Avir at Texarkana

Location & what’s nearby

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

Quality measures — how residents actually fare

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

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

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

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

Weekend therapy: weekend therapy hours are 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 110 beds and averages 47.8 residents a day — about 43% occupied, or roughly 62 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 4.56 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.57 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.10 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 4.25 hrs/resident/day on weekends vs 4.68 on weekdays — 9% thinner on weekends. RN hours go from 0.67 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 62% 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 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.

33 citations, most serious first. The 13 most serious are shown; the remaining 20 are one tap away and print in full.

• Immediate jeopardy · Jcited before2026-04-30 · 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 were free from abuse for 1 of 10 residents (Resident #1) reviewed for abuse. 1. The facility failed to ensure Resident #1 was free from physical abuse on 01/30/26, when CNA A open-handed slapped Resident #1 in the face, which was witnessed by CNA B. 2. The facility failed to ensure Resident #1 was protected from further abuse by CNA A on 01/30/26, when CNA B briefly left the room to notify the nurse. The noncompliance was identified as PNC. The immediate jeopardy (IJ) began on 01/30/26 and ended on 02/02/26. The facility had corrected the noncompliance before the survey began. These failures could place residents at risk of serious adverse psychosocial outcome such as fear, anxiety, shame or guilt, depression, withdrawal from activities, helplessness, low self-worth, and post-traumatic responses such as flashbacks, nightmares, or increased startle responses. The findings included: Record review of the face sheet, dated…

  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 · J2026-03-06 · tag F0697 — failed to manage pain — isolated
  Provide safe, appropriate pain management for a resident who requires such services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to ensure pain management was provided to residents who require such services, consistent with professional standards of practice for 1 of 3 residents (Resident #2) reviewed for pain. The facility failed to ensure Resident #2 had his scheduled pain medication Hydrocodone-Acetaminophen tablet 10-325 mg by mouth three times daily from [DATE] - [DATE]. The facility failed to notify the Physician when Resident #2 was experiencing uncontrolled, excruciating pain with behavioral changes. The facility failed to ensure that Resident #2 received adequate pain medication management options. An IJ was identified on [DATE]. The IJ template was provided to the facility on [DATE] at 09:49 AM. While the IJ was removed on [DATE], the facility remained out of compliance at a potential for more than minimal harm with a scope identified as isolated due to the facility's need to complete in-service training and evaluate the effectiveness of the corrective…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · J2026-03-06 · tag F0755 — failed to provide safe pharmacy services — isolated
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, observation and record review, the facility failed to provide pharmaceutical services, including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals, to meet the needs of each resident for 2 of 4 residents (Resident #1 and Resident #2) reviewed for pharmacy services. The facility failed to administer Resident #1's ordered Topamax 25 mg (seizure prevention medication) by the physician from 02/10/2026 - 02/15/2026 (5 days). Resident #1 missed 15 dosages of Topamax resulting in Resident #1 being hospitalized for seizure like activity on 02/13/2026 and 02/15/2026. The facility failed to obtain Resident #1's ordered Topamax (medication used to decrease seizure activity) 25 mg from the pharmacy as instructed by the facility Nurse Practitioner on 02/13/2026. The facility failed to follow their policies on verifying and obtaining medications as ordered from their pharmacy when staff failed to follow up on the status of Resident #1's…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-12-04 · 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 interviews and record review, the facility failed to notify the resident's representative and hospice services when there were changes in the resident's physical, mental, or psychosocial status for 1 of 11 residents (Resident #1) reviewed for notification of changes.The facility failed to notify Resident #1's hospice agency and her RP of a falls on [DATE] and [DATE] The facility failed to notify Resident #1's hospice agency and her RP of bruising to her hand and foot on [DATE]. The facility failed to notify Resident #1's RP of behavioral changes or medication changes on [DATE]. The facility failed to notify Resident #1's RP of two falls, behavioral changes, and medication changes on [DATE].The facility failed to notify Resident #1's RP of a fall on [DATE]. These failures could place residents at risk of not receiving adequate and timely intervention and a decline in condition. Findings included:Record review of Resident #1's face sheet dated [DATE] indicated she was [AGE] years old and was admitted to…

  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 · D2025-12-04 · tag F0842 — failed to keep accurate, complete medical records — isolated
  Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  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, in accordance with accepted professional standards and practices, medical record maintained for each resident were complete and accurately documented for 1 of 11 residents (Resident #1) reviewed for resident records. The facility failed to ensure LVN C documented the incident/fall on 11/20/2025 reported by the hospice aide (CNA G). This failure could place residents at risk for delayed interventions, appropriate interventions, health complications and decreased quality of life. Findings include:Record review of Resident #1's face sheet dated 12/03/25 indicated she was [AGE] years old and was admitted to the facility on [DATE]. Resident #1 had diagnoses which included cerebral infarction (stroke-disruption of blood flow to the brain causing tissue damage), hemiplegia and hemiparesis (paralysis (unable to move) and/or muscle weakness on one side of the body) of right side, mood disorder, anxiety disorder, Alzheimer's (progressive brain disorder…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-11-21 · 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 store, prepare, distribute, and serve food in accordance with professional standards for food service safety in the facility's only kitchen reviewed for food safety requirements.1. The facility failed to ensure Dishwasher A wore a facial covering to cover facial hair while serving food in the kitchen on 11/05/25.2. The facility failed to ensure Dishwasher A wore a hairnet and facial covering to cover his hair and facial hair while in the kitchen area on 11/06/25.3. The facility failed to ensure [NAME] B wore a facial covering to cover facial hair while preparing food in the kitchen on 11/06/25.These failures could place residents at risk for food contamination.Findings included:During initial tour observations and interview of the kitchen on 11/05/25 beginning at 4:35 PM, revealed [NAME] G was plating food and Dishwasher A was adding drinks and desserts to the meal tray and covered the food with a plate cover. Dishwasher A was noted to have facial hair above his upper lip and on his chin approximately 1/2…

  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 · Dcited before2025-11-21 · 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 record review, the facility failed to ensure each resident received adequate supervision and assistance devices to prevent accidents for 1 of 2 memory care units and 2 of 9 residents (Resident #1 and Resident #2) reviewed for adequate supervision to prevent accidents.The facility failed to ensure the residents in the Unit 2 Memory Care were adequately supervised while CNA C was in another resident's room getting residents up for breakfast and there was no other staff in the memory unit on 10/09/25, which left residents unsupervised in the dining area resulting in Resident #1 and Resident #2 getting into an altercation.This failure could place residents at an increased risk of injury.Findings included:1. Record review of Resident #1's face sheet dated 11/05/25 revealed he was [AGE] years old and admitted to the facility initially on 1/22/21 and re-admitted [DATE]. Resident #1 had diagnoses including Alzheimer's disease (progressive neurodegeneration (brain deterioration) that affects…

  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 · Fcited before2025-06-11 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed for kitchen sanitation. 1. The facility failed to ensure food stored in the kitchen refrigerator and freezer was labeled and dated on 6/9/25. 2. The facility failed to ensure food stored in the pantry was labeled and dated on 6/9/25. 3. The facility to ensure pitchers of prepared drinks were labeled and dated on 6/9/25, 6/10/25 and 6/11/25. 4. The facility failed to ensure the handwashing sink had paper towels on 6/9/25. 5. The facility failed to ensure refrigerators and freezers temperatures were recorded on 6/9/25. 6. The facility failed to ensure the refrigerator temperature did not get out of range and no record of interventions to correct the temperature on 6/4/25 (AM) and 6/11/25 (AM). 7. The facility failed to properly store raw meat in the refrigerator. 8. The facility failed to ensure the flour…

  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 · E2025-06-11 · tag F0679 — failed to provide activities — pattern
  Provide activities to meet all resident's needs.
  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 provide an ongoing program to support residents in their choice of activities, both facility-sponsored group and individual activities and independent activities, designed to meet the interests of and support the physical, mental, and psychosocial well-being for residents 1 of 1 secure unit reviewed for activities, in that: The facility failed to ensure there were organized activities available to secured unit residents on 6/9/25 and 6/10/25. The facility failed to ensure a current activities calendar was posted in the resident's room. The facility failed to ensure the posted activities calendar was followed. These failures placed residents at risk for a diminished quality of life, behaviors, isolation, and lack of stimulation. Findings included: During an observation of the women's secured unit on 6/9/25 starting at 9:48 a.m., eleven out of eleven residents had May 2025 calendar posted in their rooms. During an observation of the women's secured unit on 6/9/25 at 9:58 a.m., the centrally located group…

  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 before2025-06-11 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
  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 each resident received adequate supervision and assistance devices to prevent accidents for 1 of 2 memory care units (Women's Memory Care) and 2 of 5 residents (Resident #39 and Resident #25) reviewed for adequate supervision and assistive device to prevent accidents. The facility failed to ensure the residents in the Women's Memory Care were supervised while CNA O was in a resident's room with the door closed and CNA B left the Women's Memory Care unit to go to the Men's Memory Care unit on 6/10/25 for at least five minutes. The facility failed to ensure Resident #39's wheelchair brakes engaged on 6/9/25 and 6/10/25. The facility failed to ensure Resident #25 had proper footwear on 6/9/25, 6/10/25 and 6/11/25. These failures could place residents at an increased risk for injury. Findings included: 1. Record review of Resident #1's face sheet dated 06/10/25 indicated Resident #1 was an 81-years-old female admitted to the facility 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
• Potential for harm · E2025-06-11 · tag F0759 — failed to keep medication error rate low — pattern
  Ensure medication error rates are not 5 percent or greater.
  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 a medication error rate of less than 5 percent. There were 11 errors out of 32 opportunities, resulting in a 34.38 percent medication error rate for 3 of 4 residents reviewed for medication error. (Resident's #6, #16, and #25) The facility did not ensure the following: 1. Resident #25 was given calcium plus vitamin D3 500 mg, citalopram 20 mg (antidepressant), and MiraLAX 17 GM (laxative) as ordered by the physician during the medication pass on 06/10/25. 2. Resident #16 was given aspirin 81mg (delayed release), Senna-S (laxative), potassium 10 mEq, and primidone 50 mg (anticonvulsant) as ordered by the physician during the medication pass on 06/10/25. 3. Resident #16's atenolol (blood pressure medication) was held for a heart rate of 58, according to the ordered parameters of hold for heart rate less than 60 on 06/10/25. 4. Resident #6 was given famotidine 40 mg and Tums 1,000 mg, for indigestion, as ordered by the physician during the medication pass on 06/10/25. 5. Resident #6 was not given zinc 50…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-06-11 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  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 an infection prevention and control program designed to provide a safe and sanitary environment and to help prevent the development and transmission of communicable diseases and infections for 4 (Resident #25, Resident #39, Resident #1 and Resident #13) of 15 residents reviewed for infection control. The facility failed to ensure CNA L performed hand hygiene between going back and forth, several times, feeding Resident #25 and Resident #39 lunch on 06/09/25. The facility failed to ensure COTA M performed hand hygiene between going back and forth, feeding Resident #1 and Resident #13 lunch on 06/09/25. These failures could place residents at risk for cross-contamination and the spread of infection. Findings included: 1. Record review of Resident #25's face sheet dated 6/10/25 indicated Resident #25 was a [AGE] year-old female admitted to the facility on [DATE]. Resident #25 had diagnosis including pseudobulbar affect (is 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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-06-11 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interviews, and record review, the facility failed to treat each resident with respect and dignity and provide care in a manner that promoted maintenance or enhancement of his or her quality of life for 2 of 17 residents (Resident #28 and Resident #39) reviewed for resident rights. 1. The facility failed to ensure COTA G treated Resident #28 with respect, had a dignified existence, and was not pulled backwards in a geriatric reclining rolling chair. 2. The facility failed to ensure CNA L assisted Resident #39 with eating in a dignified manner on 6/09/25. These failures could place residents at risk of humiliation, diminished quality of life, loss of dignity and self-worth. Findings included: 1. Record review of Resident #28's face sheet dated 6/10/25 indicated she was [AGE] years old and was admitted to the facility on initially on 4/15/19 and re-admitted [DATE]. Resident #28 had diagnoses which included Parkinsonism (broad term referring to various neurodegenerative diseases (progressive…

  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

“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

$141,825 in federal fines across 2 penalties.

• $9,350 — penalty dated 2026-04-30
• $132,475 — penalty dated 2026-03-06

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

6 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 74% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself.

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

Cost & finances

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

What families pay in TX