CareSentinel

Federal Nursing-Home Survey Record

Avir at Comfort

CCN 675871 · 615 FALTIN AVE, COMFORT, TX, 78013 · Operated within the AVIR HEALTH GROUP chain

Does Avir at Comfort have a federal violation or abuse history?

According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), Avir at Comfort (CCN 675871), in COMFORT, TX, has federal inspection findings on its record. In its current inspection cycle, CMS cited the facility for 2 deficiencies; the most serious carries scope/severity F on CMS's A–L scale. Citations from earlier inspection cycles appear in the dated timeline below as historical findings, not current ones. This page restates the federal record as published by CMS and draws no conclusion of its own. Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly. Federal nursing-home surveys are conducted on a recurring cycle by state survey agencies acting on CMS's behalf, and the figures on this page are compiled from CMS's published provider data, as on file with federal regulators; the federal record may understate what actually occurred, and inspection findings are point-in-time survey results, not a determination that any specific resident was harmed.

The Federal Record

The most recent federal inspection on file records no actual-harm or immediate-jeopardy citations for this facility.

Below is this facility's federal survey record as on file with federal regulators (CMS). Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

Scope & Severity — current cycle

ANo Harm
BNo Harm
CNo Harm
DPotential
EPotential
FPotential
GActual Harm
HActual Harm
IActual Harm
JImm. Jeopardy
KImm. Jeopardy
LImm. Jeopardy

CMS's own A–L scope/severity grid. Plotted cells mark this facility's most recent (current-cycle) citations, as on file with federal regulators (CMS).

Overall CMS star rating: this facility vs the CMS-published state average

This facility: 5  ·  CMS state average: 2.7

Side-by-side with the CMS-published Overall CMS star rating for this state. This is the government's own published state average — not a CareSentinel-computed figure or delta.

Deficiency timeline — full federal history

2025-08-22
CURRENT CYCLE
F727S/S F

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.

2025-08-22
CURRENT CYCLE
F689S/S D

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2025-04-18
HISTORICAL
F725S/S F

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

2025-04-18
HISTORICAL
F656S/S D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

2024-07-10
HISTORICAL
F727S/S E

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.

2024-07-10
HISTORICAL
F558S/S D

Reasonably accommodate the needs and preferences of each resident.

2024-07-10
HISTORICAL
F812S/S D

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

2024-07-10
HISTORICAL
F577S/S C

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

2024-07-10
HISTORICAL
F732S/S C

Post nurse staffing information every day.

2024-03-01
HISTORICAL
F655S/S D

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

2024-03-01
HISTORICAL
F880S/S D

Provide and implement an infection prevention and control program.

2023-06-08
HISTORICAL
F812S/S F

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

2023-06-08
HISTORICAL
F947S/S E

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

2023-06-08
HISTORICAL
F730S/S E

Observe each nurse aide's job performance and give regular training.

2023-06-08
HISTORICAL
F940S/S E

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

2023-06-08
HISTORICAL
F941S/S E

Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

2023-06-08
HISTORICAL
F942S/S E

Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.

2023-06-08
HISTORICAL
F943S/S E

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

2023-06-08
HISTORICAL
F945S/S E

Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

2023-06-08
HISTORICAL
F946S/S E

Provide training in compliance and ethics.

2023-06-08
HISTORICAL
F760S/S D

Ensure that residents are free from significant medication errors.

2023-06-08
HISTORICAL
F761S/S D

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

2023-06-08
HISTORICAL
F641S/S D

Ensure each resident receives an accurate assessment.

2023-06-08
HISTORICAL
F640S/S D

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

2023-06-08
HISTORICAL
F842S/S D

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

2023-06-08
HISTORICAL
F849S/S D

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

2023-06-08
HISTORICAL
F637S/S D

Assess the resident when there is a significant change in condition

2023-06-08
HISTORICAL
F690S/S D

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

2023-06-08
HISTORICAL
F727S/S D

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.

2023-06-08
HISTORICAL
F656S/S D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

2023-06-08
HISTORICAL
F655S/S D

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

2023-06-08
HISTORICAL
F636S/S D

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

2023-06-08
HISTORICAL
F642S/S D

Ensure a qualified health professional conducts resident assessments.

2023-06-08
HISTORICAL
F755S/S D

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Each citation below is a federal survey finding, dated and labeled with its CMS deficiency tag, as on file with federal regulators (CMS). Older inspection cycles are de-emphasized; only the most recent cycle is current.

Document what happened

Were you or a loved one harmed at Avir at Comfort?

Share a few details to put your inquiry on file. CareSentinel is an independent service that compiles the public CMS record and does not provide legal advice. As qualified attorneys join our network in your area, one may reach out — we can’t guarantee contact yet, so we encourage you to consult a qualified attorney promptly on your own as well. There is no cost, and your information is handled with care.

Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.

Step 1 of 3 · What happened

Your relationship to the resident
What happened? Select all that apply.

Physical injury

Skin & wounds

Medical & clinical

Safety & abuse

Loss

Something else

The resident is…