Health inspection·July 10, 2025

F 0656 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some health condition characterized by excessive, uncontrollable, and often irrational worry about everyday events or activities), Polyosteoarthritis, unspecified (arthritis affecting multiple joints, but without further detail about the specific joints involved), Trisomy 21 (a genetic disorder where a person has three [3] copies of chromosome 21 instead of the usual two [2], Alzheimer's Disease (most common form, where a person experienced the effects of more than one type of dementia), unspecified, Hepatitis B (a viral infection that affects the liver, causing inflammation and potential long-term damage), Hyperlipidemia (condition where there are elevated levels of lipids, including cholesterol and triglycerides, in the blood), Gastro-esophageal reflux disease, without esophagitis (occurs when stomach acid flows back into the esophagus but does not cause inflammation or damage [esophagitis], Fatty Liver (condition where there's an excessive buildup of fat in the liver), and Unspecified Convulsions (sudden, involuntary muscle contractions or spasms where the specific cause or type was no identified). Record review of Resident #1's admission MDS, dated [DATE], revealed Resident #1's BIMS score was not calculated. Section C0100, Should Brief Interview for Mental Status (C0200 - C0500) be Conducted was coded 0 for No - resident was rarely/never understood; therefore, BIMS score was not determined. Section I - Active Diagnoses revealed Resident #1 had medically complex conditions, with diagnoses which include GERD, Hyperlipidemia, Arthritis, Non-Alzheimer's Dementia, Seizure Disorder, Encephalopathy, Viral Hepatitis B, and Trisomy 21. Record review of Resident #1's Care Plan, with recent review of 05/14/2025, revealed objectives that lacked the ability to be evaluated, quantified, and verified were: death with dignity (Hospice); [Resident #1] will maintain highest level of practicable well-being (Trisomy 21); [Resident #1] will be prescribed the lowest effective dose of medication (Dementia); and [Resident #1] needs will be met as evidenced by staff to monitor and learn his way of communication. Further review of comprehensive care plan revealed there was no evidence of a focus, objective, or interventions related to Seborrheic dermatitis, Anxiety Disorder, Polyosteoarthritis, unspecified, Hepatitis B, Hyperlipidemia, Gastro-esophageal reflux disease, without esophagitis, Fatty Live, and Unspecified Convulsions. 2. Record review of Resident #2's Facesheet, dated 07/09/2025, revealed a [AGE] year-old male, with an admission date into the facility of 10/12/2020. Resident #2 had diagnoses which included Vascular Dementia (a decline in thinking and reasoning skills caused by conditions that damage blood vessels in the brain, reducing blood flow and oxygen supply to the brain cells), Schizoaffective Disorder (mental health condition characterized by a combination of schizophrenia symptoms [like hallucinations and delusions] and mood disorder symptoms [like mania or depression]), Generalized Anxiety Disorder (mental health condition characterized by excessive, uncontrollable, and often irrational worry about everyday events or activities), Pruritus (the medical term for itching, a sensation that prompts the urge to scratch), GERD (digestive disorder where stomach acid flows back into the esophagus, causing symptoms like heartburn or regurgitation), Aphasia (a language disorder that affects the ability to communicate), Cerebral infarction (a condition where a part of the brain was damaged due to a lack of blood supply), Other seizures (sudden, temporary change in brain activity that can cause a variety of effects, including changes in behavior, movement, sensation, and awareness), Cortical blindness (a condition where vision loss occurs due to damage to the brain's visual processing centers rather than the eyes themselves), Major Depression (A serious mental illness characterized by persistent feelings of sadness and loss of interest in activities impacting daily life), and Hyperlipidemia (condition where there are elevated levels of lipids, including cholesterol and triglycerides, in the blood). Record review of Resident #2's Annual MDS, dated [DATE], revealed Resident #2's BIMS score was 10, which indicated moderate impairment. Section I - Active Diagnoses revealed Resident #2 had medically complex conditions, with diagnoses (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675746 If continuation sheet Page 2 of 8 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 675746 B. Wing A. Building (X3) DATE SURVEY COMPLETED 07/10/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Avir at Coronado 1751 N 15th St Abilene, TX 79603 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 0656 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some of Schizophrenia, Vascular Dementia, Schizoaffective Disorder, Cortical blindness, GERD, and Aphasia. Record review of Resident #2's Care Plan, with recent review of 07/08/2025, revealed objectives that lacked the ability to be evaluated, quantified, and verified were: [Resident #2] will not exhibit signs of malnutrition or dehydration (weight loss/Nutritional Status; [Resident #2] will be prescribed the lowest effective dose of medication (Schizoaffective disorder); [Resident #2] will communicate daily with staff (cerebral infarction); [Resident #2] will have fewer episodes of verbal behaviors; [Resident #2] will not injure self, secondary to seizure disorder; [Resident #2] will be encouraged to make decisions with assistance (Dementia and schizoaffective disorder); [Resident #2] will have No cardiac complications through the next review date (hyperlipidemia); [Resident #2] Will have positive experiences in daily routine. Without overly demanding task and without becoming overly stressed (dementia); and [Resident #2] Will not have discomfort due to GERD. Further review of comprehensive care plan revealed there was no evidence of a focus, objective, or interventions related to Pruritus, and Generalized Anxiety Disorder. 3. Record review of Resident #3's Facesheet, dated 07/09/2025, revealed a [AGE] year-old male, with an admission date into the facility of 05/05/2022. Resident #3 had diagnoses which included Wernicke's encephalopathy (a serious brain disorder caused by thiamine [vitamin B1] deficiency, often linked to chronic alcohol abuse), Acute respiratory failure with hypoxia (a serious condition where the lungs cannot adequately option donate the blood, leading to dangerously low oxygen levels in the body), Schizoaffective disorder (mental health condition characterized by a combination of schizophrenia symptoms [like hallucinations and delusions] and mood disorder symptoms [like mania or depression], Post-traumatic Stress Disorder (A mental health condition that can develop after experiencing or witnessing a traumatic event), Anxiety Disorder (mental health condition characterized by excessive, uncontrollable, and often irrational worry about everyday events or activities), Pruritus (the medical term for itching, a sensation that prompts the urge to scratch), Alcohol dependence, in remission, Cannabis (marijuana) dependence, in remission, Dementia (A general term for a decline in mental ability impacting memory, thinking, and behavior, that interferes with daily life), Insomnia (a common sleep disorder characterized by persistent difficulty falling asleep, staying asleep, or both, leading to inadequate or poor-quality sleep), Enuresis (involuntary urination typically occurring during sleep, in those who are typically expected to have bladder control), Dysphagia (difficulty swallowing), Cognitive communication deficit (communication difficulties stemming from impairments in cognitive skills like attention, memory, and problem solving rather than primary language or speech problem), and Aphasia (a language disorder that affects the ability to communicate) following cerebral infarction. Record review of Resident #3's Quarterly MDS, dated [DATE], revealed Resident #3's BIMS score was 09, which indicated moderate impairment. Section I - Active Diagnoses revealed Resident #3 had Other Neurological Condition, as I0020 was coded 07. Active diagnoses were not documented as Sections 15400 through 18000 were left blank. Record review of Resident #3's Care Plan, with recent review of 12/13/2024, revealed objectives that lacked the ability to be evaluated, quantified, and verified were: [Resident #3] will make safe appropriate decisions (traumatic brain injury); [Resident #3] will interact with other residents during activities of choosing, such as bingo and parties; resident will have decreased episodes of urinary incontinence at night; [Resident #3] will not exhibit signs of drug related side effects or adverse drug reactions (Anxiety); Resident will reduce level of restlessness and anxiety; [Resident #3] needs/wants will be met at all times (Cognitive communication deficits); [Resident #3] will be more alert and oriented as possible (dementia); [Resident #3] will have fewer episodes of verbal aggression, and [Resident #3] will express/exhibit satisfaction. Further review of comprehensive care plan revealed there was (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675746 If continuation sheet Page 3 of 8 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 675746 B. Wing A. Building (X3) DATE SURVEY COMPLETED 07/10/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Avir at Coronado 1751 N 15th St Abilene, TX 79603 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 0656 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some no evidence of a focus, objective, or interventions related Post-traumatic Stress Disorder, Schizoaffective disorder, Pruritus, Alcohol dependence, in remission, Cannabis dependence, in remission, Insomnia, Dysphagia, Aphasia, Dysphagia, and Wernicke's encephalopathy. 4. Record review of Resident #4's Face sheet, dated 07/09/2025, revealed a [AGE] year-old female, with an admission date into the facility of 04/23/2025. Resident #4 had diagnoses which included Fracture of unspecified metatarsal bones (the five long bones in the midfoot located between the tarsal bones of the ankle and the phalanges [toe bones], left foot, initial encounter for closed fracture - 1st, 2nd, 3rd heads, Unspecified open wound of left great toe without damage to nail, subsequent encounter (after treatment for fracture), presence of cardiac pacemaker (a small battery powered device implanted in the chest to regulate a slow or irregular heartbeat), Mixed hyperlipidemia (condition characterized by elevated levels of both cholesterol and triglycerides in the blood), Nicotine dependence, unspecified, Bipolar disorder (A mental health condition characterized by extreme shifts in mood, energy, and activity levels impacting a person's ability to carry out daily tasks), Anxiety disorder (mental health condition characterized by excessive, uncontrollable, and often irrational worry about everyday events or activities), Essential (primary) hypertension (a condition characterized by persistently high blood pressure without a known secondary cause), Unspecified atrial fibrillation (type of irregular heartbeat where the heart's upper chambers beat chaotically and rapidly, causing the heart to beat irregularly and often too fast), Heart failure (introduction where the heart can't pump enough blood to meet the body's needs), and Unspecified sequelae of unspecified cerebrovascular disease (long-term aftereffects or complications resulting from a stroke or other cerebrovascular event where the specific type of disease and the resulting conditions are not identified). Record review of Resident #4's admission MDS, dated [DATE], revealed Resident #4's BIMS score was 14, which indicated intact cognition. Section I Active Diagnoses revealed Resident #4 had medically complex conditions, with diagnoses of arterial fibrillation, Heart failure, Hyperlipidemia, Anxiety disorder, Bipolar disorder, Essential (Primary) Hypertension, Unspecified sequelae of unspecified cerebrovascular disease, and presence of cardiac pacemaker. Record review of Resident #4's Care Plan, with recent review of 04/23/2025, revealed objectives that lacked the ability to be evaluated, quantified, and verified were: [Resident #4] will interact and converse appropriately with staff, other residents, and visitors (Bipolar disorder); [Resident #4] will not exhibit signs of activity intolerance (atrial fibrillation); resident will perform tasks at the highest practical level (ADL). Further review of comprehensive care plan revealed there was no evidence of a focus, objective, or interventions related to: Fracture of unspecified metatarsal bones, Unspecified open wound of left great toe without damage to nail, Mixed hyperlipidemia, Nicotine dependence, Anxiety disorder, Essential (primary) hypertension, Heart Failure, and Unspecified sequelae of unspecified cerebrovascular disease. 5. Record review of Resident #5's Facesheet, dated 07/09/2025, revealed a [AGE] year-old male, with an admission date into the facility of 12/15/2023. Resident #3 had diagnoses which included Alzheimer's Disease (most common form, where a person experienced the effects of more than one type of dementia), Cognitive communication deficit (communication difficulties stemming from impairments in cognitive skills like attention, memory, and problem solving rather than primary language or speech problem), Dysphagia (difficulty swallowing), Cardiac murmur, unspecified (an extra or unusual sound heard during a heartbeat, often described as a whooshing or swishing noise caused by turbulent blood flow through the heart), Essential (primary) hypertension (a condition characterized by persistently high blood pressure without a known secondary cause), Type 2 diabetes mellitus (a chronic metabolic disorder where the body does not properly use insulin, leading to high blood sugar levels), Hyperlipidemia (condition where there are (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675746 If continuation sheet Page 4 of 8 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 675746 B. Wing A. Building (X3) DATE SURVEY COMPLETED 07/10/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Avir at Coronado 1751 N 15th St Abilene, TX 79603 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 0656 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some elevated levels of lipids, including cholesterol and triglycerides, in the blood), and Major Depressive Disorder (a serious mental health condition characterized by persistent feelings of sadness, loss of interest in activities, and difficulty functioning in daily life). Record review of Resident #5's Quarterly MDS, dated [DATE], revealed Resident #5's BIMS score was 08, which indicated moderate impairment. Section I Active Diagnoses revealed Resident #5 had Non-Traumatic Brain Dysfunction with diagnoses of Alzheimer's Disease, Type 2 diabetes mellitus, Hyperlipidemia, Major Depressive Disorder, Essential (primary) hypertension, and Cardiac murmur, unspecified Record review of Resident #5's Care Plan, with recent review of 06/11/2024, revealed objectives that lacked the ability to be evaluated, quantified, and verified were: Resident will show no signs of distress related to impaired memory; Resident will perform the following task at the highest practical level: diabetic snack on time and maintain stable weight; Benefit without side effects (related to psychotropic drug use for major depressive disorder) and express exhibit satisfaction, Resident will be as alert and oriented as possible (dementia/delirium); and have fewer episodes of depression. Further review of comprehensive care plan revealed there was no evidence of a focus, objective, or interventions related to: Cognitive communication deficit, Dysphagia, Cardiac murmur, Essential (primary) hypertension, Type 2 diabetes mellitus, and Hyperlipidemia. 6. Record review of Resident #6's Facesheet, dated 07/10/2025, revealed a [AGE] year-old male, with an admission date into the facility of 07/24/2024 . Resident #6 had diagnoses which included Generalized anxiety disorder (mental health condition characterized by excessive, uncontrollable, and often irrational worry about everyday events or activities), Type 2 diabetes mellitus (a chronic metabolic disorder where the body does not properly use insulin, leading to high blood sugar levels), GERD (digestive disorder where stomach acid flows back into the esophagus, causing symptoms like heartburn or regurgitation), Insomnia (a common sleep disorder characterized by persistent difficulty falling asleep, staying asleep, or both, leading to inadequate or poor-quality sleep), Hyperlipidemia (condition where there are elevated levels of lipids, including cholesterol and triglycerides, in the blood), and Essential (primary) hypertension (a condition characterized by persistently high blood pressure without a known secondary cause). Record review of Resident #6's Quarterly MDS, dated [DATE], revealed Resident #6's BIMS score was 15, which indicated intact cognition. Section I - Active Diagnoses revealed Resident #6 had an amputation and active diagnoses were Type 2 diabetes mellitus, Hyperlipidemia, Essential (primary) hypertension, and acquired absence of right leg below knee. Record review of Resident #6's Care Plan, with recent review of 08/14/2024, revealed objectives that lacked the ability to be evaluated, quantified, and verified were: [Resident #6] will decrease his dependency on illegal drugs as a method of coping; and [Resident #6] will interact without threatening, screaming at, or cursing at persons. Further review of the comprehensive care plan revealed there was no evidence of a focus, objective, or interventions related to: GERD, Insomnia, Hyperlipidemia, and Essential (primary) hypertension. During an interview on 07/10/2025 at 2:40 p.m., the Clinical Case Manager said the residents' goals and outcomes were developed through the IDT process. The Clinical Case Manager said she was aware the outcomes were not measurable as written in the care plans of the residents in the sample. The Clinical Case Manager said if the outcome could not be measured, the IDT could not measure the resident's progress or lack of progress in the area of service that was provided. The Clinical Case Manager said the IDT was responsible to ensure the outcomes were measurable. During an interview on 07/10/2025 at 4:06 p.m., the Administrator said she expected all outcomes in the residents' care plans to be measurable. The Administrator said outcomes needed to be measurable to ensure all services were be provided in the highest quality possible. The Administrator said the IDT needed a way to determine the residents were benefiting (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675746 If continuation sheet Page 5 of 8 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 675746 B. Wing A. Building (X3) DATE SURVEY COMPLETED 07/10/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Avir at Coronado 1751 N 15th St Abilene, TX 79603 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 0656 Level of Harm - Minimal harm or potential for actual harm from the services. Record review of the facility's policy, Comprehensive Care Plans, dated 01/02/2024, revealed, It is the policy of this facility to develop and implement a comprehensive person-centered care plan for each resident consistent with resident rights, that includes measurable objectives and timeframes to meet a resident's medical, nursing, mental, and psychosocial needs that are identified in the residence comprehensive assessment. Residents Affected - Some FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675746 If continuation sheet Page 6 of 8 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 675746 B. Wing A. Building (X3) DATE SURVEY COMPLETED 07/10/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Avir at Coronado 1751 N 15th St Abilene, TX 79603 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 0657 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review, the facility failed to ensure the comprehensive care plan was prepared by an interdisciplinary team, that included but not limited to a nurse aide with the responsibility for the resident for 6 of 6 residents (Resident #1, Resident #2, Resident #3, Resident #4, Resident #5, Resident #6) reviewed for care plans. The facility failed to ensure the nurse aides with responsibility for the residents were invited and attended the resident care plan conferences. This failure could place residents at risk for not receiving the care and services to meet their needs.The findings include: 1. Record review of Resident #1's Facesheet, dated 07/09/2025, revealed a [AGE] year-old male, with an admission date into the facility of 05/08/2025. Resident #1 had a diagnosis which included Encephalopathy (a broad range of conditions that cause brain dysfunction, leading to altered consciousness, cognitive impairment, and neurological symptoms), unspecified. Record review of Resident #1's admission MDS, dated [DATE], revealed Resident #1's BIMS score was not calculated. Section C0100, Should Brief Interview for Mental Status (C0200 C0500) be Conducted was coded 0 for No - resident was rarely/never understood; therefore, BIMS score was not determined. 2. Record review of Resident #2's Facesheet, dated 07/09/2025, revealed a [AGE] year-old male, with an admission date into the facility of 10/12/2020. Resident #2 had diagnosis which included Vascular Dementia (a decline in thinking and reasoning skills caused by conditions that damage blood vessels in the brain, reducing blood flow and oxygen supply to the brain cells). Record review of Resident #2's Annual MDS, dated [DATE], revealed Resident #2's BIMS score was 10, which indicated moderate impairment. 3. Record review of Resident #3's Facesheet, dated 07/09/2025, revealed a [AGE] year-old male, with an admission date into the facility of 05/05/2022. Resident #3 had a diagnosis which included Wernicke's Encephalopathy (a serious brain disorder caused by thiamine [vitamin B1] deficiency, often linked to chronic alcohol abuse) Record review of Resident #3's Quarterly MDS, dated [DATE], revealed Resident #3's BIMS score was 09, which indicated moderate impairment. 4. Record review of Resident #4's Facesheet, dated 07/09/2025, a [AGE] year-old female, with an admission date into the facility of 04/23/2025. Resident #4 had a diagnosis which included Fracture of unspecified metatarsal bones (the five long bones in the midfoot located between the tarsal bones of the ankle and the phalanges [toe bones], left foot, initial encounter for closed fracture - 1st, 2nd, 3rd heads). Record review of Resident #4's admission MDS, dated [DATE], revealed Resident #4's BIMS score was 14, which indicated intact cognition. 5. Record review of Resident #5's Facesheet, dated 07/09/2025, revealed a [AGE] year-old male, with an admission date into the facility of 12/15/2023. Resident #5 had a diagnosis which included Alzheimer's Disease (most common form, where a person experienced the effects of more than one type of dementia). Record review of Resident #5's Quarterly MDS, dated [DATE], revealed Resident #5's BIMS score was 08, which indicated moderate impairment. 6. Record review of Resident #6's Facesheet, dated 07/10/2025, revealed a [AGE] year-old male, with an admission date into the facility of 07/24/2024 . Resident #6 had a diagnosis which included Generalized anxiety disorder (mental health condition characterized by excessive, uncontrollable, and often irrational worry about everyday events or activities). Record review of Resident #6's Quarterly MDS, dated [DATE], revealed Resident #6's BIMS score was 15, which indicated intact cognition. During an interview on 07/10/2025 at 9:45 a.m., CNA B said she did not attend or participate in care planning or care plan meetings. CNA B said no one asked for her input related to the goals and interventions in the residents' care plans. CNA B said her input would be valuable because she had built a good rapport with the residents she worked with. CNA B said she knew her residents very well and provided the (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675746 If continuation sheet Page 7 of 8 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 675746 B. Wing A. Building (X3) DATE SURVEY COMPLETED 07/10/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Avir at Coronado 1751 N 15th St Abilene, TX 79603 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 0657 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some FORM CMS-2567 (02/99) Previous Versions Obsolete services they needed. During an interview on 07/10/2025 at 2:40 p.m., the Clinical Case Manager said the social worker was responsible for inviting the members of the IDT to the care plan meetings. The Clinical Case Manager said the CNAs did not participate in the IDT meetings. The Clinical Case Manager said she would obtain the CNAs' input through documentation from the residents' electronic records. The Clinical Case Manager said she would talk with the staff on the floor, but did not document her conversations. During an interview on 07/10/2025 at 2:50 p.m., the Social Worker said she sent out the invites to the members of the IDT care plan meetings. The Social Worker said CNAs attending the meetings had not been customary in the two (2) years she had been at the facility. The Social Worker said the CNAs were not invited because of their job responsibilities and their need to be on the floor to provide direct care. The Social Worker said if she needed information from a CNA, she would interview or talk to them because the CNAs worked very closely with the residents. The Social Worker said CNAs should attend the care plan meetings and be involved in the develop of the plan in her opinion. The Social Worker said the CNAs involvement in the IDT progress would be valuable because the CNAs knew and saw factual information and the IDT would not risk the likelihood of making information up. The Social Worker said the CNAs knew the residents' customs, habits, when they were upset, valuable information for interventions, and paid attention to the residents' needs. During an interview on 07/10/2025 at 3:10 p.m., CNA E said she did not participate in the IDT care plan meetings. CNA E said no one asked for her input for care plan development. During an interview on 07/10/2025 at 3:21 p.m., CNA F said she did not participate in the IDT meeting to develop care plans, and no one asked for her input. CNA F said she thought the social worker should ask for her input because she knew the residents' personalities and behaviors. During an interview on 07/10/2025 at 3:36 p.m., the DON said she was aware the CNAs did not attend the IDT care plan meetings. The DON said the CNAs involvement was necessary to ensure all individual information was included in the care plan by the staff who knew ? the residents the best. During an interview on 07/10/2025 at 4:06 p.m., the Administrator said she was aware the CNAs did not participate as members of the IDT. The Administrator said CNAs should attend because they knew more about the residents than the social worker or activity director because they worked more and spent more time with each resident. The Administrator said the CNAs knew the residents' habits, personalities, personal choices, and individual details. The Administrator said CNAs would help the facility provide better and higher quality services. Record review of the facility's policy, Comprehensive Care Plans, dated 01/02/2024, revealed, The comprehensive Care plan will be prepared by an interdisciplinary team, that includes but is not limited to. c. Nurse aide with responsibility for the resident. Event ID: Facility ID: 675746 If continuation sheet Page 8 of 8