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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 →
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.

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Inspection Findings

FF0684
Quality of Life and Care Deficiencies
Potential for More Than Minimal Harm

Review of facility policy for Falls and Fall Risk, Managing reflected, Policy heading Based on previous evaluations and current data, the staff will identify interventions related to the resident's specific risks and causes to try to prevent the resident from falling and to try to minimize complications from falling.

Policy Interpretation and ImplementationDefinition According to the MDS, a fall is defined as:Unintentionally coming to rest on the ground, floor or other lower level, but not as a result of an overwhelming external force (e.g., a resident pushes another resident). An episode where a resident lost his/her balance and would have fallen, if not for another person or if he or she had not caught him/herself, is considered a fall A fall without injury is still a fall.

Unless there is evidence suggesting otherwise, when a resident is found on the floor, a fall is considered to have occurred.

Challenging a resident's balance and training him/her to recover from loss of balance is an intentional therapeutic intervention.

The losses of balance that occur during supervised therapeutic interventions are not considered a fall.Resident-Centered Approaches to Managing Falls and Fall Risk1.

The staff, with the input of the attending physician, will implement a resident-centered fall prevention plan to reduce the specific risk factor(s) of falls for each resident at risk or with a history of falls.2. If a systematic evaluation of a resident's fall risk identifies several possible interventions, the staff may choose to prioritize interventions (i.e., to try one or a few at a time, rather than many at once).5. If falling recurs despite initial interventions, staff will implement additional or different interventions, or indicate why the current approach remains relevant.6. If underlying causes cannot be readily identified or corrected, staff will try various interventions, based on assessment of the nature or category of falling, until falling is reduced or stopped, or until the reason for the continuation of the falling is identified as unavoidable.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

11/27/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Avir at Giddings

1400 N Main St Giddings, TX 78942

SUMMARY STATEMENT OF DEFICIENCIES

jeopardy to resident health or safety

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

Facility ID:

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.


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