Avir at Winnsboro
910 S BEECH ST, WINNSBORO, TX 75494 · CCN 675812
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★★☆☆☆ 2
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 112
- Avg residents/day
- 62.1
- Phone
- 9033425243
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 | 2025-06-25 | 13 | 9.1 | 9.5 | +3.9 worse |
| 2 | 2024-05-09 | 26 | 9.4 | 9.8 | +16.6 worse |
| 3 | 2023-04-05 | 16 | 8.1 | 9.3 | +7.9 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 2 |
| Quality of life and care | 4 |
| Resident assessment and care planning | 1 |
| Nutrition and dietary | 2 |
| Pharmacy service | 3 |
| Administration | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.13 | 55.2% |
| RN staffing (reported) | 0.35 | 42.9% |
| Total nurse staffing (adjusted) | 3.36 | — |
Fines & penalties
- Total fines
- $100,615
- Number of fines
- 4
- Number of penalties
- 4
- Payment denials
- 0
Chain
- Chain
- AVIR HEALTH GROUP
- Facilities in chain
- 90
- Chain avg overall
- 2.30 / 5
Inspection citations (55)4 immediate jeopardy
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-06-25 · Health · corrected 2025-06-26
Potential for more than minimal harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-06-25 · Health · corrected 2025-06-14
Immediate jeopardy
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-06-25 · Health · corrected 2025-06-26
Potential for more than minimal harm
- DF0699Provide care or services that was trauma informed and/or culturally competent.2025-06-25 · Health · corrected 2025-06-26
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2025-06-25 · Health · corrected 2025-06-26
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2025-06-25 · Health · corrected 2025-06-26
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.2025-06-25 · Health · corrected 2025-06-26
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-06-25 · Health · corrected 2025-06-26
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.2025-06-25 · Health · corrected 2025-06-26
Potential for more than minimal harm
- DF0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.2025-06-25 · Health · corrected 2025-06-26
Potential for more than minimal harm
- EF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-03-06 · Health · corrected 2024-12-26
Potential for more than minimal harm
- DF0602Protect each resident from the wrongful use of the resident's belongings or money.2025-03-06 · Health · corrected 2024-08-12
Potential for more than minimal harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-03-06 · Health · corrected 2024-08-14
Immediate jeopardy
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-05-09 · Health · corrected 2024-05-11
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2024-05-09 · Health · corrected 2024-05-11
Potential for more than minimal harm
- EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2024-05-09 · Health · corrected 2024-05-11
Potential for more than minimal harm
- EF0576Ensure residents have reasonable access to and privacy in their use of communication methods.2024-05-09 · Health · corrected 2024-05-11
Potential for more than minimal harm
- EF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2024-05-09 · Health · corrected 2024-05-10
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-05-09 · Health · corrected 2024-05-10
Potential for more than minimal harm
- DF0583Keep residents' personal and medical records private and confidential.2024-05-09 · Health · corrected 2024-05-10
Potential for more than minimal harm
- EF0584Honor 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.2024-05-09 · Health · corrected 2024-06-20
Potential for more than minimal harm
- DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-05-09 · Health · corrected 2024-05-10
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-05-09 · Health · corrected 2024-05-10
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2024-05-09 · Health · corrected 2024-05-10
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-05-09 · Health · corrected 2024-05-10
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-05-09 · Health · corrected 2024-05-10
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-05-09 · Health · corrected 2024-05-10
Potential for more than minimal harm
- DF0699Provide care or services that was trauma informed and/or culturally competent.2024-05-09 · Health · corrected 2024-05-10
Potential for more than minimal harm
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-05-09 · Health · corrected 2024-05-10
Potential for more than minimal harm
- EF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2024-05-09 · Health · corrected 2024-05-10
Potential for more than minimal harm
- EF0759Ensure medication error rates are not 5 percent or greater.2024-05-09 · Health · corrected 2024-05-10
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.2024-05-09 · Health · corrected 2024-05-10
Potential for more than minimal harm
- DF0791Provide or obtain dental services for each resident.2024-05-09 · Health · corrected 2024-05-10
Potential for more than minimal harm
- EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-05-09 · Health · corrected 2024-05-10
Potential for more than minimal harm
- DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-05-09 · Health · corrected 2024-05-10
Potential for more than minimal harm
- EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-05-09 · Health · corrected 2024-05-10
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.2024-05-09 · Health · corrected 2024-05-10
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2024-05-09 · Health · corrected 2024-05-10
Potential for more than minimal harm
- DF0881Implement a program that monitors antibiotic use.2024-05-09 · Health · corrected 2024-05-10
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-01-09 · Health · corrected 2024-01-10
Potential for more than minimal harm
- EF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-11-29 · Health · corrected 2023-11-30
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-11-29 · Health · corrected 2023-11-30
Potential for more than minimal harm
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-11-29 · Health · corrected 2023-11-30
Potential for more than minimal harm
- EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-11-29 · Health · corrected 2023-11-30
Potential for more than minimal harm
- LF0584Honor 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.2023-06-23 · Health · corrected 2023-06-24
Immediate jeopardy
- FF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2023-06-23 · Health · corrected 2023-06-24
Potential for more than minimal harm
- FF0836Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.2023-06-23 · Health · corrected 2023-06-24
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-05-01 · Health · corrected 2023-05-02
Potential for more than minimal harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-05-01 · Health · corrected 2023-05-02
Immediate jeopardy
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-04-05 · Health · corrected 2023-04-20
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-04-05 · Health · corrected 2023-04-20
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2023-04-05 · Health · corrected 2023-04-20
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.2023-04-05 · Health · corrected 2023-04-20
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2023-04-05 · Health · corrected 2023-04-20
Potential for more than minimal harm
- EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2023-04-05 · Health · corrected 2023-04-20
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| TITUS COUNTY HOSPITAL DISTRICT | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2018-04-01 |
| SUMMIT LTC WINNSBORO LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-04-01 |
| DONALD, CHRISTINE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-02-05 |
| JOHNSON, JUSTIN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-04-01 |
| SLIMMER, CHRISTOPHER | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-04-01 |
| BOECHMANN, PATRICIA | Individual | CORPORATE OFFICER | — | 2025-02-07 |
Other facilities in WINNSBORO
| Name | Overall | Beds |
|---|---|---|
| LAKEVIEW REHABILITATION & HEALTHCARE CENTER | ★★☆☆☆ | 60 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.