Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Avir At Burnet during CMS and state inspections, most recent first.
The facility failed to ensure dietary aides wore proper hair restraints, as observed with Dietary Aide B having uncovered hair while preparing food and Dietary Aide A passing by food without a hair net. Despite training and policy requirements, these lapses in food service safety standards were noted by surveyors.
A facility failed to develop an accurate care plan for a resident with renal disease and smoking habits. The care plan incorrectly included dialysis interventions, despite the resident not undergoing dialysis or having shunts. Additionally, the smoking care plan was inaccurate, as the resident had cigarettes and a lighter in her possession, contrary to the care plan's instructions. The MDS nurse and DON acknowledged the errors and the potential risk of improper care due to these inaccuracies.
A resident was found with cigarettes and a lighter in her possession, violating the facility's smoking policy. The facility did not provide supervised smoking times and relied on the family to manage smoking materials, posing a potential risk for accidents. The resident was cognitively intact and required supervision for some ADLs.
A resident developed a pressure ulcer at the coccyx area, but the family was not informed until the resident was transferred to a hospital. The resident, who had cognitive issues and was at risk for pressure ulcers, was seen by a wound care doctor without family consent. Staff interviews revealed assumptions and lack of documentation regarding family notification, contrary to the facility's policy on resident rights and notification procedures.
A resident with an indwelling urinary catheter did not receive appropriate care and monitoring due to the absence of physician orders and documentation. Despite having a care plan that included catheter care interventions, there were no corresponding orders or records in the MARs and TARs. Facility staff confirmed the presence of the catheter, but the DON acknowledged the lack of necessary orders and monitoring. The resident was transferred to a hospital with fever and low blood pressure, underscoring the potential risks of inadequate catheter management.
Improper Hair Restraint Use in Kitchen
Penalty
Summary
The facility failed to adhere to professional standards for food service safety by not ensuring that dietary aides wore proper hair restraints while handling food. During multiple observations, Dietary Aide B was seen with 3-4 inches of hair at the nape and wisps around her face not covered by a hair net while preparing drinks and handling plated food. Despite acknowledging her training to cover her entire head with a hair net, she continued to work without proper hair coverage. Similarly, Dietary Aide A was observed passing by food being plated without wearing a hair net, despite being trained to do so. The Dietary Manager confirmed that all staff were required to wear hair nets when entering the kitchen, with no exceptions. However, both aides were found non-compliant with this policy. The Administrator also stated that staff were expected to wear hair nets to prevent hair from contaminating food, although no complaints had been received. The facility's policy mandates that all dietary staff wear hair nets in any food preparation area, yet this was not consistently enforced, leading to the deficiency.
Inaccurate Care Plan for Resident with Renal Disease and Smoking
Penalty
Summary
The facility failed to develop and implement a comprehensive person-centered care plan for Resident #34, which included measurable objectives and timeframes to meet the resident's medical, nursing, and mental and psychosocial needs. Specifically, the care plan inaccurately included interventions for dialysis, despite the resident not having orders for dialysis or any shunts or grafts, as confirmed by the resident and observations. Additionally, the care plan for smoking was incorrect, as the resident was found to have cigarettes and a lighter in her possession, contrary to the care plan's instructions that these items be kept with the family and supervised by staff. The MDS nurse acknowledged that the interventions for dialysis might have been from a previous residency in 2019 and admitted the risk of incorrect interventions leading to improper care and services. The DON also expressed concern that incorrect care plans could result in residents not receiving needed services or causing confusion. The facility's policy requires the development of a comprehensive care plan that includes measurable objectives and timeframes, but this was not adhered to in the case of Resident #34.
Failure to Prevent Accident Hazards Due to Smoking Policy Lapse
Penalty
Summary
The facility failed to maintain a safe environment free from accident hazards and did not provide adequate supervision to prevent accidents for a resident. The resident, who was cognitively intact and required supervision for some activities of daily living, was found to have cigarettes and a lighter in her possession, contrary to the facility's smoking policy. The resident was able to smoke outside with her family, but the facility's policy required that all smoking paraphernalia be kept with the family or at the nursing station, which did not have a lock box. Interviews with the Director of Nursing (DON) and the Administrator revealed that the facility did not offer supervised smoking times and relied on the family to manage the resident's smoking materials. The Administrator was unaware that the resident had a lighter and cigarettes in her purse, which posed a potential risk for accidents. The facility's policy, included in the admission packet, prohibited residents from possessing smoking paraphernalia, and the family was responsible for ensuring compliance during visits.
Failure to Notify Family of Resident's Pressure Ulcer
Penalty
Summary
The facility failed to inform a resident's family and responsible party about a significant change in the resident's condition, specifically the development of a pressure ulcer at the coccyx area. This deficiency involved a female resident who was admitted with a history of an unspecified fracture of the right femur, essential tremor, and the presence of an unspecified artificial knee. The resident was at risk for developing pressure ulcers, as indicated in her care plan, and had communication problems related to cognition. On August 5, 2024, a pressure ulcer was discovered on the resident's coccyx area, and she was subsequently seen by a wound care doctor on August 15 and August 21, 2024. However, there was no documentation in the resident's progress notes from August 5 to August 24, 2024, indicating that the family was notified of the pressure ulcer or that consent was obtained for the wound care treatment. Interviews with staff revealed that the Licensed Vocational Nurse (LVN) who discovered the wound assumed the Director of Nursing (DON) would notify the family, but the DON did not document any such notification. The resident's family was not informed of the pressure ulcer until the resident was transferred to a local hospital on August 24, 2024. The family expressed that they were unaware of the wound's development or the involvement of a wound care doctor. The facility's policy on resident rights and notification procedures was not followed, leading to the family's lack of involvement in the resident's care decisions during this period.
Inadequate Catheter Management for Resident
Penalty
Summary
The facility failed to ensure that a resident with an indwelling urinary catheter received appropriate treatment and services to prevent urinary tract infections. The resident, a female with a history of a right femur fracture and essential tremor, was admitted with an indwelling catheter. Despite the presence of the catheter, there were no physician orders for its care, monitoring, or output documentation from late July to late August. The resident's care plan included interventions for catheter care and monitoring, but these were not supported by corresponding physician orders or documented in the Medication Administration Records (MARs) and Treatment Administration Records (TARs). Interviews with facility staff, including an LVN, CNAs, and the DON, confirmed that the resident had a Foley catheter throughout her stay, yet there was no documentation of catheter care or output. The DON acknowledged the lack of physician orders and the necessity for monitoring due to the high risk of infection. The facility's policy on catheter care did not include procedures for implementing physician orders, contributing to the oversight. The resident was eventually transferred to a hospital due to fever and low blood pressure, highlighting the potential consequences of inadequate catheter management.
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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 Burnet
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Bertram Nursing And Rehabilitation | 10.3 mi | — | 3 | 0 |
| Granite Mesa Health Center | 12.2 mi | — | 9 | 0 |
| Avir At Kingsland | 14.5 mi | — | 11 | 0 |
| The Brixton At Horseshoe Bay | 16.2 mi | — | 0 | 0 |
| Lily Springs Rehabilitation And Healthcare Center | 21.7 mi | — | 4 | 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 August 2026) and official state health department websites.