Health inspection·February 4, 2026

F 0812 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview and record review the facility failed to store, prepare, distribute and serve food, in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed for food and nutrition services. 1. The facility failed to ensure four packs of sliced bread and one pack of hotdog bread located on the bread rack in the facility kitchen was not past the best by dates. 2. The facility failed to ensure the handwashing sink was clean. 3. The facility failed to ensure there was a clean and functional step-on trash near the handwashing sink. 4. The facility failed to ensure the silver cart to distribute residents' food down the hall was clean. 4. The facility failed to ensure the blue crate to store dishes in the kitchen was clean. 5. The facility failed to ensure the AC in the unit in the kitchen was clean. These failures could place residents at risk of cross contamination, food borne illnesses and decreased quality of life.Findings include:Observation on 02/04/2026 at 09:16 AM reflected the handwashing sink had a brown stain around the drain and around the faucet. The step-on trash next to the handwashing sink had a brown sticky substance on the lid, the step-on was non-functional and had to open the lid by touching. Observation on 02/04/2026 at 09:22 AM in the facility's kitchen on the bread rack reflected the following:-One pack of thin sliced bread with best by date of Jan. 22, 2026-Two packs of sliced thin bread with best by date of Jan. 25, 2026-One pack of hotdog buns with best by date of Jan. 24, 2026 Observation on 02/04/2026 at 09:23 AM reflected the AC unit in the kitchen was covered with dust. Observation on 02/04/2026 at 09:24 AM reflected the silver cart used to distribute residents' food down the hall was stained with brownish substances on both sides of the cart. Observation on 02/04/2026 at 09:25 AM reflected the blue crate in the kitchen used to store dishes was stained with a brownish substance. Observation of lunch service on 02/04/2026 at about 11:04 AM revealed one slice of bread was about to be served by the Dietary Manager with best by date of Jan. 22, 2026. The Dietary Manager looked at the date on the bread pack and stated with the best by date being [DATE], it was not good to eat that day and pulled the bread from the serving line. The Dietary Manager was the morning [NAME] at the facility. During an interview on 02/04/2026 at 11:50 AM, the Dietary Manager/Cook stated all staff, especially the cook, was responsible for checking for expiration on food products. The Dietary Manager stated the bread was not safe to eat, if it expired by 1/22/26. The Dietary Manager stated the bread had been expired for almost a week. The Dietary Manager stated the residents were at risk for illness when they ate bread that had passed the best by date. The Dietary Manager said one resident liked bread and the one slice of bread was intended for the resident. The Dietary Manager stated she served chocolate pancakes for breakfast, so residents did not have the bread that day. The Dietary Manager stated all dietary staff were responsible for cleaning the sink and they all needed a constant reminder. The Dietary Manager stated it was dust on the AC and it would cause cross contamination to the food. The Dietary Manager stated the silver cart was no longer being used (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: 676292 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 676292 B. Wing A. Building (X3) DATE SURVEY COMPLETED 02/04/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Avir at Luling 501 W Austin St Luling, TX 78648 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)