Avir at Overton

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.

Therapy staffing: this home’s payroll records show 0.70 therapist hours per resident per day in 2026Q1 — more than 92% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 27% 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 100 beds and averages 47.3 residents a day — about 47% occupied, or roughly 53 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. 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 3.77 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.28 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.60 is at or above 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 3.62 hrs/resident/day on weekends vs 3.83 on weekdays — 5% thinner on weekends. RN hours go from 0.28 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 58% is well above the national median of 45%. 1 administrator has left in the past year.

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 unchanged from the previous inspection. 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.

41 citations, most serious first. The 23 most serious are shown; the remaining 18 are one tap away and print in full.

• Immediate jeopardy · Jcited before2026-05-20 · tag F0607 — failed to have anti-abuse policies — isolated
  Develop and implement policies and procedures to prevent abuse, neglect, and theft.
  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 implement written policies and procedures that prohibit and prevent abuse 1 of 4 residents (Resident #1) reviewed for developing and implementing abuse and neglect policies. 1. The facility failed to report to the state and thoroughly investigate an allegation of abuse reported on 5/3/26 after the hospitality aide reported to the ADM, DON, and ADON that CNA B was being rough with Resident #1 in the shower. 2.The facility failed to report to the state and thoroughly investigate an allegation of abuse on 5/3/26 after a housekeeper observed CNA B forcefully push Resident #1 down into a dining room chair while Resident #1 stated no, no, no.These failures resulted in an identification of an Immediate Jeopardy (IJ) on 5/19/26 at 2:41 p.m. While the IJ was removed on 5/20/26, the facility remained out of compliance at no actual harm that is not immediate jeopardy with a scope identified as isolated due to the facility's need to complete…

  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 · Jcited before2025-08-13 · 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 observation, interview, and record review, the facility failed to ensure residents remained free from physical abuse for 1 of 8 residents (Resident #1) reviewed for physical abuse.The facility failed to protect Resident #1 from resident-to-resident physical abuse on 7/16/25 when Resident #2 hit Resident #1 with a television cord, a nightstand drawer, and a wheelchair footrest causing injuries including facial and scalp lacerations, a fractured globe of the left eye, and a nasal fracture.An Immediate Jeopardy (IJ) situation was determined to have begun on 7/16/2025 and ended on 7/18/25. It was determined to be past non-compliance due to the facility having implemented actions that corrected the non-compliance prior to the beginning of the survey.This failure could place all residents at risk for serious injury and hospitalization.Findings included: Record review of Resident #1's admission record, dated 8/12/25, indicated he was a [AGE] year-old male who was admitted to the facility on [DATE]. 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Past Non-Compliance
• Immediate jeopardy · Jcited before2025-08-13 · 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 residents received adequate supervision to prevent accidents for 1 of 8 residents (Resident #3) reviewed for accidents.The facility failed to keep Resident #3 in a safe environment to prevent an elopement on 7/27/2025 when he followed visitors out of the facility.An Immediate Jeopardy (IJ) situation was determined to have begun on 07/27/2025 and ended on 08/01/2025. It was determined to be past non-compliance due to the facility had corrected the noncompliance before the survey began. This failure could place residents at risk for serious injury and accidentsFindings included: Review of an undated admission record for Resident #3 indicated he was a [AGE] year-old male admitted to the facility on [DATE] with diagnoses of Alzheimer's disease (progressive cognitive decline) and schizoaffective disorder, bipolar type (combines schizophrenia and bipolar features). Review of a quarterly MDS dated [DATE] indicated he had a BIMS of 0 which…

  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
• Immediate jeopardy · Jcited before2025-01-26 · 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 interview and record review, the facility failed to ensure all residents were free from neglect for 1 of 5 residents (Resident #1) reviewed for neglect. RN A did not call 911 for emergency services for Resident #1 until approximately 29 minutes after discovering Resident #1 unresponsive on [DATE]. CPR was not initiated on Resident #1 on [DATE] until approximately 9:52 PM when Fire Department arrived and began resuscitation attempts. Resident #1 was pronounced deceased at approximately 10:27 PM after Justice of the Peace arrived. The facility staff failed to provide life saving measures to Resident #1 who was identified as being full code after he was found unresponsive in his room. These failures resulted in an identification of an Immediate Jeopardy (IJ) on [DATE] at 5:50 p.m. While the IJ was removed on [DATE], the facility remained out of compliance at no actual harm with potential for more than minimal harm that is not immediate jeopardy with a scope identified as isolated due to the facility's need…

  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 · J2025-01-26 · tag F0678 — failed to provide CPR when needed — isolated
  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 ensure basic life support, including cardiopulmonary resuscitation (CPR), was provided to a resident requiring such emergency care prior to the arrival of emergency medical personnel and subject to related physician orders and the resident's advance directives for 1 of 5 (Resident #1) residents reviewed for CPR. The facility failed to ensure staff performed CPR on [DATE] for Resident #1 who was identified as a full code . CPR was not initiated prior to emergency services arrival. The facility failed to ensure staff utilized the AED on [DATE] when Resident #1 was found unresponsive. The facility failed to follow their policy and procedure for Emergency Procedure - Cardiopulmonary Resuscitation. These failures resulted in an identification of an Immediate Jeopardy (IJ) on [DATE] at 5:50 p.m. While the IJ was removed on [DATE], the facility remained out of compliance at no actual harm with potential for more than minimal harm that is not immediate…

  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 before2023-10-26 · 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 were free from abuse for 5 of 6 residents (Resident #3, Resident #20, Resident #21, Resident #23, and Resident #24) reviewed for Resident Abuse. 1. The facility failed to protect Resident #3 from abuse by Resident #20. On [DATE] Resident #20 tried to choke Resident #3. 2. The facility failed to protect Resident #21 from abuse by Resident #20. On [DATE] Resident #20 attempted to strike Resident #21 and both fell to floor. 3. The facility failed to protect Resident #3 from abuse by Resident #20. On [DATE] Resident #20 bit Resident #3 on the thumb causing a skin tear, leading to an infection requiring treatment. 4. The facility failed to protect Resident #20 from abuse by Resident #23. On [DATE] Resident #20 was involved in an altercation with Resident #23 and Resident #23 hit Resident #20 causing him to fall. 5. The facility failed to protect Resident #20 from abuse by Resident #25. On [DATE] Resident #20 wandered into…

  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 · Kcited before2023-10-26 · tag F0607 — failed to have anti-abuse policies — pattern
  Develop and implement policies and procedures to prevent abuse, neglect, and theft.
  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 implement written policies and procedures that prohibit abuse/neglect for 5 of 6 residents (Resident #3, Resident #20, Resident #21, Resident #23, and Resident #24) reviewed for incidents. The facility failed to implement their abuse policy and program to prevent abuse when: 1. On 6/5/23 Resident #20 tried to choke Resident #3. 2 On 6/14/23 Resident #20 attempted to strike Resident #21 and both fell to floor. 3.On 6/14/23 Resident #20 bit Resident #3 on the thumb causing a skin tear, leading to an infection requiring treatment. This incident was not investigated or reported. 4.On 6/20/23 Resident #20 was involved in an altercation with Resident #23 and Resident #23 hit Resident #20 causing him to fall. 5. On 8/21/23 Resident #20 wandered into Resident #25's room and Resident #25 hit Resident #20 on the head. 6. On 9/18/23 Resident #20 wandered into Resident # 24's room on the male secured unit of the facility and hit him in the face. An…

  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 · K2023-10-26 · tag F0867 — failed to act on quality-improvement findings — pattern
  Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
  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 Quality Assurance and Performance Improvement committee (QAPI) failed to develop and implement appropriate plans of action to correct and identify quality deficiencies for 1 of 1 facility. The facility QAPI failed to identify and implement an action plan to address multiple, resident to resident altercations, that occurred on 6/5/23, 6/14/23, 6/20/23, 8/21/23 and 9/18/23. The facility QAPI failed to identify and implement an action plan to address an elopement that occurred on 6/6/23. These failures resulted in an Immediate Jeopardy (IJ) situation identified on 10/25/23 at 3:49 PM. While the IJ was removed on 10/26/23 at 11:45 AM, the facility remained out of compliance at a severity level of the potential for more than minimal harm with a scope identified as pattern due to the facility's need to evaluate the effectiveness of the corrective systems. These failures could place residents at risk for physical, mental, and psychosocial harm and at risk…

  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
• Immediate jeopardy · Jcited before2023-10-26 · tag F0580 — failed to tell family and doctor about changes — isolated
  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 for one (Resident #3) of nine residents reviewed for a change of condition. The facility failed to notify the physician of a change in condition for Resident #3 after he had thick hardened secretions that could not be removed from his tracheostomy on [DATE] at 10:51 PM. Resident #3 was transported to the hospital in cardiac arrest and later passed away. An Immediate Jeopardy was identified on [DATE] at 7:11 PM. While the Immediate Jeopardy was removed on [DATE] at 5:31 PM, the facility remained out of compliance at a scope of isolated and a severity level of actual harm that is not Immediate Jeopardy due to the facility's need to monitor and evaluate the effectiveness of the plan of removal and corrective actions. This failure could affect residents by placing them at risk for a delay in medical treatment, worsening in condition, and ultimately death. Findings included:…

  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 · Jcited before2023-10-26 · 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 provide adequate supervision and assistance to prevent accidents for 3 of 3 residents reviewed for accidents/supervision (Resident #3, Resident #20, and Resident #26) in that: 1. The facility failed to provide adequate supervision to prevent resident #3's exit from the secured unit on 8/18/23 and 9/2/23. Resident #3 was able to get out of a side door when opened from other side by other staff/residents on 8/18/23 and 9/2/23. 2. The facility failed to provide adequate supervision to prevent resident #20's exit from the secured unit on 5/27/23, 6/1/23, and 6/6/23. Resident #20 was able to get out of side door to secured unit when opened from other side by staff or other residents on 5/27/23 and 6/1/23. The facility failed to ensure emergency exit doorway at end of secured unit was locked when Resident #20 eloped on 6/6/23 and was able to get outside the facility. 3. The facility failed to provide adequate supervision to prevent 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
• Immediate jeopardy · J2023-10-26 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
  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 interview and record review, the facility failed to ensure each resident who needs respiratory care, including tracheostomy care and tracheal suctioning, is provided such care, consistent with professional standards of practice, the comprehensive person-centered care plan, the residents' goals and preferences for 1 (Resident #3) of 9 residents reviewed for assistive devices. The facility failed to promptly identify and intervene when Resident #3 had thick hardened secretions in his tracheostomy. Resident #3 was transported to the hospital in cardiac arrest and later died. An Immediate Jeopardy was identified on [DATE] at 7:11 p.m. While the Immediate Jeopardy was removed on [DATE] at 5:31 p.m., the facility remained out of compliance at a scope of isolated and a severity level of actual harm that is not immediate threat due to the facility's need to evaulate the effectiveness of the corrective systems. This failure could affect residents by placing them at risk for a delay in medical treatment,…

  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 before2023-08-16 · 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 the resident had the right to be free form neglect for 1 (Resident #1) of 5 residents reviewed for neglect. The facility failed to ensure Resident #1's care plan was followed, and interventions were in place. The facility failed to ensure Resident #1 received weekly skin assessments The facility failed to ensure the system they had in place with the podiatrist was in functional in providing Resident #1 with the care needed. The facility failed to ensure aides were assessing skin, and feet when providing care. The facility failed to document and assess Resident #1 when concerns were reported from therapy of Residents #1 being in pain and his feet were bleeding. The failures caused Resident #1 to have part of his foot/toes amputated. An Immediate Jeopardy (IJ) situation was identified 08/15/23 at 3:42 p.m. While the IJ was removed on 08/16/23 at 4:09 p.m., the facility remained out of compliance at a severity level of actual harm that…

  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 · K2023-08-16 · tag F0687 — failed to care for feet properly — pattern
  Provide appropriate foot care.
  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 received proper treatment and care to maintain good foot health for 1 of 5 residents reviewed for foot care. (Resident #1) The facility failed to ensure Resident #1 who had diagnosis of diabetes and was at risk for issues with his feet, received assessments, and treatments. The facility failed to ensure accurate, timely skin assessments. Resident #1 had 7 weekly skin assessments from 5/29/23 through 8/7/23 by 7 different nurses and none of those assessments revealed any foot issues. The facility failed to ensure assessments of Resident #1's feet were completed during baths. Resident #1 had bed baths from 8/4/23 through 8/7/23 from 2 different aides. Those aides did not assess his feet during care. The resident was seen by the Podiatrist on 6/29/23, his toenails were cut, and his right big toe was debrided. A bandage was placed on his toe. The facility failed to ensure podiatry recommendations were followed for 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 · Ecited before2026-04-29 · tag F0727 — failed to provide required RN coverage — pattern
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to use the services of a registered nurse for at least eight consecutive hours a day, 7 days a week for 3 of 3 months (October, November, and December 2025) reviewed for Quarter 1 of the fiscal year 2026.The facility did not have RN coverage for 3 days in October 2025.The facility did not have RN coverage for 4 days in November 2025.The facility did not have RN coverage for 5 days in December 2025.This failure could place residents at risk by leaving staff without supervisory coverage for RN specific nursing activities and for coordination of events such as emergency care and disasters.Findings included:Record review of the RN punch detail hour report for October 2025 indicated there were no RN hours worked on the following dates: October 12, 2025, October 25, 2025, and October 26, 2025.Record review of the RN punch detail hour report for November 2025 indicated there were no RN hours worked on the following dates: November 8. 2025, November 9, 2025, and November 27, 2025.Record review of the RN punch detail hour report for…

  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.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-04-29 · tag F0921 — failed to keep a safe, functional, sanitary building — pattern
  Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interviews and record reviews, the facility failed to provide a safe, clean, comfortable, environment with 2 of 6 halls (Hall A and Hall F) reviewed for environment.The facility failed to ensure ceiling tiles were secure on Halls A and F on 4/27/2026.This failure could place the residents at risk of living in an unsafe, unsanitary, and uncomfortable environment. Findings included:During an observation on 4/27/2026 at 10:34 am, Hall F had multiple ceiling tiles that were detached from the ceiling. One ceiling tile was located by a sprinkler head that had approximately a 2-inch gap that exposed the attic space. Hall F was occupied by residents who resided on the hall.Record review of a Resident List Report dated 4/27/2026 indicated Hall F had 13 residents on the hall.During an observation on 4/27/2026 at 10:48 am, Hall A had multiple ceiling tiles that were detached from the ceiling. Hall A was occupied by residents who resided on the hall.Record review of a Resident List Report dated 4/27/2026 indicated Hall A had 14 residents on the hall.During an observation…

  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 · Dcited before2026-04-29 · 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, and comfortable environment for residents for 3 of 15 residents (Resident #9, Resident #13, and Resident #43) observed for resident environment. The facility failed to ensure the floor in Resident #9 and Resident #13's room did not have damaged and missing bathroom flooring and base of toilet was free of a soiled appearance on 4/27/2026-4/29/2026. The facility failed to ensure the blinds in Resident #43's room were not broken and bent on 4/27/2026-4/29/2026. These failures could place residents at risk for an unsanitary and comfortable environment. Findings included:1.Record review of an admission Record for Resident #9 dated 4/28/2026 indicated she admitted to the facility on [DATE] and was [AGE] years old with diagnoses of dementia (a group of symptoms that affects memory, thinking and interfers with daily life), hypertension (high blood pressure), paranoid schizophrenia (a severe mental disorder that affects how a…

  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 before2026-04-29 · 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

  Based on observation, interview, and record review, the facility failed to maintain an effective pest control program so that the facility was free of pests and rodents for 1 of 1 kitchen reviewed for pest control. The facility failed to ensure the kitchen remained free from roaches on 04/28/2026, during the lunch meal, when a roach was observed crawling on the wall. This failure could place residents at risk for reduced quality of life and poor sanitary environment. Findings:During an observation on 4/28/2026 at 11:03 am, there was a roach crawling on the kitchen wall behind the handwashing station. During an interview on 4/28/2026 at 11:05 am, the Dietary Aide said that she had not seen any roaches in the kitchen recently but in the past if there were roaches, she reported it to the administrator. She said that roaches can spread disease and were unsanitary.During an interview on 4/28/2026 at 11:25 am, the [NAME] said that she had seen roaches on and off in the kitchen and they were usually near the sink areas. She said they kill them and tell the dietary manager. She said roaches…

  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 · D2026-04-29 · tag F0926 — failed to keep the home smoke-free / fire-safe — isolated
  Have policies on smoking.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interviews, and record reviews, the facility failed to ensure it formulated, adopted, and enforced policies regarding smoking, smoking areas, and smoking safety that also consider non-smoking residents for 1 of 2 smoking areas (outside dining room) reviewed for smoking safety.The facility failed to ensure paper was not discarded into the ashtrays and cigarettes butts were not placed in the trash can on 4/27/2026.This failure could place residents at risk of injury, burns, and an unsafe smoking environment.Findings included:During an observation on 4/27/2026 at 11:46 am, the smoking area outside of the dining room had three ashtrays present. Two of the three ashtrays had paper trash. The trash can had a plastic liner with cigarettes butts inside.During an interview on 4/29/2026 at 10:37 am, the Maintenance Supervisor said he had been at the facility since October 2025. He said he and housekeeping staff checked the smoking areas every day for trash and made sure trash and butts were in the right spots. He said trash should be in the trash receptables and butts…

  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 · Dcited before2026-03-11 · tag F0580 — failed to tell family and doctor about changes — isolated
  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 immediately inform the resident, consult with the resident's physician; and notify, consistent with his or her authority, the resident representative where there was a significant change in the resident's physical, mental, or psychosocial status and when there was a need to alter treatment significantly for 1 of 2 residents (Resident #1) reviewed for falls. The facility failed to notify Resident #1's responsible party when he fell on 6/22/26 resulting in a laceration to the bridge of his nose.The facility failed to notify Resident #1's attending physician and responsible party when he fell on 6/27/26. These failures could place residents at risk for delayed treatment, not receiving necessary treatments and medications, and a decreased quality of life.Findings included:Record review of a facility face sheet dated 3/11/26 for Resident #1 indicated he was an [AGE] year-old male admitted to the facility on [DATE] with diagnosis of Senile degeneration 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 · D2026-03-11 · tag F0655 — isolated
  Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
  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 reviews, the facility failed to develop and implement a baseline care plan for each resident that includes the instructions needed to provide effective and person-centered careof the residents that meet professional standards of quality care for 1 of 6 residents (Resident #1) reviewed for baseline care plans.The facility failed to ensure Resident #1's baseline care plan was completed within 48 hours of admission on [DATE]. This failure could affect residents by not addressing their physical, mental, and psychosocial needs for each resident to attain or maintain their highest practicable physical, mental, and psychosocial outcome.Findings included:Record review of a facility face sheet dated 3/11/26 for Resident #1 indicated he was an [AGE] year-old male admitted to the facility on [DATE] with diagnosis of Senile degeneration of brain (a progressive neurodegenerative disorder that primarily affects memory, thinking, and behavior, and is the most common cause of dementia).Record…

  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 before2026-01-13 · 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 Based on interviews, and record reviews, the facility failed to ensure that residents received care and services in accordance with professional standards of practice for 2 of 5 residents (Resident #1 and Resident #2) reviewed for quality of care.The facility failed to ensure Resident #1 and Resident #2 were assessed for injury following a motor vehicle accident on 12/19/2025 in the facility transport van.This failure could place residents at risk for not receiving appropriate care and treatment and/or decline in their health.Findings included:1. Record review of an admission Record for Resident #1, dated 1/12/2026, indicated he was an [AGE] year-old male, admitted [DATE], readmitted [DATE], with diagnoses that included focal traumatic brain injury with loss of consciousness (brain injury), dementia with other behavioral disturbance (decline in thinking, memory and reasoning), and fusion of spine, thoracic region (permanent connects two or more vertebrae).Record review of an Annual MDS Assessment for 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 before2025-11-24 · 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 observations, interviews, and records review the facility failed to ensure residents were free from abuse for 1 of 6 residents (Resident #1) reviewed for abuse, neglect, and exploitation. The facility failed to ensure Resident #1 was free from physical abuse on 10/19/25 at approximately 5:46 p.m. when Resident #2 stomped on Resident #1's foot. This failure could place residents at risk of pain, injury, hospitalization, and diminished quality of life. Findings included: 1. Review of an admission Record for Resident #1 dated 10/21/25 indicated he was a [AGE] year-old male readmitted to the facility on [DATE] with diagnoses of schizoaffective disorder bipolar type (schizophrenia symptoms combined with episodes of mania and/or depression), autistic disorder, and cognitive communication deficit (difficulty communicating due to cognition). Review of a quarterly MDS for Resident #1 dated 9/12/2025 indicated he had moderately impaired cognition with a BIMS of 12. He had not exhibited any physical, verbal, or…

  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
• Potential for harm · Dcited before2025-11-24 · 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 observations, interviews, and records review the facility failed to ensure that all alleged violations involving abuse were reported immediately, but not later than 2 hours, for 1 of 6 residents (Resident #1) reviewed for abuse. The facility failed to ensure RN A and CNA B reported an allegation of abuse to the ADM immediately when Resident #2 stomped Resident #1's foot on 12/19/25. This failure could place residents at risk of continued abuse which could lead to risk of pain, injury, hospitalization, and diminished quality of life. Findings included: 1. Review of an admission Record for Resident #1 dated 10/21/25 indicated he was a [AGE] year-old male readmitted to the facility on [DATE] with diagnoses of schizoaffective disorder bipolar type (schizophrenia symptoms combined with episodes of mania and/or depression), autistic disorder, and cognitive communication deficit (difficulty communicating due to cognition). Review of a quarterly MDS for Resident #1 dated 9/12/2025 indicated he had moderately…

  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

$340,621 in federal fines across 5 penalties.

• $19,615 — penalty dated 2026-05-20
• $8,431 — penalty dated 2025-08-13
• $14,325 — penalty dated 2025-08-13
• $130,686 — penalty dated 2025-01-14
• $167,564 — penalty dated 2023-10-26

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 14 rows in the source record cover these 13 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.

5 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 79% 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. This home reported $300K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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