Health inspection·January 14, 2026

F 0550 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interviews and record review, the facility failed to treat each resident with respect and dignity and care for each resident in a manner and in an environment that promotes maintenance or enhancement of his or her quality of life for 1(Resident #1) of 6 residents reviewed for resident's rights.The facility failed to provide peri care in a timely matter for Resident #1 thus causing her to be left sitting in a soiled brief for over four hours. This failure could place residents at risk for decreased quality of life, decreased self-esteem and diminished dignity, leaving the residents feeling helpless, sad and hopeless. Findings included:Record review of Residents #1 face sheet dated 01/14/26 reflected a [AGE] year-old female admitted to the facility on [DATE] with diagnoses of paranoid schizophrenia, abnormalities of gait and mobility, furuncle of groin, dehydration, anxiety disorder unspecified, and hypocalcemia (a condition of low calcium in blood)Record review of Resident #1's most recent MDS dated [DATE], reflected a BIMS of 15, indicating cognition was intact. MDS reflects that Resident #1 is bowel continent and is not on a toileting program used to manage the resident's bowel continence. Resident #1 requires assistance with toileting transfer and requires supervision or touching assistance with toileting hygiene.Record review of Resident #1's care plan dated 12/30/2025 reflected the resident received Resident #1' care plan did not reflect that she had any adverse reaction due to sitting in wet briefs for a long period of time.During an interview with Resident #1 held on 01/13/2026 at 12:49pm Resident #1 stated that she liked being at the facility and felt safe, however she revealed that she was often left sitting in a wet brief. Resident #1 revealed that when she was left in her brief it made her feel sad, hopeless, helpless. Resident #1 revealed that she mentioned it to the DON and Admin, however nothing had changed. Resident #1 revealed that she had not had a breakdown in skin and that she had been left in a wet brief for hours mostly at night.Record review of Resident #1's skin assessment dated [DATE], did not reflect any skin breakdown.During an interview on 1/14/2026 at 01:15pm with the DON, she revealed that she was unaware of residents being left sitting in soiled briefs for hours at a time. The DON stated that she had no concerns about there being a shortage of staff in the facility. She reported that during the day the facility staffed two nurses, two med aides, and 6 CNAs. She reported that the staff worked 12-hour shifts. The DON reported that at night the facility staffed two nurses, they had two med-aides until 08:45pm, and six CNAs. The DON reported that she expected for staff to be checking residents frequently, and they should be answering call light as soon as possible. The DON reported that staff didn't document how many times with supervision or touching assistance - changed a resident's brief. She reported that it was documented if a resident had complications throughout the night or was exhibiting abnormal behavior. The DON stated that if a resident was kept sitting in a wet brief for a substantial amount of time it could cause skin breakdown.During an interview with the ADMIN on 01/14/2026, at 02:26pm, it was revealed that no residents or staff had approached him with concerns about a shortage of (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: 675587 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 675587 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/14/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Avir at Adams 3011 W Adams Ave Temple, TX 76504 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)