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Complaint Investigation

Avir At River Valley

November 26, 2025 · Gainesville, TX · 1907 Refinery Rd
Citations 1
CMS Rating 3/5
Beds 116
Provider ID 455970
Healthcare Facility
Avir At River Valley
Gainesville, TX  ·  View full profile →
Inspection Summary

Avir at River Valley in GAINESVILLE, TX — inspection on November 26, 2025.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0880
Infection Control Deficiencies
Potential for More Than Minimal Harm

Observation on 10/09/25 at 10:26 AM revealed CNA A went to go get Resident #1's wheelchair down the hall in another room. CNA A brought the wheelchair in for Resident #1's transfer. CNA A did not perform hand hygiene prior to Resident #1's gait belt transfer. CNA A, who assisted on Resident #1's left side, and CNA B, who assisted on Resident #2's right side, were observed completing a 2 person gait belt transfer for Resident #1.

Interview on 10/09/25 at 10:35 AM with CNA A revealed he should have washed his hands or sanitized them before the transfer of Resident #1. He stated he sanitized before going into room but then he did go get Resident #1's wheelchair down the hall. He stated he should have washed hands or sanitized before transferring Resident #1.

Interviews on 10/09/25 at 1:00 PM and 1:29 PM with DON revealed she expected CNA A should have washed his hands or sanitized his hands prior to transferring Resident #1.

She stated the risk to the CNA of not following proper hand hygiene placed resident at risk of infection.

Review of facility's policy Hand Hygiene implemented in June 2025 reflected All staff will perform proper hand hygiene procedures to prevent the spread of infection to other personnel, residents and visitors.

This applies to all staff working in all locations within the facility.

Definitions: hand hygiene is a general term for cleaning your hands by handwashing with soap and water or the use of an antiseptic hand rub.1.

Staff will perform hand hygiene when indicated, using proper technique consistent with accepted standards of practice It reflected under hand hygiene table condition of before performing resident care procedures.

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE

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Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in GAINESVILLE, TX, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Avir at River Valley or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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