Avir at Sweetwater
Texarkana, Texas · CCN 455946
23 surveys since 2010, 4 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
- 94
- Surveys
- 23
- Harm or worse
- 4
- Immediate jeopardy
- 2
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
- 79
- Ownership
- For profit - Limited Liability company
- Chain
- AVIR HEALTH GROUP
- County
- Bowie
- Medicare-certified since
- 1991
CMS ratings
- Overall
- 3
- Health inspection
- 4
- Staffing
- 1
- Quality measures
- 4
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 164 for-profit facilities of 66–99 beds in Texas.
Last survey on record
Mar 10, 2026
244 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 | 2.55 | 3.22 |
| Registered-nurse hours per resident day | 0.26 | — |
| Annual nurse turnover | 44.8% | 53.9% |
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 | D637.5% | E850.0% | F212.5% |
| 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.
- F5521×
Ensure that residents are fully informed and understand their health status, care and treatments.
- F5651×
Honor the resident's right to organize and participate in resident/family groups in the facility.
- F5781×
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- 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.
In the surveyor’s words
From the most serious findings on record at Avir at Sweetwater, in the surveyor’s own words.
- No harm, potential for more than minimal, widespreadF585Dec 17, 2024
Based on observation, interviews, and record review, the facility failed to ensure information on how to file a grievance or complaint was available to the residents for 7 of 7 confidential residents reviewed for grievances. The facility failed to provide a prominent posting of the Grievance Procedure, access to Grievance forms, information of who the facility's grievance official was and their contact information, information of how a resident could file an anonymous grievance, and the residents' right to obtain a written decision related to their grievance. This failure could place residents at risk of unresolved grievances and a decreased quality of life. […]
- No harm, potential for more than minimal, widespreadF812Oct 26, 2023
Based on observation, interview, and record review, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety in 1 of 1 kitchen reviewed for dietary services, in that: The facility failed to ensure to date and label all food (DM). Dietary staff failed to cover food that was not actively being served (DM, Dietary Cook and Dietary Aide) Dietary staff exposed the lip of clean cups to the bottom of a tray that could potentially be contaminated and used them to serve hydration to residents (Dietary Aide) The Dietary Cook did not allow the puree machine to air dry after running it through the dishwasher prior to preparing residents meal. […]
- No harm, potential for more than minimal, widespreadF812Sep 13, 2022
Based on observation, interview, and record reviews the facility failed to store, prepare, and serve food in accordance with professional standards for food service safety for one of one kitchen reviewed for kitchen sanitation. The facility failed to sanitize and clean 1 of1 ice machine located outside the kitchen. Theis failure could place the residents who were served from the kitchen at risk for health complications and foodborne illnesses. Findings included: Observation on 09/11/2022 at 12:15 AM, of the outside of the freezer located outside of the kitchen revealed thee filter on the front of the ice machine had lint in the vent and visible pieces of lint were on the front of the vent. […]
- No harm, potential for more than minimal, widespreadF801Jun 30, 2021
Based on interview and record review the facility failed to designate a person to serve as the director of food and nutrition services who met the required qualifications for 57 of 57 residents who consumed food orally. 1)The facility failed to designate a person to serve as the director of food and nutrition services who met federal and state specific Dietary Manager requirements. This failure could place residents at risk for foodborne illness and not having their nutritional need met. The findings include: Record review of the facility presented lists of dietary staff on 6/28/21 and 6/30/21 revealed that a Dietary Manager had been designated. Record review of the personnel file for the Dietary Manager revealed that she had a date of hire of 3/22/21. […]
- No harm, potential for more than minimal, widespreadF812Jun 30, 2021
Based on observation, interview and record review, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety 1 of 1 kitchen: in that: 1) Dietary staff (Dietary Manager) failed to ensure foods were protected from possible contamination during processing and allowed to air dry (puree processing). 2) Dietary staff (Dietary Manager, Dietary Staff A and C) failed to use good hygienic practices during dietary duties (handwashing and glove changes) 3) German cockroaches were nesting in a wall area and crawling on the floor and walls of the kitchen, and 4) Kitchen equipment was not maintained in a clean manner (plate warmer, drink gun, stove upper shelf) These failures could place residents at risk of contamination and… […]
Read 24 findings in full →The most serious and the most recent: 24 of 94 on record.
Every survey on record
FindingsAt actual harm or above
- Mar 10, 2026Standard5 findings
- Dec 17, 2024Standard6 findings
- Oct 26, 2023Standard5 findings
- Sep 13, 2022Standard3 findings
- Jun 30, 2021Standard7 findings
- Feb 28, 2020Standard8 findings
- Aug 10, 2019Complaint1 finding · 1 harm
- Mar 29, 2019Standard6 findings
Show the 15 earlier surveys
- Feb 5, 2019Complaint2 findings
- Feb 16, 2018Standard and complaint4 findings
- Sep 8, 2017Complaint1 finding
- Jan 13, 2017Standard13 findings
- Oct 5, 2016Complaint1 finding · 1 harm
- Aug 16, 2016Complaint1 finding
- Dec 3, 2015Standard4 findings
- Jan 14, 2015Standard2 findings
- May 13, 2014Complaint2 findings
- May 6, 2014Complaint1 finding
- Jan 8, 2014—6 findings
- Nov 4, 2013—1 finding
- Feb 28, 2013—3 findings
- Feb 2, 2012—9 findings · 2 harm
- Nov 24, 2010—3 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.
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction