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 26 to 47 of 47 citations

  1. 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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0727, 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).

  2. No harm, with potential for more than minimal harm

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0804, Nutrition and Dietary 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).

  3. 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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0812, Nutrition and Dietary 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).

  4. No harm, with potential for more than minimal harm

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0921, Environmental 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).

  5. No harm, with potential for more than minimal harm

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0222, 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).

  6. No harm, with potential for more than minimal harm

    Have corridors or aisles that are unobstructed and are at least 8 feet in width.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0232, Egress Deficiencies. Inspection of July 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 26, 2024).

  7. No harm, with potential for more than minimal harm

    Properly provide smoke detection systems in areas open to corridors.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0347, Smoke Deficiencies. Inspection of July 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 15, 2024).

  8. No harm, with potential for more than minimal harm

    Have proper medical gas storage and administration areas.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of July 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 15, 2024).

  9. No harm, with potential for more than minimal harm

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0584, Resident Rights Deficiencies. Inspection of October 9, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 10, 2023).

  10. No harm, with potential for more than minimal harm

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0804, 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).

  11. No harm, with potential for more than minimal harm

    Have policies on smoking.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0926, Environmental Deficiencies. Inspection of October 9, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 10, 2023).

  12. 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 September 8, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 4, 2023).

  13. No harm, with potential for more than minimal harm

    Ensure that residents are free from significant medication errors.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of September 8, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 4, 2023).

  14. No harm, with potential for more than minimal harm

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of May 4, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 26, 2023).

  15. 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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0727, Nursing and Physician Services Deficiencies. Inspection of May 4, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 26, 2023).

  16. No harm, with potential for more than minimal harm

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Isolated (one or a few residents). CMS level D.

    Health citation F-0655, Resident Assessment and Care Planning Deficiencies. Inspection of August 13, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (September 23, 2025).

  17. 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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of August 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 23, 2025).

  18. 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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of September 8, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 4, 2023).

  19. No harm, with potential for more than minimal harm

    Provide safe and appropriate respiratory care for a resident when needed.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of May 4, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 26, 2023).

  20. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0880, Infection Control Deficiencies. Inspection of May 4, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 26, 2023).

  21. No harm, with potential for more than minimal harm

    Have properly installed electrical wiring and gas equipment.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0511, Services Deficiencies. Inspection of May 4, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 15, 2023).

  22. No harm, with potential for minimal harm

    Have corridors or aisles that are unobstructed and are at least 8 feet in width.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0232, Egress Deficiencies. Inspection of August 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 16, 2025).

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.