2505 S 37th St., Temple, TX 76504 · Bell County · (254) 298-7300
120 certified beds, about 71 residents a day · For profit - Individual · Medicare and Medicaid since 1999
CMS Care Compare ratings, data as of September 1, 2026 · CCN 675797 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on June 13, 2025, inspectors cited 4 health deficiencies (the Texas average is 9.4, the national average 9.2).
Of 33 health citations since March 2023, 6 were rated as actual harm or immediate jeopardy to residents (4 immediate jeopardy).
CMS lists 4 fines totaling $154,589 in the last three years; the largest was $134,490, and the latest is dated July 23, 2025.
Nurses and nurse aides worked 3.03 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.21 of those hours.
83.3% of nursing staff left within the year CMS measured (Texas average 55.3%).
CMS links it to Avir Health Group, an affiliated group of 118 nursing homes.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 33 health citations on file.
Inspectors wroteBased on observation, interview and record review the facility failed to provide pharmaceutical services, including procedures that assured the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals, to meet the needs of resident for 1 of 8 residents (Resident #1) reviewed for pharmacy services. LVN A failed to complete and document the administration of 10 separate physicians' orders for Resident #1 on 07/15/26 from 6PM to 1AM. This failure could place residents at risk of not receiving the intended therapeutic benefit of the medications and supplements, worsening or exacerbation of chronic medical conditions, and hospitalization.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide a safe, clean, comfortable, and homelike environment for 1 of 1 facility reviewed for safe and homelike environment. The facility failed to ensure visitors or any unauthorized people did not have access to the facility at any time creating an unsafe environment for residents. The failure could place residents at risk of potential harm, and the resident feeling unsafe in the facility. Findings Included: Observation of the facility on 06/10/2026 at 3:45a.m., there were no staff in the front entrance of the facility or inside the lobby area. The surveyor rang the doorbell, and no one responded. The surveyor than called the after-hour number and did not identify herself. [...]
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure a resident who was unable to carry out activities of daily living received the necessary services to maintain good nutrition, grooming and personal and oral hygiene for 2 of 10 residents (Resident #1, and Resident #2) reviewed for ADL care. The facility failed to ensure Resident #1 was not dirty and her hair was combed on 06/10/2026. The facility failed to ensure Resident #2 was changed every two hours on 06/10/2026. This failure could place residents at risk of embarrassment and diminished quality of life.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure, in accordance with State and Federal laws, all drugs and biologicals were stored in locked compartments under proper temperature controls and permitted only authorized personnel to have access to 1 of 3 medication carts (MC #1) reviewed for drug storage and labeling. The facility failed to ensure MC #1, was locked, medications secured, and not accessible to other staff, residents, or visitors on 06/10/2026. This failure could place residents at risk of having unauthorized access to medications, decreased effectiveness of medication, or missing medications.
Inspectors wroteBased on record reviews and interviews, the facility failed to ensure the services of a Registered Nurse (RN) for at least 8 consecutive hours a day, 7 days a week and have a designated full time Registered Nurse to serve as the Director of Nursing on a full- time basis for 1 of 1 facility's reviewed for nurse staffing.1. The facility failed to have the services of an RN for 8 consecutive hours on 10/11/25, 10/12/25, 11/09/25, 11/22/25, 11/23/25, 11/27/25, 12/11/25, 12/14/25, 1/17/26, 1/18/26, 2/7/26, 2/8/26, 2/13/26, 3/1/26, 3/15/26, 3/24/26, 3/25/26, 3/27/26, 3/28/26, 3/29/26, 3/30/26, 3/31/26. 2. The facility failed to ensure they had a full-time DON licensed in Texas from 3/20/26-4/08/26.3. [...]
Inspectors wroteBased on interviews, observations, and record reviews, the facility failed to ensure each resident was treated with respect and dignity and cared for in a manner and in an environment that promotes maintenance or enhancement of his or her quality of life for 2 of 5 (Resident #1 and Resident #2) residents reviewed for dignity. The facility failed to ensure CMA A did not feed Resident #1 her medications from a pudding cup, while standing over her in the dining room on 4/7/26. The facility failed to ensure CNA B used person-centered language when she described Resident #2 as a feeder on 4/7/26. These failures could place residents at risk of shame and embarrassment.
Inspectors wroteBased on, interview and record review, the facility failed to ensure residents are offered a therapeutic diet when there is a nutritional problem and the health care provider orders a therapeutic diet for 1 of 1 (Resident # 1) reviewed for nutrition and hydration:The facility failed to follow Resident #1's physician orders for enteral feeding. This failure could affect residents receiving enteral nutrition/hydration and place them at risk of health complications and decline in health.
Inspectors wroteBased on observation, record review and interviews, the facility failed to ensure resident received adequate supervision to prevent accidents for 3 (Residents 1, 2, and 3) of 6 residents reviewed for supervision. The facility failed to ensure Resident #1 did not elope from the facility on March 26, 2022, February 1, 2025, and again on June 21, 2025. On June 21, 2025, resident #1 was seen on the corner of the facility near a stop sign of an unbusy street. The facility was unsure how the resident eloped. A root cause analysis was not completed to determine how the resident eloped. There were two other residents at the facility (Resident #2 and #3) who were at a high risk for elopement with no interventions to prevent the elopement. Intervention's not put in place include but are not limited to: [...]
Inspectors wroteBased on interviews and record reviews the facility failed to ensure residents were free of any significant medication errors for 1 (Resident #66) of 1 resident reviewed for significant medication errors. The facility failed to ensure Resident #66 received the prescribed anti-convulsant medication on 6/9/2025 and 6/10/2025. Resident #66 had seizure-like activity, was transferred to the ED, and remained admitted at the hospital for diagnosis of seizure. An Immediate Jeopardy (IJ) situation was identified on 6/12/2025. While the IJ was removed on 6/13/2025, the facility remained out of compliance at a scope of isolated with a potential for more than minimal harm, due to the facility's need to evaluate the effectiveness of the corrective systems. This deficient practice could place residents at risk of serious harm, up to and including death. Findings Include: [...]
Inspectors wroteBased on observations, interviews, and record reviews the facility failed to ensure a resident who was unable to conduct activities of daily living received the necessary services to maintain good nutrition, grooming, and personal and oral hygiene for three of six residents (Residents #8, #9 and #30) reviewed for ADL care. 1. The facility failed to ensure Resident #8 was provided with adequate oral care. 2. The facility failed to ensure Residents #9 and #30 with adequate nail care. These failures could place residents at risk of not receiving care and services to meet their needs. Findings Include: 1. A record review of Resident #9's face sheet reflected a [AGE] year-old male who was re-admitted to the facility on [DATE]. Resident #9 had diagnoses which included: [...]
Inspectors wroteBased on observation, interview and record review the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food storage, food safety, and nutrition services for 1 of 1 kitchen. The facility failed to ensure food items were labeled and/or dated. This failure could place residents at risk foodborne illness by being served expired food.
Inspectors wroteBased 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 need of each resident. The facility failed to establish a system of record of receipt and disposition of all controlled drugs in sufficient detail to enable an accurate reconciliation at each shift change. This failure could place residents at risk of drug diversions and could result in diminished health and well-being. Findings Include: Record review of the Change of Shift Narcotic Count Sheets for the 500-700 Halls revealed missing documentation for 06/02/2025 6p-6a on-coming and off -going shifts. [...]
Inspectors wroteBased on observation, interview and record review, the facility did not provide pharmaceutical services to meet the needs of each resident for one (Resident #1) of four residents reviewed for pharmaceutical services. 1. The facility failed to ensure Resident #1 was administered his prescribed and scheduled medications CarBAMazepine (for seizures) , Keppra (anticonvulsant), RisperDAL Oral Risperidone (Antipsychotic) , Venlafaxine (For depression, anxiety, and panic disorder) HYDROcodone-Acetaminophen (for pain), before going for an appointment on 04/15/25 for a painful procedure on his right arm , causing him to be in increased pain on his arm, anxiety, and risked him of seizures and convulsions. [...]
Inspectors wroteBased on observations, interviews, and record review the facility failed to ensure the facility established and maintained an infection prevention program designed to provide a safe environment and to help prevent the transmission of communicable diseases for 2 of 5 residents (Resident #2 and Resident #3) observed for infection control. LVN C failed to disinfect the blood pressure cuff while using it on Residents #2 and Residents #3. This failure could place residents at increased risk of healthcare associated infections.
Inspectors wroteBased on interview and record review, the facility failed to incorporate the PASRR level II recommendations into a resident's assessment and care planning to ensure that individuals with a mental disorder, intellectual disability or a related condition receives care and services in the most integrated setting appropriate to their needs for one (Resident #1) of three residents reviewed for PASRR (Preadmission Screening Resident Review) services. The facility failed to submit the Nursing Facility Specialized Services for SLP, PT, OT, and a customized wheelchair within 20 business days after the IDT meeting for Resident #1. This failure could place residents at risk of not receiving the needed care and services to attain or maintain their highest practicable physical, mental, and psychosocial well-being.
Inspectors wroteBased on interview and record review the facility failed to ensure the resident had the right to be free from abuse, neglect, misappropriation of resident property, and exploitation for one of three residents (Resident # 1) reviewed for misappropriation. The facility failed to prevent a diversion (misappropriation) of Resident #1's Oxycodone 0.5 mg, 30 tablets (opiate narcotic medication); Tramadol 50 mg 30 tablets (a pain medication) received from the pharmacy on 2/7/24 at 4:11 AM and reported missing 2/11/2025 during the day shift. This failure could place residents at risk for decreased quality of life, unrelieved pain, misappropriation of property, and dignity.
Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to ensure residents with pressure ulcers received necessary treatment and services, consistent with professional standards of practice, to promote healing, prevent infection and prevent new ulcers from developing for 2 (Resident # 1 and Resident #9) of 5 Residents reviewed for pressure ulcers. 1. The facility failed to perform wound care to Resident #9's Stage 3 pressure ulcer to right buttock, as ordered, on 01/06/25, 01/09/25, 01/11/25, 01/12/25, 01/14/25, 01/20/25, 1/21/25 and 1/22/25 . Resident #9's wound was infected on 01/16/2025 and got worse from a stage 3 to a stage 4. 2. The facility failed to perform wound care on Resident #9's sacral wound per orders for Resident #9 dated 1/16/2025 until 1/23/2025. Resident #9's wound was infected on 01/16/2025 and got worse from a stage 3 to a stage 4. [...]
Inspectors wroteBased on interview and record review, the facility failed to ensure that pain management was provided to residents who required such services, consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences for one (Resident #5) of six residents reviewed for pain. The facility failed to provide effective pain management for Resident #5 while she resided at the facility from 01/17/25 - 01/27/25. She had a recently acquired amputation that caused her to be in excruciating pain. The facility did not adjust her pain medication or notify her NP. This failure resulted in an identification of an Immediate Jeopardy (IJ) on 01/29/25 at 4:04 PM and an IJ template was given. [...]
Inspectors wroteBased on record review and interview, the facility failed to develop a base line care plan that included the instructions needed to provide effective and person-centered care of the resident for three (Resident #6, Resident #7, and Resident #8) of six residents reviewed for baseline care plans. The facility failed to timely complete a baseline care plan within 48 hours of admission for Residents #6, #7, and #8. This failure could place residents at risk for not receiving care and services to meet their needs.
Inspectors wroteBased on interviews and record reviews, 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 each resident for 2 (Resident #10 and Resident #11) of 6 residents reviewed for medications and pharmacy services. The facility failed to ensure Resident #10's Calcium, Fluorometholone Ophthalmic Suspension, Lidoderm Patch 5%, Valacyclovir, Carvedilol, Revatio, and levothyroxine were administered according to the physician's orders. The facility failed to ensure Resident #11's Atorvastatin, Latanoprost Ophthalmic Solution, and Levothyroxine were administered according to the physician's orders. [...]
Inspectors wroteBased on interview and record review, the facility failed to ensure that medical records were accurately documented for three (Resident #6, Resident #7, and Resident #8) of six residents reviewed for accurate medical records. The facility failed to document nursing notes in Residents #6's, #7's, and #8's EMR for multiple days after they were admitted to the facility. This deficient practice could result in errors in care and treatment.
Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infection for 5 (Resident #1, Resident #2, Resident #3, Resident #4, and Resident #9) of 7 residents reviewed for infection control. 1. The facility failed to wear PPE when providing high contact resident care (dressing, bathing, transfers, wound care, device) to Residents #1, #2, #3, #4, and #9. 2. The facility failed to have signage on resident doors that reflected PPE was required for high contact care for Residents #1, #2, #3, #4, and #9. 3. The facility failed to educate staff on infection control procedures related to Enhanced Barrier Precautions (EBP). [...]
Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to develop and implement a comprehensive person-centered care plan for each resident that included measurable objectives and timeframes to meet a resident's medical and nursing needs that are identified in the comprehensive assessment for 2 (Resident #1 and Resident #9) of 4 residents reviewed for comprehensive care plans. The facility failed to ensure Resident #1's comprehensive care plan included interventions for NPWT to a stage 4 pressure ulcer. The facility failed to ensure Resident #9's comprehensive care plan included her ADL status, indwelling urinary catheter, stage 4 pressure ulcer to sacrum, communication deficit, and CPAP. These failures could affect residents by placing them at risk of not receiving necessary care or services to address their specific needs.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide the necessary services to maintain good nutrition, grooming, and personal and oral hygiene for three of eight residents (Residents #1, 2, and 3) reviewed for nail care, in that: Residents #1, 2, and were observed with long, dirty, jagged fingernails. This failure places the residents at risk of injury, infections, gastrointestinal issues, germs, and bacteria. Findings Included: [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to store all drugs and biological's in locked compartments for two of six medication carts (medication carts #2 and #3) observed for medication storage. There were two unlocked medication carts and an unopened bag that contained medication bottles sitting on treatment cart. This failure allowed residents and unauthorized staff and guests access to unprescribed medications which could have been ingested. Findings Included: Observation and initial rounds on 12/17/2024 at 5:02 AM, the RN exited a resident's room in the middle of the hallway leading to the north wing. Observation on 12/17/2024 at 5:09 AM revealed medication carts #2 and #3, sitting near the nurses' station , the drawers faced outward, were unlocked and unattended. There were no residents or other staff in the area. [...]
Inspectors wroteBased on observation, interviews and record review, the facility failed to ensure residents were free from physical restraint for 4 (Residents # 7, #13, #27 and #47) of 77 residents reviewed for restraints. The facility failed to ensure Residents #7, #13, #27, and #47 were free from wheelchair seat belt restraints. This failure could place residents at risk for entrapment with serious injury or death.
Inspectors wroteBased on observation, interview and record review the facility failed to ensure that the medication error rate was not five percent or greater. The facility had a medication error rate of 6.72 percent based on 2 errors out of 32 opportunities. Which involved 2 of 4 residents (Resident # 54 and Resident # 75) reviewed for medication administration. 1. The facility failed to ensure MA A administered medication as ordered to Resident # 54 by not having Vitamin D 100 mg to administer as ordered. 2. The facility failed to ensure MA A administered medication as ordered to Resident # 75 by not having Terazosin 1 mg available to administer as ordered. Theses failures could affect residents and put them at risk for not receiving the intended therapeutic benefit of their medications and or adverse outcomes.
Inspectors wroteBased on interview and record review, the facility failed to ensure, based on the comprehensive assessment of a resident, residents who had not used psychotropic drugs were not given these drugs unless the medication was necessary to treat a specific condition as diagnosed and documented in the clinical record for 1 of 5 residents (Resident #48) reviewed for unnecessary medications. The facility failed to ensure Resident #48 had behavior monitoring for her prescribed Quetiapine (an antipsychotic medication used to treat schizophrenia), Sertraline (an antidepressant used to treat depression and anxiety), Trazodone (an antidepressant used to treat major depression), and hydroxyzine (an antianxiety/anticholinergic medication used to treat anxiety). The facility failed to ensure Resident #48 had side effect monitoring for her prescribed Sertraline, Trazodone, and hydroxyzine. [...]
Inspectors wroteBased on observations, interviews, and record review, the facility failed to post the nurse staffing data, including the total number and the actual hours worked by registered nurses, licensed practical or vocational nurses, and certified nurse aides, daily for 1 of 1 staffing log reviewed. -The facility failed to ensure the Daily Staffing log was posted for 04/06/24, 04/07/24, 04/08/24, and 04/09/24. -The facility failed to ensure the Daily Staffing log contained the total number and actual hours worked of licensed and unlicensed nursing staff directly responsible for resident care per shift for registered nurses, licensed practical or vocational nurses, and certified nurse aides. These deficient practices could place resident at risk by not providing adequate staffing information for the staff, residents, and general public to know how many staff are providing care on all shifts.
Inspectors wroteBased on interview and record review, the facility failed to immediately inform the resident; consult with the resident's physician; and notify, consistent with his or her authority the resident representative(s) when there is an accident involving the resident which results in injury and has the potential for requiring physician intervention for 1 (Resident #1) of 5 residents reviewed for notification of change. The facility failed to: 1. Notify the physician when Resident #1 had a significant change in condition marked by when he suffered an unwitnessed fall out of bed with noted bruising to the left side of his forehead, the top of his head, skin tears to his right earlobe and right elbow, his left elbow had abrasions, and his right toes were bleeding and he complained of pain to his right knee. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure each resident was treated with respect and dignity and care for each resident in a manner and in an environment that promotes maintenance or enhancement of his or her quality of life, self-determination, recognizing each resident's individuality and failed to protect and promote the rights of the residents for one (Resident #1) of four residents reviewed for rights, in that: The facility failed promote the rights of Resident #1 by not allowing her to choose what diet she was served. Resident #1 had been served a pureed diet since April of 2023 while actively requesting a mechanical soft diet which often left her starving, feeling depressed, inadequate, and feeling less of a person and like a nobody. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that all drugs and biologicals were stored in locked compartments and inaccessible to unauthorized staff, visitors, and residents for 1 (Treatment cart #1) of 10 medication/treatment carts reviewed for medication storage in that: Treatment cart # 1 was left unattended and unlocked. This failure could allow residents, unsupervised access to prescription and over-the-counter medications.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure residents received adequate supervision and assistance devices to prevent accidents for one (Resident #1) of one resident observed for transfers. CNA A failed to transfer Resident #1 safely when they failed to use a gait belt and lifted the resident by his arms when attempting to transfer him from the wheelchair to his bed. These failures could affect the resident by placing them at risk for discomfort, pain, and/or injury.
4 fire safety citations on file: 4 on March 2, 2023.
| Date | Penalty | Amount or length |
|---|---|---|
| July 23, 2025 | Fine | $5,980 |
| June 13, 2025 | Fine | $13,020 |
| February 12, 2025 | Fine | $134,490 |
| November 21, 2023 | Fine | $1,099 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Texas | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.03 | 3.39 | 3.86 |
| Registered nurses | 0.21 | 0.43 | 0.69 |
| All nursing staff on weekends | 2.67 | 2.98 | 3.42 |
| Nurse aides | 1.84 | ||
| Licensed practical nurses | 0.99 | ||
| Nursing staff turnover (share who left in a year) | 83.3% | 55.3% | 45.8% |
| Registered nurse turnover | 94.7% | 54.6% | 42.9% |
| Administrators who left | 3 |
CMS expects 3.77 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.18 on weekdays and 2.67 on weekends, 16% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 9.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.39 in April to June 2025 to 3.03 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.03 | 0.21 | 3.18 | 2.67 | 9.1% | 10 of 90 | 71 |
| Oct to Dec 2025 | 3.30 | 0.22 | 3.42 | 3.00 | 8.6% | 8 of 92 | 70 |
| Jul to Sep 2025 | 3.32 | 0.29 | 3.49 | 2.90 | 9.7% | 4 of 92 | 74 |
| Apr to Jun 2025 | 3.39 | 0.61 | 3.54 | 2.99 | 28.0% | 0 of 91 | 70 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Texas, Jan to Mar 2026 | 3.33 | 0.40 | 3.50 | 2.93 | 2.2% | 0.7% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Texas, all employers | |||
| CNAs (nursing assistants) | $18.03 | $16.97 to $20.71 | 88,680 |
| LPNs and LVNs | $29.92 | $27.46 to $32.89 | 57,560 |
| Registered nurses | $46.14 | $38.06 to $50.53 | 271,380 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Texas | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 12.6 | 15.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.3 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.6 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.5 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 16.7 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.8 | 3.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 10.3 | 9.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 41.3 | 25.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 14.3 | 12.3 | 12.0 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Avir at Weston's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (44.7% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
44.7% this home
No different from the national rate
US median of homes 51.5% · Texas: 116 better, 50 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 65 eligible stays.
11.0% this home
No different from the national rate
US median of homes 10.7% · Texas: 0 better, 9 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 86 eligible stays.
6.5% this home
No different from the national rate
US median of homes 7.1% · Texas: 4 better, 11 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 43 eligible stays.
60.9% this home
Median of homes: Texas57.3% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 23 residents counted.
2.7% this home
Median of homes: Texas0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 37 residents counted.
2.2% this home
Median of homes: Texas1.3% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 37 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Texas98.5% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 2 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: STRATFORD HOSPITAL DISTRICT. CMS links this home to Avir Health Group, a group of 118 nursing homes averaging 2.3 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Stratford Hospital District | 5% or greater direct ownership interest | Organization | 100% | 06/01/2020 |
| Chumley, Richard | Corporate officer | Individual | 06/01/2020 | |
| Chudleigh, Geoff | Operational/managerial control | Individual | 04/05/2024 | |
| Chudleigh, Geoff | Adp of the SNF | Individual | 04/05/2024 | |
| Shane, James | Adp of the SNF | Individual | 01/01/2020 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
These are the official offices in Texas. NursingHomeClear cannot take or act on complaints.