Health inspection·February 9, 2026

F 0658 Ensure services provided by the nursing facility meet professional standards of quality. 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 assure that all services, as outlined by the comprehensive care plan, being provided or arranged by the facility met professional standards for 1 of 8 residents (Resident #1) reviewed for care plans. The facility failed to ensure Resident #1 was diagnosed by a practitioner using evidence-based criteria that met professional standards of quality and lacked supporting documentation in the resident's medical record for schizoaffective disorder diagnosis. This failure could place residents at risk of physical and psychosocial harm by not following the clinical standards of practice.Findings included:Record review of Resident #1's face sheet undated, accessed on 02/8/2026 reflected a [AGE] year-old male, admitted [DATE]. Resident #1 had diagnoses which included: hemiparesis following cerebral infarction affecting right dominant side (paralysis on right side after a stroke), Schizoaffective Disorder (condition combining schizophrenia such as hallucinations and disorganized thinking, and mood disorder like bipolar or depression), Unspecified Dementia, mild, with psychotic disturbance (early-stage cognitive decline with symptoms such as hallucinations, delusions or paranoia), Other psychotic disorder not due to substance or known physiological condition (hallucinations, or delusions that do not meet schizophrenia, bipolar, or other specific disorders), Other speech and language deficits following cerebral infarction (wide range of speech deficits beyond aphasia), Cerebral Infarction (type of stroke caused by blockage in a brain artery resulting in oxygen deprivation and tissue death), Anxiety disorder (persistent, excessive, irrational fear or worry that interferes with daily life), Functional Quadriplegia (permanent immobility and inability to care for oneself resulting from advanced frailty or end-stage chronic illness), Depression (persistent sadness, loss of interest in activities, fatigue, and physical pain lasting two weeks), other symbolic dysfunctions (Have impairments that affect the person's ability to use and understand symbols, language, and perform related tasks). Record review of Resident #1's Care Plan, dated 01/20/2026, revealed interventions were to administer psychotropic medications as ordered by the physician. The care plan further revealed GDR was dated 12/17/25. Record review of Resident #1's clinical physician's orders, dated 12/17/25, revealed Olanzapine 2.5 MG tablet ordered by the PHY directed to give 1.25 mg by mouth two times a day related to schizoaffective disorder. Record review of Resident #1's Consent for Antipsychotic or Neuroleptic Medication Treatment, dated 11/27/25, revealed the PHY was treating Resident #1's psychiatric condition: F25.9 (schizoaffective disorder). Olanzapine 2.5 MG PO BID was proposed for the course of therapy. Record review of Resident #1's Medical Diagnosis undated, accessed on 02/08/2026 revealed code F25.9 Schizoaffective Disorder, Unspecified dated 5/16/25. Record review of Resident #1's electronic health records accessed on 02/08/2026 reflecting no documentation diagnosing Resident #1 with Schizoaffective Disorder, Unspecified (F25.9). During an interview on 2/07/2026 at 3:44 p.m., LVN A stated when she first started working with Resident #1 in July of 2025, he would not come out of his room at all. LVN A stated Resident #1 gradually would 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: 675522 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 675522 B. Wing A. Building (X3) DATE SURVEY COMPLETED 02/09/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Avir at Monahans 1200 W 15th St Monahans, TX 79756 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)