Avir at Woodlands
Eastland, Texas · CCN 675001
32 surveys since 2011, 8 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
- 137
- Surveys
- 32
- Harm or worse
- 8
- Immediate jeopardy
- 3
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
- 76
- Ownership
- For profit - Limited Liability company
- Chain
- AVIR HEALTH GROUP
- County
- Eastland · rural
- Medicare-certified since
- 1992
CMS ratings
- Overall
- 1
- Health inspection
- 1
- Staffing
- 3
- Quality measures
- 4
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded more weighted findings than most of its peer group.
Weighted by harm level, against 164 for-profit facilities of 66–99 beds in Texas.
Last survey on record
Aug 13, 2025
453 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 | 3.44 | 3.22 |
| Registered-nurse hours per resident day | 0.74 | — |
| Annual nurse turnover | 65.9% | 53.9% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $85,613 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 | J— | K38.8% | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D823.5% | E1852.9% | F514.7% |
| No harm, potential for minimal | A— | B— | C— |
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.
- F6893×
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F7273×
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
- F8123×
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F5842×
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 Woodlands, in the surveyor’s own words.
- Immediate jeopardy, patternF600Apr 2, 2025
Based on observation, interview, and record review the facility failed to protect the resident's right to be free from neglect for 2 of 14 residents (Resident #10 and Resident #11) reviewed for neglect. The facility failed to ensure Resident #10 was secured with a seatbelt when being transported in the facility van to an appointment in another town approximately 47.5 miles one way on 03/26/2025. Resident #10 fell out of his wheelchair onto the floor of the facility van. The facility failed to ensure Resident #11 was secured with a seatbelt when being transported in the facility van to an appointment in another town approximately 47.5 miles one way on 03/18/2025. An Immediate Jeopardy (IJ) was identified on 03/31/2025. […]
- Immediate jeopardy, patternF689Apr 2, 2025
Based on observation, interview and record review, the facility failed to ensure each resident received adequate supervision to prevent accidents for 3 of 14 (Resident #3, Resident #10 and Resident #11) residents reviewed for supervision. 1. The facility failed to provide supervision for Resident #3, who was care planned for wandering in unsafe places, to prevent him from eloping from the facility on 03/21/2025. The facility was unaware Resident #3 had exited the facility, through his unlocked window in the secure unit. The facility failed to provide adequate supervision in secured locked unit to prevent elopement on 12/05/2024 and 03/23/2025. An Immediate Jeopardy (IJ) was identified on 03/21/2025. […]
- Immediate jeopardy, patternF725Apr 2, 2025
Based on observation, interviews, and record review, the facility failed to have sufficient nursing staff to provide nursing and related services to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident and determined by considering the number, acuity, and diagnoses of the facility's resident population with accordance with 1 of 13 residents (Resident #3) reviewed for sufficient staffing The facility failed to provide sufficient staffing of Secured Locked Unit for resident with known history of elopement that required 1:1 supervision on 03/24/2025. An Immediate Jeopardy (IJ) was identified on 03/21/2025. […]
- No harm, potential for more than minimal, widespreadF727Aug 13, 2025
Based on record review and interviews, the facility failed to ensure the use of the services of a registered nurse for at least 8 consecutive hours a day, seven days a week for 7 of 90 (02/02/2025, 02/15/2025, 02/16/2025, 03/01/2025, 03/02/2025, 03/15/2025 and 03/16/2025) days reviewed for RN coverage. The facility failed to provide evidence that a Registered Nurse (RN) worked 8 consecutive hours a day, seven days a week on 02/02/2025, 02/15/2025, 02/16/2025, 03/01/2025, 03/02/2025, 03/15/2025 and 03/16/2025.This failure placed the residents at risk for not having decisions made that would have required an RN to make in the management of the residents' healthcare needs and in managing and monitoring of the direct care staff. […]
- No harm, potential for more than minimal, widespreadF802Aug 13, 2025
Based on observation, interview, and record review the facility failed to employ sufficient number of staff to carry out the functions of the food and nutrition service department for 1 of 1 kitchenThe facility failed to ensure there were sufficient number of staff who prepared meals in the kitchen and served cooked food to residents at posted mealtimes. This failure could place residents at risk of not having their nutritional needs met and delay assistance with activities of daily living. […]
Read 25 findings in full →The most serious and the most recent: 25 of 137 on record.
Every survey on record
FindingsAt actual harm or above
- Aug 13, 2025Standard and complaint5 findings
- Apr 2, 2025Complaint3 findings · 3 harm
- Jul 10, 2024Standard and complaint8 findings
- Oct 9, 2023Complaint4 findings
- Sep 8, 2023Complaint3 findings
- Aug 10, 2023Complaint3 findings
- Jul 25, 2023Complaint1 finding
- Jul 18, 2023Complaint2 findings
Show the 24 earlier surveys
- May 4, 2023Standard5 findings
- Mar 20, 2023Complaint1 finding
- Mar 25, 2022Standard and complaint19 findings
- Jan 12, 2022Complaint1 finding
- Dec 28, 2021Complaint2 findings
- Oct 14, 2021Complaint1 finding
- Sep 9, 2021Infection control1 finding
- May 27, 2021Complaint2 findings
- Oct 30, 2019Standard6 findings
- Nov 29, 2018Standard4 findings
- Oct 16, 2018Complaint1 finding
- Mar 15, 2018Complaint1 finding · 1 harm
- Feb 14, 2018Complaint3 findings · 2 harm
- Nov 10, 2017Complaint1 finding
- Sep 1, 2017Standard3 findings
- Aug 11, 2016Standard3 findings
- Jun 21, 2016Complaint5 findings
- Sep 29, 2015Complaint4 findings · 1 harm
- Aug 13, 2015Standard12 findings
- Jun 27, 2014Standard5 findings
- Apr 9, 2014Complaint4 findings
- Jun 27, 2013—7 findings
- Apr 11, 2012—8 findings
- Mar 3, 2011—9 findings · 1 harm
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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