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Inspection visit

Health inspection

Avir at Park BendCMS #6758621 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

This survey cited 1 deficiency. The full statement and the facility’s plan of correction follow, verbatim from the federal record.

F 0583 Keep residents' personal and medical records private and confidential. Level of Harm - Minimal harm or potential for actual harm Based on observation, interview, and record review, the facility failed to ensure that each resident has a right to personal privacy and confidentiality of his or her personal and medical records for 1 (Resident #1) of 29 residents on 300 Hall reviewed for Privacy and Confidentiality. The facility failed to ensure Resident #1's personal health information was protected from being viewed by unauthorized person when the RN left Resident #1's personal information displayed on the computer screen located at the charting station on 300 Hall while unattended. This failure could place residents' personal information at risk of being exposed to unauthorized individuals. The findings included:Observation on 2/27/2026 at 10:12 a.m., revealed the computer screen on the RN's charting station on 300 Hall was open and unlocked, with Resident #1's personal clinical information displayed and visible to unauthorized individuals, including visitors or other residents. Other nursing staff members were observed walking on the 300 Hall near the charting station at the same time. Nobody was observed looking at the screen at that time, but other residents, unauthorized staff or visitors could be potentially walking by the charting station. The RN came to her charting computer at 10:15 a.m. from residents' room on 300 Hall.During an interview on 2/27/2026 at 10:14 a.m., RN stated that she was in-serviced on HIPAA five months ago. She stated the HIPAA in-service included instructions on not sharing residents' private clinical information with unauthorized individuals and to lock the computer screen when stepping away from the charting computer. She stated everybody who worked with charting computers were responsible for closing and locking the computer when not in attendance. She stated leaving the screen unlocked with Resident #1's clinical information displayed could be harmful for the residents because anybody could see it. She stated she was at fault for not locking the computer before going to answer the call light.During an interview on 2/27/2026 at 3:05 p.m., the ADM stated he received HIPAA training upon hire and a few months ago which covered the importance of maintaining the residents' private information. He stated whoever used the computer was responsible for shutting it down to ensure the residents' information was not visible. He stated the potential risk for not shutting down charting computers could be a breach of residents' privacy. He stated all staff completed HIPAA in-service upon hire and annually. He stated the last staff HIPAA in-service was conducted in September 2025 and on 02/27/2026, after the incident.During an interview on 2/27/2026 at 3:21 p.m., the DON stated the facility's HIPAA policy was to minimize the charting computers' screens when stepping away. He stated if the computer screens were not minimized, someone could have unauthorized access to private clinical information displayed on the screen. He stated HIPAA in-services were included employees at hire and annually through computer modules which included instructions on locking the computer screens. He stated the person who works with residents' private clinical information should lock the screen before walking away. He stated the potential negative effect was unauthorized disclosure of residents' private information and could affect residents' dignity.Record review revealed HIPAA in-services, dated 09/17/2026, indicated the RN completed and signed the in-service.Record review of facility's 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: 675862 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 675862 B. Wing A. Building (X3) DATE SURVEY COMPLETED 02/27/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Avir at Park Bend 2122 Park Bend Dr Austin, TX 78758 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 0583 Level of Harm - Minimal harm or potential for actual harm Privacy Notice policy, revised on 03/2014, revealed h. (1) the facility is required by law to maintain the privacy of patient health information.Record review of facility's Resident Rights policy, revised on 01/2021, revealed 3. Unauthorized release, access, or disclosure of resident information is prohibited. All release, access, or disclosure of resident information must be in accordance with current laws, governing privacy of information issues. Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 675862 If continuation sheet Page 2 of 2

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Citations

1 citation recorded*CMS

What do CMS severity letters mean?

Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.

General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.

Each letter combines severity with scope: how many residents the deficiency affected.

  • 0583GeneralS&S Dpotential for harm

    F583 - Privacy and Confidentiality

    Keep residents' personal and medical records private and confidential.

FAQ · About this visit

Common questions about this visit

What happened during the February 27, 2026 survey of Avir at Park Bend?

This was a inspection survey of Avir at Park Bend on February 27, 2026. The surveyor cited 1 deficiency, recorded on the federal Form 2567 statement of deficiencies.

Were any deficiencies cited at Avir at Park Bend on February 27, 2026?

Yes, 1 deficiency was cited, each with a CMS Scope and Severity grade. The first was: "Keep residents' personal and medical records private and confidential."

What type of survey was this?

This was a inspection survey conducted by state surveyors under federal Centers for Medicare & Medicaid Services (CMS) oversight. Findings are published on CMS Care Compare.

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Next steps

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Data from CMS Care Compare public records. Dataset last refreshed . If you believe any information is inaccurate, report it here.