Avir at Johnson City: Expired Medications in Cart - TX
The nurse assigned to that cart said she checked for expired medications every couple of weeks.
Inspectors found two products past their expiration dates: OCuSoft Lid Scrub Plus, an eyelid cleanser used for moderate to severe conditions, which expired in December 2025, and Nystatin Topical Powder, an antifungal treatment, which expired on May 31, 2026. The inspection took place June 3.
LVN B, who told inspectors she had worked at the facility for about three months, acknowledged the problem and explained what expired medications can do. She said they can affect potency, becoming either stronger or weaker. She said she would begin checking at least once a week and removed the expired items from the cart on the spot.
The gap between what the nurse knew and how often she acted on that knowledge ran through every interview inspectors conducted.
The assistant director of nursing told inspectors that expired medication "cannot get the full chemicals of the medication and not fully absorbed, which can cause a negative reaction." She said it was the responsibility of nursing staff and anyone assigned to the medication cart to check expiration dates. She said she herself checked the cart every month.
The director of nursing described the core risk plainly: a medication error, because someone could pass an expired drug by mistake, and the medication might not be therapeutic. Her proposed fix was mid-month cart checks performed not only by the assistant director of nursing but by nurses, who she said should check expiration dates with each administration.
The administrator told inspectors she would defer to her clinical staff on the medical consequences. She said the solution was monthly cart checks, and that responsibility belonged to the nursing staff and the assistant director of nursing.
Three supervisors, three different check frequencies: monthly from the administrator's perspective, mid-month from the director of nursing, and every couple of weeks from the nurse who actually managed the cart. None of those schedules had caught a product that expired six months before inspectors walked in.
The facility's own medication storage policy, last revised in February 2023, instructs staff to contact the dispensing pharmacy for instructions when medications are outdated or deteriorated. The OCuSoft Lid Scrub Plus had been sitting in that cart since at least December 2025 with no indication that call was ever made.
Inspectors rated the harm level as minimal or potential for actual harm, with few residents affected. The citation covered one of two medication carts reviewed.
The antifungal powder had been on the shelf, past its use date, while residents with fungal infections may have needed it to work.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Avir At Johnson City from 2026-06-04 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
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: September 19, 2026 · Our methodology
Avir at Johnson City in Johnson City, TX was cited for violations during a health inspection on June 4, 2026.
The nurse assigned to that cart said she checked for expired medications every couple of weeks.
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.