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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J3 | K1 | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D20 | E18 | F10 |
| Minimal | A· | B· | C2 |
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 | |
|---|---|---|---|---|---|---|
| Aug 29, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Aug 21, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jun 23, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Sep 6, 2025 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Sep 6, 2025 | Health | Health Complaint, Health Standard | 11 | Immediate jeopardy | — | Open → |
| Apr 18, 2025 | Health | Health Complaint | 1 | Immediate jeopardy | — | Open → |
| Mar 7, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Oct 14, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Aug 29, 2024 | Health | Health Complaint | 2 | Immediate jeopardy | — | Open → |
| Jun 27, 2024 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Jun 27, 2024 | Health | Health Standard | 6 | Potential harm | — | Open → |
| Jun 14, 2023 | Fire safety | Fire Safety Standard | 17 | Potential harm | — | Open → |
| Jun 14, 2023 | Health | Health Standard | 6 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Apr 18, 2025 | Civil money penalty (fine) | $13,260 | — | 676033|Fine|113779 |
| Aug 29, 2024 | Denial of payment for new admissions | — | Oct 1, 2024 · 38 days | 676033|Payment Denial|2024-10-01 |
| Aug 29, 2024 | Civil money penalty (fine) | $38,829 | — | 676033|Fine|113175 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J3 | K1 | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D20 | E18 | F10 |
| Minimal | A· | B· | C2 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Aug 29, 2026 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 24, 2026 | Complaint |
| Aug 21, 2026 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Sep 23, 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.
Not part of a CMS-reported chain.
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| American Religious Town Hall Meeting Inc | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Mar 18, 1988 |
| Steven Tandy | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 14% | Jun 2, 2015 |
| Barbara Ecord | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 11% | Jun 2, 2015 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| American Religious Town Hall Meeting Inc | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Mar 18, 1988 |
| Steven Tandy | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 14% | Jun 2, 2015 |
| Barbara Ecord | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 11% | Jun 2, 2015 |
| Glen Caviness | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jul 1, 2016 |
| Barbara Ecord | Individual |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Avir at Hillsboro 411 Old Brandon Road, Hillsboro, TX 76645 CCN 675096 | 0.7 km | 105 | Jul 23, 2026 | 513 IJ1 harm | $107k | |
| Avir at Itasca 409 S Files St, Itasca, TX 76055 CCN 675712 | 16.9 km | 51 | Jul 30, 2026 | 20 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 676033 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 676033 | 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
| Aug 21, 2026 | F-0844 | Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel. Administration Deficiencies · Administration & records | C · Minimal Widespread | Corrected Sep 23, 2026 | Complaint |
| Jun 23, 2026 | 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 | D · Potential harm Isolated | Corrected Jul 8, 2026 | Complaint |
| Sep 6, 2025 | 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 | J · Immediate jeopardy Isolated | Corrected Sep 7, 2025 | Complaint |
| Sep 6, 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 Sep 7, 2025 | Complaint |
| Sep 6, 2025 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 8, 2025 |
| Sep 6, 2025 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 8, 2025 |
| Sep 6, 2025 | F-0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 28, 2025 |
| Sep 6, 2025 | F-0637 | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 28, 2025 |
| Sep 6, 2025 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 28, 2025 |
| Sep 6, 2025 | F-0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Sep 28, 2025 |
| Sep 6, 2025 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Sep 28, 2025 |
| Sep 6, 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 28, 2025 |
| Sep 6, 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 | D · Potential harm Isolated | Corrected Sep 28, 2025 |
| Sep 6, 2025 | 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 | Corrected Sep 28, 2025 |
| Sep 6, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Sep 28, 2025 |
| Apr 18, 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 Apr 19, 2025 | Complaint |
| Mar 7, 2025 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 4, 2025 | Complaint |
| Mar 7, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Apr 4, 2025 | Complaint |
| Oct 14, 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 Nov 8, 2024 | Complaint |
| Aug 29, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | K · Immediate jeopardy Pattern | Corrected Sep 27, 2024 | Complaint |
| Aug 29, 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 | G · Actual harm Isolated | Corrected Sep 27, 2024 | Complaint |
| Jun 27, 2024 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 27, 2025 |
| Jun 27, 2024 | 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 | E · Potential harm Pattern | Corrected Feb 25, 2025 |
| Jun 27, 2024 | K-0223 | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 27, 2025 |
| Jun 27, 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 | D · Potential harm Isolated | Corrected Jun 30, 2024 |
| Jun 27, 2024 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jul 10, 2024 |
| Jun 27, 2024 | 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 Jun 30, 2024 |
| Jun 27, 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 | D · Potential harm Isolated | Corrected Jun 28, 2024 |
| Jun 27, 2024 | 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 | E · Potential harm Pattern | Corrected Jul 10, 2024 |
| Jun 27, 2024 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | C · Minimal Widespread | Corrected Jun 30, 2024 |
| Jun 14, 2023 | E-0004 | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Aug 4, 2023 |
| Jun 14, 2023 | E-0006 | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Aug 15, 2023 |
| Jun 14, 2023 | E-0030 | List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Aug 15, 2023 |
| Jun 14, 2023 | 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 19, 2023 |
| Jun 14, 2023 | 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 | E · Potential harm Pattern | Corrected Jul 28, 2023 |
| Jun 14, 2023 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 9, 2023 |
| Jun 14, 2023 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 28, 2023 |
| Jun 14, 2023 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 3, 2023 |
| Jun 14, 2023 | K-0352 | Properly install and monitor supervisory attachments on automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 9, 2023 |
| Jun 14, 2023 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 21, 2023 |
| Jun 14, 2023 | K-0361 | Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 3, 2023 |
| Jun 14, 2023 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 8, 2023 |
| Jun 14, 2023 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 7, 2023 |
| Jun 14, 2023 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 14, 2023 |
| Jun 14, 2023 | K-0900 | Meet Health Care Facilities Code mechanical requirements. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 21, 2023 |
| Jun 14, 2023 | K-0916 | Have a battery powered remote alarm panel in a location accessible by operating personnel. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 17, 2023 |
| Jun 14, 2023 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 9, 2023 |
| Jun 14, 2023 | 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 Jul 6, 2023 |
| Jun 14, 2023 | F-0687 | Provide appropriate foot care. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 15, 2023 |
| Jun 14, 2023 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jun 18, 2023 |
| Jun 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 Jul 11, 2023 |
| Jun 14, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jul 11, 2023 |
| Jun 14, 2023 | F-0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 21, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 1.88 (case-mix index 1.36).
| Corporate officer / director |
| CORPORATE DIRECTOR |
| not provided |
| Jul 1, 2016 |
| Stacie Fautheree | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jul 1, 2016 |
| William Fautheree | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jul 1, 2016 |
| Robin Peters | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2014 |
| Robert Tandy | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Aug 30, 2017 |
| Steven Tandy | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jul 1, 2016 |
| Vicky Tandy | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jul 1, 2016 |
| John Tubbs | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Nov 9, 2015 |
| Stacie Fautheree | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jul 1, 2016 |
| John Tubbs | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Nov 9, 2015 |
| John Tubbs | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | Nov 9, 2015 |