Deficiency Index

Avir at Orem

Houston, Texas · CCN 676314

38 surveys since 2012, 15 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
101
Surveys
38
Harm or worse
15
Immediate jeopardy
7
The record, 2012–2026
’12’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy7

Findings at the most serious level CMS records.

Beyond CMS’s monthly file29/38

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

The facility

Certified beds
120
Ownership
For profit - Limited Liability company
Chain
AVIR HEALTH GROUP
County
Harris
Medicare-certified since
2012

CMS ratings

Overall
4
Health inspection
4
Staffing
2
Quality measures
3

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 377 for-profit facilities of 100–127 beds in Texas.

Last survey on record

Jun 5, 2026

157 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 day2.973.25
Registered-nurse hours per resident day0.40—
Annual nurse turnover61.0%54.0%

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

Enforcement

Fines
$34,418 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 jeopardyJ13.8%K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD1765.4%E830.8%F—
No harm, potential for minimalA—B—C—
CMS’s current file: 26 of the 101 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6563×

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

  • F6773×

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

  • F8122×

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

  • F8802×

    Provide and implement an infection prevention and control program.

  • F5551×

    Honor the resident's right to choose his or her attending physician.

In the surveyor’s words

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

  • Immediate jeopardy, isolatedF600Aug 18, 2026

    Based on interview and record review the facility to ensure each resident was free from abuse, neglect, misappropriation of resident property, and exploitation for 2 of 6 residents (CR #1 and CR #2) reviewed for abuse. The facility failed to protect CR #1 from sexual abuse by CR #2 on 8/15/2026. CR #2 entered CR #1's room while she was sleeping, touched her vaginal area, and placed her hand on his genitals. CR #1 was subsequently transferred to the hospital for a sexual assault assessment. The noncompliance was identified as Past Non-Compliance. The IJ began on 08/15/2026 and ended on 08/16/2026. The facility corrected the non-compliance before the survey began. This failure placed the resident at risk for physical and psychological harm, emotional distress, and trauma. […]

  • Immediate jeopardy, isolatedF698Feb 17, 2024

    Based on observation, interview, and record review the facility failed to ensure that residents who require dialysis received such services, consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences for 1 of 6 residents (CR #1) reviewed for dialysis. The facility failed to ensure CR #1 received hemodialysis since she admitted to the facility on [DATE]. CR #1 missed dialysis on Saturday 2/10/24 and Tuesday 2/13/24. […]

  • Immediate jeopardy, isolatedF689Oct 19, 2022

    Based on interview and record review, the facility failed to provide adequate supervision and assistance devices to prevent accidents 1 of 15 residents (CR #1) reviewed for accidents hazards/supervision/devices, in that: -The facility failed to ensure that CR#1 received adequate supervision. CR#1 eloped from the facility on [DATE]. CR #1 was located hours later and transferred to the hospital where he died from heat stroke. --The facility failed to identify CR #1 who had diagnosis of dementia and history of wandering, as an elopement risk. CR #1 was allowed to exit the facility freely without any supervision on ,d+[DATE]. CR #1 was found several hours later lying on the ground. CR #1 was transferred to the hospital where he died from exposure from the heat. […]

  • Actual harm, isolatedF726Oct 19, 2022

    Based on interview and record review, the facility failed to ensure that licensed nurses had the specific competencies and skill sets necessary to care for residents' needs, as identified through resident assessments, and described in the plan of care for 1 of 15 resident's (CR #1) reviewed for elopement and wandering. -The facility failed to ensure staff were competent in assessing residents for wandering or triggering for elopement. -The facility failed to ensure an Agency Nurse was competent in the facilities elopement/wandering policies and procedures. These failures could affect residents and place them at risk of a delay in implementing facility elopement/wandering procedures. […]

  • No harm, potential for more than minimal, widespreadF812Oct 5, 2021

    Based on observation, interview, and record review, the facility failed to store, prepare, and serve food under sanitary conditionsin accordance with professional standards for food service safety in 1 of 1 kitchen. --ensure all food items were labeled and dated. --ensure expired foods were discarded from the kitchen. --ensure that equipment used daily were kept clean. --ensure that the vent hood in the kitchen were was cleaned and maintained as scheduled. These failures could place residents at risk of cross contamination and food-borne illness. Findings include: Observations of the kitchen on [DATE] at 8:15 AM to 8:40 AM, revealed the following:- All unlabeled food items were identified by the Cook Z one of one commercial can opener in the kitchen was dirty. […]

Read 33 findings in full →The most serious and the most recent: 33 of 101 on record.

Every survey on record

FindingsAt actual harm or above

  • Aug 18, 2026Complaint1 finding · 1 harm
  • Jun 5, 2026Standard5 findings
  • May 6, 2026Complaint1 finding
  • Apr 4, 2025Standard2 findings
  • Feb 27, 2025Complaint2 findings
  • Jan 2, 2025Complaint2 findings
  • Nov 21, 2024Complaint1 finding
  • Apr 5, 2024Complaint1 finding
Show the 30 earlier surveys
  • Feb 17, 2024Standard5 findings · 1 harm
  • Dec 15, 2022Standard and complaint7 findings
  • Oct 19, 2022Complaint3 findings · 2 harm
  • Oct 5, 2021Standard5 findings
  • Sep 19, 2020Complaint1 finding
  • May 15, 2020Complaint2 findings · 2 harm
  • Jan 16, 2020Standard5 findings
  • Dec 23, 2019Complaint2 findings
  • Sep 27, 2019Complaint1 finding
  • Feb 1, 2019Standard3 findings
  • Mar 8, 2018Complaint1 finding
  • Feb 2, 2018Standard and complaint2 findings
  • Oct 6, 2017Complaint2 findings
  • May 5, 2017Complaint3 findings · 2 harm
  • Mar 10, 2017Standard11 findings
  • Feb 15, 2017Complaint1 finding
  • Jul 12, 2016Complaint1 finding · 1 harm
  • Apr 7, 2016Standard5 findings
  • Jan 20, 2016Complaint4 findings · 4 harm
  • Jun 12, 2015Standard6 findings
  • Jun 5, 2015Complaint2 findings
  • Dec 11, 2014Complaint2 findings · 2 harm
  • Jun 26, 2014Standard2 findings
  • Apr 29, 2014Complaint1 finding
  • Mar 5, 2014Complaint1 finding
  • Jul 23, 2013—2 findings
  • Jun 6, 2013—1 finding
  • Feb 28, 2013—1 finding
  • Nov 9, 2012—3 findings
  • Aug 16, 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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