Avir at River Valley
Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.
based on 28 Google reviews
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What this means for your family
While many long-term visitors and residents praise the staff's compassion and the facility's activities, the presence of extremely severe allegations regarding neglect and hygiene is a major red flag. If you choose this facility, you must perform rigorous, unannounced visits to ensure your loved one's basic care and hygiene needs are being met.
Google Reviews
Google Reviews
28 reviews analyzed“Families may find comfort in the facility's highly praised compassionate and friendly staff, with several reviewers noting a home-like environment. However, there are extremely serious allegations regarding neglect, including reports of bed sores and inadequate hygiene care, which must be addressed with extreme caution.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate and caring staff
- Engaging resident activities
- Home-like environment
- Responsive administration
Concerns
- Severe allegations of neglect and lack of care (mentioned by 2 reviewers)
- Staffing shortages and slow response to hygiene needs (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution
How They Respond to Reviews
The owner relies heavily on repetitive, templated scripts to respond to reviews. Positive reviews receive standardized gratitude, while negative reviews are met with a nearly identical script directing users to a compliance line.
Questions for Your Tour
- 1I noticed the administration is quite responsive to feedback; how do you typically involve families in the care planning process?
- 2With the current staffing levels, what specific steps are being taken to ensure residents' hygiene and personal care needs are met promptly?
- 3Could you tell me more about the daily activity calendar and how you keep residents engaged with the community?
- 4What is your protocol for managing medical emergencies or sudden changes in a resident's health during the night?
- 5How does the team approach maintaining a high standard of cleanliness and comfort in the resident rooms and common areas?
- 6What are some of the ways you work to maintain that 'home-like' environment that people often mention about this facility?
Personalized based on this facility's data
Key Review Excerpts
“I live there the place is great,excellent staff always friendly and eager to help . The food is great the activities are always fun and exciting. Couldn't ask for a better bunch of staff members.”
“If I could give 0 stars I absolutely would. This place is AWFUL. My grandfather died because of their lack of care. He died from bed sores that were acquired while he was there and he was starved.”
“Small facility, but I love the way they see to my husband. Since COVID they have been short handed. Everyone there works their tails off to make sure patients are getting proper care.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
12
measures
2
measures
3
measures
Residents needing more daily help over time
Residents whose bladder or bowel control got worse
Residents with depression symptoms
Residents whose walking got worse
Residents on anti-anxiety or sleep medication
Residents on antipsychotic medication
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has concerning patterns with families filing multiple complaints that triggered federal inspections. The most recurring issues involve infection control, medication management, nursing staffing, and fire safety violations. Problems with infection control and blocked emergency exits have appeared repeatedly across multiple surveys from 2022 through 2025, suggesting persistent operational challenges despite reported corrections.
Nov 26, 2025Complaint1
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Feb 27, 2025Routine8
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Nursing and Physician Services Deficiencies
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Egress Deficiencies
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.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Feb 27, 2025Complaint1
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Jan 16, 2025Complaint2
Resident Rights Deficiencies
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.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Dec 22, 2023Routine12
Nursing and Physician Services Deficiencies
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.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Gas, Vacuum, and Electrical Systems Deficiencies
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Environmental Deficiencies
Keep all essential equipment working safely.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
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.
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Sep 1, 2023Complaint1
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Ownership & Operations
Who Operates This Facility
Dallas County Hospital District
for profit
1907 REFINERY RD OPCO, LLC
RON D HATTON
Chain Affiliation
Avir Health Group
117 facilities nationwide
Chain avg rating: 2.3/5 · Rank 6 of 21
Ownership & Management
Owners
Dallas County Hospital District
Owner · Organization
Eden, James
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Whitworth, Gary
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
28 reviews from families & visitors
Official Website
Visit avirhg.com
Medicare data downloads
Original nursing home datasets
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