Avir at Stephenville
1670 Lingleville Rd · Stephenville, TX · 76401 · 2549682158
102 certified beds For profit - Corporation Chain: Avir Health Group
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results have improved across recent cycles.
Red flags
2 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.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
RN staffing in the bottom 10% nationally
0.28 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
71% 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: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.35 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.28 | 0.55–0.75 |
| Weekend hours / resident-day | 3.15 | ≈ weekday level |
| Nursing turnover / year | 71% | median 45% |
| Fines (3-yr window) | 1 · $204,614 |
Inspection citations (31 in the current record)
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Potential for harm · D March 27, 2026 · found via complaint
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected March 28, 2026 · Resident Rights
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Potential for harm · E July 24, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected August 4, 2025 · Resident Assessment and Care Planning
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Potential for harm · E July 24, 2025
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected August 4, 2025 · Administration
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Potential for harm · E April 9, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected April 25, 2025 · Infection Control
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Potential for harm · E July 23, 2024 · found via complaint
Honor 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.
Corrected July 30, 2024 · Resident Rights
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Potential for harm · D July 23, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected July 24, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 23, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected July 24, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 23, 2024 · found via complaint
Respond appropriately to all alleged violations.
Corrected July 24, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E July 23, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 8, 2024 · Quality of Life and Care
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Immediate jeopardy · K June 14, 2024
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected June 19, 2024 · Quality of Life and Care
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Immediate jeopardy · K June 14, 2024
Ensure that residents are free from significant medication errors.
Corrected June 19, 2024 · Pharmacy Service
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Potential for harm · D June 14, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected June 19, 2024 · Resident Rights
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Potential for harm · D June 14, 2024
Keep residents' personal and medical records private and confidential.
Corrected June 19, 2024 · Resident Rights
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Potential for harm · E June 14, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected July 3, 2024 · Resident Assessment and Care Planning
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Potential for harm · D June 14, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 19, 2024 · Quality of Life and Care
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Potential for harm · E June 14, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected June 19, 2024 · Quality of Life and Care
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Potential for harm · E June 14, 2024
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected June 19, 2024 · Nursing and Physician Services
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Potential for harm · E June 14, 2024
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected June 19, 2024 · Nursing and Physician Services
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Potential for harm · E June 14, 2024
Ensure 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.
Corrected June 19, 2024 · Pharmacy Service
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Potential for harm · D June 14, 2024
Provide and implement an infection prevention and control program.
Corrected June 19, 2024 · Infection Control
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Potential for harm · D April 4, 2024 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected May 3, 2024 · Resident Rights
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Potential for harm · D April 4, 2024 · 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 May 3, 2024 · Resident Assessment and Care Planning
-
Potential for harm · E April 4, 2024 · found via complaint
Ensure 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.
Corrected May 3, 2024 · Pharmacy Service
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Potential for harm · E December 15, 2023 · found via complaint
Provide activities to meet all resident's needs.
Corrected January 5, 2024 · Quality of Life and Care
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Potential for harm · D December 15, 2023 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected December 20, 2023 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| June 14, 2024 | Fine | $204,614 |
| June 14, 2024 | Payment Denial | 15 days |
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 455744 · certified since March 16, 1988. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.