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Public Record

Avir at River Valley

Nursing HomeGainesville, TXCMS 455970
25 citations on record

Operated by Avir Health Group

From CMS

Facility profile

CMS overall rating
3 / 5

*CMS Five-Star

Certified beds
116

*CMS

Avg. residents per day
37

*CMS

Inspection record

On record from CMS

Health citations
25

*CMS

Fire safety findings
13

*CMS

Inspections on file
10

*CMS

Last inspection
2025-11-26

*CMS

Citations

25 citations on record

Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.

What do CMS severity letters mean?

Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.

General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.

Each letter combines severity with scope: how many residents the deficiency affected.

  • 0880Generalpotential for harm

    Provide and implement an infection prevention and control program.

  • 0690Generalpotential for harm

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

  • 0727Generalpotential for harm

    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.

  • 0760Generalpotential for harm

    Ensure that residents are free from significant medication errors.

  • 0812Generalpotential for harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • 0607Generalpotential for harm

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

  • 0880Generalpotential for harm

    Provide and implement an infection prevention and control program.

  • 0755Generalpotential for harm

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

  • 0622Generalpotential for harm

    Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

  • 0908Generalpotential for harm

    Keep all essential equipment working safely.

  • 0656Generalpotential for harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • 0727Generalpotential for harm

    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.

  • 0755Generalpotential for harm

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

  • 0761Generalpotential for harm

    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.

  • 0880Generalpotential for harm

    Provide and implement an infection prevention and control program.

  • 0925Generalpotential for harm

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

  • 0804Generalpotential for harm

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

  • 0812Generalpotential for harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • 0880Generalpotential for harm

    Provide and implement an infection prevention and control program.

  • 0558Generalpotential for harm

    Reasonably accommodate the needs and preferences of each resident.

  • 0580Generalpotential for harm

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

  • 0607Generalpotential for harm

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

  • 0692Generalpotential for harm

    Provide enough food/fluids to maintain a resident's health.

  • 0657Generalpotential for harm

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  • 0695Generalpotential for harm

    Provide safe and appropriate respiratory care for a resident when needed.

Inspection history

Every health inspection on record

Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.

  • Inspection1 deficiency
    View inspection report
  • Inspection6 deficiencies

    455970 02/27/2025 Avir at River Valley 1907 Refinery Rd Gainesville, TX 76240 F 0607 Develop and implement policies and procedures to prevent abuse, neglect, and theft. Level of Harm - Minimal harm or potential for actual harm Based on interview and record review the facility failed to…

    Read full statement of deficiencies
  • InspectionFire Safety3 deficiencies
    View inspection report
  • Inspection2 deficiencies

    455970 01/16/2025 Avir at River Valley 1907 Refinery Rd Gainesville, TX 76240 F 0622 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific…

    Read full statement of deficiencies
  • InspectionFire Safety7 deficiencies
    View inspection report
  • Inspection5 deficiencies

    455970 12/22/2023 Avir at River Valley 1907 Refinery Rd Gainesville, TX 76240 F 0656 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be…

    Read full statement of deficiencies
  • Inspection1 deficiency

    455970 09/01/2023 Avir at River Valley 1907 Refinery Rd Gainesville, TX 76240 F 0880 Provide and implement an infection prevention and control program. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on…

    Read full statement of deficiencies
  • Inspection1 deficiency

    455970 07/27/2023 Avir at River Valley 1907 Refinery Rd Gainesville, TX 76240 F 0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT…

    Read full statement of deficiencies
  • Inspection9 deficiencies

    455970 10/27/2022 Avir at River Valley 1907 Refinery Rd Gainesville, TX 76240 F 0558 Reasonably accommodate the needs and preferences of each resident. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on…

    Read full statement of deficiencies
  • InspectionFire Safety3 deficiencies
    View inspection report

Ownership

Avir Health Group

117nursing homes nationwide, in CMS records

All 117 are in Texas.

Counted from the chain CMS itself discloses for this home, which matches CMS Care Compare. ReadyRule's own common-control analysis is a separate and broader lens, and the two can differ.

FAQ

Questions and answers

What is Avir at River Valley?
Avir at River Valley is a Medicare- and Medicaid-certified nursing home in Gainesville, TX, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 455970.
What is the CMS rating for Avir at River Valley?
Avir at River Valley has a CMS overall rating of 3 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
How many beds does Avir at River Valley have?
Avir at River Valley is certified for 116 beds. It serves an average of 37 residents per day.
How many citations does Avir at River Valley have?
Avir at River Valley has 25 citations on record from CMS health inspections, each tied to a federal deficiency tag.
When was Avir at River Valley last inspected?
Avir at River Valley was last inspected on November 26, 2025. CMS surveys nursing homes about once a year and after complaints.
What can I do if I have concerns about care at this facility?
Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.

*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.

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