Skip to main content
ReadyRule homepageReadyRule

Inspection visit

Inspection

Avir at River ValleyCMS #4559701 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

This survey cited 1 deficiency. The full statement and the facility’s plan of correction follow, verbatim from the federal record.

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 CONFIDENTIALITY** Based on observation, interview, and record review, the facility failed to ensure an effective pest control program was implemented so the facility was free of pests and rodents for two halls out of six halls (200 and 300 hall), facility's only dining room, and facility's conference room. Residents Affected - Some The facility failed to keep an effective pest control program to ensure resident dining rooms, facility conference room and resident rooms on 200 and 300 halls were free of flies, crickets, gnats, and roaches. This failure could place residents at risk for a reduced quality of life. Findings included: Interview on 07/27/23 at 09:45 AM with Resident #1 revealed that there are a lot of flies. He stated there were more flies in the room than there is outside. There were flies in the dining room when they ate daily. Observation on 09/27/23 at 09:45 AM revealed one fly on Resident#1's leg as well as two more flies in the air around Resident #1. Observation on 07/27/23 at 09:50 AM revealed: one fly on the table close to where food was served outside of kitchen area one fly on another table directly in front of the kitchen area cricket on the floor directly in front of the kitchen door moving towards the kitchen area one fly on the table near the snack machine (within dining area) (continued on next page) Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE FORM CMS-2567 (02/99) Previous Versions Obsolete Facility ID: If continuation sheet Page 1 of 3 Event ID: 455970 Printed: 05/15/2026 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 455970 B. Wing A. Building (X3) DATE SURVEY COMPLETED 07/27/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Avir at River Valley 1907 Refinery Rd Gainesville, TX 76240 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 0925 - Level of Harm - Minimal harm or potential for actual harm one fly in the hallway in beginning of 300 hall in the middle of hallway Residents Affected - Some Observation on 07/27/23 at 10:00 AM revealed three dead flies on the windowsill and one flying in resident room [ROOM NUMBER]. Observation on 07/27/23 at 10:00 AM revealed one fly on the window, one fly on a blanket, and one fly on the wall in resident room [ROOM NUMBER]. Observation on 07/27/23 at 10:01 AM revealed five flies on a sleeping resident, two ants and two gnats around the bed, and four gnats in the bathroom in resident room [ROOM NUMBER]. Observation on 07/27/23 at 10:01 AM revealed one fly in 200 hall on the wall. Observation on 07/27/23 at 10:02 AM revealed one fly on the bed in resident room [ROOM NUMBER]. Observation on 07/27/23 at 10:02 AM revealed two flies and one gnat near the window in resident room [ROOM NUMBER]. Interview on 07/27/23 at 10:04 AM with Resident #2 revealed that she often has flies in her room. She stated she mentioned it to staff, and she was told that her flowers attract bugs and she needed to get rid of the flowers. She told them no because her family member brought them for her. Observation on 07/27/23 at 10:04 AM of Resident #2's room revealed one fly around her food, one on the chair, and one on the ceiling. Interview on 07/27/23 at 10:11 AM with Resident #3 revealed they had flies. I have only seen one today but usually there are many. Resident #3 pointed to the fly swatter in the windowsill and stated that her and her family member use it to kill flies. Observation on 09/27/23 at 10:22 AM of the conference room revealed a light brown cockroach on the floor next to the wall and a dead cricket in the restroom. Interview with the Maintenance Director on 07/27/23 at 11:07 AM revealed that pest control comes out once a month, but they will call them out more often as needed. He stated that they recently came July 12th, 2023. He stated any staff can report pest control issues to the maintenance director, and they also have an online system to report issues. They have ordered air curtains for exits/entries to help control flies. The Maintenance director stated that flies and other pests could be possibly unsanitary for residents. Interview on 07/27/23 at 12:19 PM with the Administrator revealed that pest control was out on July 12th, and they did not see issues. The Administrator noticed an increase in flies that last couple days. He stated facility has ordered air curtains for each door and thinks that will help with the flies. The Administrator stated they did call pest control to come back out again , but they have not yet. The Administrator stated it could be unsanitary or irritable for the residents. Review of the facility's pest control service reflected on 07/12/23, states no rooms reported for any pest issues. Pest activity found: No findings noted during service. Location - exterior area - I (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 455970 If continuation sheet Page 2 of 3 Printed: 05/15/2026 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 455970 B. Wing A. Building (X3) DATE SURVEY COMPLETED 07/27/2023 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Avir at River Valley 1907 Refinery Rd Gainesville, TX 76240 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 0925 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some FORM CMS-2567 (02/99) Previous Versions Obsolete noticed that several holes located around the building especially underneath the eves of the building. I noticed birds flying. Action needed/taken: Please address structural concern. This has been documented several times. Review of the facility's policy Pest Control revised May 2008 reflected our facility shall maintain an effective pest control program .This facility maintains an on-going pest control program to ensure that the building is kept free of insects and rodents. Event ID: Facility ID: 455970 If continuation sheet Page 3 of 3

Reading this as a family member? Your long-term care ombudsman is a free advocate for residents and families.

Back to top

Citations

1 citation recorded*CMS

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.

  • 0925GeneralS&S Epotential for harm

    F925 - Maintain an effective pest control program so that the facility is free of

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

FAQ · About this visit

Common questions about this visit

What happened during the July 27, 2023 survey of Avir at River Valley?

This was a inspection survey of Avir at River Valley on July 27, 2023. The surveyor cited 1 deficiency, recorded on the federal Form 2567 statement of deficiencies.

Were any deficiencies cited at Avir at River Valley on July 27, 2023?

Yes, 1 deficiency was cited, each with a CMS Scope and Severity grade. The first was: "Make sure there is a pest control program to prevent/deal with mice, insects, or other pests."

What type of survey was this?

This was a inspection survey conducted by state surveyors under federal Centers for Medicare & Medicaid Services (CMS) oversight. Findings are published on CMS Care Compare.

SourceView on CMS Care Compare

Share this reportEmail

Next steps

Concerned about a resident’s care?Find your local ombudsman through the Eldercare Locatoror file a complaint with your state survey agency.

Researching this visit professionally?Book a 15-minute calland we will walk through what we have on file.

Data from CMS Care Compare public records. Dataset last refreshed . If you believe any information is inaccurate, report it here.