Health inspection·June 6, 2025

F 0880 Provide and implement an infection prevention and control program. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable disease and infection for 5 of 7 residents (Residents #1, #2, #3, #4, and #5) reviewed for infection control: Residents Affected - Some 1. The facility failed to ensure MA-A sanitized the wrist blood pressure cuff in-between use with Residents #1 and #2 on 06/05/2025. 2. The facility failed to ensure LVN-B sanitized her hands in between feeding and assisting Residents #3, #4 and #5 with their breakfast meal on 06/05/2025. These failures could place residents at risk for infection due to improper care practices. The findings included: 1. Record review of Resident #1's admission record revealed he was an [AGE] year-old man admitted on [DATE] with diagnoses which included: Essential (Primary) Hypertension. Record review of Resident #1's Order Summary dated 06/05/2025 revealed an order for Labetalol HCL oral table 200mg, give one tablet by mouth three times a day for HTN. Hold for SBP less than 110 DBP less than 60 and/or pulse less than 60. Record review of Resident #2's admission record dated 06/05/2025 revealed she was an 88 -year-old woman admitted on [DATE] with diagnoses which included: Essential (Primary) Hypertension. Record review of Resident #2's Order Summary dated 06/05/2025 revealed an order for Irbesartan Oral Tablet 150 mg - Give one tablet by mouth one time a day for HTN give with 75mg tab to equal 225mg related to Essential (Primary)Hypertension Hold for SBP less than 110, DBP less than 60. During an observation on 06/05/2025 at 06:21 a.m. MA-A was observed to take the blood pressure for Resident #1 using a wrist blood pressure cuff, without first sanitizing the blood pressure cuff, then placed the cuff on the medication cart, proceeded to administer Resident #1 his medications, and then without sanitizing the blood pressure cuff, took Resident #2's blood pressure with that same wrist blood pressure cuff. During an interview with MA-A on 06/05/2025 at 06:42 a.m., MA-A stated she had taken the blood pressure for Residents #1 and #2 without sanitizing the wrist blood pressure cuff prior and in-between (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: 745050 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 745050 B. Wing A. Building (X3) DATE SURVEY COMPLETED 06/06/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Avir at Kerrville 1555 Bandera Hwy Kerrville, TX 78028 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)