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Health Inspection

Avir At Grapevine

Inspection Date: November 20, 2025
Total Violations 10
Facility ID 675905
Location GRAPEVINE, TX
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Inspection Findings

F-Tag F0565

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited BIRCHWOOD OF GRAPEVINE in GRAPEVINE, TX for a deficiency under regulatory tag F-F0565 during a standard health inspection conducted on 2025-11-20.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: Honor the resident's right to organize and participate in resident/family groups in the facility.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 10 deficiencies cited during this inspection of BIRCHWOOD OF GRAPEVINE.

Correction Status: Deficient, Provider has plan of correction.

The facility reported correction as of 2025-11-21.

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F-Tag F0656

Resident Assessment and Care Planning Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited BIRCHWOOD OF GRAPEVINE in GRAPEVINE, TX for a deficiency under regulatory tag F-F0656 during a standard health inspection conducted on 2025-11-20.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 10 deficiencies cited during this inspection of BIRCHWOOD OF GRAPEVINE.

Correction Status: Deficient, Provider has plan of correction.

The facility reported correction as of 2025-11-21.

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F-Tag F0657

Resident Assessment and Care Planning Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited BIRCHWOOD OF GRAPEVINE in GRAPEVINE, TX for a deficiency under regulatory tag F-F0657 during a standard health inspection conducted on 2025-11-20.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 10 deficiencies cited during this inspection of BIRCHWOOD OF GRAPEVINE.

Correction Status: Deficient, Provider has plan of correction.

The facility reported correction as of 2025-11-21.

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F-Tag F0677

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

Federal health inspectors cited BIRCHWOOD OF GRAPEVINE in GRAPEVINE, TX for a deficiency under regulatory tag F-F0677 during a standard health inspection conducted on 2025-11-20.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide care and assistance to perform activities of daily living for any resident who is unable.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 10 deficiencies cited during this inspection of BIRCHWOOD OF GRAPEVINE.

Correction Status: Deficient, Provider has plan of correction.

The facility reported correction as of 2025-11-21.

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F-Tag F0684

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

Federal health inspectors cited BIRCHWOOD OF GRAPEVINE in GRAPEVINE, TX for a deficiency under regulatory tag F-F0684 during a standard health inspection conducted on 2025-11-20.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 10 deficiencies cited during this inspection of BIRCHWOOD OF GRAPEVINE.

Correction Status: Deficient, Provider has plan of correction.

The facility reported correction as of 2025-11-21.

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F-Tag F0693

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

Federal health inspectors cited BIRCHWOOD OF GRAPEVINE in GRAPEVINE, TX for a deficiency under regulatory tag F-F0693 during a standard health inspection conducted on 2025-11-20.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 10 deficiencies cited during this inspection of BIRCHWOOD OF GRAPEVINE.

Correction Status: Deficient, Provider has plan of correction.

The facility reported correction as of 2025-11-21.

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F-Tag F0727

Nursing and Physician Services Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited BIRCHWOOD OF GRAPEVINE in GRAPEVINE, TX for a deficiency under regulatory tag F-F0727 during a standard health inspection conducted on 2025-11-20.

Category: Nursing and Physician Services Deficiencies

The facility was found deficient in the following area: Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 10 deficiencies cited during this inspection of BIRCHWOOD OF GRAPEVINE.

Correction Status: Deficient, Provider has plan of correction.

The facility reported correction as of 2025-11-21.

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F-Tag F0759

Pharmacy Service Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited BIRCHWOOD OF GRAPEVINE in GRAPEVINE, TX for a deficiency under regulatory tag F-F0759 during a standard health inspection conducted on 2025-11-20.

Category: Pharmacy Service Deficiencies

The facility was found deficient in the following area: Ensure medication error rates are not 5 percent or greater.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 10 deficiencies cited during this inspection of BIRCHWOOD OF GRAPEVINE.

Correction Status: Deficient, Provider has plan of correction.

The facility reported correction as of 2025-11-21.

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F-Tag F0761

Pharmacy Service Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited BIRCHWOOD OF GRAPEVINE in GRAPEVINE, TX for a deficiency under regulatory tag F-F0761 during a standard health inspection conducted on 2025-11-20.

Category: Pharmacy Service Deficiencies

The facility was found deficient in the following area: Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 10 deficiencies cited during this inspection of BIRCHWOOD OF GRAPEVINE.

Correction Status: Deficient, Provider has plan of correction.

The facility reported correction as of 2025-11-21.

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F-Tag F0880

Infection Control Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited BIRCHWOOD OF GRAPEVINE in GRAPEVINE, TX for a deficiency under regulatory tag F-F0880 during a standard health inspection conducted on 2025-11-20.

Category: Infection Control Deficiencies

The facility was found deficient in the following area: Provide and implement an infection prevention and control program.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 10 deficiencies cited during this inspection of BIRCHWOOD OF GRAPEVINE.

Correction Status: Deficient, Provider has plan of correction.

The facility reported correction as of 2025-11-21.

πŸ“‹ Inspection Summary

Avir at Grapevine in GRAPEVINE, TX inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

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