Texas › Grayson County › Sherman
Avir At Sherman
1000 Sara Swamy Drive, Sherman, TX 75090
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 Sherman, in Sherman, Texas, is certified for 132 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 3, staffing 1 and quality measures 4.
Inspectors recorded 34 health deficiencies across the three most recent survey cycles (17, 6, 11 by cycle, most recent first), none at the actual-harm level. That is 25.8 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 3.1 hours per resident per day (0.1 RN), close to the Texas median of 3.3; nursing staff turnover is 87.1%.
Compared with county, state and nation
| Measure | This facility | Grayson Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 34 | 30 | 25 | 28.7 |
| Citations per 100 beds | 25.8 | 21.1 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.1 | 3.3 | 3.3 | 3.9 |
| RN hours per resident day | 0.1 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 87.1% | 60.0% | 52.1% | 45.8% |
| Fines listed | $0 | $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: 5 Jun 2025, 23 May 2024.
Severity mix: D ×18 E ×16
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 |
|---|---|---|---|---|---|
| 2 Jun 2026 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Complaint investigation | 22 Jun 2026 |
| 26 Mar 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 1 Apr 2026 |
| 19 Feb 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 2 Mar 2026 |
| 4 Feb 2026 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Complaint investigation | 20 Feb 2026 |
| 10 Dec 2025 | 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 | 6 Jan 2026 |
| 10 Dec 2025 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Complaint investigation | 6 Jan 2026 |
| 5 Jun 2025 | 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 | 13 Jun 2025 |
| 5 Jun 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Complaint investigation | 13 Jun 2025 |
| 5 Jun 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Complaint investigation | 13 Jun 2025 |
| 5 Jun 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint investigation | 13 Jun 2025 |
| 5 Jun 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 13 Jun 2025 |
| 5 Jun 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 13 Jun 2025 |
| 5 Jun 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Complaint investigation | 13 Jun 2025 |
| 5 Jun 2025 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Complaint investigation | 13 Jun 2025 |
| 5 Jun 2025 | F0742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | D | Complaint investigation | 13 Jun 2025 |
| 5 Jun 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 13 Jun 2025 |
| 5 Jun 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 | 13 Jun 2025 |
| 16 Apr 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 17 Apr 2025 |
| 16 Apr 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 17 Apr 2025 |
| 23 May 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 21 Jun 2024 |
| 23 May 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 21 Jun 2024 |
| 23 May 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. | D | Standard survey | 21 Jun 2024 |
| 23 May 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 21 Jun 2024 |
| 23 Apr 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 22 May 2024 |
| 21 Sep 2023 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Complaint investigation | 20 Oct 2023 |
| 21 Sep 2023 | F0626 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | D | Complaint investigation | 20 Oct 2023 |
| 30 Mar 2023 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Standard survey | 1 May 2023 |
| 30 Mar 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Standard survey | 1 May 2023 |
| 30 Mar 2023 | F0610 | Respond appropriately to all alleged violations. | E | Standard survey | 1 May 2023 |
| 30 Mar 2023 | 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 | 21 Apr 2023 |
| 30 Mar 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 21 Apr 2023 |
| 30 Mar 2023 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 21 Apr 2023 |
| 30 Mar 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 | 21 Apr 2023 |
| 30 Mar 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 21 Apr 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 87.1%, RNs 80.0%; 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 | 12.4% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.4% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.3% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.6% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.5% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 8.5% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 0.9% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 1.4% | 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: Dallas County Hospital District. Chain: Avir Health Group (116 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Dallas County Hospital District | 5% or greater direct ownership interest | 100% | 03/31/2017 |
| Welltower Nnn Group, LLC | Adp of the snf | NOT APPLICABLE | 08/01/2025 |
| Welltower Op, LLC | Adp of the snf | NOT APPLICABLE | 08/01/2025 |
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 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 |
| 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 |
| Whitesboro Health and Rehabilitation Center | Whitesboro | 95 | 2 | 3 | 1 | 15 | 15.8 | $30K | 30 Jan 2026 |
All 11 facilities in Grayson County
Questions and answers
How many deficiencies has Avir At Sherman been cited for?
34 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 Sherman been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Avir At Sherman compare?
Reported total nurse staffing is 3.1 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Avir At Sherman?
It is part of the Avir Health Group chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Dallas County Hospital District. Individual owners and managers are not listed on this site.
When was Avir At Sherman last inspected?
The most recent survey or investigation in the CMS record is dated 2 Jun 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.