Avir At River Valley
Inspection Findings
F-Tag F0880
F 0880
Provide and implement an infection prevention and control program.
Level of Harm - Minimal harm or potential for actual harm
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
observation, interview and record review the facility failed to maintain an infection prevention and control program designed to provide a sanitary environment and to help prevent the development and transmission of communicable disease and infections for 1 of 2 residents (Resident #1) reviewed for infection control.
CNA A failed to perform hand hygiene during gait belt transfer on 10/09/25 for Resident #1. This failure could place residents at risk of cross-contamination and the development of infections.Review of Resident #1's quarterly MDS assessment dated [DATE REDACTED] reflected Resident #1was a [AGE] year-old male admitted to
the facility on [DATE REDACTED] and readmitted on [DATE REDACTED] with diagnoses of dementia (condition with loss of memory, language, problem-solving and other thinking abilities severe enough to interfere with daily life), hypertension (high blood pressure), generalized muscle weakness and cognitive communication deficit.
Resident #1 required substantial/maximal assistance with ADLs. 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.
Residents Affected - Few
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
TITLE
(X6) DATE
FORM CMS-2567 (02/99) Previous Versions Obsolete
Facility ID:
If continuation sheet
Event ID:
Avir at River Valley in GAINESVILLE, TX inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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.