Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around December 2026
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 Snyder during CMS and state inspections, most recent first.
Surveyors found that the facility failed to maintain safe and secure room and bathroom fixtures, including a loose bed/wall protector board, an unsecured bathroom shelf, loose and detached baseboard strips, an ill-fitting toilet tank lid that left tank water exposed, a loose towel bar, and a toilet that shifted several inches when moved. These issues were observed in multiple resident rooms and bathrooms. The MD, DON, ADON, and ADM all reported they were unaware of these specific problems and stated that repairs were to be reported and prioritized through an online maintenance work-order system, as outlined in facility policies assigning the maintenance department responsibility for keeping the building in good repair and free from hazards.
The facility failed to provide food and drink that was palatable, attractive, and at a safe and appetizing temperature. Residents reported that the food was often cold, lacked flavor, and was sometimes tough or salty. Observations confirmed that several food items on a sample tray were cold, salty, or tough. Staff acknowledged the issue, and the facility did not provide a policy on palatability or texture when requested.
A facility inspection revealed significant deficiencies in food storage and kitchen sanitation, with multiple food items found undated, uncovered, and unlabeled, and dirty surfaces in the kitchen. Interviews with dietary staff indicated a lack of training and awareness of food safety policies, despite existing guidelines emphasizing the importance of maintaining sanitary conditions to prevent food-borne illnesses.
A resident with anoxic brain injury and other conditions had a PRN order for Clonazepam 0.5mg that continued beyond 14 days without physician evaluation. The order was incorrectly categorized, leading to oversight. The facility's policy requires PRN psychotropic orders to be limited to 14 days unless documented otherwise, which was not followed.
A facility exceeded the acceptable medication error rate due to two incidents: an LVN underdosed a resident's Seroquel due to a misunderstanding of the order, and another LVN missed a dose of a multivitamin with iron because the correct formulation was unavailable. Both incidents highlight issues with verifying medication orders and availability.
The facility failed to properly label and store medications in Med Cart B, as observed with loose Lasix pills not in their original packaging. Additionally, Med Cart B was found unlocked and unattended, posing a risk of unauthorized access. LVN B, an agency nurse, was not trained on cart checks, contrary to facility policy requiring daily checks and secure storage.
A resident's finances were misappropriated when $1,370 went missing from a wallet kept in a lockbox in the HR Manager's office, accessible only to staff. The resident, moderately cognitively impaired, had requested the wallet be kept there. The facility's administration believed they were not responsible for personal belongings, yet they had been keeping the wallet in the office. The facility has since provided personal lockboxes for residents to secure their valuables.
A resident's debit card was misused by the HR Coordinator for personal gain, totaling approximately $2631.22. The HR Coordinator, who was not authorized to handle the resident's finances, made numerous unauthorized transactions. The issue was discovered by a family member, and the HR Coordinator admitted to the misuse. The facility's policies were violated, and the HR Coordinator was terminated.
Failure to Maintain Safe and Secure Resident Room and Bathroom Fixtures
Penalty
Summary
Surveyors identified a deficiency in the facility’s failure to maintain a safe, functional, sanitary, and comfortable environment in multiple resident rooms and bathrooms. During observations, a bed/wall protector board in one resident room was found hanging at a diagonal angle, with one side on the floor and only the opposite side still fastened to the wall. In the bathroom of another resident room, a shelf holding hand towels and wipes was not secured on one side and was leaning against an adjacent wall for support. In a separate resident room, baseboard strips along the wall were loose and not fastened, and an additional baseboard strip in that room’s bathroom was found completely detached and lying on the floor. Further observations showed that a toilet tank lid in one resident bathroom did not fit the toilet tank, leaving the water in the tank exposed on both sides. In another resident bathroom, the towel bar was loose and not fastened on one side, causing it to hang down. The toilet in that same bathroom was loose and could be moved approximately 2 to 3 inches from left to right. These environmental issues were directly observed by surveyors in 4 of 6 resident bathrooms and 2 of 6 resident bedrooms reviewed. Interviews with the Maintenance Director (MD), DON, ADON, and Administrator (ADM) revealed that all of them were unaware of the loose toilet, loose towel bar, loose baseboard strips, loose bed/wall protector board, loose shelf, and ill-fitting toilet tank lid prior to the survey. The MD stated he was responsible for repairs, used an online system to receive and prioritize work orders, and conducted weekly checks, but none of these specific problems had been reported to him verbally or through the system. The DON, ADON, and ADM each confirmed that needed repairs were to be reported through the online maintenance system and that any staff could submit requests, but none had received reports of these issues. Facility policies on Maintenance Service and Work Orders indicated that the maintenance department was responsible for keeping the building in good repair and free from hazards, and that department directors were responsible for filling out and forwarding work orders to the MD to establish repair priorities.
Deficiency in Food Quality and Temperature
Penalty
Summary
The facility failed to provide food and drink that was palatable, attractive, and at a safe and appetizing temperature. This deficiency was observed during a survey where residents expressed concerns about the quality of food. Residents reported that the food was often cold, lacked flavor, and was sometimes tough or salty. Specific instances included residents stating that the food was undercooked, tasted terrible, and was of poor quality. Observations during the survey confirmed that several food items on a sample tray were cold, salty, or tough, affecting various forms of food provided, including regular, mechanical chopped, and pureed. Interviews with residents and staff revealed that the food was sometimes served cold due to delays in delivery to residents. Staff members acknowledged the issue, with one stating that they were unsure how long it took for food to reach residents. The facility did not provide a policy on palatability or texture when requested. The deficiency could potentially lead to a decline in residents' consumption of food and unwanted weight loss, as residents expressed dissatisfaction with the meals provided.
Deficiencies in Food Storage and Kitchen Sanitation
Penalty
Summary
The facility failed to adhere to professional standards for food service safety, as observed during a kitchen tour. The inspection revealed multiple instances of improperly stored food items, including sandwiches, cheese, tortillas, peas, sausage, and various meats, which were found undated, uncovered, and unlabeled in the refrigerator and freezer. Additionally, the kitchen was found to have dirty and sticky surfaces, such as the front doors of freezers and refrigerators, and black unknown particles around the sink, which were identified as mold. Interviews with the dietary staff, including a dietary aid, kitchen chef, and dietary manager, highlighted a lack of training and awareness regarding the facility's policies on food storage, labeling, and sanitation. The dietary aid admitted to not being trained in labeling and dating food items and acknowledged the potential risks of serving spoiled food to residents. The kitchen chef and dietary manager also confirmed their responsibilities for ensuring food items were properly stored but were unaware of the specific policies or had not seen them implemented effectively. The facility's policy and procedure documents, which were reviewed, outlined the requirements for food storage and general kitchen sanitation. These policies emphasized the importance of maintaining clean and sanitary conditions to prevent food-borne illnesses, particularly in vulnerable elderly residents. However, the observed deficiencies in food storage and kitchen cleanliness indicate a failure to follow these established guidelines, potentially putting residents at risk for food-borne diseases.
Failure to Limit PRN Psychotropic Medication Orders
Penalty
Summary
The facility failed to ensure that PRN orders for psychotropic drugs were limited to 14 days unless the attending physician or prescribing practitioner documented their rationale for extending the order in the resident's medical record. This deficiency was identified for one resident, who had a PRN order for Clonazepam 0.5mg that continued beyond 14 days without an evaluation by the physician for continued treatment. The resident, a male with anoxic brain injury, myoclonus, and encephalopathy, had not received the medication despite the ongoing order. Interviews with the Director of Nursing (DON) and the Administrator revealed that the PRN Clonazepam order was placed in the wrong category, leading to the oversight. The DON acknowledged responsibility for checking PRN psychotropic medications and admitted to receiving training on chart audits, though the timing of the last training was unclear. The facility's policy on psychoactive medications mandates that PRN orders for psychotropic drugs be limited to 14 days unless justified and documented by the physician, which was not adhered to in this case.
Medication Error Rate Exceeds 5% Due to Dosage and Availability Issues
Penalty
Summary
The facility failed to maintain a medication error rate below 5%, resulting in a rate of 7.14% due to errors involving two residents. The first incident involved a Licensed Vocational Nurse (LVN A) who did not verify the correct dosage of Seroquel for a resident with a history of chronic obstructive pulmonary disease, schizoaffective disorder bipolar type, and generalized anxiety disorder. The resident was supposed to receive 175 mg of Seroquel, but LVN A administered only 125 mg due to a misunderstanding of the medication order and the pre-cut tablets in the blister pack. The second incident involved another resident with a history of dementia, muscle wasting, and muscle weakness. LVN B, an agency nurse on her first day at the facility, was unable to administer the prescribed multivitamin with iron because the correct formulation was not available. Despite verifying the physician's order, LVN B found that the available multivitamin did not match the order, leading to a missed dose. Interviews with the facility's administration and nursing staff revealed that all nurses are trained to verify medication orders before administration. However, the errors occurred due to a lack of communication about dosage changes and the unavailability of the correct medication. The facility's policy emphasizes the importance of the 'Five Rights' of medication administration and the need to verify orders at multiple stages, but these protocols were not adequately followed in these instances.
Medication Storage and Labeling Deficiency
Penalty
Summary
The facility failed to ensure that drugs and biologicals were labeled and stored according to professional principles, as observed with Med Cart B. During an inspection, two loose white pills identified as Lasix 20mg were found in the drawers of Med Cart B, which were not stored in their original packaging. This incident was confirmed by LVN B and RN C, who disposed of the medication properly. Additionally, Med Cart B was found unlocked and unattended in a hallway with a resident nearby, posing a risk of unauthorized access to medications. Interviews with LVN B revealed that she had not been trained on checking medication carts at the facility, as she was an agency nurse returning after a few months. The ADM and DON confirmed that all nurses should be trained to check medication carts daily and that carts should be locked when not in use. The facility's policy mandates that drugs and biologicals be stored in their original packaging and that medication storage areas be kept clean and secure. The failure to adhere to these protocols could lead to medication errors or unauthorized access to medications.
Misappropriation of Resident's Finances
Penalty
Summary
The facility failed to protect a resident from misappropriation of property, specifically the resident's finances. The resident, who was moderately cognitively impaired, had requested that his wallet containing cash be kept in a lockbox in the HR Manager's office. The lockbox was accessible only to staff, and it was discovered that $1,370 was missing from the wallet. The resident had initially left $1,717 in the wallet, and a handwritten log indicated several withdrawals, with the last recorded balance being $1,390. The resident accused a staff member of stealing the money, stating that he had given her a chance to return it, but she did not. Interviews revealed that the facility's administration believed they were not responsible for personal belongings, yet they had been keeping the resident's wallet in the HR Manager's office. The resident had to request staff assistance to access his money, as he did not have direct access to the lockbox. The facility's social worker acknowledged that keeping a resident's money in the facility was not standard practice and that the resident had no family to entrust with his money. The facility had since provided personal lockboxes for residents to secure their valuables in their rooms. The former HR Manager stated she was aware of the wallet being in the lockbox but denied taking any money. She mentioned that the key to the lockbox was on the HR office keychain, and there was a spare key in the administrator's office. The maintenance supervisor confirmed the installation of lockboxes in residents' rooms, with keys held by both the resident and the administrator. The facility had conducted an in-service training on misappropriation, abuse, and lockboxes following the incident.
Misappropriation of Resident's Finances by HR Coordinator
Penalty
Summary
The facility failed to protect a resident from misappropriation of property and exploitation. The HR Coordinator used the resident's debit card for personal gain, totaling approximately $2631.22, without providing any receipts for purchases intended for the resident. The HR Coordinator was not authorized to handle the resident's finances or make purchases on their behalf. The resident, who was cognitively intact, did not authorize these transactions and was unaware of the misuse of his funds until it was discovered by a family member who assisted with his finances. The HR Coordinator, who was previously married to the resident's nephew, took advantage of her position and access to the resident's debit card. She made numerous unauthorized transactions, including ATM withdrawals and purchases at various stores and restaurants. The resident's family member discovered the missing funds and reported the issue to the facility administration. The HR Coordinator admitted to using the resident's money for personal needs and promised to repay the amount, but only a partial repayment was made. Interviews with facility staff revealed that the HR Coordinator was not authorized to shop for residents or handle their finances. The facility's policy stated that only the Activity Director was permitted to make purchases for residents, and receipts were required to be provided. The HR Coordinator's actions were against the facility's policies on abuse, neglect, and exploitation. The local police department and district attorney's office were involved in the investigation, and the HR Coordinator was terminated from her position.
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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 Snyder
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Mitchell County Nursing And Rehabilitation Center | 21.1 mi | — | 9 | 0 |
| Sweetwater Healthcare Center | 33 mi | — | 7 | 0 |
| Sterling Hills Rehabilitation And Healthcare Cente | 33.8 mi | — | 5 | 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.