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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J4 | K1 | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D32 | E30 | F4 |
| Minimal | A· | B· | C4 |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Jul 10, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 23, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 15, 2026 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Apr 24, 2026 | Health | Health Complaint | 1 | Immediate jeopardy | — | Open → |
| Jan 30, 2026 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Dec 31, 2025 | Health | Health Complaint | 7 | Potential harm | — | Open → |
| Nov 24, 2025 | Health | Health Complaint | 4 | Potential harm | — | Open → |
| Aug 29, 2025 | Fire safety | Fire Safety Standard | 6 | Potential harm | — | Open → |
| Aug 29, 2025 | Health | Health Standard | 6 | Immediate jeopardy | — | Open → |
| Aug 13, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 10, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Mar 10, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 30, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 22, 2024 | Health | Health Complaint | 2 | Immediate jeopardy | — | Open → |
| Jun 28, 2024 | Fire safety | Fire Safety Standard | 12 | Potential harm | — | Open → |
| Jun 28, 2024 | Health | Health Standard | 7 | Potential harm | — | Open → |
| May 8, 2024 | Health | Health Complaint | 2 | Immediate jeopardy | — | Open → |
| Dec 2, 2023 | Health | Health Complaint | 5 | Immediate jeopardy | — | Open → |
| Apr 14, 2023 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Apr 14, 2023 | Health | Health Standard | 7 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Apr 24, 2026 | Civil money penalty (fine) | $10,631 | — | 455020|Fine|138941 |
| Aug 29, 2025 | Civil money penalty (fine) | $11,901 | — | 455020|Fine|134901 |
| Dec 22, 2024 | Civil money penalty (fine) | $83,564 | — | 455020|Fine|113476 |
| May 8, 2024 | Civil money penalty (fine) | $43,687 | — | 455020|Fine|112833 |
| Dec 2, 2023 | Denial of payment for new admissions | — | Dec 29, 2023 · 5 days | 455020|Payment Denial|2023-12-29 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J4 | K1 | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D32 | E30 | F4 |
| Minimal | A· | B· | C4 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jul 10, 2026 | F-0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 31, 2026 | Complaint |
| May 23, 2026 | F-0680 | Ensure the activities program is directed by a qualified professional. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jun 21, 2026 | Complaint |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
118 facilities in 1 states. CMS chain ID 719.
Chain average overall rating (CMS): 2.2
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| 821 US Highway 81 W Holdings LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Oct 1, 2025 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| 821 US Highway 81 W Holdings LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Oct 1, 2025 |
| Gary Allen | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 1, 2025 |
| James Chudleigh | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 1, 2025 |
| Aaron Travitsky | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 1, 2025 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Avir at Beaumont 4195 Milam Street, Beaumont, TX 77707 CCN 455001Abuse icon | 214 | Aug 24, 2026 | 582 IJ2 open | $40k | |
| Avir at Rose Trail |
Coordinates as published by CMS (geocoding footnote 22).
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Legend Oaks Healthcare and Rehabilitation - New Br 2468 Fm 1101, New Braunfels, TX 78130 CCN 676392 | 1.7 km | 126 | May 20, 2026 | 42 | — | |
| Sundance Inn Health Center 2034 Sundance Parkway, New Braunfels, TX 78130 CCN 676472 | 2.1 km | 128 | Aug 21, 2026 | 422 IJ | $6,364 | |
| Eden Home 631 Lakeview Blvd, New Braunfels, TX 78130 CCN 455618 | 4.7 km | 122 | May 1, 2026 | 432 IJ | $45k | |
| Kirkwood Manor 2590 Loop 337 N, New Braunfels, TX 78130 CCN 455732 | 7.8 km | 162 | Jun 17, 2026 | 691 IJ | $29k | |
| Cypress Healthcare and Rehabilitation Center 1351 Sadler, San Marcos, TX 78666 CCN 676226 | 19 km | 174 | Jun 25, 2026 | 474 IJ1 harm | $192k | |
| Hays Nursing and Rehabilitation Center 1900 Medical Parkway, San Marcos, TX 78666 CCN 455960 | 19.9 km | 116 | Mar 5, 2026 | 312 IJ | $8,226 | |
| San Marcos Rehabilitation and Healthcare Center 1600 N I H 35, San Marcos, TX 78666 CCN 675651 | 22.4 km | 129 | Dec 30, 2025 | 252 IJ1 harm | $34k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 455020 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 455020 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Dec 2, 2023 | Civil money penalty (fine) | $8,312 | — | 455020|Fine|111848 |
| May 15, 2026 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jun 14, 2026 | Complaint |
| May 15, 2026 | F-0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Jun 14, 2026 | Complaint |
| May 15, 2026 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jun 14, 2026 | Complaint |
| Apr 24, 2026 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | J · Immediate jeopardy Isolated | Past non-compliance | Complaint |
| Jan 30, 2026 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 31, 2026 | Complaint |
| Jan 30, 2026 | F-0584 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jan 31, 2026 | Complaint |
| Jan 30, 2026 | F-0840 | Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Feb 4, 2026 | Complaint |
| Dec 31, 2025 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 1, 2026 | Complaint |
| Dec 31, 2025 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 1, 2026 | Complaint |
| Dec 31, 2025 | F-0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jan 1, 2026 | Complaint |
| Dec 31, 2025 | F-0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jan 1, 2026 | Complaint |
| Dec 31, 2025 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jan 1, 2026 | Complaint |
| Dec 31, 2025 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jan 1, 2026 | Complaint |
| Dec 31, 2025 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | C · Minimal Widespread | Corrected Jan 1, 2026 | Complaint |
| Nov 24, 2025 | F-0584 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 26, 2025 | Complaint |
| Nov 24, 2025 | F-0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 26, 2025 | Complaint |
| Nov 24, 2025 | F-0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Nov 26, 2025 | Complaint |
| Nov 24, 2025 | F-0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 24, 2025 | Complaint |
| Aug 29, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Corrected Aug 30, 2025 |
| Aug 29, 2025 | E-0004 | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Sep 26, 2025 |
| Aug 29, 2025 | E-0032 | Provide primary/alternate means for communication. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Sep 26, 2025 |
| Aug 29, 2025 | K-0222 | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 26, 2025 |
| Aug 29, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 26, 2025 |
| Aug 29, 2025 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 26, 2025 |
| Aug 29, 2025 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 26, 2025 |
| Aug 29, 2025 | F-0638 | Assure that each resident’s assessment is updated at least once every 3 months. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 30, 2025 |
| Aug 29, 2025 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Sep 26, 2025 |
| Aug 29, 2025 | F-0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Sep 26, 2025 |
| Aug 29, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Sep 26, 2025 |
| Aug 29, 2025 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety | C · Minimal Widespread | No revisit needed |
| Aug 13, 2025 | F-0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 30, 2025 | Complaint |
| Jul 10, 2025 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 10, 2025 | Complaint |
| Jul 10, 2025 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 10, 2025 | Complaint |
| Mar 10, 2025 | F-0679 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Apr 10, 2025 | Complaint |
| Jan 30, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jan 30, 2025 | Complaint |
| Dec 22, 2024 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | K · Immediate jeopardy Pattern | Corrected Dec 23, 2024 | Complaint |
| Dec 22, 2024 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Dec 23, 2024 | Complaint |
| Jun 28, 2024 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 26, 2024 |
| Jun 28, 2024 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 24, 2024 |
| Jun 28, 2024 | K-0341 | Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 29, 2024 |
| Jun 28, 2024 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 25, 2024 |
| Jun 28, 2024 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 25, 2024 |
| Jun 28, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 25, 2024 |
| Jun 28, 2024 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 24, 2024 |
| Jun 28, 2024 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 31, 2024 |
| Jun 28, 2024 | K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 24, 2024 |
| Jun 28, 2024 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 24, 2024 |
| Jun 28, 2024 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 24, 2024 |
| Jun 28, 2024 | F-0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 31, 2024 |
| Jun 28, 2024 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jul 31, 2024 |
| Jun 28, 2024 | F-0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jul 31, 2024 |
| Jun 28, 2024 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jul 31, 2024 |
| Jun 28, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jul 31, 2024 |
| Jun 28, 2024 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 7, 2024 |
| Jun 28, 2024 | F-0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 31, 2024 |
| Jun 28, 2024 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety | C · Minimal Widespread | Waiver granted Jun 27, 2024 |
| May 8, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Corrected May 16, 2024 | Complaint |
| May 8, 2024 | F-0602 | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 16, 2024 | Complaint |
| Dec 2, 2023 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Corrected Jan 3, 2024 | Complaint |
| Dec 2, 2023 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Past non-compliance Sep 1, 2023 | Complaint |
| Dec 2, 2023 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 3, 2024 | Complaint |
| Dec 2, 2023 | F-0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Past non-compliance Sep 1, 2023 | Complaint |
| Dec 2, 2023 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Past non-compliance Sep 1, 2023 | Complaint |
| Apr 14, 2023 | K-0344 | Have an alternate power supply for its alarm system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 14, 2023 |
| Apr 14, 2023 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 29, 2023 |
| Apr 14, 2023 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 28, 2023 |
| Apr 14, 2023 | F-0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 28, 2023 |
| Apr 14, 2023 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 28, 2023 |
| Apr 14, 2023 | F-0803 | 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. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Apr 28, 2023 |
| Apr 14, 2023 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Apr 28, 2023 |
| Apr 14, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Apr 28, 2023 |
| Apr 14, 2023 | F-0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected Apr 28, 2023 |
| Apr 14, 2023 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety | C · Minimal Widespread | Waiver granted Apr 14, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.51 (case-mix index 1.31).
| 821 US Highway 81 W Property Owner LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2025 |
| Welltower Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2025 |
| Welltower Nnn Group, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2025 |
| Welltower Op LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2025 |
| Gary Allen | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2025 |
| James Chudleigh | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2025 |
| 172 |
| Aug 14, 2026 |
639 IJ3 harm |
| $484k |
| Avir at Petal Hill 900 S Baxter Ave, Tyler, TX 75701 CCN 455485Abuse icon | 120 | May 13, 2026 | 352 IJ | $26k |
| Avir at Jeffrey Place 820 Jeffrey Dr, Waco, TX 76710 CCN 455489 | 95 | Apr 9, 2026 | 452 IJ | $22k |
| Avir at Temple West 1700 Marlandwood Rd, Temple, TX 76502 CCN 455522 | 104 | Dec 18, 2025 | 312 IJ1 open | $7,257 |
| Avir at Center 280 Moffitt Dr, Center, TX 75935 CCN 455550 | 137 | Jul 23, 2025 | 271 IJ | $9,113 |
| Avir at Graham 1224 Corvadura St, Graham, TX 76450 CCN 455555 | 116 | Aug 14, 2025 | 33 | — |
| Avir at Town Creek 1816 Tile Factory Rd, Palestine, TX 75801 CCN 455565 | 102 | Feb 18, 2026 | 302 harm | $49k |