Starfile

Starfile / Texas

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.

CycleInspection dateThis facilityTexas avgNational avgvs state
12025-08-2249.19.5-5.1 better
22024-07-1079.49.8-2.4 better
32023-06-08238.19.3+14.9 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Quality of life and care1
Resident assessment and care planning1
Nursing and physician services2

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.4145.9%
RN staffing (reported)0.6460.0%
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)

  1. 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

  2. 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

  3. 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

  4. 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

  5. DF0558Reasonably accommodate the needs and preferences of each resident.2024-07-10 · Health · corrected 2024-07-31

    Potential for more than minimal harm

  6. 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

  7. 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

  8. CF0732Post nurse staffing information every day.2024-07-10 · Health · corrected 2024-07-31

    Potential for minimal harm

  9. 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

  10. 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

  11. DF0880Provide and implement an infection prevention and control program.2024-03-01 · Health · corrected 2024-03-29

    Potential for more than minimal harm

  12. 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

  13. DF0637Assess the resident when there is a significant change in condition2023-06-08 · Health · corrected 2023-07-05

    Potential for more than minimal harm

  14. 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

  15. DF0641Ensure each resident receives an accurate assessment.2023-06-08 · Health · corrected 2023-07-05

    Potential for more than minimal harm

  16. DF0642Ensure a qualified health professional conducts resident assessments.2023-06-08 · Health · corrected 2023-07-05

    Potential for more than minimal harm

  17. 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

  18. 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

  19. 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

  20. 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

  21. 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

  22. 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

  23. DF0760Ensure that residents are free from significant medication errors.2023-06-08 · Health · corrected 2023-07-07

    Potential for more than minimal harm

  24. 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

  25. 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

  26. 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

  27. 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

  28. 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

  29. 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

  30. 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

  31. 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

  32. 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

  33. EF0946Provide training in compliance and ethics.2023-06-08 · Health · corrected 2023-07-19

    Potential for more than minimal harm

  34. 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

OwnerTypeRolePercentSince
HAMILTON COUNTY HOSPITAL DISTRICTOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2021-02-10
SLP COMFORT LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL2021-02-10
LEONARD, JOSHUAIndividualOPERATIONAL/MANAGERIAL CONTROL2021-02-10
HOOPER, GRADYIndividualCORPORATE OFFICER2021-02-10
WM 41 HAMILTON RE LLCOrganization5% OR GREATER MORTGAGE INTEREST2023-08-01

Other facilities in COMFORT

NameOverallBeds

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.