Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Avir At Sealy during CMS and state inspections, most recent first.
Surveyors found that multiple residents with dysphagia, cognitive impairment, and nutritional risk were not receiving physician-ordered fortified and mechanically altered diets. Despite documented orders and tray tickets specifying fortified puddings, super puddings, fortified meal plans, and mighty shakes, residents were observed at meals receiving standard items such as potatoes, fish, hush puppies, and sandwiches without the prescribed fortified components. Meals for these residents appeared identical to regular meals, and staff interviews confirmed that fortified preparations were not consistently provided as ordered.
Surveyors found that the kitchen failed to maintain proper food storage, equipment sanitation, and staff hygiene. Spills and residues were left uncleaned, storage bins were inadequate, and kitchen equipment was not cleaned after use. Staff did not use appropriate hair or beard restraints, had long fingernails, and handled food and surfaces improperly while wearing gloves, all contrary to facility policy and professional standards.
The facility did not ensure RN coverage for at least 8 consecutive hours daily, as required, with staffing records showing no RN hours on multiple weekends and one weekday. The DON, who is salaried and does not use a time clock, stated she covered shifts as needed, but the PBJ report did not reflect RN hours for 12 days. The Administrator confirmed the absence of a weekend RN prior to a recent hire and noted there was no formal policy for RN coverage.
The facility did not consistently post up-to-date nurse staffing information at the main entrance, as required. Observations showed that the staffing postings were outdated on multiple occasions, and interviews with the DON, Administrator, and AD revealed uncertainty about who was responsible for ensuring the information was posted each day. The AD eventually updated the posting after realizing it had been overlooked due to other duties.
Failure to Provide Physician-Ordered Fortified and Therapeutic Diets
Penalty
Summary
Surveyors identified a deficiency in the facility’s failure to provide therapeutic and fortified diets as ordered by physicians for four residents with dysphagia, cognitive impairment, and nutritional risk. Physician orders and meal tickets documented requirements for mechanically altered diets and fortified items such as fortified puddings, super puddings, fortified meal plans, and mighty shakes. However, during meal observations, these ordered fortified components were not provided, and the meals served appeared the same as regular meals without the prescribed enhancements. For one male resident with depression, dysphagia, GERD, hyperlipidemia, hypertension, and dysphagia following cerebral infarction, the MDS showed severe cognitive impairment and pain with swallowing, and he was coded as being on a mechanically altered diet. Physician orders included a regular mechanical soft diet with ground texture and fortified pudding twice daily for malnutrition. His meal ticket reflected a regular diet, mechanical soft diet, and fortified pudding cream. During a lunch observation, he was seen self-feeding potatoes, fish, and hush puppies, with no fortified pudding present, and his meal looked identical to those of residents receiving regular meals. A female resident with Alzheimer’s disease, depression, dysphagia, GERD, hyperlipidemia, and abnormal weight loss had an MDS indicating severe cognitive impairment, pain with swallowing, and a mechanically altered diet. Her physician orders included mighty shake 4 oz twice daily at lunch and dinner and fortified pudding 4 oz twice daily at lunch and dinner, and her meal ticket listed a regular diet, mechanical soft diet, fortified pudding/ice cream, fortified enhanced food, and mighty shake. At a lunch observation, she was self-feeding potatoes, fish, and hush puppies, with no mighty shake, ice cream, or fortified pudding on her tray, and her meal appeared the same as regular meals. Another female resident with anemia, hypertension, renal insufficiency, Alzheimer’s disease, anxiety disorder, depression, dysphagia, and vitamin D deficiency had an MDS showing severe cognitive impairment, pain with swallowing, and a mechanically altered diet. Her physician orders included mighty shake 4 oz twice daily at lunch and dinner and fortified pudding 4 oz twice daily at lunch and dinner, and her meal ticket listed a regular diet, mechanical soft diet, fortified pudding/ice cream, and mighty shake. During a lunch observation, she was self-feeding a cheese sandwich with juice, milk, and water, with no mighty shake, ice cream, or fortified pudding on the tray. A fourth female resident with depression, dysphagia, GERD, hyperlipidemia, hypertension, and diabetes had an MDS indicating severe cognitive impairment and a mechanically altered diet. Her physician orders included a fortified meal plan diet with mechanical soft texture and thin consistency, and super pudding 4 oz twice daily at lunch and dinner. Her meal ticket listed a regular diet, mechanical soft diet, fortified pudding/ice cream, fortified enhanced food, and mighty shake. At a lunch observation, she was self-feeding potatoes, fish, and hush puppies, with no fortified meal plan or fortified pudding present, and her meal looked the same as those of residents receiving regular meals. In interviews, the Dietary Manager stated she usually prepared fortified pudding and sometimes added extra butter and sour cream to potatoes for fortified meals but had not done so that day, and an LVN acknowledged that residents with fortified meal orders were receiving meals that looked like regular meals and that diets were ordered for specific health and safety reasons.
Deficient Food Storage, Sanitation, and Staff Hygiene in Kitchen
Penalty
Summary
Surveyors observed multiple failures in the facility's kitchen regarding food storage, preparation, and sanitation. A storage rack for canned goods had an orange-brownish substance spilled on it and on the floor beneath, which had not been cleaned despite the Dietary Manager (DM) being aware of the spill. Storage bins for flour and sugar were found with residues and holes that could allow insect entry, and the DM acknowledged the inadequacy of the containers but cited lack of funding for replacements. Shelves holding clean pots and pans were lined with foil and mesh coverings that were coated in a greasy, dusty film, and the DM admitted these had not been cleaned as required by the facility's cleaning schedule. Further observations revealed that kitchen equipment, including the grill, fryer, convection oven, and toaster, were not cleaned after use, with visible grease, food particles, and residue present. The DM confirmed that these items should have been cleaned after each use but had not been. Additionally, food service staff did not adhere to proper hygiene standards: the cook wore a baseball cap that did not restrain his long hair, lacked a beard restraint despite having a full beard, and had long fingernails. The cook also wore gloves while serving food but touched the inside of plates and other surfaces, which could lead to cross-contamination. The DM was unaware that glove use in this manner was problematic and acknowledged the issue with the cook's long nails. Interviews with the DM and Registered Dietitian (RD) confirmed that staff were not following established policies for food safety, including the use of airtight containers, proper cleaning schedules, and personal hygiene practices such as wearing hairnets, beard restraints, and keeping fingernails trimmed. The facility's own dietary policy required adherence to safe food handling practices, prevention of cross-contamination, and maintenance of sanitary conditions, all of which were not consistently followed as evidenced by the surveyor's findings.
Failure to Provide Required RN Coverage
Penalty
Summary
The facility failed to provide the services of a registered nurse (RN) for at least 8 consecutive hours a day, 7 days a week, as required. Review of the CMS Payroll Based Journal (PBJ) staffing data for the first quarter of 2025 revealed that there were no RN hours recorded for 12 specific days, including multiple Saturdays, Sundays, and one Thursday. The facility staffing list indicated that a new RN was hired on 11/27/24, but prior to this, there was no weekend RN coverage. The Director of Nursing (DON) stated she covered shifts when an RN was unavailable, including weekends and holidays, but did not use a time clock and was salaried. The DON was unable to explain why the PBJ report did not reflect RN hours for the 12 days in question. Interviews with the DON and the Administrator confirmed the lack of consistent RN coverage on weekends prior to the hiring of the new RN. The Administrator acknowledged that the facility did not have a policy regarding the requirement for RN coverage 8 hours a day, 7 days a week, and stated that they simply followed the regulation. No specific residents or patient conditions were mentioned in relation to the deficiency.
Failure to Post Daily Nurse Staffing Information
Penalty
Summary
The facility failed to post the daily nurse staffing information at the beginning of each shift as required. Observations on two consecutive days showed that the staffing information displayed at the main entrance was not current, with postings dated for the previous day. On the second day, multiple observations throughout the day confirmed that the outdated posting remained in place until late in the afternoon. Interviews with facility leadership, including the DON, Administrator, and AD, revealed confusion regarding who was responsible for posting the daily staffing information. The AD eventually updated the posting after being reminded, stating that the current staffing sheet had been prepared but was left on her desk due to being occupied with resident care. The DON clarified that the ADON was responsible for preparing the posting, but it had not been displayed in a timely manner.
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What surveyors actually found near you
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Sealy
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Harmony Care At Brookshire | 13 mi | ★★★★★ | 3 | 0 |
| Avir At Bellville | 13.8 mi | ★★★★★ | 11 | 0 |
| Arbor Hills Rehabilitation And Healthcare Center | 16.5 mi | ★★★★★ | 4 | 0 |
| Paradigm At Katy | 20.2 mi | ★★★★★ | 4 | 0 |
| Heritage Park Of Katy Nursing And Rehabilitation | 20.5 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.