Health inspection·September 17, 2025

F 0550 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview and record review the facility failed to provide the right to a dignified existence, self-determination, and communication with and access to persons and services inside and outside the facility, including those specified in this section, for two of eight residents (Residents #3, #8), in the facility reviewed for residents' rights, in that:1. CNA B did not knock nor announce themselves before entering Resident #3's room.2. CNA C did not knock nor announce themselves before entering Resident #8's room. This failure could place residents at risk for diminished quality of life, loss of dignity and self-worth.The findings included:Record review of Resident #3's admission Record, dated 09/15/2025, revealed the resident being a [AGE] year-old female, originally admitted to the facility on [DATE], with a current admission date of 8/31/2024. Record review of Resident #3's admission Record, dated 09/15/2025, reflected an admission diagnosis of other idiopathic peripheral autonomic neuropathy (damage to multiple peripheral nerves, leading to symptoms such as weakness, numbness, and pain) and other diagnoses. Record review of Resident #3's MDS, dated [DATE], revealed the resident's BIMS score a 14 out of 15 which suggested the resident's cognition was intact. Record review of Resident #8's admission Record, dated 09/15/2025, revealed the resident being a [AGE] year-old female, originally admitted to the facility on [DATE], with a current admission date of 07/12/2025. Record review of Resident #8's admission Record, dated 09/15/2025, reflected an admission diagnosis of chronic systolic (congestive) heart failure (impairment in the heart's ability to fill with and pump blood) and other diagnoses.Record review of Resident #8's MDS, dated [DATE], revealed the resident's BIMS score a 15 out of 15 which suggested the resident's cognition was intact. During an observation and interview on 09/10/25 at 4:13 p.m., revealed Resident #3, while being interviewed by the State Surveyor, was interrupted by CNA B. CNA B was observed opening Resident #3's room door without knocking or announcing themselves. CNA B proceeded to place and set up Resident #3's meal tray on the bedside table and then exited the bedroom and closed the door. During an interview on 9/10/2025 at 4:14pm p.m., Resident #3 stated they did not hear CNA B knock or announce themselves. During an observation on 9/10/2025 at 4:15pm, revealed CNA C entered Resident #8's room while at the same time stating, knock knock . During an interview on 9/10/2025 at 4:20 p.m., CNA B stated she knocked and didn't know if they knocked too soft on Resident #3's but it was needed for privacy for the residents. CNA B stated they did not hear anyone say come in and entered the room. CNA B stated residents did not usually say come in.During an interview on 9/10/2025 at 4:30 p.m., CNA C stated they knocked as they walked into Resident #8's room, so they don't startle anyone. CNA C stated anytime anyone enters a room they should knock before so the residents know they are coming and for privacy.During an interview on 09/16/2025 at 4:42 p.m., with the LVN, when asked what is the resident privacy policy and how is it implemented, the LVN stated staff knock before entering and close the curtains. LVN stated they wouldn't want to be exposed .During an interview on 09/17/2025 at 11:36 a.m., (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 6 Event ID: 676301 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 676301 B. Wing A. Building (X3) DATE SURVEY COMPLETED 09/17/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Avir at Schertz 3301 Fm 3009 Schertz, TX 78154 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)