Avir at Longview: Urine and Fecal Odor Violations - TX
On the afternoon of November 26, 2025, a federal inspector entered the room of Resident 9 at Avir at Longview, a nursing facility at 301 Hollybrook Drive. It was 2:53 p.m. The odor of urine and fecal matter was strong enough to document. Thirty-six minutes later, the inspector moved to the room next door, where Resident 10 lived. The same smell was there, in the hallway outside and inside the room itself. Resident 10 did not wake up during the inspection to be interviewed.
Two rooms. The same odor. The same afternoon.
The inspection was a complaint visit, meaning someone had already raised concerns before the inspector arrived. What they found confirmed those concerns were real.
When the administrator spoke with the inspector at 4:15 that afternoon, she did not dispute that the odors existed. She acknowledged directly that the facility "should not smell any foul odors for any extended period of time." Then she offered explanations for why it did.
Resident 10, she said, urinates into his air conditioning unit. That, she said, was the source of the strong smell in his room. For the odor tied to Resident 1, she pointed to a C. diff diagnosis. Clostridioides difficile is a bacterial infection of the colon that causes severe diarrhea and is known to produce a particularly strong, distinctive smell. It is also highly contagious and requires specific cleaning protocols to prevent spread.
What the administrator did not explain was how either situation had been allowed to persist long enough for it to be the first thing an inspector noticed walking through the door.
The facility's own Resident Rights Policy, dated February 2021, states that residents have a right to a dignified existence, to be treated with respect, kindness and dignity, and to be free from neglect. The policy has been on the books for more than four years. The odors documented on November 26 suggest the gap between what that policy promises and what residents were actually living in.
The administrator's proposed remedy was a new weekend housekeeping rotation. The facility, she said, was implementing weekend rotations to help keep up with cleaning protocols.
That answer raises its own question. If the solution to persistent odors of urine and fecal matter is adding weekend housekeeping coverage, then the facility had been operating without adequate weekend cleaning before the complaint was filed and the inspector walked in. The smell that greeted the inspector on a Wednesday afternoon was the product of whatever cleaning schedule had been in place up to that point.
A resident urinating into an air conditioning unit is not a one-time accident that produces a fleeting smell and then resolves. It is a situation that builds over time, one that requires staff to notice, respond, and address the underlying cause, whether that means redirecting the resident, cleaning or replacing the unit, or finding out why the behavior is happening and whether it signals an unmet need. The strong odor documented in Resident 10's room suggests that response had not happened, or had not happened adequately.
Resident 10 slept through the inspection. He was not interviewed. His experience of living in that room, what he has tolerated or normalized or simply endured, is not captured in the inspection report.
Resident 9 was awake. The inspection record notes an observation and interview with Resident 9 at 2:53 p.m. What Resident 9 said during that interview is not detailed in the available record. But Resident 9 was present in a room that smelled strongly of urine and feces on a Wednesday afternoon, in a facility that, by its administrator's own account, should not have smelled that way at all.
The deficiency was cited under F0584, which covers the physical environment and a resident's right to a safe, clean, comfortable living space. The level of harm was assessed as minimal harm or potential for actual harm. Some residents were affected.
That classification reflects the regulatory framework, not necessarily the experience of living there. Persistent odors of urine and fecal matter are not a background condition that residents simply adjust to. They are a daily fact of life in the space where someone sleeps, eats, receives visitors, and spends most of their hours. For residents with dementia or other conditions that limit their ability to advocate for themselves or even fully register what is wrong, the burden of that environment falls entirely on the staff and systems around them.
The administrator's acknowledgment that the facility should not smell that way is not a small thing. It is the facility's own standard, stated plainly. What the inspection documented is how far short of that standard the facility had fallen by the time someone filed a complaint and an inspector came through the door.
Weekend housekeeping rotations may help. Or they may address the surface symptom without touching the underlying question of whether staffing levels, training, supervision, and accountability are sufficient to maintain a clean and dignified environment for the people who live there every day of the week, not just the days when inspectors might show up.
The inspection was completed November 26, 2025. The plan of correction, if any, is available through the facility or the Texas state survey agency.
Resident 10 was asleep in a room that smelled of urine and feces when the inspector arrived. When the inspector left, Resident 10 was still there.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Avir At Longview from 2025-11-26 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: August 25, 2026 · Our methodology
AVIR AT LONGVIEW in LONGVIEW, TX was cited for violations during a health inspection on November 26, 2025.
On the afternoon of November 26, 2025, a federal inspector entered the room of Resident 9 at Avir at Longview, a nursing facility at 301 Hollybrook Drive.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.