Elder Care Record

Texas › Dallas County › Lancaster

Avir At Lancaster

1241 Westridge Ave, Lancaster, TX 75146

CCN 675809 · Government, federal · 110 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 Lancaster is a Government, federal nursing home in Lancaster, Texas, certified for 110 beds and caring for about 57 residents a day.

CMS gives it 2 of 5 stars overall, below the Texas median of 3; the health inspection rating is 2, staffing 3 and quality measures 4.

Inspectors recorded 29 health deficiencies across the three most recent survey cycles (13, 9, 7 by cycle, most recent first), 4 of them at the actual-harm or immediate-jeopardy level. That is 26.4 per 100 beds, about the same as the state median of 22.5.

CMS lists 3 penalties in the period covered: fines totalling $43K.

Reported nurse staffing is 3.4 hours per resident per day (0.8 RN), close to the Texas median of 3.3; nursing staff turnover is 63.2%.

29health deficiencies, 3 survey cycles4 at actual harm or worse
$43Kfines listed by CMS3 penalties in period
3.4nurse hours per resident per daystate median 3.3
51%occupancy (residents ÷ beds)57 residents a day

Compared with county, state and nation

MeasureThis facilityDallas Co. medianTexas medianUS average
Overall star rating2233.0
Health citations, 3 cycles29282528.7
Citations per 100 beds26.422.022.526.8
Total nurse hours per resident day3.43.33.33.9
RN hours per resident day0.80.40.40.7
Nursing staff turnover63.2%55.5%52.1%45.8%
Fines listed$42,851$25,390$16,801—

County and state figures are medians across facilities (81 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)13
Cycle 29
Cycle 37

Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 15 Jan 2026, 31 Oct 2024.

Severity mix: J ×3 G ×1 D ×12 E ×12 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)
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
30 Jun 2026F0761Ensure 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.EComplaint investigation1 Jul 2026
30 Jun 2026F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDComplaint investigation1 Jul 2026
12 Jun 2026F0584Honor 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.EComplaint investigation30 Jun 2026
4 May 2026F0583Keep residents' personal and medical records private and confidential.EComplaint investigation5 May 2026
11 Apr 2026F0776Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.JComplaint investigation12 Apr 2026
11 Apr 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation12 Apr 2026
15 Jan 2026F0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.EStandard survey15 Feb 2026
15 Jan 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey15 Feb 2026
15 Jan 2026F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey15 Feb 2026
15 Jan 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey15 Feb 2026
15 Jan 2026F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey15 Feb 2026
24 Nov 2025F0567Honor the resident's right to manage his or her financial affairs.DComplaint investigation25 Nov 2025
5 Nov 2025F0568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.DComplaint investigation6 Nov 2025
19 Jun 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JComplaint investigation20 Jun 2025
31 Oct 2024F0576Ensure residents have reasonable access to and privacy in their use of communication methods.EComplaint investigation15 Nov 2024
31 Oct 2024F0584Honor 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.EComplaint investigation15 Nov 2024
31 Oct 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EComplaint investigation15 Nov 2024
31 Oct 2024F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.EComplaint investigation15 Nov 2024
18 Sep 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint investigation19 Aug 2024
18 Sep 2024F0584Honor 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.EComplaint investigation19 Sep 2024
18 Sep 2024F0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.EComplaint investigation19 Sep 2024
18 Sep 2024F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EComplaint investigation19 Sep 2024
20 Sep 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey7 Oct 2023
20 Sep 2023F0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DStandard survey7 Oct 2023
20 Sep 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 survey7 Oct 2023
20 Sep 2023F0692Provide enough food/fluids to maintain a resident's health.DStandard survey7 Oct 2023
20 Sep 2023F0880Provide and implement an infection prevention and control program.DStandard survey7 Oct 2023
20 Sep 2023F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.DStandard survey7 Oct 2023
7 Sep 2023F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation7 Oct 2023

Penalties

DateTypeAmountDetail
11 Apr 2026Fine$11,942
19 Jun 2025Fine$17,282
18 Sep 2024Fine$13,627

Staffing

Total nursing3.36 h
Nurse aides1.83 h
LPN0.76 h
RN0.77 h
Weekend total2.87 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 63.2%, RNs 50.0%; 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 Stay17.9%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 Stay1.5%0.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay4.4%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.0%0.7%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay5.6%12.4%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay1.4%3.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay15.6%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: government, federal. Legal business name: Hamilton County Hospital District. Chain: Avir Health Group (116 facilities).

OrganisationRole in the CMS recordInterestSince
Hamilton County Hospital District5% or greater direct ownership interest100%02/10/2021
1241 Westridge Ave Opco, LLCOperational/managerial controlNOT APPLICABLE10/01/2025
1241 Westridge Ave Opco, LLCAdp of the snfNOT APPLICABLE03/11/2026
1241 Westridge Ave Property Owner, LLCAdp of the snfNOT APPLICABLE10/01/2025
Welltower IncAdp of the snfNOT APPLICABLE10/01/2025
Welltower Nnn Group, LLCAdp of the snfNOT APPLICABLE10/01/2025
Welltower Op, LLCAdp of the snfNOT APPLICABLE10/01/2025

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 Dallas County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Avir At IrvingIrving845421821.4—26 Feb 2026
Brentwood Place OneDallas1205511512.5—9 Apr 2026
C C Young Memorial HomeDallas12955586.2—15 Jan 2026
Cheyenne Medical LodgeMesquite1395422014.4—16 Jun 2026
Crestview CourtCedar Hill1255422116.8$17K14 Jun 2025
Las Brisas Rehabilitation and Wellness CenterIrving128552107.8—8 Jan 2026
Pure Health Transitional Care At Texas Health PresDallas4955448.2—2 Jul 2025
Ventana By BucknerDallas725451419.4—18 Mar 2026

All 81 facilities in Dallas County

Questions and answers

How many deficiencies has Avir At Lancaster been cited for?

29 health deficiencies across the three most recent survey cycles, 4 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.

Has Avir At Lancaster been fined?

Yes. CMS lists fines totalling $43K in the period covered.

How does staffing at Avir At Lancaster compare?

Reported total nurse staffing is 3.4 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.

Who operates Avir At Lancaster?

It is part of the Avir Health Group chain. Ownership type is government, federal. Organisations in the CMS ownership record include Hamilton County Hospital District and 1241 Westridge Ave Opco, LLC. Individual owners and managers are not listed on this site.

When was Avir At Lancaster last inspected?

The most recent survey or investigation in the CMS record is dated 30 Jun 2026; the most recent standard health survey was 15 Jan 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.