All citations for Avir at Woodlands

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Avir at Woodlands

Last standard health inspection on record

August 13, 2025

Showing 1 to 25 of 47 citations

Immediate jeopardy to resident health or safety
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Pattern (more than a few residents). CMS level K.
Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of April 2, 2025. Found during a complaint inspection.
The home gave a date the problem would be corrected (April 3, 2025).
Immediate jeopardy to resident health or safety
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pattern (more than a few residents). CMS level K.
Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of April 2, 2025. Found during a complaint inspection.
The home gave a date the problem would be corrected (April 3, 2025).
Immediate jeopardy to resident health or safety
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Pattern (more than a few residents). CMS level K.
Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of April 2, 2025. Found during a complaint inspection.
The home gave a date the problem would be corrected (April 3, 2025).
No harm, with potential for more than minimal harm
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Widespread (many residents). CMS level F.
Health citation F-0727, Nursing and Physician Services Deficiencies. Inspection of August 13, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (September 23, 2025).
No harm, with potential for more than minimal harm
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Widespread (many residents). CMS level F.
Health citation F-0802, Nutrition and Dietary Deficiencies. Inspection of August 13, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (September 23, 2025).
No harm, with potential for more than minimal harm
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Widespread (many residents). CMS level F.
Health citation F-0809, Nutrition and Dietary Deficiencies. Inspection of August 13, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (September 23, 2025).
No harm, with potential for more than minimal harm
Have simulated fire drills held at unexpected times.
Widespread (many residents). CMS level F.
Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of August 13, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (September 16, 2025).
No harm, with potential for more than minimal harm
Conduct testing and exercise requirements.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of July 10, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (August 15, 2024).
No harm, with potential for more than minimal harm
Have properly located and lighted "Exit" signs.
Widespread (many residents). CMS level F.
Fire safety citation K-0293, Egress Deficiencies. Inspection of July 10, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (August 15, 2024).
No harm, with potential for more than minimal harm
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Widespread (many residents). CMS level F.
Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of July 10, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (August 15, 2024).
No harm, with potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Widespread (many residents). CMS level F.
Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of October 9, 2023. Found during a complaint inspection.
The home gave a date the problem would be corrected (October 10, 2023).
No harm, with potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Widespread (many residents). CMS level F.
Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of May 4, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (May 26, 2023).
No harm, with potential for more than minimal harm
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Widespread (many residents). CMS level F.
Fire safety citation K-0232, Egress Deficiencies. Inspection of May 4, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (December 13, 2023).
No harm, with potential for more than minimal harm
Install a fire alarm system that can be heard throughout the facility.
Widespread (many residents). CMS level F.
Fire safety citation K-0341, Smoke Deficiencies. Inspection of May 4, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (October 17, 2023).
No harm, with potential for more than minimal harm
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Widespread (many residents). CMS level F.
Fire safety citation K-0346, Smoke Deficiencies. Inspection of May 4, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (October 5, 2023).
No harm, with potential for more than minimal harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Widespread (many residents). CMS level F.
Fire safety citation K-0372, Smoke Deficiencies. Inspection of May 4, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (October 5, 2023).
No harm, with potential for more than minimal harm
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Widespread (many residents). CMS level F.
Fire safety citation K-0374, Smoke Deficiencies. Inspection of May 4, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (October 15, 2023).
No harm, with potential for more than minimal harm
Have generator or other power source capable of supplying service within 10 seconds.
Widespread (many residents). CMS level F.
Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 4, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (December 13, 2023).
No harm, with potential for more than minimal harm
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0321, Smoke Deficiencies. Inspection of August 13, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (September 16, 2025).
No harm, with potential for more than minimal harm
Have properly installed electrical wiring and gas equipment.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0511, Services Deficiencies. Inspection of August 13, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (September 16, 2025).
No harm, with potential for more than minimal harm
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of August 13, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (September 16, 2025).
No harm, with potential for more than minimal harm
Ensure that residents are fully informed and understand their health status, care and treatments.
Pattern (more than a few residents). CMS level E.
Health citation F-0552, Resident Rights Deficiencies. Inspection of July 10, 2024. Found during a standard inspection and a complaint inspection.
The home gave a date the problem would be corrected (August 15, 2024).
No harm, with potential for more than minimal harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Pattern (more than a few residents). CMS level E.
Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of July 10, 2024. Found during a standard inspection and a complaint inspection.
The home gave a date the problem would be corrected (August 15, 2024).
No harm, with potential for more than minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pattern (more than a few residents). CMS level E.
Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of July 10, 2024. Found during a standard inspection and a complaint inspection.
The home gave a date the problem would be corrected (August 15, 2024).
No harm, with potential for more than minimal harm
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Pattern (more than a few residents). CMS level E.
Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of July 10, 2024. Found during a standard inspection and a complaint inspection.
The home gave a date the problem would be corrected (August 15, 2024).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.