Avir at River Valley

• Provide and implement an infection prevention and control program.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Dec 1, 2025

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 28, 2025

• Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 6, 2025

• Provide and implement an infection prevention and control program.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 12, 2025

• Ensure that residents are free from significant medication errors.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Feb 28, 2025

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 28, 2025

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 28, 2025

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 12, 2025

• Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

  Severity C of L: potential for minimal harm, widespreadCorrected Feb 27, 2025

• Keep aisles, corridors, and exits free of obstruction in case of emergency.

  Severity C of L: potential for minimal harm, widespreadCorrected Feb 27, 2025

• 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Feb 5, 2025

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Jan 22, 2025

• Have a battery powered remote alarm panel in a location accessible by operating personnel.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jan 19, 2024

• 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.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jan 19, 2024

• Provide properly protected cooking facilities.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jan 29, 2024

• Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jan 29, 2024

• Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jan 19, 2024

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 19, 2024

• Keep all essential equipment working safely.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 19, 2024

• Install smoke barrier doors that can resist smoke for at least 20 minutes.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jan 19, 2024

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jan 19, 2024

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jan 19, 2024

• Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

  Severity C of L: potential for minimal harm, widespreadCorrected Jan 19, 2024

• Keep aisles, corridors, and exits free of obstruction in case of emergency.

  Severity C of L: potential for minimal harm, widespreadCorrected Jan 22, 2024

• Provide and implement an infection prevention and control program.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Sep 4, 2023

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Aug 31, 2023

• Keep aisles, corridors, and exits free of obstruction in case of emergency.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Dec 6, 2022

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 14, 2022

• Install corridor and hallway doors that block smoke.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 6, 2022

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 14, 2022

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

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 14, 2022

• Reasonably accommodate the needs and preferences of each resident.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 14, 2022

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 14, 2022

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 14, 2022

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 14, 2022

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

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 14, 2022

• Provide and implement an infection prevention and control program.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 14, 2022

• Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

  Severity C of L: potential for minimal harm, widespreadCorrected Dec 6, 2022

Avir at River Valley offers Skilled Nursing / Long Term Care.

Avir at River Valley is located at 1907 Refinery Rd in Gainesville, Texas.

Reviewers describe Avir at River Valley as a small, tight-knit skilled nursing and rehab community with long-tenured, friendly staff and residents who speak positively about their care. However, one detailed account raises serious concerns about neglect and hygiene, and multiple reviewers mention staffing shortages since COVID affecting care capacity.

Avir at River Valley had 8 government inspection visits in the last three years, with 38 citations on file according to CMS Care Compare data. The full history, including what each citation was for and whether it was corrected, is in the inspection section on this page.

Submit the Request Information form on this page to connect with Avir at River Valley and arrange a tour. Sharing your timeline and care needs up front helps the community prepare for your visit.