Avir At Lindale

Location & what’s nearby

Open in Google Maps ↗ · Directions ↗ · Larger map ↗

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.

49.2% 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 165 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 45.5% 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 44 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 0.44 therapist hours per resident per day in 2026Q1 — more than 74% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 3% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. 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 122 beds and averages 96.2 residents a day — about 79% occupied, or roughly 26 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 3.60 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.45 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.30 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 3.32 hrs/resident/day on weekends vs 3.71 on weekdays — 11% thinner on weekends. RN hours go from 0.51 to 0.30 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 60% is well above the national median of 45%. 2 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.

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.

39 citations, most serious first. The 18 most serious are shown; the remaining 21 are one tap away and print in full.

• Immediate jeopardy · Kcited before2025-02-12 · tag F0695 — failed to provide proper breathing / tracheostomy care — pattern
  Provide safe and appropriate respiratory care 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, interview and record review the facility failed to ensure that a resident who needs respiratory care, including tracheostomy care and tracheal suctioning, is provided such care, consistent with professional standards of practice for 2 of 3 residents (Resident #1 and Resident #2) reviewed for tracheostomy care. The facility failed to ensure proper care was provide to Resident #1 on 12/7/24 when she was in respiratory distress due to her tracheostomy's inner cannula (a removable, cylindrical tube that fits inside the outer cannula of a tracheostomy tube) being obstructed resulting in Resident #1 being hospitalized . The facility failed to ensure they had full-time qualified staff to perform proper tracheostomy care on Resident #2's tracheostomy in accordance with professional standards. These failures resulted in an identification of an Immediate Jeopardy (IJ) on 2/11/25 at 3:20 p.m. While the IJ was removed on 2/12/25, the facility remained out of compliance at no actual harm with a scope…

  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 · Kcited before2024-06-28 · tag F0600 — failed to protect residents from abuse and neglect — pattern
  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 observation, interview and record review the facility failed to ensure residents had the right to be fee from abuse, neglect, misappropriation of resident property, and exploitation for 2 of 4 residents (Resident #1 and Resident #2) reviewed for neglect. 1. The facility failed to ensure the former DON was aware AED pads (AED pad are a vital part of the AED machine that are used to help people experiencing sudden cardiac arrest. The AED pads are place on the person's bare chest and are attached to a cable that connects to the AED to the patient body. The AED then analyzes the hearts rhythm and can deliver an electric shock or defibrillation, to help the heart re-establish normal rhythm.) and Ambu bags (a bag value mask- a handheld tool that is used to deliver positive pressure ventilation to a subject with insufficient or ineffective breaths.) were missing for over 10 days and did not secure supplies. 2. The facility failed to ensure the staff responsible for checking the supplies on the crash cart were…

  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
• Immediate jeopardy · K2024-06-28 · tag F0678 — failed to provide CPR when needed — pattern
  Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
  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 interview and record review the facility failed to provide basic life support, including CPR, to a resident requiring such emergency care prior to the arrival of emergency medical personnel and subject to related physician orders and the residents advanced directives for 1 of 4 residents reviewed for emergency care. (Resident #1) 1. Resident #1 a full code status ( a medical code status that indicated to take all steps to save the residents life in the event of cardiac or respiratory arrest, including CPR) turned blue and had no pulse or heart rate, the facility staff requested the crash cart (a cart with emergency medical supplies) when the cart arrived the emergency supplies were missing. 2. The crash cart did not have AED pads for the AED- defibrillator (AED pad are a vital part of the AED machine that are used to help people experiencing sudden cardiac arrest. The AED pads are place on the person's bare chest and are attached to a cable that connects to the AED to the patient body. The AED then…

  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 · Kcited before2024-06-04 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — pattern
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  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 the necessary treatment and services, in accordance with comprehensive assessment and professional standards of practice, to prevent development of pressure injuries was provided for 1 of 4 Residents (Resident #1) reviewed for pressure injuries. The facility failed to prevent deterioration for Resident #1 of MASD of bilateral buttock to a necrotic unstageable pressure ulcer. The facility failed to ensure wound care was provided twice a day as ordered to Resident #1's MASD of the bilateral buttocks to prevent deterioration. Resident #1 did not receive 6 of 10 wound care treatments to his bilateral buttocks. The facility failed to follow their policy by not assessing Resident #1's deteriorating wound. The facility failed to have a system in place to ensure treatments and assessments were being performed per orders and policy. This failure resulted in an identification of an Immediate Jeopardy (IJ) On 5/31/24 at 3:30 p.m. While the IJ was removed…

  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 · K2024-04-13 · tag F0580 — failed to tell family and doctor about changes — pattern
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  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 interview and record review, the facility failed to consult with the physician when the resident experienced a change in condition / a need to alter treatment significantly for 1 (Resident #1) of 6 residents reviewed for a change of condition. The facility failed to notify the physician when Resident #1 refused all oral medications for 4 days ([1/18/24 to 1/21/24], which included Furosemide, Isosorbide Mononitrate ER, Carvedilol, Sacubitril-Valsartan [medications used in the treatment of heart failure] and Metformin HCl [ used to treat diabetes]) leading up to his hospitalization on 1/22/24 during which he was diagnosed with urosepsis. The facility failed to notify the physician when Resident #1 refused to have ordered labs (CBC, CMP and UA) obtained on 1/17/24, which would have identified an urinary tract infection. The facility failed to notify the physician when Resident #1 had decreased oral intake 3 days leading up to his hospitalization (dehydration contributes to bacterial growth). These failures…

  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
• Immediate jeopardy · K2024-04-13 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — pattern
  Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  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 a resident who had a urinary catheter received appropriate treatment and services to prevent urinary tract infections and pain for 1 of 6 (Resident #1) residents reviewed for urinary catheters. The facility did not ensure the needed an order for catheter care was entered when Resident #1 returned from the hospital with a Foley catheter in place on 1/1/24. The facility did not ensure catheter care was documented for Resident #1 from 1/1/24 to 1/17/24. The facility did not ensure Resident #1 was provided catheter care from 1/1/24 to 1/17/24. The facility did not clearly document the discontinuation of Resident #1's foley catheter or circumstances for it's discontinuation. Resident #1 was admitted to the hospital on [DATE] and was found to have Urosepsis (sepsis caused by infections of the urinary tract). Resident #1 passed away at the hospital on 1/22/24. These failures resulted in an identification of an Immediate Jeopardy (IJ) on…

  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
• Actual harm · Gcited before2025-10-29 · 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 interviews and records review, the facility failed to provide adequate supervision for 1 of 3 residents (Resident #17) to prevent an avoidable accident.The facility failed to provide a timely response to the call light during change of shift for Resident #17 to prevent an avoidable accident. This resulted in Resident #17 having an actual fall on 08/09/2025, suffering a sprained left ankle injury.The failure could place residents at risk for accidents/ injury over which the facility had control, provided supervision, and assistive devices to each resident to prevent avoidable fall accidents. Finding included:Resident #17, named in the allegation, was not observed, or interviewed during the investigation. Discharge summary records revealed she was discharged on 08/19/2025 to an assisted living facility and was not available during the investigation. A review of Resident #17 face sheet dated [DATE] indicated she was a [AGE] year old female initially admitted on [DATE] with diagnoses of streptococcal…

  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
• Actual harm · Gcited before2024-04-13 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
  Provide enough food/fluids to maintain a resident's health.
  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 provide care that would ensure acceptable parameters of nutritional status for 1 of 6 residents reviewed for nutritional status. (Resident #1). The facility did not appropriately monitor Resident #1's weights during his stay at the facility from 12/21/23 to 1/22/24 and it resulted in Resident #1 had a 15 % weight loss in 26 days. This noncompliance was identified as PNC. The non-compliance began on 12/21/23 and ended 2/29/24. The facility had corrected the non-compliance before the survey began. This failure could place residents at risk for altered nutritional status, and complications of chronic conditions, and decline in health status. Findings included: Record review of the face sheet dated 3/28/24 indicated Resident #1 was an 87- year-s old male admitted to the facility on [DATE] with diagnoses including, aftercare following joint replacement surgery, fracture of the right femur (the head of the hip joint), acute bronchitis, bradycardia (slow…

  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
• Potential for harm · Ecited before2026-06-10 · tag F0803 — failed to meet residents' dietary needs — pattern
  Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review the facility failed to have food available to meet the nutritional needs in accordance with established guidelines for 1 of 1 lunch meals reviewed. The facility failed to follow the posted menu on 6/10/26. The facility failed to ensure the kitchen staff properly portioned the spaghetti served during lunch on 6/10/26. The facility failed to ensure kitchen staff provided all residents with the same portion of mixed vegetables on 6/10/26. The facility failed to ensure the facility did not run out of garlic bread during lunch on 6/10/26. These failures could place residents at risk of decreased quality of life, poor intake, and/or weight loss. Findings included: During an observation on 6/10/26 at 11:28 a.m. the board in the resident dining room indicated the following meal was to be served for lunch: spaghetti, roasted cauliflower, garlic toast, and fresh fruit cup. During an observation on 6/10/26 at 11:30 a.m. lunch trays were being prepared. Lunch was spaghetti (sauce and noodles mixed together), mixed vegetables, garlic bread, 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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-06-10 · tag F0583 — failed to protect personal privacy — isolated
  Keep residents' personal and medical records private and confidential.
  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 interview and record review, the facility failed to provide personal privacy when providing care for 1 of 9 (Resident #3) residents reviewed for privacy. The facility did not ensure CNA D and CNA E pulled the privacy curtain while providing incontinent care for Resident #3 on [DATE]. This failure could place residents at risk for diminished quality of life, loss of dignity and self-worth.Findings included: Record review of the face sheet dated [DATE] indicated Resident #3 was a [AGE] year-old male that was admitted to the facility on [DATE] with diagnoses including Myasthenia Gravis (a condition that causes weakness in the voluntary muscles), lack of coordination, cognitive communication deficit (an impairment in communication), and weakness. Record review of the MDS dated [DATE] indicated Resident #3 sometimes understood others and was usually understood by others. The MDS indicated Resident #3 did not have a BIMS score. The MDS indicated Resident #3 was dependent on staff for toileting. Record review…

  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 · Dcited before2026-06-10 · 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 Based on observation, interview, and record review, the facility failed to ensure a resident who was unable to carry out activities of daily living received the necessary services to maintain grooming and personal hygiene were provided for 1 of 4 (Resident #1) residents reviewed for ADLs. The facility failed to ensure Resident #1's mouth, chin, and neck were cleaned on 6/9/26. The failure could place residents at risk of not receiving services/care and decreased quality of life.Findings Include: Record review of the face sheet dated 6/9/26 indicated Resident #1 was an [AGE] year-old female that was re-admitted to the facility on [DATE] with diagnoses including encephalopathy (any disease damage, or malfunction of the brain that alters its structure or function), cognitive communication deficit (an impairment in communication), dementia, intellectual disabilities, and anxiety. Record review of the MDS dated [DATE] indicated Resident #1 understood others and was understood by others. The MDS indicated Resident #1…

  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 · Dcited before2026-06-10 · 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 interview and record review the facility failed to ensure each resident received adequate supervision and assistance devices to prevent accidents for 1 of 9 (Resident #3) residents reviewed for accident hazards. The facility failed to ensure CNA D and CNA E used a gait belt (an assistive device used by caregivers and physical therapists to help patients safely stand, walk, or transfer between chairs and beds) when transferring Resident #3 from the wheelchair to the bed on [DATE]. The failure could place dependent residents at risk for falls, significant injuries and decreased quality of life.Findings Include: Record review of the face sheet dated [DATE] indicated Resident #3 was a [AGE] year-old male that was admitted to the facility on [DATE] with diagnoses including Myasthenia Gravis (a condition that causes weakness in the voluntary muscles), lack of coordination, cognitive communication deficit (an impairment in communication), and weakness. Record review of the MDS dated [DATE] indicated Resident…

  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 · Dcited before2026-06-10 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 1 of 4 staff (ADON) and 1 of 5 (Resident #2) residents viewed for infection control. The facility failed to ensure the ADON performed hand hygiene between glove changes while providing wound care to Resident #2 on 6/9/26. This failure could place residents and staff at risk for cross-contamination, spread of infection and could potentially affect all others in the building.Findings Include: During an observation and interview on 6/9/26 at 10:18 a.m. revealed the ADON performed wound care on Resident #2 with assistance from CNA C. The ADON gathered supplies from the treatment cart including bottle of Dakins solution (a mild, diluted bleach antiseptic used to clean acute and chronic wounds, prevent infections, and reduce odor) from bottom drawer of cart and placed on bedside table covered with wax…

  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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-04-23 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure food items were properly stored, prepared, distributed, and dated under sanitary conditions for 1 of 1 facility kitchens. The facility failed to ensure: *Eight cups containing a pudding-like substance were labeled or dated.*One container for pureed liquids was covered, dated, and labeled.*Four bowls of salads were labeled or dated.*Six cups of orange liquid were dated or labeled.*Three milk-like substances containers were dated or labeled.*Four cups of red liquid were dated or labeled.*One two-gallon pitchers, one with brown tea like liquid, and one with red liquid were dated or labeled.*The flour bin and cornmeal bulk bin did not have food storage bowl inside of the product bins.*An opened box of pinto beans was reclosed and sealed. 2.The facility failed to ensure the temperature log for the hot food line was maintained, the temperature log was not available for review at the time of the investigation. These failures could place residents who ate food for the kitchen at risk of foodborne illness.…

  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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2026-02-10 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review, the facility failed to store, prepare, distribute, and serve food under sanitary conditions for 1 of 1 facility kitchens.The facility failed to ensure: - there was soap in the dispenser at the handwash sink by the pantry door and in the dispenser in the bathroom.- a foot operated pedal trash can for each of the handwash sinks.- the sugar bulk bin did not have a scoop inside of product. - the microwave was kept clean.- the reach-in stainless steel freezers and coolers were free from food debris, dried liquid splatters and fingerprints.- thickened liquid products were dated when opened.- an opened box of a frozen food product was reclosed and sealed.- thawing hamburger meat was placed in a container or on a tray to catch meat juices.-a prepared pan of fruit gelatin was labeled and dated. - the drip pan area under the burners on the stove was kept clean.- the deep fryer was kept clean.These failures could place residents who ate food from the kitchen at risk of foodborne illness.Findings included:During observations and interviews on…

  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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-02-10 · tag F0803 — failed to meet residents' dietary needs — pattern
  Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure the menu was followed for 1 of 1 meals (lunch meal) reviewed for menus and nutritional adequacy. Dietary staff did not serve pureed bread during the noon meal on 02/09/26 to any residents eating pureed food provided by the dietary department.This failure could place residents who eat food from the kitchen at risk of not having their nutritional needs met. Findings included: The planned menu dated 02/09/2026 for the noon meal was beef chili, boiled squash, scalloped potatoes, cornbread, and cake with frosting.The diet spreadsheet for the noon meal indicated residents on pureed diets were to receive pureed bread 2 ounce. (#16 dip).During an observation and interview in the dietary department on 02/09/2026 at 11:45 AM the DM retrieved a zipped plastic bag from the cooler that was labeled as pureed bread. She placed it on the serving line and placed a #16 dipper on top of the bag. She said the bread was not cornbread but regular bread.During an observation on 02/09/026 at 12:10 PM, tray line service began…

  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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-10 · tag F0640 — isolated
  Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
  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 interview and record review, the facility failed to ensure MDS data was electronically transmitted to the CMS System within 14 days after completion of the assessment for 1 of 1 resident reviewed for assessments. (Resident #77) The facility did not transmit an admission MDS assessment within 14 days into the CMS system as required after Resident #77 was admitted . This failure could place residents at risk of having an incomplete record.Findings included: Record review of Resident #77's face sheet indicated she was a re-admission dated 9/20/2025.A record review of the most recent MDS assessment for Resident #77 was dated 09/21/2025.During an interview on 02/10/2026 at 10:30 AM, the MDS Coordinator said Resident #77 was admitted on [DATE] and it was an oversight that this resident's submission was missed. She said they have a new software program that is set to catch any further oversights, and MDS should have been transmitted on 10/4/2025. She said, that the facility does not have its own policy,…

  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 · D2026-01-08 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  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 interview and record review, the facility failed to report the results of all investigations to the administrator or his or her designated representative and to other officials in accordance with State law, including to the State Survey Agency, within 5 working days of the incident, and if the alleged violation is verified appropriate corrective action must be taken for 1 of 6 residents (Resident #1) reviewed for abuse and neglect. The facility failed to ensure the provider investigation report was turned into the state survey agency (HHSC) within 5 working days of the reported incident for Resident #1. This failure could place residents at risk for abuse and neglect. Findings included:Record review of Resident #1's face sheet, dated 01/08/26, reflected he was an [AGE] year-old male, admitted on [DATE]. His diagnoses included dementia (loss of memory, language, problem-solving and other thinking abilities that are severe enough to interfere with daily life) and myelopathy (a spinal cord injury from…

  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

“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

$754,567 in federal fines across 5 penalties.

• $12,618 — penalty dated 2025-10-29
• $168,062 — penalty dated 2025-02-12
• $196,740 — penalty dated 2024-06-28
• $115,764 — penalty dated 2024-06-04
• $261,383 — penalty dated 2024-04-13

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

CMS files one row per role, so the 12 rows in the source record cover these 10 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

2 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.

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