Inspection·February 25, 2026

F 0921 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some was not aware of the loose baseboard strips in Resident room [ROOM NUMBER] as well as the bathroom of Resident room [ROOM NUMBER]. The MD stated he was not aware of the loose bed/wall protector board in Resident room [ROOM NUMBER] or the loose shelf in the bathroom of Resident room [ROOM NUMBER]. The MD stated he was not aware that the toilet tank lid did not fit the toilet tank in Resident room [ROOM NUMBER]. The MD stated none of the mentioned repairs were previously reported to him verbally or through the online system. The MD stated any staff could report needed repairs via the online system or verbally. The MD stated residents were also able to report repairs to him directly or to any other facility staff, verbally, when needed. The MD stated it was important for the mentioned repairs to be completed to prevent accidents from occurring. The MD stated residents were at risk of falls or incurring injuries due to the loose toilet, loose baseboard strips, loose towel bar, loose shelf, and loose bed/wall protector board. During an interview on 02/25/2026 at 4:30 PM the DON stated the MD was responsible for completing repairs within the facility. The DON stated needed repairs were reported through an online system. The DON stated any staff could have reported a need for repair. The DON stated she was not aware of any of the mentioned repairs. The DON stated a loose toilet and loose baseboard strips were a potential fall hazard from a resident. The DON stated if a shelf were loose in a resident's bathroom, it was a safety concern as it could have potentially fell on a resident. The DON stated it was her expectation for repairs to be completed as soon as possible. During an interview on 02/25/2026 at 4:15 PM the ADON stated the MD was responsible for completing repairs within the facility. The ADON stated the facility used an online system to report maintenance requests. The ADON stated she entered maintenance orders frequently, as this was a newer system for the facility and not all staff were as familiar with the system. The ADON stated the facility was working on completing training with all staff on the use of the online reporting system for maintenance requests. The ADON stated she was not aware of the loose toilet and loose towel bar in Resident room [ROOM NUMBER]. The ADON stated she was not aware of the loose baseboard strips in Resident room [ROOM NUMBER]. The ADON stated she was not aware of the loose bed/wall protector board or the loose shelf in Resident room [ROOM NUMBER]. The ADON stated she was not aware of the toilet tank lid in Resident room [ROOM NUMBER] not fitting the toilet tank. The ADON stated none of the repairs needed had been reported to her by any staff. The ADON stated the repairs needed could pose safety concerns to residents as they could have led to falls and/or injuries. During an interview on 02/25/2026 at 5:30 PM the ADM stated the MD was responsible for completing repairs within the facility. The ADM stated the facility used an online system to report maintenance requests. The ADM stated the MD received notifications of any maintenance requests and prioritized them based on necessity. The ADM stated it was her expectation that all high priority repairs and necessary repairs that could pose a safety concern were completed as soon as possible. The ADM stated the facility also did checks of resident rooms on a daily basis. The ADM stated this was done by all staff, and it was her expectation that all staff report any repairs needed to the MD either verbally or via the online system as soon as they were observed. The ADM stated she was not aware of the loose toilet and loose towel bar in Resident room [ROOM NUMBER]. The ADM stated she was not aware of the loose baseboard strips in Resident room [ROOM NUMBER]. The ADM stated she was not aware of the loose bed/wall protector board or the loose shelf in Resident room [ROOM NUMBER]. The ADM stated she was not aware of the toilet tank lid in Resident room [ROOM NUMBER] not fitting the toilet tank. The ADM stated none of the above mentioned repairs had been reported to her. The ADM stated a loose toilet was a high priority maintenance order and she stated this would be fixed immediately as it could have resulted in a resident fall. The ADM stated loose baseboards, strips a loose shelf, a loose bed/wall protector board, and an exposed toilet (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675646 If continuation sheet Page 2 of 3 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 675646 B. Wing A. Building (X3) DATE SURVEY COMPLETED 02/25/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Avir at Snyder 210 E 37th St Snyder, TX 79549 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)

F 0921 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some FORM CMS-2567 (02/99) Previous Versions Obsolete tank also posed safety risks to residents and she stated those repairs would be completed as soon as possible. Record review of the facility's policy titled, Maintenance Service dated December 2009, reflected the following: Policy Statement:Maintenance service shall be provided to all areas of the building, grounds, and equipment.Policy Interpretation and Implementation:1. The maintenance department is responsible for maintaining the buildings, grounds, and equipment in a safe and operable manner at all times.2. Functions of maintenance personnel include, but are not limited to:b. maintaining the building in good repair and free from hazards.f. establishing priorities in providing repair service. Record review of the facility's policy titled, Work Orders, Maintenance undated, reflected the following: Policy Statement:Maintenance work orders shall be completed in order to establish a priority of maintenance service.Policy Interpretation and Implementation:l . In order to establish a priority of maintenance services, work orders must be filled out and forwarded to the maintenance director.2. It shall be the responsibility of the department directors to fill out and forward such work orders to the maintenance director. Event ID: Facility ID: 675646 If continuation sheet Page 3 of 3