Texas › Rusk County › Overton
Avir At Overton
1110 Hwy 135 S, Overton, TX 75684
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 Overton is a For-profit, limited liability company nursing home in Overton, Texas, certified for 100 beds and caring for about 47 residents a day.
CMS gives it 2 of 5 stars overall, below the Texas median of 3; the health inspection rating is 1, staffing 3 and quality measures 5.
Inspectors recorded 41 health deficiencies across the three most recent survey cycles (14, 8, 19 by cycle, most recent first), 13 of them at the actual-harm or immediate-jeopardy level. That is 41.0 per 100 beds, more than the state median of 22.5.
CMS lists 5 penalties in the period covered: fines totalling $341K.
Reported nurse staffing is 3.8 hours per resident per day (0.3 RN), close to the Texas median of 3.3; nursing staff turnover is 58.3%.
CMS flags that the facility carries the CMS abuse icon and is a Special Focus Facility candidate.
Compared with county, state and nation
| Measure | This facility | Rusk Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 41 | 41 | 25 | 28.7 |
| Citations per 100 beds | 41.0 | 33.6 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.8 | 3.6 | 3.3 | 3.9 |
| RN hours per resident day | 0.3 | 0.3 | 0.4 | 0.7 |
| Nursing staff turnover | 58.3% | 58.3% | 52.1% | 45.8% |
| Fines listed | $340,621 | $187,096 | $16,801 | — |
County and state figures are medians across facilities (4 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: 29 Apr 2026, 18 Feb 2025.
Severity mix: J ×8 K ×5 D ×14 E ×11 F ×2 C ×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 |
|---|---|---|---|---|---|
| 20 May 2026 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | J | Complaint investigation | 27 May 2026 |
| 29 Apr 2026 | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | E | Standard survey | 30 Apr 2026 |
| 29 Apr 2026 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard survey | 30 Apr 2026 |
| 29 Apr 2026 | 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. | D | Standard survey | 30 Apr 2026 |
| 29 Apr 2026 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | Standard survey | 30 Apr 2026 |
| 29 Apr 2026 | F0926 | Have policies on smoking. | D | Standard survey | 30 Apr 2026 |
| 11 Mar 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 | 12 Mar 2026 |
| 11 Mar 2026 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Complaint investigation | 12 Mar 2026 |
| 13 Jan 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 14 Jan 2026 |
| 24 Nov 2025 | 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 Nov 2025 |
| 24 Nov 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 25 Nov 2025 |
| 21 Nov 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 22 Nov 2025 |
| 13 Aug 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | Past Non-Compliance |
| 13 Aug 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | Past Non-Compliance |
| 18 Feb 2025 | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | E | Standard survey | 19 Feb 2025 |
| 18 Feb 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 | 19 Feb 2025 |
| 18 Feb 2025 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard survey | 19 Feb 2025 |
| 18 Feb 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 19 Feb 2025 |
| 18 Feb 2025 | F0732 | Post nurse staffing information every day. | C | Standard survey | 19 Feb 2025 |
| 26 Jan 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | 6 Feb 2025 |
| 26 Jan 2025 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J | Complaint investigation | 6 Feb 2025 |
| 14 Jan 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | Complaint investigation | 15 Jan 2025 |
| 21 May 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 5 Jun 2024 |
| 6 Dec 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 11 Dec 2023 |
| 6 Dec 2023 | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | Standard survey | 11 Dec 2023 |
| 6 Dec 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 11 Dec 2023 |
| 6 Dec 2023 | 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 | 11 Dec 2023 |
| 6 Dec 2023 | F0807 | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | E | Standard survey | 11 Dec 2023 |
| 6 Dec 2023 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Standard survey | 11 Dec 2023 |
| 6 Dec 2023 | F0637 | Assess the resident when there is a significant change in condition | D | Standard survey | 11 Dec 2023 |
| 26 Oct 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | Complaint investigation | 27 Oct 2023 |
| 26 Oct 2023 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | K | Complaint investigation | 27 Oct 2023 |
| 26 Oct 2023 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | K | Complaint investigation | 27 Oct 2023 |
| 26 Oct 2023 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | J | Complaint investigation | 27 Oct 2023 |
| 26 Oct 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 27 Oct 2023 |
| 26 Oct 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | J | Complaint investigation | 27 Oct 2023 |
| 6 Sep 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 23 Sep 2023 |
| 6 Sep 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 23 Sep 2023 |
| 16 Aug 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | Complaint investigation | 7 Sep 2023 |
| 16 Aug 2023 | F0687 | Provide appropriate foot care. | K | Complaint investigation | 7 Sep 2023 |
| 16 Aug 2023 | 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. | E | Complaint investigation | 7 Sep 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 20 May 2026 | Fine | $19,615 | |
| 13 Aug 2025 | Fine | $14,325 | |
| 13 Aug 2025 | Fine | $8,431 | |
| 14 Jan 2025 | Fine | $130,686 | |
| 26 Oct 2023 | Fine | $167,564 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 58.3%, 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 | 11.6% | 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 | 0.0% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.3% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 4.5% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 8.4% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.9% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 17.9% | 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: Winnie-Stowell Hospital District. Chain: Avir Health Group (116 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| 1110 Highway 135 S Opco LLC | Operational/managerial control | NOT APPLICABLE | 10/01/2025 |
| 1110 Highway 135 S Opco LLC | Adp of the snf | NOT APPLICABLE | 02/11/2026 |
| 1110 Highway 135 S Property Owner LLC | Adp of the snf | NOT APPLICABLE | 10/01/2025 |
| Welltower Inc | Adp of the snf | NOT APPLICABLE | 10/01/2025 |
| Welltower Nnn Group, LLC | Adp of the snf | NOT APPLICABLE | 10/01/2025 |
| Welltower Op, LLC | Adp of the snf | NOT APPLICABLE | 10/01/2025 |
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 Rusk County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Autumn Leaves Nursing and Rehab Inc | Henderson | 125 | 2 | 2 | 1 | 42 | 33.6 | $15K | 7 May 2026 |
| Henderson Health & Rehabilitation Centerabuse icon | Henderson | 173 | 2 | 2 | 3 | 30 | 17.3 | $11K | 17 Sep 2025 |
| Arbor Grace Guest Care Center | Kilgore | 127 | 1 | 2 | 1 | 23 | 18.1 | $187K | 17 Jun 2026 |
All 4 facilities in Rusk County
Questions and answers
How many deficiencies has Avir At Overton been cited for?
41 health deficiencies across the three most recent survey cycles, 13 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Avir At Overton been fined?
Yes. CMS lists fines totalling $341K in the period covered.
How does staffing at Avir At Overton compare?
Reported total nurse staffing is 3.8 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Avir At Overton?
It is part of the Avir Health Group chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include 1110 Highway 135 S Opco LLC. Individual owners and managers are not listed on this site.
When was Avir At Overton last inspected?
The most recent survey or investigation in the CMS record is dated 20 May 2026; the most recent standard health survey was 29 Apr 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.