Deficiency Index

Avir at Memorial

Denison, Texas · CCN 455806

23 surveys since 2012. The first finding at harm level was recorded in 2022.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
106
Surveys
23
Harm or worse
3
Immediate jeopardy
3
The record, 2012–2026
’12’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy3

Findings at the most serious level CMS records.

Beyond CMS’s monthly file17/23

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

The facility

Certified beds
136
Ownership
For profit - Limited Liability company
Chain
FUNDAMENTAL HEALTHCARE
County
Grayson
Medicare-certified since
1989

CMS ratings

Overall
1
Health inspection
2
Staffing
1
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

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

Weighted by harm level, against 209 for-profit facilities with 128 or more beds in Texas.

Last survey on record

May 3, 2026

190 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 day3.433.26
Registered-nurse hours per resident day0.44—

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

Enforcement

Fines
$47,097 across 1 penalty

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—K25.4%L—
Actual harmG—H—I—
No harm, potential for more than minimalD1848.6%E1643.2%F12.7%
No harm, potential for minimalA—B—C—
CMS’s current file: 37 of the 106 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8805×

    Provide and implement an infection prevention and control program.

  • F6563×

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • F7613×

    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.

  • F8123×

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

  • F6772×

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

In the surveyor’s words

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

  • Immediate jeopardy, patternF584Aug 12, 2024

    Based on observation, interview and record review the facility failed to ensure residents had the right to a safe, clean, comfortable and homelike environment for secure unit dining room, main dining room and for 14 of 27 residents (Resident #2, Resident #39, Resident #12, Resident #13, Resident #14, Resident #17, Resident #22, Resident #25, Resident #28, Resident #34, Resident #35, Resident #43, Resident #47, Resident #48) reviewed for environment and resident rights, in that, The facility failed to provide housekeeping and maintenance services necessary to maintain a sanitary, orderly, and comfortable interior and did not ensure resident rooms were clean, sanitary and free of food debris and drink spills to prevent ants, gnats and flies. […]

  • Immediate jeopardy, patternF925Aug 12, 2024

    47690 Based on observation, interview, and record review, the facility failed to maintain an effective pest control program to keep the facility free from pests for 16 of 26 residents (Resident #2, Resident #13, Resident #17, Resident #25, Resident #28, Resident #39, Resident#44 and 9 Confidential Group Residents) reviewed for pest control, in that: 1. The facility failed to ensure an effective pest control program was in place to keep ants out of resident rooms, resulting in 102 ant bites on Resident #2's upper middle chest, over the right breast, right side of the neck, right shoulder, right arm, and right elbow. 2. The facility failed to maintain an effective pest control to address the outside of hall 100 and hall 200 for ant activity. […]

  • Immediate jeopardy, isolatedF684Sep 19, 2022

    Based on interview and record review the facility failed to ensure that residents received treatment and care in accordance with professional standards of practice, for 1 (Resident #1) of six residents reviewed for quality of care. The facility failed to recognize and respond when Resident #1 had a significant change in condition. LVN B noted a change in condition at 7:00 AM on [DATE]. It was not until after 1:00 PM, 911 was called and Resident #1 was sent to the hospital unresponsive. Resident #1 was not sent for approximately six hours. An Immediate Jeopardy was identified on [DATE] at 11:56 AM. […]

  • No harm, potential for more than minimal, widespreadF812Aug 12, 2024

    Based on observations, interviews and record review, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety for the facility's only kitchen, in that, 1. The facility failed to ensure chest freezer was free of ice accumulation. 2. The facility failed to ensure freezer items were labeled, dated and sealed. 3. The facility failed to ensure the kitchen was free of gnats and flies. 4. The facility failed to ensure steam table was not dripping. These failures could place residents at risk for food contamination. Findings include: 1. […]

  • No harm, potential for more than minimal, widespreadF812May 19, 2022

    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 for 1 of 1 kitchen reviewed for kitchen sanitation. The facility failed to ensure sanitary practices were maintained in the kitchen as there were overflowing trash bins, open spice lids, unprotected food, unsanitary freezer, and dented cans in the kitchen and pantry. These failures could place residents who eat from the kitchen at risk for cross-contamination and food-borne illness. Findings included: Observation on 05/17/22 at 8:50 a.m. revealed, a 32-gallon trash bin overflowing with trash and cardboard boxes stacked on top in the kitchen pantry. […]

Read 21 findings in full →The most serious and the most recent: 21 of 106 on record.

Every survey on record

FindingsAt actual harm or above

  • May 3, 2026Complaint2 findings
  • Dec 3, 2025Complaint3 findings
  • Sep 11, 2025Standard10 findings
  • May 20, 2025Complaint1 finding
  • Aug 12, 2024Standard14 findings · 2 harm
  • Jun 22, 2023Standard7 findings
  • Sep 19, 2022Complaint3 findings · 1 harm
  • Jul 13, 2022Infection control1 finding
Show the 15 earlier surveys
  • May 19, 2022Standard4 findings
  • Mar 30, 2022Complaint1 finding
  • Dec 1, 2021Complaint2 findings
  • Jan 22, 2021Standard5 findings
  • Dec 23, 2020Infection control1 finding
  • Jan 10, 2020Complaint1 finding
  • Mar 21, 2019Standard4 findings
  • Mar 29, 2018Standard13 findings
  • Jun 22, 2017Complaint1 finding
  • Apr 6, 2017Standard16 findings
  • Mar 3, 2016Standard7 findings
  • Apr 3, 2014Standard2 findings
  • Apr 10, 2013—1 finding
  • Apr 27, 2012—6 findings
  • Jan 26, 2012—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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