visual inspections and reminded CNAs to take out dirty linens. During an interview on 1/21/26 at 10:00 (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: 675217 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 675217 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/21/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Avir at Elkhart 214 Jones Rd Elkhart, TX 75839 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)