Elder Care Record

Texas › Marion County › Jefferson

Avir At Jefferson

1307 Martin Luther King Dr, Jefferson, TX 75657

CCN 675241 · For-profit, limited liability company · 116 certified beds · chain Avir Health Group

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

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 Jefferson, in Jefferson, Texas, is certified for 116 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 2.

Inspectors recorded 44 health deficiencies across the three most recent survey cycles (16, 11, 17 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 37.9 per 100 beds, more than the state median of 22.5.

CMS lists 2 penalties in the period covered: fines totalling $16K.

Reported nurse staffing is 3.3 hours per resident per day (0.4 RN), close to the Texas median of 3.3; nursing staff turnover is 58.8%.

44health deficiencies, 3 survey cycles2 at actual harm or worse
$16Kfines listed by CMS2 penalties in period
3.3nurse hours per resident per daystate median 3.3
74%occupancy (residents ÷ beds)86 residents a day

Compared with county, state and nation

MeasureThis facilityMarion Co. medianTexas medianUS average
Overall star rating2233.0
Health citations, 3 cycles44442528.7
Citations per 100 beds37.937.922.526.8
Total nurse hours per resident day3.33.33.33.9
RN hours per resident day0.40.40.40.7
Nursing staff turnover58.8%58.8%52.1%45.8%
Fines listed$16,498$16,498$16,801—

County and state figures are medians across facilities (1 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)16
Cycle 211
Cycle 317

Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 3 Dec 2025, 19 Sep 2024.

Severity mix: G ×2 D ×28 E ×11 F ×3

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)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
22 Feb 2026F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.EComplaint investigation13 Mar 2026
22 Feb 2026F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EComplaint investigation13 Feb 2026
3 Dec 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey7 Dec 2025
3 Dec 2025F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard survey7 Dec 2025
3 Dec 2025F0584Honor 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.EStandard survey7 Dec 2025
3 Dec 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard survey7 Dec 2025
3 Dec 2025F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard survey7 Dec 2025
3 Dec 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EStandard survey7 Dec 2025
3 Dec 2025F0880Provide and implement an infection prevention and control program.EStandard survey7 Dec 2025
3 Dec 2025F0552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard survey8 Dec 2025
3 Dec 2025F0641Ensure each resident receives an accurate assessment.DStandard survey7 Dec 2025
3 Dec 2025F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard survey7 Dec 2025
3 Dec 2025F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey7 Dec 2025
3 Dec 2025F0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.DStandard survey7 Dec 2025
3 Dec 2025F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey7 Dec 2025
3 Dec 2025F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey7 Dec 2025
19 Sep 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey18 Oct 2024
19 Sep 2024F0695Provide safe and appropriate respiratory care for a resident when needed.EStandard survey18 Oct 2024
19 Sep 2024F0558Reasonably accommodate the needs and preferences of each resident.DStandard survey18 Oct 2024
19 Sep 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation18 Oct 2024
19 Sep 2024F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard survey18 Oct 2024
19 Sep 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey18 Oct 2024
19 Sep 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey18 Oct 2024
19 Sep 2024F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey18 Oct 2024
19 Sep 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey18 Oct 2024
19 Sep 2024F0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DStandard survey18 Oct 2024
19 Sep 2024F0760Ensure that residents are free from significant medication errors.DStandard survey18 Oct 2024
31 Jul 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation30 Aug 2024
23 Apr 2024F0697Provide safe, appropriate pain management for a resident who requires such services.GComplaint investigation30 Apr 2024
23 Apr 2024F0880Provide and implement an infection prevention and control program.EComplaint investigation30 Apr 2024
20 Sep 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation20 Oct 2023
20 Sep 2023F0908Keep all essential equipment working safely.DComplaint investigation20 Oct 2023
16 Aug 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey12 Sep 2023
16 Aug 2023F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedEStandard survey12 Sep 2023
16 Aug 2023F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation12 Sep 2023
16 Aug 2023F0558Reasonably accommodate the needs and preferences of each resident.DStandard survey12 Sep 2023
16 Aug 2023F0584Honor 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.DStandard survey12 Sep 2023
16 Aug 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey12 Sep 2023
16 Aug 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation12 Sep 2023
16 Aug 2023F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey12 Sep 2023
16 Aug 2023F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey12 Sep 2023
16 Aug 2023F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation12 Sep 2023
16 Aug 2023F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DStandard survey12 Sep 2023
16 Aug 2023F0880Provide and implement an infection prevention and control program.DComplaint investigation12 Sep 2023

Penalties

DateTypeAmountDetail
23 Apr 2024Fine$8,691
20 Sep 2023Fine$7,807

Staffing

Total nursing3.29 h
Nurse aides2.15 h
LPN0.73 h
RN0.41 h
Weekend total2.83 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 58.8%, RNs 54.5%; 1 administrator left in the reporting year.

Quality measures

MeasureResidentsThis facilityTexas medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay16.8%14.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.0%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.9%0.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay5.2%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay3.4%0.7%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay14.2%12.4%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay4.2%3.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay8.4%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: Fannin County Hospital Authority. Chain: Avir Health Group (116 facilities).

OrganisationRole in the CMS recordInterestSince
Fannin County Hospital Authority5% or greater direct ownership interest100%04/01/2018
Welltower Nnn Group, LLCAdp of the snfNOT APPLICABLE08/01/2025
Welltower Op, LLCAdp of the snfNOT APPLICABLE08/01/2025

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Questions and answers

How many deficiencies has Avir At Jefferson been cited for?

44 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.

Has Avir At Jefferson been fined?

Yes. CMS lists fines totalling $16K in the period covered.

How does staffing at Avir At Jefferson compare?

Reported total nurse staffing is 3.3 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.

Who operates Avir At Jefferson?

It is part of the Avir Health Group chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Fannin County Hospital Authority. Individual owners and managers are not listed on this site.

When was Avir At Jefferson last inspected?

The most recent survey or investigation in the CMS record is dated 22 Feb 2026; the most recent standard health survey was 3 Dec 2025.

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.