Deficiency Index

Avir at Waco

Waco, Texas · CCN 676343

16 surveys since 2014, and no finding has been recorded at harm level.

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

Citations on record
63
Surveys
16
Harm or worse
0
Immediate jeopardy
0
The record, 2014–2026
’14’15’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worseNone

No finding on record has been cited at harm level or above.

Beyond CMS’s monthly file10/16

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
Mc Lennan
Medicare-certified since
2013

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 fewer weighted findings than most of its peer group.

Weighted by harm level, against 377 for-profit facilities of 100–127 beds in Texas.

Last survey on record

Apr 6, 2026

217 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 day3.503.25
Registered-nurse hours per resident day0.26—
Annual nurse turnover42.9%54.0%

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

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD1050.0%E735.0%F210.0%
No harm, potential for minimalA—B—C15.0%
CMS’s current file: 20 of the 63 citations on record.

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.

  • F8803×

    Provide and implement an infection prevention and control program.

  • F6562×

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

  • F7552×

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

  • F5581×

    Reasonably accommodate the needs and preferences of each resident.

In the surveyor’s words

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

  • No harm, potential for more than minimal, widespreadF812Dec 31, 2024

    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 for one of one kitchen reviewed for sanitation. 1. The facility failed to ensure sanitation practices (cleaning the ice machine in the nourishment room, cleaning the juice machine dispenser, cleaning the can opener from buildup, cleaning the inside of the microwave, leaving dirty mop water in the mop bucket in the chemical storage closet, ensuring the dish machine sanitizer levels are within the required range, storing the ice scoop in the nourishment room in an ice scoop receptacle that was free from standing water accumulation, ensuring staff utilize hair restraints while in the kitchen, ensuring trash… […]

  • No harm, potential for more than minimal, widespreadF812Nov 2, 2023

    Based on observations, interviews, and record reviews, the facility failed to store foods properly and maintain a sanitized food preparation area for the facility's only kitchen reviewed for food and nutrition services. 1. The facility failed to safely store food containers in the facility's only pantry, walk-in cooler, and freezer. 2. The facility failed to maintain clean kitchen surfaces/appliances. These failures placed residents at risk of exposure to food borne pathogens. […]

  • No harm, potential for more than minimal, patternF755Feb 6, 2026

    Based on interview and record review, the facility failed to provide pharmaceutical services, (including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals) to meet the needs of 3 of (Resident #30. Resident #62 & Resident #83) of 5 residents reviewed for pharmacy services.The facility failed to administer Resident #30's antipsychotic medication Risperidone 1mg two times a day for schizophrenia as prescribed from 02/01/2026-02/03/2026 during the standard time frame.The facility failed to administer Resident #62's antipsychotic medication Risperidone 0.5mg two times a day for schizophrenia as prescribed from 02/01/2026-02/05/2026 during the standard time frame.The facility failed to administer Resident #83's antiseizure… […]

  • No harm, potential for more than minimal, patternF812Feb 6, 2026

    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 for 1 of 1 kitchen reviewed for sanitation.1. The facility failed to ensure sanitation practices (cleaning the dishwasher from buildup).2. The facility failed to ensure all items were covered and stored properly in the pantry and freezer.3. The facility failed to label and date all food items in the kitchen.This failure could place residents at risk of foodborne illness. Findings included:In an initial observation on 02/04/2026 at 9:05 AM the kitchen pantry revealed opened bags of cereal placed inside plastic labeled and dated bags that were not properly sealed to limit exposure to outside air. […]

  • No harm, potential for more than minimal, patternF803Dec 31, 2024

    Based on observations, interviews, and record reviews, the facility failed to ensure menus were followed for all residents for 2 of 3 meals observed. The facility failed to follow the posted cycle menus for two lunch services served at the facility on Sunday, 12/29/24 and Tuesday, 12/31/24. These failures could place residents that eat food from the kitchen at risk of poor intake, and/or weight loss. The findings included: Record review of Resident # 34's admission face sheet undated reflected a [AGE] year-old female admitted to the facility on [DATE] and readmitted on [DATE] with diagnosis of neurocognitive disorder with Lewy bodies (a progressive disease that causes a decline in thinking abilities). […]

Read 20 findings in full →The most serious and the most recent: 20 of 63 on record.

Every survey on record

FindingsAt actual harm or above

  • Apr 6, 2026Complaint1 finding
  • Mar 13, 2026Complaint2 findings
  • Feb 6, 2026Standard4 findings
  • Dec 31, 2024Standard6 findings
  • Jul 16, 2024Complaint1 finding
  • Nov 2, 2023Standard6 findings
  • Aug 18, 2022Standard4 findings
  • Jun 23, 2021Standard2 findings
Show the 8 earlier surveys
  • Mar 11, 2020Standard and complaint10 findings
  • Jan 16, 2020Complaint1 finding
  • Mar 8, 2018Complaint1 finding
  • Dec 7, 2017Standard4 findings
  • Nov 3, 2016Standard9 findings
  • Dec 3, 2015Standard4 findings
  • Jan 18, 2015Complaint2 findings
  • Nov 5, 2014Standard6 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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