Avir at Caldwell
1022 Presidential Corridor Hwy 21 E · Caldwell, TX · 77836 · 9795670920
112 certified beds For profit - Corporation Chain: Avir Health Group
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (2 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
2 immediate-jeopardy citations 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
0.24 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
95% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
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: 1 of 5 Staffing: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.46 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.24 | 0.55–0.75 |
| Weekend hours / resident-day | 3.04 | ≈ weekday level |
| Nursing turnover / year | 95% | median 45% |
| Fines (3-yr window) | 1 · $9,857 |
Inspection citations (30 in the current record)
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Potential for harm · D January 8, 2026
Keep residents' personal and medical records private and confidential.
Corrected February 6, 2026 · Resident Rights
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Potential for harm · D January 8, 2026
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected February 6, 2026 · Resident Assessment and Care Planning
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Potential for harm · D January 8, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 6, 2026 · Resident Assessment and Care Planning
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Potential for harm · E January 8, 2026
Provide activities to meet all resident's needs.
Corrected February 6, 2026 · Quality of Life and Care
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Potential for harm · D January 8, 2026
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected February 6, 2026 · Quality of Life and Care
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Potential for harm · D January 8, 2026
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 February 6, 2026 · Quality of Life and Care
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Potential for harm · E January 8, 2026
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 February 6, 2026 · Pharmacy Service
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Potential for harm · D January 8, 2026
Provide and implement an infection prevention and control program.
Corrected February 6, 2026 · Infection Control
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Immediate jeopardy · K August 26, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 27, 2025 · Quality of Life and Care
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Immediate jeopardy · K August 26, 2025 · found via complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected August 27, 2025 · Environmental
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Potential for harm · D October 16, 2024
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected November 4, 2024 · Resident Rights
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Potential for harm · D October 16, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected November 4, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D October 16, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected November 4, 2024 · Resident Assessment and Care Planning
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Potential for harm · D October 16, 2024
Provide safe, appropriate pain management for a resident who requires such services.
Corrected November 4, 2024 · Quality of Life and Care
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Potential for harm · D October 16, 2024
Implement 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.
Corrected November 4, 2024 · Pharmacy Service
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Potential for harm · E October 16, 2024
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected November 4, 2024 · Nutrition and Dietary
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Potential for harm · E October 16, 2024
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected November 4, 2024 · Nutrition and Dietary
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Potential for harm · F October 16, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 4, 2024 · Nutrition and Dietary
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Potential for harm · D October 16, 2024
Provide and implement an infection prevention and control program.
Corrected November 4, 2024 · Infection Control
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Potential for harm · D August 24, 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 September 12, 2024 · Pharmacy Service
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Potential for harm · F July 19, 2024 · found via complaint
Honor the resident's right to choose his or her attending physician.
Corrected August 3, 2024 · Resident Rights
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Potential for harm · D June 12, 2024 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected July 8, 2024 · Resident Assessment and Care Planning
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Potential for harm · E June 12, 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 July 8, 2024 · Pharmacy Service
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Potential for harm · E August 18, 2023
Reasonably accommodate the needs and preferences of each resident.
Corrected September 29, 2023 · Resident Rights
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Potential for harm · E August 18, 2023
Keep residents' personal and medical records private and confidential.
Corrected September 29, 2023 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| August 26, 2025 | Fine | $9,857 |
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 675885 · certified since September 18, 2001. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.