Health inspection·January 30, 2026

F 0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Level of Harm - Actual harm Residents Affected - Few **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interviews and record reviews, the facility failed to protect right of residents to be free from physical abuse for 1 of 4 (Resident #1) reviewed for abuse.Resident #1 was hit on the head by NA B.The noncompliance was identified as a PNC. The facility corrected the noncompliance on 8/6/2025 before the surveyor's entry to the facility.This failure could place residents at risk for abuse with injury, intimidation and a decreased quality of life. The findings were: Record review of Resident #1's face sheet dated 1/29/2026 revealed an [AGE] year-old male was admitted to the facility on [DATE] with diagnoses: major depressive disorder, dementia, hypertension (high blood pressure) and anxiety disorder. Record review of Resident #1's CP dated 08/11/2025 revealed he was care planned for impaired cognitive function due to dementia, fall risk, and aggressive behaviors of throwing objects, and trying to hit staff.Record review of Resident#1's QMDS dated [DATE] revealed he had a BIMS score of 3, indicative of severe cognitive deficit.Record review of NA B's witness statement dated 8/6/2025 stated, My co-worker CNA C was only telling me to lay Resident #1 down only. I was getting ready to lock his wheelchair to get him ready to be change out of nowhere Resident #1 had hit me in face. I had hit him back in the head out of reflexes. Record review of Resident #1's progress note dated 8/6/2025 revealed Resident #1 was assessed by LVN A and a light discoloration was noted to his forehead without bruising. LVN A stated there was possible edema noted to jaw area and slight discoloration to left upper ribs. X - rays were ordered (8/6/2025) to skull, jaw and ribs series for precautions. Interview on 1/29/2026 at 8:17AM CNA D said, when NA B hit Resident #1, NA B came out of the room and was talking about what happened to everyone as if she was in shock it happened. CNA D said NA B was new and was removed immediately from the floor. Interview on 1/29/2026 at 12:03PM the ADM said NA B was providing care for Resident #1 and Resident #1 swung and hit NA B in the face and NA B hit Resident #1 back in the head. The ADM said NA B was told to pass water but NA B refused, sitting in a chair in the main dining room, crying. The ADM said she told NA B to clock out because she was not fit to take care of the residents and that was when NA B admitted what she had done when she was on the secured unit and Resident #1 hit her. The ADM said NA B was terminated immediately and sent to the Human Resources office. The ADM said the police were called. Interview on 1/30/2026 at 11:46AM CNA C said she was in the room with another resident when she heard NA B yell, Don't do that! CNA C said by the time she ran out of the room to see what happened, NA B told CNA C that Resident #1 hit her and she hit Resident #1 back. Interview on 1/30/2026 at 12:15PM the ADM said it was important to keep the residents safe from abuse because they have the right to be safe in the place they live and to maintain the safest quality of life. Interview on 1/30/2026 at 12:25PM the HR said she had gone on the secured unit to get NA B to talk with her about something else, but was not aware of what happened until NA B confessed it to the ADM. NA B told her after she was terminated and waited for the police that: my mother always told me growing up that if somebody hit you, you hit them (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: 675641 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 675641 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/30/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Avir at Seguin 1215 Ashby Seguin, TX 78155 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)