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Complaint Investigation

Avir At Giddings

November 27, 2025 · Giddings, TX · 1400 N Main St
Citations 2
CMS Rating 1/5
Beds 102
Provider ID 675101
Healthcare Facility
Avir At Giddings
Giddings, TX  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

Avir at Giddings in Giddings, TX — inspection on November 27, 2025.

Found 2 citations. 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

FF0684
Quality of Life and Care Deficiencies

interventions (i.e., to try one or a few at a time, rather than many at once).5. If falling recurs despite

staff will try various interventions, based on assessment of the nature or category of falling, until

unavoidable.

675101 11/27/2025

Avir at Giddings 1400 N Main St Giddings, TX 78942

the facility policy for abuse, neglect, and exploitation recognition and reporting and the facility policy

jeopardy to resident health or written statements regarding the incident and submit them to her or place them under her door if she safety was not present.

She stated that she would have the social worker conduct safe surveys with the residents when she arrived on 11/26/2025.

She stated that she had not interviewed the MAINT DIR

10:05AM, she stated that the administration had preformed an Ad Hoc QAPI (when necessary Quality Assurance and Performance Improvement) meeting regarding Resident #1 and an action plan was started for the fall that was not reported to administration.

She stated that she did not think there was any evidence of neglect from staff.

She stated that the resident was assessed by nursing at the time of the incident, but it was not documented.

She stated that it was a documentation error, and they did not feel like it was neglect.

She stated that it would not have been something that was brought to the attention of the DON and the ADMIN on the night of 11/13/2025, as there was no injury to the resident.

She stated that the investigation revealed that Resident #1 placed himself on the floor as they previously thought.

She stated that staff was in-serviced that when a resident is found on the floor that it should be treated and documented as a fall.

She stated that when Resident #1 was interviewed by the administrative staff on the night of 11/25/2025, that he stated he slipped from the wheelchair.

She stated that an incident report was created with the investigation findings related to the fall on 11/13/2025.

She stated that the MAINT DIR was involved and interviewed that on the morning of 11/26/2025.

She stated that she was informed that she and person with her found him on the floor in his room but had not witnessed the fall.

She stated that she had no knowledge of a report that nursing did not respond when they were notified of the fall.

She stated that it was her expectation that nursing should come and assess the resident as soon as they are notified of a fall.

She stated that if it is safe to get the resident up after assessing them, then they should assist the resident up.

She stated that an incident report should be completed for the fall and the physician and RP should be notified.

She stated that because there was no injury involved in Resident #1's fall on 11/13/2025, the notification to the MD and DON do not need to occur right away, as they would be made aware on the risk management report the following morning.

She stated that therapy would also be informed of the fall during that meeting also and they would know to screen the resident after the fall.

She stated that staff should be implementing interventions after falls to address the root cause to prevent future falls.

She stated that she had not read the witness statements at that time.

She stated that safe surveys were done with residents that morning with no reports of abuse or neglect.

She stated that she questioned Resident #1's ability to be alone outside when she arrived on site.

She stated that she was told that staff monitor Resident #1 while he is outside, but she did not know how frequently they were able to monitor him.

She stated that because he does not have the code to the door, the staff were aware when he went outside, because he set off the alarm.

She stated that she suggested that staff walk with him if he is going outside.

She stated that they did new BIMS

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 Giddings, 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 Giddings or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


More Reports

About This Inspection Report

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.