Elder Care Record

Texas › Denton County › Pilot Point

Avir At Pilot Point

208 N Prairie St, Pilot Point, TX 76258

CCN 675902 · Government, hospital district · 63 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.

Certified for 63 beds, Avir At Pilot Point serves Pilot Point in Denton County, Texas and has taken Medicare and Medicaid residents since 2001.

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

Inspectors recorded 14 health deficiencies across the three most recent survey cycles (9, 2, 3 by cycle, most recent first), none at the actual-harm level. That is 22.2 per 100 beds, about the same as the state median of 22.5.

CMS lists no fines or payment denials against the facility in the period covered.

Reported nurse staffing is 2.8 hours per resident per day (0.4 RN), close to the Texas median of 3.3; nursing staff turnover is 40.9%.

14health deficiencies, 3 survey cyclesnone at actual-harm level
$0fines listed by CMS0 penalties in period
2.8nurse hours per resident per daystate median 3.3
87%occupancy (residents ÷ beds)55 residents a day

Compared with county, state and nation

MeasureThis facilityDenton Co. medianTexas medianUS average
Overall star rating4333.0
Health citations, 3 cycles14322528.7
Citations per 100 beds22.229.522.526.8
Total nurse hours per resident day2.83.53.33.9
RN hours per resident day0.40.40.40.7
Nursing staff turnover40.9%61.4%52.1%45.8%
Fines listed$0$14,433$16,801—

County and state figures are medians across facilities (18 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)9
Cycle 22
Cycle 33

Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 5 Jun 2025, 2 May 2024.

Severity mix: D ×11 E ×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
3 Mar 2026F0880Provide and implement an infection prevention and control program.DComplaint investigation4 Mar 2026
6 Jan 2026F0695Provide safe and appropriate respiratory care for a resident when needed.DComplaint investigation7 Jan 2026
5 Jun 2025F0583Keep residents' personal and medical records private and confidential.EStandard survey6 Jun 2025
5 Jun 2025F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard survey6 Jun 2025
5 Jun 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey6 Jun 2025
5 Jun 2025F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey6 Jun 2025
5 Jun 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey6 Jun 2025
5 Jun 2025F0761Ensure 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.DStandard survey6 Jun 2025
5 Jun 2025F0880Provide and implement an infection prevention and control program.DStandard survey6 Jun 2025
2 May 2024F0695Provide safe and appropriate respiratory care for a resident when needed.DComplaint investigation6 May 2024
2 May 2024F0880Provide and implement an infection prevention and control program.DComplaint investigation6 May 2024
10 Mar 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey11 Mar 2023
10 Mar 2023F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DStandard survey11 Mar 2023
10 Mar 2023F0880Provide and implement an infection prevention and control program.DStandard survey11 Mar 2023

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing2.82 h
Nurse aides1.34 h
LPN1.1 h
RN0.39 h
Weekend total2.57 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 40.9%, RNs 50.0%; 0 administrators 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 Stay8.6%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 Stay0.0%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 Stay9.6%12.4%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay0.5%3.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay1.6%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, hospital district. Legal business name: West Wharton County Hospital District. Chain: Avir Health Group (116 facilities).

OrganisationRole in the CMS recordInterestSince
208 N Prairie Street Property Owner, LLC5% or greater security interestNOT APPLICABLE03/01/2025
Welltower Inc5% or greater security interestNOT APPLICABLE03/01/2025
Welltower Nnn Group, LLC5% or greater security interestNOT APPLICABLE03/01/2025
Welltower Op, LLC5% or greater security interestNOT APPLICABLE03/01/2025
208 N Prairie Street Opco, LLCOperational/managerial controlNOT APPLICABLE03/01/2025
208 N Prairie Street Opco, LLCAdp of the snfNOT APPLICABLE07/28/2025
208 N Prairie Street Property Owner, LLCAdp of the snfNOT APPLICABLE03/01/2025
Welltower IncAdp of the snfNOT APPLICABLE03/01/2020
Welltower Nnn Group, LLCAdp of the snfNOT APPLICABLE03/01/2025
Welltower Op, LLCAdp of the snfNOT APPLICABLE03/01/2025

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 Denton County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Denton Rehabilitation and Nursing CenterDenton944342930.9—2 Apr 2026
Lake Forest Village By PurehealthDenton604341220.0—11 Feb 2026
Prestonwood Rehabilitation & Nursing Centerabuse iconPlano1324251612.1$14K17 Apr 2025
Vista Ridge Nursing & Rehabilitation CenterLewisville1324322720.5$10K9 Jun 2026
Cedar Ridge Rehabilitation and Healthcare CenterPilot Point1083323431.5—1 Apr 2026
Cross Timbers Rehabilitation and Healthcare CenterFlower Mound1203332420.0$8K16 Apr 2026
Denton Village By Purehealthabuse iconDenton883232629.5$55K18 Nov 2025
HollymeadFlower Mound1123333430.4$9K17 Jun 2026

All 18 facilities in Denton County

Questions and answers

How many deficiencies has Avir At Pilot Point been cited for?

14 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.

Has Avir At Pilot Point been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Avir At Pilot Point compare?

Reported total nurse staffing is 2.8 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.

Who operates Avir At Pilot Point?

It is part of the Avir Health Group chain. Ownership type is government, hospital district. Organisations in the CMS ownership record include 208 N Prairie Street Opco, LLC. Individual owners and managers are not listed on this site.

When was Avir At Pilot Point last inspected?

The most recent survey or investigation in the CMS record is dated 3 Mar 2026; the most recent standard health survey was 5 Jun 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.