Deficiency Index

Avir at Lindale

Lindale, Texas · CCN 745021

16 surveys since 2023, 10 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
46
Surveys
16
Harm or worse
10
Immediate jeopardy
7
The record, 2023–2026
’23’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy7

Findings at the most serious level CMS records.

Beyond CMS’s monthly file3/16

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
122
Ownership
Government - Hospital district
Chain
AVIR HEALTH GROUP
County
Smith
Medicare-certified since
2022

CMS ratings

Overall
1
Health inspection
1
Staffing
2
Quality measures
3

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded more weighted findings than most of its peer group.

Weighted by harm level, against 104 government-run facilities of 100–127 beds in Texas.

Last survey on record

Jun 10, 2026

152 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.603.25
Registered-nurse hours per resident day0.45—
Annual nurse turnover60.0%48.1%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$754,567 across 5 penalties

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K615.4%L—
Actual harmG25.1%H—I—
No harm, potential for more than minimalD1743.6%E923.1%F25.1%
No harm, potential for minimalA—B—C37.7%
CMS’s current file: 39 of the 46 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8124×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F6773×

    Provide care and assistance to perform activities of daily living for any resident who is unable.

  • F6002×

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  • F6552×

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

  • F6862×

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

In the surveyor’s words

From the most serious findings on record at Avir at Lindale, in the surveyor’s own words.

  • Immediate jeopardy, patternF695Feb 12, 2025

    Based on observations, interview and record review the facility failed to ensure that a resident who needs respiratory care, including tracheostomy care and tracheal suctioning, is provided such care, consistent with professional standards of practice for 2 of 3 residents (Resident #1 and Resident #2) reviewed for tracheostomy care. The facility failed to ensure proper care was provide to Resident #1 on [DATE] when she was in respiratory distress due to her tracheostomy's inner cannula (a removable, cylindrical tube that fits inside the outer cannula of a tracheostomy tube) being obstructed resulting in Resident #1 being hospitalized . […]

  • Immediate jeopardy, patternF600Jun 28, 2024

    Based on observation, interview and record review the facility failed to ensure residents had the right to be fee from abuse, neglect, misappropriation of resident property, and exploitation for 2 of 4 residents (Resident #1 and Resident #2) reviewed for neglect. 1. The facility failed to ensure the former DON was aware AED pads (AED pad are a vital part of the AED machine that are used to help people experiencing sudden cardiac arrest. The AED pads are place on the person's bare chest and are attached to a cable that connects to the AED to the patient body. […]

  • Immediate jeopardy, patternF678Jun 28, 2024

    Based on interview and record review the facility failed to provide basic life support, including CPR, to a resident requiring such emergency care prior to the arrival of emergency medical personnel and subject to related physician orders and the residents advanced directives for 1 of 4 residents reviewed for emergency care. (Resident #1) 1. Resident #1 a full code status ( a medical code status that indicated to take all steps to save the residents life in the event of cardiac or respiratory arrest, including CPR) turned blue and had no pulse or heart rate, the facility staff requested the crash cart (a cart with emergency medical supplies) when the cart arrived the emergency supplies were missing. 2. […]

  • Immediate jeopardy, patternF686Jun 4, 2024

    Based on interviews and record review, the facility failed to ensure the necessary treatment and services, in accordance with comprehensive assessment and professional standards of practice, to prevent development of pressure injuries was provided for 1 of 4 Residents (Resident #1) reviewed for pressure injuries. The facility failed to prevent deterioration for Resident #1 of MASD of bilateral buttock to a necrotic unstageable pressure ulcer. The facility failed to ensure wound care was provided twice a day as ordered to Resident #1's MASD of the bilateral buttocks to prevent deterioration. Resident #1 did not receive 6 of 10 wound care treatments to his bilateral buttocks. […]

  • Immediate jeopardy, patternF580Apr 13, 2024

    Based on interview and record review, the facility failed to consult with the physician when the resident experienced a change in condition / a need to alter treatment significantly for 1 (Resident #1) of 6 residents reviewed for a change of condition. The facility failed to notify the physician when Resident #1 refused all oral medications for 4 days ([1/18/24 to 1/21/24], which included Furosemide, Isosorbide Mononitrate ER, Carvedilol, Sacubitril-Valsartan [medications used in the treatment of heart failure] and Metformin HCl [ used to treat diabetes]) leading up to his hospitalization on [DATE] during which he was diagnosed with urosepsis. […]

Read 28 findings in full →The most serious and the most recent: 28 of 46 on record.

Every survey on record

FindingsAt actual harm or above

  • Jun 10, 2026Complaint5 findings
  • Apr 23, 2026Complaint1 finding
  • Feb 10, 2026Standard6 findings
  • Jan 8, 2026Complaint1 finding
  • Dec 11, 2025Complaint2 findings
  • Oct 29, 2025Complaint4 findings · 1 harm
  • Feb 12, 2025Complaint3 findings · 1 harm
  • Nov 20, 2024Standard and complaint5 findings
Show the 8 earlier surveys
  • Jun 28, 2024Complaint2 findings · 2 harm
  • Jun 4, 2024Complaint1 finding · 1 harm
  • May 7, 2024Complaint2 findings
  • Apr 13, 2024Complaint3 findings · 3 harm
  • Sep 26, 2023Standard4 findings
  • Jun 20, 2023Complaint1 finding
  • Jun 7, 2023Complaint2 findings · 1 harm
  • Jan 5, 2023Complaint4 findings · 1 harm

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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