Avir at La Grange
La Grange, Texas · CCN 675277
27 surveys since 2011, 5 of them producing a finding at harm level or worse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 130
- Surveys
- 27
- Harm or worse
- 5
- Immediate jeopardy
- 1
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
- 98
- Ownership
- Government - Hospital district
- Chain
- Independent
- County
- Fayette · rural
- Medicare-certified since
- 1994
CMS ratings
- Overall
- 3
- Health inspection
- 3
- Staffing
- 1
- Quality measures
- 5
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 49 government-run facilities of 66–99 beds in Texas.
Last survey on record
May 27, 2026
166 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 | 3.23 | 3.24 |
| Registered-nurse hours per resident day | 0.28 | — |
| Annual nurse turnover | 70.0% | 54.3% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
No fines, payment denials or special-focus designation on the current CMS record.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D942.9% | E733.3% | F29.5% |
| No harm, potential for minimal | A— | B— | C314.3% |
Most frequently cited here
In CMS’s current monthly file.
- F7614×
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.
- F9123×
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
- F8802×
Provide and implement an infection prevention and control program.
- F5581×
Reasonably accommodate the needs and preferences of each resident.
- F5651×
Honor the resident's right to organize and participate in resident/family groups in the facility.
In the surveyor’s words
From the most serious findings on record at Avir at La Grange, in the surveyor’s own words.
- No harm, potential for more than minimal, widespreadF727Mar 5, 2026
Based on interview and record review, the facility failed to use the services of a registered nurse for at least 8 consecutive hours a day, 7 days a week for 13 of 64 days (first quarter of 2026) reviewed in that: The facility failed to ensure they had a RN on duty daily for 13 days of the 64 days in the first quarter from 01/2026 through 03/2026.This deficient practice placed residents at risk of missing nursing assessments, resident supervision, and skilled nursing treatment. […]
- No harm, potential for more than minimal, widespreadF812Dec 12, 2024
Based on observation, interview, and record review the facility failed to store, prepare, and distribute food in accordance with professional standards for food service safety in 1 of 1 kitchen and 1 of 1 emergency food storage room reviewed for kitchen and food sanitation. 1. The facility failed to dispose of a bag labeled lunch meat with a manufacture expiration date of [DATE]. 2. The facility failed to safely store all food items to prevent contamination or spoilage; a bag of pancakes and a bag of waffles were each in a torn bag exposed in the freezer on [DATE]. 3. The facility failed to ensure dietary staff followed handwashing procedures on [DATE]. 4. […]
- No harm, potential for more than minimal, widespreadF812Jun 16, 2021
Based on observation, interviews and record reviews the facility failed to store, prepare, distribute and serve food in accordance with professional standards for one of one kitchen. -The facility failed to ensure the grill was free of rust, the shelves used to store clean pots and pans were free from food clumps, dirt and other debris, an air conditioner vent in the ceiling which was dirty and dark gray with dust and a thick substance was not dripping on a shelf used to store clean dishes and personal drinks were not stored in the kitchen on the dish washer. -The facility failed to ensure food in the freezer and walk-in refrigerator was dated and labeled . The deficient practice placed residents who were served from the kitchen at risk for health complications and foodborne illnesses. […]
- No harm, potential for more than minimal, widespreadF925Jun 16, 2021
Based on observation, interview and record review the facility failed to ensure an effective pest control program was implemented so the facility was free of pests as evidence by; The facility failed to ensure the kitchen, dining room and nurses' station were free of flies. The facility failed to ensure the outside of the facility was free of active wasp nests. The facility failed to ensure the facility was free from roaches as evidence by multiple complaints regarding roaches from residents and family members. These failures could place resident at risk of cross contamination, stings, and decreased of quality of life. Findings include: Observation on 06/15/2021 at 10:15 AM revealed flies, too numerous to count, in the kitchen and dinning room area during the noon meal preparation. […]
- No harm, potential for more than minimal, patternF565Mar 5, 2026
Based on observations, interviews, and record reviews, the facility failed to provide a private space for residents' monthly council meetings and the confidential resident group meeting during the survey for five of five residents reviewed for resident council. The facility failed to provide the Resident Council with a private meeting area to conduct their meetings. This failure could place residents at risk of not being able to voice concerns due to a lack of privacy. Findings included: A confidential group interview and observation in facility dining room were conducted on 3/04/2026 at 2:00 PM with five residents. During this confidential group interview the meeting was interrupted by facility staff three times within a thirty-minute time span. […]
Read 25 findings in full →The most serious and the most recent: 25 of 130 on record.
Every survey on record
FindingsAt actual harm or above
- May 27, 2026Complaint1 finding
- Mar 5, 2026Standard7 findings
- Jan 13, 2026Complaint3 findings
- Dec 12, 2024Standard7 findings
- Oct 12, 2023Standard3 findings
- Sep 9, 2022Standard4 findings
- Aug 31, 2022Infection control1 finding
- Feb 11, 2022Complaint1 finding
Show the 19 earlier surveys
- Oct 29, 2021Complaint3 findings
- Jul 16, 2021Standard and complaint9 findings
- Jun 16, 2021Infection control2 findings
- Apr 15, 2020Infection control1 finding
- Dec 9, 2019Complaint4 findings
- Aug 5, 2019Standard23 findings · 3 harm
- Apr 25, 2019Complaint1 finding
- Jun 29, 2018Standard and complaint10 findings
- Aug 4, 2017Complaint1 finding
- May 25, 2017Standard2 findings
- Jun 17, 2016Standard6 findings
- Jul 25, 2015Complaint2 findings
- Jun 25, 2015Complaint2 findings
- Apr 10, 2015Standard12 findings
- Mar 13, 2014Standard10 findings
- May 22, 2013—1 finding
- Dec 20, 2012—11 findings · 2 harm
- Aug 23, 2012—1 finding
- Oct 6, 2011—2 findings
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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