Avir at Veterans Memorial

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

44.3% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 52 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 59.5% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 37 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.33 therapist hours per resident per day in 2026Q1 — more than 55% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 12% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 120 beds and averages 98.3 residents a day — about 82% occupied, or roughly 22 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.12 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.39 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.85 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.79 hrs/resident/day on weekends vs 3.25 on weekdays — 14% thinner on weekends. RN hours go from 0.44 to 0.27 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 53% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

27 citations, most serious first. The 15 most serious are shown; the remaining 12 are one tap away and print in full.

• Immediate jeopardy · J2026-04-18 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Number of residents sampled: Number of residents cited: Based on observation, interview and record review, the facility failed to ensure that residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices for 1 of 24 residents (Resident #1) reviewed for quality of care.- The facility failed to transfer Resident #1 to the hospital by means of emergency services after she was observed to be in pain, had a bruise to the left lower extremity, and her extremity was observed to be out of normal alignment on 3/29/2026 at 12:00pm. Resident #1 was transferred to the hospital at 8:55pm.An Immediate Jeopardy (IJ) was identified on 4/16/26. The IJ template was provided to the facility on 4/16/26 at 10:51am. While the IJ was removed on 4/18/26 at 5:01pm, the facility remained out of compliance at a scope of isolated and a severity level of no actual harm, with the potential for minimal harm that is not immediate jeopardy,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · J2026-04-18 · tag F0697 — failed to manage pain — isolated
  Provide safe, appropriate pain management for a resident who requires such services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Number of residents sampled: Number of residents cited: Based on observation, interview, and record review the facility failed to ensure that pain management was provided to residents who require such services, consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences for 1 of 24 residents (Resident #1) reviewed for pain.- The facility failed to monitor and address Resident #1's pain on 3/29/26 from 12:00pm to 9:00pm, when the resident was found to have a fracture to her left lower extremity and would say ouch every time she would be turned/repositioned and during incontinence care.An immediate Jeopardy (IJ) was identified on 4/16/2026. The IJ template was provided to the facility on 4/16/2026 at 10:51am. While the Immediacy was removed on 4/18/2026 at 5:01pm, the facility remained out of compliance at a scope of isolated with no actual harm and potential for more than minimal harm due to the facility's need to complete in-service…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · J2025-10-31 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to ensure the residents' environment remained as free of accident hazards as was possible and ensure each resident received adequate supervision and assistance devices to prevent accidents for one (Resident #1) of three residents reviewed for accidents and hazards.The facility failed to ensure CNA A, on 10/07/25, had a 2nd staff member assisting her when transferring Resident #1 from her bed to her wheelchair and failed to ensure the mechanical lift sling was free from defects. Resident #1 fell from her bed to the floor and sustained lacerations to her head resulting in 7 stitches to her left forehead and 5 staples to her posterior scalp.The noncompliance was identified as Past Noncompliance. The Immediate Jeopardy (IJ) began on 10/07/25 and ended on 10/08/25. The facility had corrected the noncompliance before the survey began.This deficient practice placed residents at risk of pain, injury, and hospitalization.Findings included:Review of…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Past Non-Compliance
• Actual harm · G2026-05-07 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews, and record review, the facility failed to ensure residents were free from abuse for 2 of 7 (Resident #1 and Resident #2) residents reviewed for abuse.1. The facility failed to ensure each resident was free from abuse when R#1 was hit on the hand by CNA A and2. The facility failed to ensure each resident was free from abuse when Resident #2 received rough ADL treatment by CNA AThis failure placed residents at risk of physical harm, emotional distress, and mental anguish.Findings IncludeRecord review or Resident #1's face sheet revealed an [AGE] year-old female who was initially admitted to the facility on [DATE] and readmitted [DATE] with diagnosis of Alzheimer's (irreversible brain disorder affecting memory, thinking, and behavior) disease.Record review of Resident #1's Comprehensive MDS assessment, dated 02/42026, reflected the Resident #1had a BIMS score of 03, which indicated a severe problem with thinking and memory. Record review of Resident #1's care plan reflected the following:Focus:…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2025-10-31 · tag F0694 — isolated
  Provide for the safe, appropriate administration of IV fluids for a resident when needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review, the facility failed to ensure that residents receive parenteral fluids consistent with professional standards of practice and in accordance with physician orders, the comprehensive person-centered care plan, and the resident's goals and preferences for one resident (Resident #3) of 5 residents reviewed for treatments. The facility failed to follow facility protocol of cleaning and changing of the PICC line dressing for Resident #3, since his return from the hospital on [DATE] until he was readmitted to the hospital on [DATE]. This failure could lead to infections and related complications. Findings included:Record review of Resident #3's face sheet dated 10/30/25 revealed a [AGE] year-old male initially admitted on [DATE] and re admitted to the facility on [DATE]. His diagnoses included cellulitis (skin infections), dysphagia (difficulty to swallow) , type 2 diabetes, hemiplegia and hemiparesis (paralysis of one side), pain, muscle weakness, lack of…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-05-21 · tag F0925 — failed to control pests — isolated
  Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interviews, and record reviews, the facility failed to maintain an effective pest control program so that the facility is free of pests and rodents for two rooms (102 & 305) of 1 of 1 facility reviewed for physical environment. The facility failed to maintain an effective pest control program so that rooms [ROOM NUMBERS] were free of roaches.This failure could place Residents at risk of a reduced quality of life.Findings:Record review of pest control dates:August 14, 2025- Treated the exterior of the facility for spiders and ants; replaced fly light device in kitchen; and exterior rodent stations were inspected.August 20, 2025-Treated and wiped down kitchen wall for gnat activity; a liquid application was applied around all baseboards throughout the entire kitchen including the dishwasher area; all dead roaches were vacuumed from the floor; and treatment was applied around the exterior perimeter of the kitchen to target American roaches.September 10, 2025-Follow-up of kitchen, still…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-04-18 · tag F0550 — failed to protect resident dignity and rights — pattern
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Number of residents sampled: Number of residents cited: Based on interview and record review the facility failed to ensure each resident was treated with respect and dignity for 2 of 8 (Resident#4 and #43) residents reviewed for resident rights. The facility failed to ensure that Resident #4's television was programmed to view all channels. The facility failed on 04/14/2026 to ensure Resident #43 was treated with dignity when the facilities training mannequin was stored in the unoccupied bed of the residents room. These failures could place all residents at risk of not being treated with dignity and respect. Findings included: 1. Record review of Resident #4's facesheet revealed a [AGE] year-old woman originally admitted on [DATE]. Admitting diagnoses were generalized anxiety disorder, mood disorder with depressive features, and moderate major depressive disorder. Record review of Resident #4's MDS dated [DATE], under Section C- Cognitive patterns revealed a BIMS score of 12 (moderate cognitive impairment,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-04-18 · tag F0656 — failed to write and follow a full care plan — pattern
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to develop a comprehensive person-centered care plan for each resident to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being for 3 of 6 residents (Resident #3, Resident #9, and Resident #12) reviewed for comprehensive care plans. 1. The facility failed to provide Resident #3 with comprehensive per-centered care plan to address Activities of Daily Living (ADL). 2. The facility failed to provide Resident #9 with comprehensive per-centered care to address her Contact isolation or Urinary Tract Infection. 3. The facility failed to provide Resident #12 with a comprehensive care plan to address her Contact isolation or Urinary Tract Infection. This failure could place residents at risk of not having personalized plans developed to address their specific care needs.Findings included:1. Record review of Resident #3's face sheet revealed a [AGE] year old female, with an admission date 08/31/2023, and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-04-18 · tag F0694 — pattern
  Provide for the safe, appropriate administration of IV fluids for a resident when needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure parenteral fluids were administered consistent with professional standards of practice and in accordance with physician orders, the comprehensive person-centered care plan, and the resident's goals, and preferences for 1 (Resident #4) of 24 residents reviewed for parenteral fluids. Resident #4 had an IV in her L hand that was tender to touch, had redness, and evidence of prurial leakage. IV had not been flushed for 7 days and was not removed per physician's orders. This failure placed residents at risk for a delay in treatment, pain, and hospitalization. Findings Include: Record review of Resident #4's face sheet revealed a [AGE] year-old woman originally admitted on [DATE]. Admitting diagnoses were COPD (ongoing lung condition caused by damage to the lungs), generalized anxiety disorder (overlay anxious), morbid (severe) obesity due to excess calories, need for assistance with personal care, post-traumatic stress disorder (mental…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-04-18 · tag F0755 — failed to provide safe pharmacy services — pattern
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Number of residents sampled: Number of residents cited: Based on observation, interview and record review the facility failed to ensure the accurate acquiring, dispensing, receiving, and administering of medications for 1 of 1 medication storage rooms and 3 of 6 (Nurse 100 hall, Nurse 200 hall, and Med Aide 200 hall) medication carts, reviewed for pharmacy services.The facility failed to ensure expired medications were not stored with current medications on the 100 hall Nurse medication cart,200 hall Nurse medication cart, 200 hall Med Aide medication cart, and medication storage room.These failures could place residents at risk for not receiving the therapeutic benefit of the medication and/or worsening health concerns.Findings included: 1. In an observation on 4/17/26 at 11:20am, there were 5 bottles of expired medications found in the 100 hall nurse medication cart. The expired medications were as follows:- Glucose Control Strips Opened 3/2/26 Expired 4/2/26- Calamine Lotion 6oz Mulit-use bottle Expired March 2026- Sodium Chloride Tablets 1 gm Mulit-use bottle Expired March 2026-…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-18 · tag F0578 — failed to honor advance directives / code status — isolated
  Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Number of residents sampled: Number of residents cited: Based on observations, interviews and record review, the facility failed to ensure residents have the right to request, refuse, and or discontinue treatment and to formulate an advance directive for 1 (Resident #80) of 24 residents whose records were reviewed for advance directives.- The facility failed to have Resident #80's code status on file from admission ([DATE]) through [DATE].This failure could place residents at risk for not having their end of life wishes honored. The findings included:Record review of Resident #80's undated face sheet revealed she was an [AGE] year old female who admitted to the facility on [DATE] with diagnoses of injury of right lower leg, orthostatic hypotension (blood pressure drops when standing), pain in right ankle and joints of right foot, dementia (progressive decline in memory), anemia (low iron), chronic kidney disease (kidneys do not filter), afib (irregular heart rate), rheumatoid arthritis (autoimmune disease of…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-18 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to provide a safe, clean, comfortable, and homelike environment including but not limited to receiving treatment and supports for daily living safely for 1 (Resident #85) of 22 residents reviewed for sanitary conditions. The facility failed to clean and disinfect a mud brown smudge with a solid consistency from the wall inside of Resident #85's room for 3 days. The failure could place residents at risk of sickness and infection. Findings included: Record review of Resident #85's face sheet revealed an [AGE] year-old man was initially admitted on [DATE]. Admitting diagnoses were diverticulosis of the large intestine, COPD (ongoing lung condition caused by damage to the lungs), Crohn's Disease of large intestine (is a chronic inflammatory bowel disease that affects the gastrointestinal tract), hemorrhage (bleeding from a damaged blood vessel) of anus and rectum, hemorrhoids (swollen veins in the anus and lower rectum), and slow transit…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-18 · tag F0644 — isolated
  Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Number of residents sampled: Number of residents cited: Based on interview and record review the facility failed to refer all residents with newly evident or possible serious mental disorder, intellectual disability, or a related condition for level II resident review upon a significant change in status assessment for 1 (Resident #44) of 24 residents reviewed for PASRR.The facility failed to perform a new PASRR level 1 assessment on Resident #44 due to diagnoses, of major depressive disorder (persistent, intense, low mood, or a loss of interest), generalized anxiety disorder (persistent, excessive, and uncontrollable worry), mood disorder due to known physiological condition with mixed features (mania/hypomania and depression occur together), and adjustment disorder with mixed disturbance (emotional issues and behavioral problems after a stressor).This failure could place residents at risk of not receiving the services and support needed.Findings Included:Record review of Resident #44's undated face sheet…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-04-18 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Number of residents sampled: Number of residents cited: Based on observation, interview, and record review, the facility failed to ensure residents who were unable to carry out activities of daily living received necessary services to maintain grooming and personal hygiene for 1 out of 24 residents (Resident #12) reviewed for ADLs.- The facility failed to shower/bathe Resident #12 for a week (from 4/9/26-4/16/26) when she was scheduled to have one three times a week on Tue/Thu/Sat.This failure could place residents at risk of skin breakdown, infection, and reduced feelings of self-worth.Findings included:Record review of Resident #12's undated face sheet revealed she was an [AGE] year old female who admitted to the facility on [DATE] with diagnoses of metabolic encephalopathy, hypertension, cirrhosis, heart failure, chronic kidney disease, acute cystitis with hematuria, and asthma.Record review of Resident #12's admission MDS assessment dated [DATE] revealed a BIMS score of 9 out of 15, which indicated…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-18 · tag F0776 — isolated
  Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interview, the facility failed to ensure radiology services were obtained and reported in a timely manner for 1 of 8 residents (Resident #14) reviewed for radiology services.-The facility failed to ensure Resident #14 received a STAT ( immediately or without delay) chest x-ray as ordered on 04/13/2026 which delayed further medical assessment and treatment until 04/14/2026.This failure placed residents at risk of experiencing delays in clinical decision-making and treatment.Finding included:Record review of the face sheet for Resident #14 dated 04/14/2026 revealed an [AGE] year-old female admitted to the facility on [DATE] with principal diagnoses of other specified chronic obstructive pulmonary disease (COPD progressive and lifelong respiratory disorder that leads to an abnormal inflammatory response in the lungs).Record review of Resident #14's undated care plan revealed the following:Focus: Resident #14 is at risk for having altered respiratory status/difficulty breathing due…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Administration Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

$37,961 in federal fines across 2 penalties. 1 Medicare payment denial on record.

• $23,611 — penalty dated 2026-04-18
• $14,350 — penalty dated 2025-10-31
• Medicare payment denial — starting 2026-05-20 for 2 days

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to AVIR HEALTH GROUP — 116 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

The source lists no ownership percentage for any party here — PECOS records a share only for equity interests, not for board or management roles.

9 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

About 77% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in TX