Avir at Bradburn
Grand Saline, Texas · CCN 675320
19 surveys since 2011. The first finding at harm level was recorded in 2025.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 65
- Surveys
- 19
- Harm or worse
- 2
- Immediate jeopardy
- 2
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 76
- Ownership
- For profit - Limited Liability company
- Chain
- AVIR HEALTH GROUP
- County
- Van Zandt · rural
- Medicare-certified since
- 1994
CMS ratings
- Overall
- 1
- Health inspection
- 1
- Staffing
- 1
- Quality measures
- 4
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded somewhat fewer weighted findings than its peer group.
Weighted by harm level, against 164 for-profit facilities of 66–99 beds in Texas.
Last survey on record
Jul 15, 2026
117 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.39 | 3.22 |
| Registered-nurse hours per resident day | 0.51 | — |
| Annual nurse turnover | 83.8% | 53.9% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $136,027 across 1 penalty
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J15.3% | K15.3% | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D947.4% | E421.1% | F— |
| No harm, potential for minimal | A— | B421.1% | C— |
Most frequently cited here
In CMS’s current monthly file.
- F9124×
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
- F7552×
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- F5521×
Ensure that residents are fully informed and understand their health status, care and treatments.
- F5531×
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
- F6091×
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
In the surveyor’s words
From the most serious findings on record at Avir at Bradburn, in the surveyor’s own words.
- Immediate jeopardy, patternF684Sep 25, 2025
Based on interview and record review, the facility failed to ensure residents receive treatment and care in accordance with professional standards of practice and the comprehensive person-centered care plan for 2 of 7 (Resident #1 and Resident #2) residents reviewed for quality of care. The facility failed to ensure Resident #1's wound care orders were implemented on 9/4/25 Wound Care NP's orders. The facility failed to ensure Resident #1 and Resident #2 received proper wound care to prevent deterioration and infection to their surgical wounds. The facility failed to ensure Resident #2's wound care orders were implemented on 9/11/25 and changed on 9/18/25 per the Wound Care NP's orders. This failure resulted in an identification of an Immediate Jeopardy (IJ) at 2:20 p.m. on 9/24/25. […]
- Immediate jeopardy, isolatedF755Sep 25, 2025
Based on interview and record review the facility failed to provide pharmaceutical services, including the accurate acquiring, administering and receipt of all drugs and biologicals, to meet the needs of 1 of 9 (Resident #1) residents reviewed for pharmacy services. The facility failed to ensure Resident #1's antibiotic (Cleocin) was started on 9/19/25 when ordered from the Vascular Surgery NP instead waiting 2 days until 9/21/25 to initiate the antibiotic. The facility failed to ensure the nurses had access to the Pyxis (a machine used to safely and efficiently dispense medications) to obtain available medication such as antibiotics while waiting for pharmacy to deliver medications. […]
- No harm, potential for more than minimal, patternF641Jul 15, 2026
Based on observation, interview and record review the facility failed to ensure the resident assessment accurately reflected the resident's status for 3 of 16 residents (Residents #6, #27 and #29) reviewed for accuracy of assessments.The facility did not accurately code section J1300 of Resident # 6's annual MDS for smoking. The facility coded Section A1500 of Resident #27's admission assessment with information that was not available at the time of the completion of the MDS.The facility failed to ensure Residents #29's MDS assessment was accurately coded for Preadmission Screening and Resident Review (PASRR). […]
- No harm, potential for more than minimal, patternF727Jul 15, 2026
Based on interview and record review, the facility failed to use the services of a registered nurse for 8 consecutive hours 7 days a week for 2 of 4 quarters of 2026 (Fiscal Year Quarter 2 January 1-March 1) (Fiscal Year Quarter 3 April 1 - June 1) reviewed for RN coverage. The facility did not have RN coverage for 8 consecutive hours on 01/03/2025, 01/04/2026, 01/24/2026, 01/25/2026, 02/07/2026, 02/08/2026, 02/14/2026, 02/15/2026, 03/07/2026, 03/08/2026, 03/15/2026, 03/21/2026, 03/22/2026, 04/04/2026, 04/05/2026, 04/25/2026, 05/02/2026, 05/03/2026, 05/17/2026, 05/31/2026, 06/13/2026, 06/14/2026, 06/21/2026, 06/27/2026, and 06/28/2026.This failure could place residents at risk of lack of nursing oversight and a higher level of care. […]
- No harm, potential for more than minimal, patternF760Nov 24, 2025
Based on record review and staff interviews, the facility failed to ensure that residents were free of significant medication errors for 1 of 2 residents (Residents #1) reviewed for pharmacy. The facility failed to ensure oral antibiotic medication was administered to Resident #1 as ordered, resulting in a medication error. As a result of incorrect medication entry, Resident #1 did not receive 6- days of prescribed oral antibiotic, specifically, (Sulfamethoxazole-Trimethoprim oral table 400-80 MG Bactrim), as ordered following hospitalization for sepsis and ureteral stent placement. This failure does not ensure that residents receive necessary treatment to prevent potential decline or worsening of infection. […]
Read 20 findings in full →The most serious and the most recent: 20 of 65 on record.
Every survey on record
FindingsAt actual harm or above
- Jul 15, 2026Standard8 findings
- May 21, 2026Complaint3 findings
- Dec 12, 2025Complaint1 finding
- Nov 24, 2025Complaint1 finding
- Sep 25, 2025Complaint2 findings · 2 harm
- May 29, 2025Standard2 findings
- Apr 16, 2024Standard1 finding
- Mar 15, 2023Standard and complaint1 finding
Show the 11 earlier surveys
- Jan 20, 2022Standard and complaint1 finding
- Oct 9, 2020Standard4 findings
- Mar 13, 2019Standard2 findings
- Mar 22, 2018Standard4 findings
- Mar 8, 2017Standard7 findings
- Mar 31, 2016Standard9 findings
- Mar 12, 2015Standard1 finding
- Apr 3, 2014Standard4 findings
- Apr 24, 2013—6 findings
- Apr 4, 2012—7 findings
- Apr 28, 2011—1 finding
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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