Above average — CMS composite of the measures below.
The next survey window likely opens around January 2027
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 Temple East during CMS and state inspections, most recent first.
Kitchen Food Storage and Sanitation Deficiencies: The facility failed to follow food safety standards in the kitchen. Surveyors found unlabeled or undated food items in the refrigerator and freezer, food exposed to air, dirty bins holding serving utensils and pans, water stored on the floor, and old juice buildup on the dispenser nozzle. Interviews with the DM, DA, and CK showed inconsistent statements about cleaning frequency and responsibility for checking dates and labeling food items.
A resident with osteomyelitis, a R BKA, weakness, and HF was dependent for showering per the MDS and care plan, but the shower log showed missed scheduled showers and no other showers documented in the EHR. The resident stated he had not had a shower in a week and said staff sometimes did not come when he asked. Staff interviews confirmed missed showers should be documented in PCC, with refusals and reasons reflected in the care plan and progress notes.
The facility failed to update care plans for three residents at high risk for wandering, despite their placement in a memory care unit. The care plans did not reflect the residents' needs for specialized interventions, leading to potential improper care. Interviews revealed confusion among staff about responsibility for care plan updates, contributing to the oversight.
The facility failed to properly label and date food items in its kitchen refrigerators, as observed during a survey. Unlabeled and undated food items, including opaque pitchers and Ziploc bags with unknown contents, were found in the refrigerators. Interviews with staff confirmed that this practice violated the facility's policy and posed a risk of foodborne illnesses to residents.
Kitchen Food Storage and Sanitation Deficiencies
Penalty
Summary
The facility failed to store, prepare, distribute, and serve food in accordance with professional standards for foodservice safety in 1 of 1 kitchen. During observation of the walk-in refrigerator, corn tortillas with a manufacture date of 10-25-2025 had no expiration date, and a bell pepper in a cardboard box had no date written on the box. During observation of the walk-in freezer, waffles in a plastic tub had no open or expiration date on the package, pie shells were not sealed and were exposed to air, and icing in a piping bag had no open or expiration date on the package. Additional kitchen observations showed serving utensils and serving pans stored in plastic containers with food debris at the bottom of the containers, corn tortillas on a shelf with a manufacture date of 10-25-2025 and no expiration date, two boxes containing 6 1-gallon containers of Ozarka water stored on the floor, and old juice built up on the nozzle of the juice dispenser. Interviews with the DM, DA, and CK reflected differing statements about how often the kitchen and bins were cleaned, who was responsible for cleaning them, and who was responsible for checking and labeling food items, while all stated that ready-to-eat foods must be labeled with a use-by date or another expiration date and that expired food should be discarded.
Missed Scheduled Showers for Dependent Resident
Penalty
Summary
The facility failed to ensure that a resident who was dependent for showering received the scheduled assistance needed for personal hygiene. Resident #1 was admitted with diagnoses including osteomyelitis, right below-the-knee amputation, weakness, and heart failure. The quarterly MDS completed on 02/04/2026 indicated a BIMS score of 15 and that the resident was dependent for showering. The care plan stated that the resident required assistance from one staff member with showering as needed. Review of the shower log showed that Resident #1 did not receive 2 of the 4 scheduled showers between 01/24/2026 and 02/04/2026, with showers documented only on 01/28/2026 and 01/31/2026. No other showers were documented in the electronic health record. During interview, the resident stated he had not had a shower in a week and that there were times he asked for a shower and staff did not come. Staff interviews indicated that missed showers should be documented in PCC, that reasons for missed showers should be identified, and that refusals should be reflected in the care plan and progress notes. The DON stated that if the resident refused showers, it should be in the care plan, and said the resident would refuse when his brother visited.
Failure to Update Care Plans for High-Risk Wandering Residents
Penalty
Summary
The facility failed to develop and implement comprehensive person-centered care plans for three residents, which did not reflect their high risk for wandering and their placement in the memory care unit. This deficiency was identified through observations, interviews, and record reviews. The care plans lacked measurable objectives and time frames to address the residents' medical, nursing, and mental and psychosocial needs, which could lead to improper care and services. Resident #135, a female with moderate cognitive impairment and a history of wandering, was admitted to the memory care unit without her care plan reflecting this behavior or the need for specialized interventions. Similarly, Resident #79, a male with a habit of wandering and a diagnosis of bipolar disorder, was admitted to the memory care unit, but his care plan did not include interventions for wandering behavior. Resident #72, a female with severe cognitive impairment and Alzheimer's disease, also had a high risk of wandering, yet her care plan did not address this behavior or her placement in the memory care unit. Interviews with facility staff revealed a lack of awareness and responsibility for updating care plans to reflect residents' needs accurately. The Social Worker and Corporate MDS nurse indicated that the interdisciplinary team (IDT) was responsible for care plan updates, but there was confusion about who should address behaviors and memory care needs. The Director of Nursing (DON) acknowledged the expectation for accurate and up-to-date care plans, but the absence of an MDS nurse contributed to the oversight. The facility's policy required care plan revisions when residents' conditions changed, but this was not consistently followed, leading to the identified deficiencies.
Failure to Label and Date Food Items in Kitchen
Penalty
Summary
The facility failed to adhere to professional standards for food service safety in its kitchen, as observed during a survey. Specifically, the facility did not ensure that food items stored in the refrigerators were properly labeled and dated. During an inspection, two opaque plastic pitchers with unknown contents were found in refrigerator #1 without any labels or use-by dates. Similarly, refrigerator #2 contained a personal water bottle and several Ziploc bags with unidentified and undated food items, including yellow slivers, large brown and white objects, and oval-shaped pink objects with brown exteriors. Interviews with the Dietary Coordinator (DC), Registered Dietitian (RD), Dietary Manager (DM), and Administrator (ADM) confirmed that the facility's policy required all food items to be labeled with their contents, the date they were opened, and their use-by date. The staff acknowledged that failing to label and date food items could pose a risk of foodborne illnesses to residents. The facility's policy on food storage, updated in 2018, also emphasized the importance of dating, labeling, and tightly sealing all refrigerated food using approved containers.
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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 Temple
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Avir At Temple West | 0.2 mi | ★★★★★ | 1 | 0 |
| Morada Temple | 0.4 mi | ★★★★★ | 5 | 0 |
| Cornerstone Gardens Llp | 0.4 mi | ★★★★★ | 0 | 0 |
| Avir At Weston | 0.9 mi | ★★★★★ | 3 | 0 |
| Baylor Scott & White Continuing Care Hospital Skil | 1 mi | ★★★★★ | 1 | 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.