Texas › Van Zandt County › Grand Saline
Avir At Grand Saline
1638 Vz Cr 1803, Grand Saline, TX 75140
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Avir At Grand Saline, in Grand Saline, Texas, is certified for 120 beds under for-profit, limited liability company ownership and belongs to the Avir Health Group chain.
CMS gives it 2 of 5 stars overall, below the Texas median of 3; the health inspection rating is 2, staffing 2 and quality measures 4.
Inspectors recorded 22 health deficiencies across the three most recent survey cycles (15, 6, 1 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 18.3 per 100 beds, about the same as the state median of 22.5.
CMS lists 1 penalty in the period covered: fines totalling $8K.
Reported nurse staffing is 3.7 hours per resident per day (0.2 RN), close to the Texas median of 3.3; nursing staff turnover is 42.0%.
Compared with county, state and nation
| Measure | This facility | Van Zandt Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 22 | 10 | 25 | 28.7 |
| Citations per 100 beds | 18.3 | 14.5 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.7 | 3.4 | 3.3 | 3.9 |
| RN hours per resident day | 0.2 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 42.0% | 50.0% | 52.1% | 45.8% |
| Fines listed | $8,410 | $8,410 | $16,801 | — |
County and state figures are medians across facilities (6 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 4 Feb 2026, 13 Nov 2024.
Severity mix: J ×1 D ×12 E ×8 F ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 13 Jun 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 5 Jul 2026 |
| 22 Mar 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 26 Mar 2026 |
| 4 Feb 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 21 Mar 2026 |
| 4 Feb 2026 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | E | Standard survey | 21 Mar 2026 |
| 4 Feb 2026 | F0679 | Provide activities to meet all resident's needs. | E | Standard survey | 21 Mar 2026 |
| 4 Feb 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 21 Mar 2026 |
| 4 Feb 2026 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 21 Mar 2026 |
| 4 Feb 2026 | F0680 | Ensure the activities program is directed by a qualified professional. | D | Standard survey | 21 Mar 2026 |
| 4 Feb 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 21 Mar 2026 |
| 29 Oct 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 9 Sep 2025 |
| 29 Oct 2025 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | Complaint investigation | 1 Dec 2025 |
| 29 Oct 2025 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Complaint investigation | 1 Dec 2025 |
| 29 Oct 2025 | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | Complaint investigation | 1 Dec 2025 |
| 29 Oct 2025 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Complaint investigation | 1 Dec 2025 |
| 29 Oct 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 1 Dec 2025 |
| 9 May 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 10 May 2025 |
| 9 May 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 10 May 2025 |
| 9 May 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 10 May 2025 |
| 13 Nov 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 14 Nov 2024 |
| 13 Nov 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 14 Nov 2024 |
| 13 Nov 2024 | F0726 | 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. | D | Standard survey | 14 Nov 2024 |
| 18 Oct 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 19 Oct 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 29 Oct 2025 | Fine | $8,410 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 42.0%, RNs —; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 14.9% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.4% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.4% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 6.4% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 13.7% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.4% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 15.2% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: 1638 Vz Cr 1803 Opco Llc. Chain: Avir Health Group (116 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| 1638 Vr Cr 1803 Holdings, LLC | 5% or greater direct ownership interest | 100% | 04/01/2025 |
| Tx SNF Holdings ,LLC | 5% or greater indirect ownership interest | 100% | 04/01/2025 |
| 1638 Vz Cr 1803 Property Owner, LLC | 5% or greater security interest | NOT APPLICABLE | 04/01/2025 |
| Welltower Inc | 5% or greater security interest | NOT APPLICABLE | 04/01/2025 |
| Welltower Nnn Group, LLC | 5% or greater security interest | NOT APPLICABLE | 04/01/2025 |
| Welltower Op, LLC | 5% or greater security interest | NOT APPLICABLE | 04/01/2025 |
| 1638 Vz Cr 1803 Property Owner, LLC | Adp of the snf | NOT APPLICABLE | 04/01/2025 |
| Welltower Inc | Adp of the snf | NOT APPLICABLE | 04/01/2025 |
| Welltower Nnn Group, LLC | Adp of the snf | NOT APPLICABLE | 04/01/2020 |
| Welltower Op, LLC | Adp of the snf | NOT APPLICABLE | 04/01/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Van Zandt County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Crestwood Health and Rehabilitation Center | Wills Point | 117 | 5 | 5 | 2 | 10 | 8.5 | — | 7 Jan 2026 |
| Azalea Trail Nursing and Rehabilitation Center | Grand Saline | 72 | 4 | 5 | 3 | 1 | 1.4 | — | 19 Nov 2025 |
| Canton Oaks | Canton | 120 | 4 | 4 | 3 | 4 | 3.3 | $49K | 26 Mar 2025 |
| Van Healthcare | Van | 60 | 4 | 4 | 2 | 10 | 16.7 | — | 14 Jan 2026 |
| Avir At Bradburn | Grand Saline | 76 | 1 | 2 | 1 | 11 | 14.5 | $136K | 21 May 2026 |
All 6 facilities in Van Zandt County
Questions and answers
How many deficiencies has Avir At Grand Saline been cited for?
22 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Avir At Grand Saline been fined?
Yes. CMS lists fines totalling $8K in the period covered.
How does staffing at Avir At Grand Saline compare?
Reported total nurse staffing is 3.7 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Avir At Grand Saline?
It is part of the Avir Health Group chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include 1638 Vr Cr 1803 Holdings, LLC and Tx SNF Holdings ,LLC. Individual owners and managers are not listed on this site.
When was Avir At Grand Saline last inspected?
The most recent survey or investigation in the CMS record is dated 13 Jun 2026; the most recent standard health survey was 4 Feb 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.