Avir at Mansfield
1402 E Broad St · Mansfield, TX · 76063 · 9796391515
127 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.
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
5 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
RN staffing in the bottom 10% nationally
0.21 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
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: 2 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.05 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.21 | 0.55–0.75 |
| Weekend hours / resident-day | 2.72 | ≈ weekday level |
| Nursing turnover / year | 37% | median 45% |
| Fines (3-yr window) | 2 · $68,080 |
Inspection citations (40 in the current record)
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Potential for harm · D June 5, 2025
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected June 7, 2025 · Resident Rights
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Potential for harm · E June 5, 2025
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected June 7, 2025 · Resident Rights
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Potential for harm · E June 5, 2025
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 June 7, 2025 · Resident Rights
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Potential for harm · E June 5, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 7, 2025 · Quality of Life and Care
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Potential for harm · D June 5, 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 June 7, 2025 · Administration
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Potential for harm · D April 9, 2025 · found via complaint
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected April 10, 2025 · Nutrition and Dietary
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Potential for harm · D November 23, 2024 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected December 12, 2024 · Quality of Life and Care
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Potential for harm · E August 16, 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 August 19, 2024 · Resident Rights
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Potential for harm · D August 16, 2024 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected August 19, 2024 · Quality of Life and Care
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Potential for harm · E August 16, 2024 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 19, 2024 · Nutrition and Dietary
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Potential for harm · E April 25, 2024
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected May 15, 2024 · Resident Rights
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Potential for harm · D April 25, 2024
Reasonably accommodate the needs and preferences of each resident.
Corrected May 15, 2024 · Resident Rights
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Potential for harm · E April 25, 2024
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 May 15, 2024 · Resident Rights
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Potential for harm · D April 25, 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 15, 2024 · Resident Assessment and Care Planning
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Potential for harm · E April 25, 2024
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected May 15, 2024 · Nutrition and Dietary
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Potential for harm · E April 25, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 15, 2024 · Nutrition and Dietary
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Potential for harm · F April 25, 2024
Provide and implement an infection prevention and control program.
Corrected May 15, 2024 · Infection Control
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Potential for harm · D April 25, 2024
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected May 15, 2024 · Environmental
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Potential for harm · E April 25, 2024
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected May 15, 2024 · Environmental
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Potential for harm · E March 5, 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 March 26, 2024 · Resident Rights
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Potential for harm · D March 5, 2024 · 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, 2024 · Nutrition and Dietary
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Potential for harm · D January 11, 2024 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected February 5, 2024 · Resident Rights
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Potential for harm · E January 11, 2024 · found via complaint
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected February 5, 2024 · Quality of Life and Care
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Potential for harm · D August 31, 2023 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected September 28, 2023 · Quality of Life and Care
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Potential for harm · E August 16, 2023 · 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 September 16, 2023 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 14, 2023 | Fine | $53,552 |
| June 17, 2023 | Fine | $14,528 |
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 675792 · certified since June 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.