Avir At Bradburn
Inspection Findings
F-Tag F0684
F 0684 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Some
FORM CMS-2567 (02/99) Previous Versions Obsolete
at 9:15 am Observed LVN A perform wound care on Resident #2. LVN A provided privacy before starting and explained procedure to Resident #2. LVN A performed appropriate hand hygiene and glove changes
during the wound care. LVN A performed wound care per the most current orders from the Wound Care NP using aseptic technique. There was no concern with the wound care performed. Record review of in-services dated 9/23/25 indicated 4 LVNs had been in-serviced regarding weekly skin and wound assessments, notifying the physician or NP regarding wound deterioration, ensuring all residents with wounds had orders in place, and ensuring all treatment orders showed up on each resident's TAR. Staff interviewed (LVN A, LVN B, and LVN C) on 9/25/25 between 9:10 a.m. and 10:03 a.m. said they had been in-serviced regarding the importance of weekly skin and wound assessments, ensuring all wounds had a treatment order in the EMR and that the treatment order was on the resident's TAR, obtaining treatment orders for new residents or residents with new wounds, and reporting changes in condition including wound deterioration. 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.
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Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
09/25/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Avir at Bradburn
520 Bradburn Rd Grand Saline, TX 75140
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0755
F 0755 Level of Harm - Immediate 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.
Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
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If continuation sheet
AVIR AT BRADBURN in GRAND SALINE, 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 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.