Avir at Comfort
615 FALTIN AVE, COMFORT, TX 78013 · CCN 675871
Ratings
- Overall
- ★★★★☆ 4
- Health inspection
- ★★★★☆ 4
- Quality measures
- ★★★★★ 5
- Staffing
- ★☆☆☆☆ 1
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 76
- Avg residents/day
- 33.7
- Phone
- 8309953757
Inspection history vs Texas & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Texas avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-08-22 | 4 | 9.1 | 9.5 | -5.1 better |
| 2 | 2024-07-10 | 7 | 9.4 | 9.8 | -2.4 better |
| 3 | 2023-06-08 | 23 | 8.1 | 9.3 | +14.9 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 1 |
| Resident assessment and care planning | 1 |
| Nursing and physician services | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.41 | 45.9% |
| RN staffing (reported) | 0.64 | 60.0% |
| Total nurse staffing (adjusted) | 3.83 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- AVIR HEALTH GROUP
- Facilities in chain
- 90
- Chain avg overall
- 2.30 / 5
Inspection citations (34)
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-08-22 · Health · corrected 2025-08-25
Potential for more than minimal harm
- FF0727Have 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.2025-08-22 · Health · corrected 2025-08-31
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-04-18 · Health · corrected 2025-04-25
Potential for more than minimal harm
- FF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-04-18 · Health · corrected 2025-04-25
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2024-07-10 · Health · corrected 2024-07-31
Potential for more than minimal harm
- CF0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.2024-07-10 · Health · corrected 2024-07-31
Potential for minimal harm
- EF0727Have 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.2024-07-10 · Health · corrected 2024-07-31
Potential for more than minimal harm
- CF0732Post nurse staffing information every day.2024-07-10 · Health · corrected 2024-07-31
Potential for minimal harm
- DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-07-10 · Health · corrected 2024-07-31
Potential for more than minimal harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-03-01 · Health · corrected 2024-03-29
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-03-01 · Health · corrected 2024-03-29
Potential for more than minimal harm
- DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2023-06-08 · Health · corrected 2023-07-05
Potential for more than minimal harm
- DF0637Assess the resident when there is a significant change in condition2023-06-08 · Health · corrected 2023-07-05
Potential for more than minimal harm
- DF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2023-06-08 · Health · corrected 2023-07-05
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2023-06-08 · Health · corrected 2023-07-05
Potential for more than minimal harm
- DF0642Ensure a qualified health professional conducts resident assessments.2023-06-08 · Health · corrected 2023-07-05
Potential for more than minimal harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2023-06-08 · Health · corrected 2023-07-05
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-06-08 · Health · corrected 2023-07-05
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-06-08 · Health · corrected 2023-07-05
Potential for more than minimal harm
- DF0727Have 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.2023-06-08 · Health · corrected 2023-07-27
Potential for more than minimal harm
- EF0730Observe each nurse aide's job performance and give regular training.2023-06-08 · Health · corrected 2023-07-10
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-06-08 · Health · corrected 2023-07-07
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2023-06-08 · Health · corrected 2023-07-07
Potential for more than minimal harm
- DF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2023-06-08 · Health · corrected 2023-07-07
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-06-08 · Health · corrected 2023-07-07
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-06-08 · Health · corrected 2023-07-05
Potential for more than minimal harm
- DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2023-06-08 · Health · corrected 2023-07-05
Potential for more than minimal harm
- EF0940Develop, implement, and/or maintain an effective training program for all new and existing staff members.2023-06-08 · Health · corrected 2023-07-10
Potential for more than minimal harm
- EF0941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.2023-06-08 · Health · corrected 2023-07-19
Potential for more than minimal harm
- EF0942Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.2023-06-08 · Health · corrected 2023-07-19
Potential for more than minimal harm
- EF0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.2023-06-08 · Health · corrected 2023-07-19
Potential for more than minimal harm
- EF0945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.2023-06-08 · Health · corrected 2023-07-19
Potential for more than minimal harm
- EF0946Provide training in compliance and ethics.2023-06-08 · Health · corrected 2023-07-19
Potential for more than minimal harm
- EF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2023-06-08 · Health · corrected 2023-07-19
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| HAMILTON COUNTY HOSPITAL DISTRICT | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2021-02-10 |
| SLP COMFORT LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-02-10 |
| LEONARD, JOSHUA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-02-10 |
| HOOPER, GRADY | Individual | CORPORATE OFFICER | — | 2021-02-10 |
| WM 41 HAMILTON RE LLC | Organization | 5% OR GREATER MORTGAGE INTEREST | — | 2023-08-01 |
Other facilities in COMFORT
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.