Avir at Winnsboro

910 S Beech St · Winnsboro, TX · 75494 · 9033425243

112 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 record is far worse than the national median (deficiency count and severity).
  • Federal penalties on record: $21,554 in fines in the last 24 months.
  • Inspection results have improved across recent cycles.

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.

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.

Total nurse staffing below 3.0 hours per resident-day

2.97 reported hours vs the 3.48 minimum CMS's own staffing study recommends.

Score breakdown

Inspection record 30% of score 31
Serious harm & abuse 20% 58
Staffing 20% 46
Federal penalties 15% 39
Trend 10% 90
Context 5% 100

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: 3 of 5

Total nurse hours / resident-day2.973.48 min · 4.1 strong
RN hours / resident-day0.350.55–0.75
Weekend hours / resident-day2.51≈ weekday level
Nursing turnover / year58%median 45%
Fines (3-yr window)3 · $80,519

Inspection citations (53 in the current record)

  • Immediate jeopardy · J June 25, 2025 · found via complaint

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

    Corrected June 14, 2025 · Quality of Life and Care

  • Potential for harm · D June 25, 2025

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

    Corrected June 26, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D June 25, 2025

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected June 26, 2025 · Quality of Life and Care

  • Potential for harm · D June 25, 2025

    Provide care or services that was trauma informed and/or culturally competent.

    Corrected June 26, 2025 · Quality of Life and Care

  • Potential for harm · D June 25, 2025

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Corrected June 26, 2025 · Pharmacy Service

  • Potential for harm · D June 25, 2025

    Ensure medication error rates are not 5 percent or greater.

    Corrected June 26, 2025 · Pharmacy Service

  • Potential for harm · D June 25, 2025

    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 26, 2025 · Pharmacy Service

  • Potential for harm · E June 25, 2025

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected June 26, 2025 · Nutrition and Dietary

  • Potential for harm · F June 25, 2025

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

    Corrected June 26, 2025 · Nutrition and Dietary

  • Potential for harm · D June 25, 2025

    Conduct 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.

    Corrected June 26, 2025 · Administration

  • Immediate jeopardy · J March 6, 2025 · found via complaint

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

    Corrected August 14, 2024 · Quality of Life and Care

  • Potential for harm · E March 6, 2025 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected December 26, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D March 6, 2025 · found via complaint

    Protect each resident from the wrongful use of the resident's belongings or money.

    Corrected August 12, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D May 9, 2024

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected May 11, 2024 · Resident Rights

  • Potential for harm · D May 9, 2024

    Reasonably accommodate the needs and preferences of each resident.

    Corrected May 11, 2024 · Resident Rights

  • Potential for harm · E May 9, 2024

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    Corrected May 11, 2024 · Resident Rights

  • Potential for harm · E May 9, 2024

    Ensure residents have reasonable access to and privacy in their use of communication methods.

    Corrected May 11, 2024 · Resident Rights

  • Potential for harm · E May 9, 2024

    Honor 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.

    Corrected May 10, 2024 · Resident Rights

  • Potential for harm · D May 9, 2024

    Keep residents' personal and medical records private and confidential.

    Corrected May 10, 2024 · Resident Rights

  • Potential for harm · D May 9, 2024

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Corrected May 10, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D May 9, 2024

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

    Corrected May 10, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D May 9, 2024

    Ensure each resident receives an accurate assessment.

    Corrected May 10, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E May 9, 2024

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

    Corrected May 10, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D May 9, 2024

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected May 10, 2024 · Quality of Life and Care

  • Potential for harm · E May 9, 2024

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

    Corrected May 10, 2024 · Quality of Life and Care

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
June 25, 2025Fine$12,441
March 6, 2025Fine$9,113
June 23, 2023Fine$58,965

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 675812 · certified since December 9, 1999. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.