Avir At River Valley
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.
Inspection Findings
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.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.