Avir at Pasadena
Pasadena, Texas · CCN 675625
22 surveys since 2011. The first finding at harm level was recorded in 2016.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 79
- Surveys
- 22
- Harm or worse
- 7
- Immediate jeopardy
- 7
Findings at the most serious level CMS records. 1 of these were recorded as past non-compliance — corrected before the survey.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 131
- Ownership
- For profit - Limited Liability company
- Chain
- AVIR HEALTH GROUP
- County
- Harris
- Medicare-certified since
- 1996
CMS ratings
- Overall
- 4
- Health inspection
- 3
- Staffing
- 2
- Quality measures
- 5
CMS’s own Five-Star ratings.
Compared with similar facilities
Not shown for this facility: too few citations in window (n=17, floor 20).
Last survey on record
Feb 12, 2026
270 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 | 3.08 | 3.26 |
| Registered-nurse hours per resident day | 0.25 | — |
| Annual nurse turnover | 25.7% | 55.3% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $8,021 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 | J430.8% | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D538.5% | E323.1% | F17.7% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F8123×
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F5801×
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- F5841×
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- F6071×
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- F6261×
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
In the surveyor’s words
From the most serious findings on record at Avir at Pasadena, in the surveyor’s own words.
- Immediate jeopardy, isolatedF689Nov 21, 2024
49710 Based on interview and record review, the facility failed to ensure the resident environment remained as free of accident hazards as possible, and each resident received adequate supervision to prevent accidents for 1 of 18 residents (Resident #91) reviewed for accidents and supervision, in that: The facility failed to supervise Resident #91 on the secure unit, after he attempted to elope 20 minutes prior to eloping, out of the window on 12/31/23. An Immediate Jeopardy (IJ) was identified as past non-compliance on 11/21/24. The non-compliance began on 12/31/23 and ended on 1/2/24. […]
- Immediate jeopardy, isolatedF580Sep 1, 2023
Based on interview and record review the facility failed to immediately consult with the resident's physician; and notify, consistent with his or her authority, the resident representative(s) when there was a significant change in the resident's physical, mental, or psychosocial status for 1 of 1 (CR #2) residents reviewed for notification of changes in that: The facility failed to notify the physician when CR #2 displayed a change in condition on [DATE]. An Immediate Jeopardy (IJ) was identified on [DATE] at 2:44pm. While the IJ was removed on [DATE] at 3:56pm the facility remained out of compliance at a severity level of actual harm and a scope of isolated due to the facility continuing to monitor the implementation and effectiveness of their corrective systems. […]
- Immediate jeopardy, isolatedF684Sep 1, 2023
Based on interview and record review, the facility failed to ensure residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices, for 1 of 1 resident (CR #2) reviewed for quality of care. -The facility failed to provide needed care and services resulting in a decline of CR #2's physical, mental, and psychosocial wellbeing on [DATE]. -CR #2 was identified as unresponsive at 11:00am on [DATE] by the family, and only at the request of the family was CR #2 sent out to the hospital. An Immediate Jeopardy (IJ) was identified on [DATE] at 2:44pm. […]
- Immediate jeopardy, isolatedF726Sep 1, 2023
Based on interview and record review the facility failed to ensure 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 1 nurse (LVN A) reviewed for nursing services. LVN A failed to identify CR #2 was unresponsive on [DATE]. LVN A got CR #2 into her wheelchair and attempted to give her water to drink, when she was unresponsive. An Immediate Jeopardy (IJ) was identified on [DATE] at 2:44pm. […]
- No harm, potential for more than minimal, widespreadF812Nov 21, 2024
Based on observation, interview and record review, the facility failed to store, prepare, distribute, and serve food under sanitary conditions in 1 of 1 preparation kitchen. The facility did not ensure the dishwasher was above the appropriate sanitizing temperature of 120 degrees Fahrenheit. This failure could place residents who ate food from the kitchen at risk of foodborne illness. Findings included: In an observation on 11/20/24 at 1:30 pm, the low temperature dishwasher was observed at 115 degrees Fahrenheit during the rinse cycle, with 100 ppm. In an interview on 11/20/24 at 2:10 p.m., the Dietary Manager stated staff did not let her know the dishwasher was running low temperatures. Staff told her it was not for them to let her know . […]
Read 23 findings in full →The most serious and the most recent: 23 of 79 on record.
Every survey on record
FindingsAt actual harm or above
- Aug 21, 2026Complaint2 findings
- Feb 12, 2026Standard2 findings
- Nov 21, 2024Standard and complaint4 findings · 1 harm
- Oct 12, 2023Standard3 findings
- Sep 1, 2023Complaint4 findings · 3 harm
- Jun 29, 2022Standard and complaint1 finding
- Dec 22, 2021Complaint1 finding
- Jan 9, 2020Standard4 findings
Show the 14 earlier surveys
- Mar 1, 2019Standard and complaint3 findings
- Feb 15, 2018Standard2 findings
- Mar 30, 2017Standard5 findings
- Feb 28, 2017Complaint2 findings
- Aug 31, 2016Complaint3 findings · 3 harm
- Apr 1, 2016Standard8 findings
- Jul 30, 2015Complaint1 finding
- Apr 2, 2015Standard1 finding
- May 2, 2014Complaint4 findings
- Mar 20, 2014Standard6 findings
- Jan 22, 2014—1 finding
- Mar 21, 2013—5 findings
- Mar 8, 2012—10 findings
- Mar 25, 2011—7 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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