Avir at Grand Saline

1638 Vz Cr 1803 · Grand Saline, TX · 75140 · 9039627595

120 certified beds For profit - Limited Liability company Chain: Avir Health Group

Why this verdict

  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
  • Inspection results are getting worse cycle over cycle, not better.

Red flags

1 immediate-jeopardy citation in the most recent inspection cycle

Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.

RN staffing in the bottom 10% nationally

0.11 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.

Score breakdown

Inspection record 30% of score 45
Serious harm & abuse 20% 70
Staffing 20% 46
Federal penalties 15% 77
Trend 10% 23
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 3 of 5 Staffing: 1 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day3.323.48 min · 4.1 strong
RN hours / resident-day0.110.55–0.75
Weekend hours / resident-day3.10≈ weekday level
Nursing turnover / year48%median 45%
Fines (3-yr window)1 · $8,281

Inspection citations (21 in the current record)

  • Potential for harm · E March 22, 2026 · found via complaint

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected March 26, 2026 · Nutrition and Dietary

  • Potential for harm · E February 4, 2026

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected March 21, 2026 · Resident Assessment and Care Planning

  • Potential for harm · E February 4, 2026

    Provide activities to meet all resident's needs.

    Corrected March 21, 2026 · Quality of Life and Care

  • Potential for harm · D February 4, 2026

    Ensure the activities program is directed by a qualified professional.

    Corrected March 21, 2026 · Quality of Life and Care

  • Potential for harm · E February 4, 2026

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected March 21, 2026 · Pharmacy Service

  • Potential for harm · F February 4, 2026

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected March 21, 2026 · Nutrition and Dietary

  • Potential for harm · D February 4, 2026

    Provide and implement an infection prevention and control program.

    Corrected March 21, 2026 · Infection Control

  • Potential for harm · D February 4, 2026 · found via complaint

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected March 21, 2026 · Resident Rights

  • Immediate jeopardy · J October 29, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected September 9, 2025 · Quality of Life and Care

  • Potential for harm · D October 29, 2025 · found via complaint

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Corrected December 1, 2025 · Resident Rights

  • Potential for harm · D October 29, 2025 · found via complaint

    Allow resident to participate in the development and implementation of his or her person-centered plan of care.

    Corrected December 1, 2025 · Resident Rights

  • Potential for harm · D October 29, 2025 · found via complaint

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    Corrected December 1, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E October 29, 2025 · found via complaint

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Corrected December 1, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D October 29, 2025 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected December 1, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D May 9, 2025 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected May 10, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D May 9, 2025 · found via complaint

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected May 10, 2025 · Quality of Life and Care

  • Potential for harm · D May 9, 2025 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected May 10, 2025 · Infection Control

  • Potential for harm · D November 13, 2024

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    Corrected November 14, 2024 · Nursing and Physician Services

  • Potential for harm · E November 13, 2024

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected November 14, 2024 · Nutrition and Dietary

  • Potential for harm · E November 13, 2024

    Provide and implement an infection prevention and control program.

    Corrected November 14, 2024 · Infection Control

  • Potential for harm · E October 18, 2023

    Provide and implement an infection prevention and control program.

    Corrected October 19, 2023 · Infection Control

Federal penalties

DateTypeAmount / length
October 29, 2025Fine$8,281

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675878 · certified since July 3, 2001. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.