Avir at San Augustine
902 E Main St · San Augustine, TX · 75972 · 9362752055
88 certified beds For profit - Limited Liability company Chain: Avir Health Group
Why this verdict
- Federal penalties on record: $75,498 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
Red flags
3 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
$75,498 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
78% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
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: 2 of 5
| Total nurse hours / resident-day | 3.79 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.41 | 0.55–0.75 |
| Weekend hours / resident-day | 3.35 | ≈ weekday level |
| Nursing turnover / year | 78% | median 45% |
| Fines (3-yr window) | 3 · $102,752 |
Inspection citations (25 in the current record)
-
Potential for harm · D March 5, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 31, 2025 · Resident Rights
-
Potential for harm · D March 5, 2025
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected March 31, 2025 · Pharmacy Service
-
Potential for harm · E March 5, 2025
Provide and implement an infection prevention and control program.
Corrected March 31, 2025 · Infection Control
-
Potential for harm · E March 5, 2025
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected March 31, 2025 · Environmental
-
Potential for harm · E March 5, 2025
Have policies on smoking.
Corrected March 31, 2025 · Environmental
-
Immediate jeopardy · J February 14, 2025 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected February 15, 2025 · Quality of Life and Care
-
Immediate jeopardy · J February 14, 2024
Ensure that residents are free from significant medication errors.
Corrected December 13, 2023 · Pharmacy Service
-
Immediate jeopardy · J February 14, 2024 · found via complaint
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected December 13, 2023 · Administration
-
Potential for harm · D February 14, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 11, 2024 · Resident Rights
-
Potential for harm · D February 14, 2024
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected March 11, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E February 14, 2024
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected March 11, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D February 14, 2024
Respond appropriately to all alleged violations.
Corrected March 11, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D February 14, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected March 11, 2024 · Quality of Life and Care
-
Potential for harm · D February 14, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 11, 2024 · Quality of Life and Care
-
Potential for harm · E February 14, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 11, 2024 · Nutrition and Dietary
-
Potential for harm · E February 14, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected March 11, 2024 · Infection Control
-
No harm found · C February 14, 2024
Post nurse staffing information every day.
Corrected March 11, 2024 · Nursing and Physician Services
-
Potential for harm · D December 7, 2022
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected December 8, 2022 · Quality of Life and Care
-
Potential for harm · E December 7, 2022
Provide safe and appropriate respiratory care for a resident when needed.
Corrected December 8, 2022 · Quality of Life and Care
-
Potential for harm · E December 7, 2022
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected December 8, 2022 · Pharmacy Service
-
Potential for harm · E December 7, 2022
Ensure medication error rates are not 5 percent or greater.
Corrected December 8, 2022 · Pharmacy Service
-
Potential for harm · D December 7, 2022
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 8, 2022 · Nutrition and Dietary
-
Potential for harm · D December 7, 2022
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected December 8, 2022 · Nutrition and Dietary
-
Potential for harm · D December 7, 2022
Provide and implement an infection prevention and control program.
Corrected December 8, 2022 · Infection Control
-
Potential for harm · D December 7, 2022
Keep all essential equipment working safely.
Corrected December 8, 2022 · Environmental
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 14, 2025 | Fine | $75,498 |
| February 14, 2024 | Fine | $13,627 |
| February 14, 2024 | Fine | $13,627 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675846 · certified since October 12, 2000. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.