F 0600
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment,
and neglect by anybody.
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
interview, and record review, the facility failed to protect one (Residents #1) of one of one reviewed, from
verbal abuse, in that:
The facility failed to ensure Resident #1 was not verbally abused by CNA A.
This failure could place residents at risk of fear, depression, intimidation, and a diminished quality of life due
to verbal abuse.
Findings included:
Review of the face sheet, undated, for Resident #1 reflected a [AGE] year-old female initial admission date
of [DATE] and readmission date of [DATE] with diagnoses of hepatic encephalopathy (liver does not filter
toxins as it should) cirrhosis of liver (severe scarring of the liver) end stage renal disease, and diabetes.
Resident #1 discharged from the facility on [DATE] to an acute care facility and is deceased .
Review of the quarterly minimum data set (MDS) for Resident #1 dated [DATE] reflected a brief interview
for mental status (BIMS) was not conducted. Review of Section I Active Diagnoses revealed medically
complex condition.
Review of the care plan dated [DATE] reflected Resident #1 was at risk for decreased socialization and
altered mood related to diagnosis of depression, disinterest in current activity, impaired cognition, signs and
symptoms of depression with interventions to approach Resident #1 in calm manner, introduce self and
explain procedure/care to be provided, provide positive interaction with resident, and provide validation of
feelings by restating concerns and feelings and encourage Resident #1 to focus on the positive, and
encourage and allow resident to verbalize needs and concerns.
In an Interview with the a family member of Resident #1 on [DATE] at 2:55 pm she revealed, Resident #1
called her after the incident on [DATE] and was crying. Resident #1 told the family member she was crying
because people did not want to help her. The family member had an audio and video recorder in Resident
#1's room. The family member did not provide the recording . The family member revealed she could not
see CNA A in the bathroom with her mother (CNA A was on the camera when her mother came out of the
bathroom). The family member revealed she heard CNA A tell her mother, in an ugly tone, can you not do
anything for yourself? Come on, shit. The family member said CNA A could have been more kind and CNA
A upset Resident #1 enough for Resident #1 to call her crying. The family member revealed CNA A did not
respect Resident #1's rights when she spoke to her in a discouraging manner.
(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:
676343
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
676343
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
07/16/2024
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Avir at Waco
9101 Panther Way
Waco, TX 76712
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 0600
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
In an interview with CNA A on [DATE] at 11:00 am she revealed she did not know that Resident #1 had
declined so much since the last time she assisted Resident #1. She revealed she answered Resident #1's
call light on [DATE] and when Resident #1 said she needed help getting on the toilet she said to Resident
#1, you are going to have to do more for yourself. She revealed she was trying to encourage Resident #1
but said she could have used different words and did not mean to upset Resident #1. She apologized to
Resident #1.
In an interview with the DON on [DATE] at 2:55 pm she revealed she listened to the recording that was
provided to the facility by Resident #1's family member . The DON revealed CNA A said can you not do
anything for yourself (use of Resident #1's first name), come on. The DON felt what CNA A said to Resident
#1 was not encouraging and she should have used a more encouraging tone. The DON revealed when she
spoke to Resident #1, she should have thought about how Resident #1 would have felt to hear those words.
The DON revealed CNA A was suspended from work and was in-serviced on abuse and neglect and how
to speak to Residents. The DON said she spoke to Resident #1 about the incident, but Resident did not
recall it occurred.
Review of a statement, undated, from CNA A revealed she responded to Resident #1's call light and found
Resident #1 on her wheelchair asleep by the toilet. The statement revealed CNA A asked Resident #1 what
she needed, and Resident #1 said she needed help getting on the toilet. The statement from CNA A
revealed she said to Resident #1, are you not able to anything on your own now? CNA A revealed in her
statement that she wanted Resident #1 to have the independence like she had previously. CNA A revealed
in the statement that she knew she spoke in an assertive manner and realized she should have said things
in a different manner.
Review of CNA A's personnel file reflected a statement signed on [DATE] that reflected she had been
trained in and received education on the definition of abuse and the different kinds of abuse.
Review of facility abuse and neglect policy, undated, reflected the purpose of the policy was to protect the
residents in the facility from abuse and neglect. Verbal abuse is defined as oral, written, or gestured
language that includes disparaging and derogatory terms to the residents.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
676343
If continuation sheet
Page 2 of 2
