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Complaint Investigation

Avir At Bradburn

September 25, 2025 · Grand Saline, TX · 520 Bradburn Rd
Citations 2
CMS Rating 1/5
Beds 76
Provider ID 675320
Healthcare Facility
Avir At Bradburn
Grand Saline, TX  ·  View full profile →
Inspection Summary

AVIR AT BRADBURN in GRAND SALINE, TX — inspection on September 25, 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
Immediate Jeopardy

During an interview on 9/25/25 at 10:09 a.m. the DON and ADON said they would be monitoring the residents' plan of care to ensure any new orders including wound care orders were entered.

The DON and ADON said they would be reviewing wound care orders against the Wound Care NP's progress notes to ensure accuracy.

The DON and ADON said they would be checking the EMR to ensure all residents had weekly skin assessments performed. On 9/25/25 at 10:18 a.m., the Administrator was informed the IJ was removed; however, the facility remained out of compliance the facility remained out of compliance with a scope identified as patterned and a severity level of actual harm due to the facility's need to complete in-service training and evaluate the effectiveness of the corrective systems.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

09/25/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Avir at Bradburn

520 Bradburn Rd Grand Saline, TX 75140

SUMMARY STATEMENT OF DEFICIENCIES

jeopardy to resident health or safety

immediately receive access to the Pyxis.

The DON said she and the ADON would be checking for new medication orders daily and ensure the orders if available in the Pyxis had been initial dosed and if not available in the Pyxis had been ordered stat from the pharmacy. On 9/25/25 at 10:18 a.m., the Administrator was informed the IJ was removed; however, the facility remained out of compliance the facility remained out of compliance with a scope identified as isolated with a severity level of actual harm due to the facility's need to complete in-service training and evaluate the effectiveness of the corrective systems.

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


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