Starfile

Starfile / Texas

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.

CycleInspection dateThis facilityTexas avgNational avgvs state
12025-06-25139.19.5+3.9 worse
22024-05-09269.49.8+16.6 worse
32023-04-05168.19.3+7.9 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation2
Quality of life and care4
Resident assessment and care planning1
Nutrition and dietary2
Pharmacy service3
Administration1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.1355.2%
RN staffing (reported)0.3542.9%
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

  1. 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

  2. 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

  3. 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

  4. 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

  5. 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

  6. DF0759Ensure medication error rates are not 5 percent or greater.2025-06-25 · Health · corrected 2025-06-26

    Potential for more than minimal harm

  7. 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

  8. 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

  9. 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

  10. 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

  11. 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

  12. 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

  13. 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

  14. 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

  15. DF0558Reasonably accommodate the needs and preferences of each resident.2024-05-09 · Health · corrected 2024-05-11

    Potential for more than minimal harm

  16. 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

  17. 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

  18. 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

  19. 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

  20. DF0583Keep residents' personal and medical records private and confidential.2024-05-09 · Health · corrected 2024-05-10

    Potential for more than minimal harm

  21. 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

  22. 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

  23. 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

  24. DF0641Ensure each resident receives an accurate assessment.2024-05-09 · Health · corrected 2024-05-10

    Potential for more than minimal harm

  25. 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

  26. 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

  27. 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

  28. 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

  29. 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

  30. 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

  31. EF0759Ensure medication error rates are not 5 percent or greater.2024-05-09 · Health · corrected 2024-05-10

    Potential for more than minimal harm

  32. 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

  33. DF0791Provide or obtain dental services for each resident.2024-05-09 · Health · corrected 2024-05-10

    Potential for more than minimal harm

  34. 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

  35. 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

  36. 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

  37. 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

  38. EF0880Provide and implement an infection prevention and control program.2024-05-09 · Health · corrected 2024-05-10

    Potential for more than minimal harm

  39. DF0881Implement a program that monitors antibiotic use.2024-05-09 · Health · corrected 2024-05-10

    Potential for more than minimal harm

  40. 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

  41. 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

  42. 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

  43. 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

  44. 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

  45. 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

  46. 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

  47. 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

  48. 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

  49. 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

  50. 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

  51. 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

  52. DF0759Ensure medication error rates are not 5 percent or greater.2023-04-05 · Health · corrected 2023-04-20

    Potential for more than minimal harm

  53. 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

  54. DF0880Provide and implement an infection prevention and control program.2023-04-05 · Health · corrected 2023-04-20

    Potential for more than minimal harm

  55. 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

OwnerTypeRolePercentSince
TITUS COUNTY HOSPITAL DISTRICTOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2018-04-01
SUMMIT LTC WINNSBORO LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL2018-04-01
DONALD, CHRISTINEIndividualOPERATIONAL/MANAGERIAL CONTROL2024-02-05
JOHNSON, JUSTINIndividualOPERATIONAL/MANAGERIAL CONTROL2018-04-01
SLIMMER, CHRISTOPHERIndividualOPERATIONAL/MANAGERIAL CONTROL2018-04-01
BOECHMANN, PATRICIAIndividualCORPORATE OFFICER2025-02-07

Other facilities in WINNSBORO

NameOverallBeds
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.