Texas › Grayson County › Denison
Avir At Memorial
1300 Memorial Dr, Denison, TX 75020
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 Memorial, in Denison, Texas, is certified for 136 beds under for-profit, limited liability company ownership and belongs to the Fundamental Healthcare chain.
CMS gives it 1 of 5 stars overall, below the Texas median of 3; the health inspection rating is 2, staffing 1 and quality measures 4.
Inspectors recorded 37 health deficiencies across the three most recent survey cycles (15, 15, 7 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 27.2 per 100 beds, about the same as the state median of 22.5.
CMS lists 1 penalty in the period covered: fines totalling $47K.
Reported nurse staffing is 3.4 hours per resident per day (0.4 RN), close to the Texas median of 3.3.
Compared with county, state and nation
| Measure | This facility | Grayson Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 37 | 30 | 25 | 28.7 |
| Citations per 100 beds | 27.2 | 21.1 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.4 | 3.3 | 3.3 | 3.9 |
| RN hours per resident day | 0.4 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | — | 60.0% | 52.1% | 45.8% |
| Fines listed | $47,097 | $29,991 | $16,801 | — |
County and state figures are medians across facilities (11 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: 11 Sep 2025, 12 Aug 2024.
Severity mix: K ×2 D ×18 E ×16 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 |
|---|---|---|---|---|---|
| 3 May 2026 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 25 May 2026 |
| 3 May 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 25 May 2026 |
| 3 Dec 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 18 Dec 2025 |
| 3 Dec 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 18 Dec 2025 |
| 3 Dec 2025 | F0761 | 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. | D | Complaint investigation | 18 Dec 2025 |
| 11 Sep 2025 | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | E | Standard survey | 26 Sep 2025 |
| 11 Sep 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 26 Sep 2025 |
| 11 Sep 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 26 Sep 2025 |
| 11 Sep 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 26 Sep 2025 |
| 11 Sep 2025 | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | Standard survey | 26 Sep 2025 |
| 11 Sep 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 | Standard survey | 26 Sep 2025 |
| 11 Sep 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 26 Sep 2025 |
| 11 Sep 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 26 Sep 2025 |
| 11 Sep 2025 | F0761 | 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. | D | Standard survey | 26 Sep 2025 |
| 11 Sep 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Standard survey | 26 Sep 2025 |
| 20 May 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 22 May 2025 |
| 12 Aug 2024 | F0584 | 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. | K | Complaint investigation | 30 Aug 2024 |
| 12 Aug 2024 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | K | Complaint investigation | 30 Aug 2024 |
| 12 Aug 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 30 Aug 2024 |
| 12 Aug 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Complaint investigation | 30 Aug 2024 |
| 12 Aug 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 30 Aug 2024 |
| 12 Aug 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 30 Aug 2024 |
| 12 Aug 2024 | F0679 | Provide activities to meet all resident's needs. | E | Standard survey | 30 Aug 2024 |
| 12 Aug 2024 | F0761 | 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. | E | Standard survey | 30 Aug 2024 |
| 12 Aug 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 30 Aug 2024 |
| 12 Aug 2024 | F0685 | Assist a resident in gaining access to vision and hearing services. | D | Standard survey | 30 Aug 2024 |
| 12 Aug 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 30 Aug 2024 |
| 12 Aug 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 30 Aug 2024 |
| 12 Aug 2024 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Standard survey | 30 Aug 2024 |
| 12 Aug 2024 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 30 Aug 2024 |
| 22 Jun 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 27 Jun 2023 |
| 22 Jun 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 27 Jun 2023 |
| 22 Jun 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 27 Jun 2023 |
| 22 Jun 2023 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Standard survey | 27 Jun 2023 |
| 22 Jun 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 27 Jun 2023 |
| 22 Jun 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 27 Jun 2023 |
| 22 Jun 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 27 Jun 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 12 Aug 2024 | Fine | $47,097 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff —, 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 | 9.5% | 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 | 0.5% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.6% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 5.1% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 5.0% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.2% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 13.5% | 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: Dallas County Hospital District. Chain: Fundamental Healthcare (66 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Dallas County Hospital District | 5% or greater direct ownership interest | 100% | 04/01/2017 |
| Dallas County Hospital District | Operational/managerial control | NOT APPLICABLE | 04/01/2017 |
| Texoma Long Term Care, LLC | Operational/managerial control | NOT APPLICABLE | 04/01/2017 |
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 Grayson County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Beacon Hill | Denison | 150 | 4 | 4 | 3 | 21 | 14.0 | — | 26 May 2026 |
| Cedar Hollow Rehabilitation Center | Sherman | 142 | 3 | 3 | 2 | 30 | 21.1 | $32K | 12 Jun 2026 |
| Meadowbrook Care Center | Van Alstyne | 60 | 3 | 2 | 2 | 17 | 28.3 | $14K | 5 May 2026 |
| The Homestead of Denison | Denison | 140 | 3 | 3 | 1 | 27 | 19.3 | $30K | 26 Mar 2026 |
| Woodlands Place Rehabilitation Suites | Denison | 133 | 3 | 2 | 2 | 24 | 18.0 | $110K | 26 Feb 2026 |
| Avir At Sherman | Sherman | 132 | 2 | 3 | 1 | 34 | 25.8 | — | 2 Jun 2026 |
| Denison Nursing and Rehab | Denison | 71 | 2 | 2 | 1 | 31 | 43.7 | $8K | 29 Apr 2026 |
| Texoma Healthcare Center | Sherman | 179 | 2 | 3 | 1 | 37 | 20.7 | $16K | 16 Jun 2026 |
All 11 facilities in Grayson County
Questions and answers
How many deficiencies has Avir At Memorial been cited for?
37 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 Memorial been fined?
Yes. CMS lists fines totalling $47K in the period covered.
How does staffing at Avir At Memorial 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 Memorial?
It is part of the Fundamental Healthcare chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Dallas County Hospital District, Dallas County Hospital District and Texoma Long Term Care, LLC. Individual owners and managers are not listed on this site.
When was Avir At Memorial last inspected?
The most recent survey or investigation in the CMS record is dated 3 May 2026; the most recent standard health survey was 11 Sep 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.