Avir at Overton
1110 Hwy 135 S · Overton, TX · 75684 · 9038346166
100 certified beds For profit - Limited Liability company Chain: Avir Health Group
Why this verdict
- Carries CMS’s abuse warning icon.
- 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).
- Federal penalties on record: $153,442 in fines in the last 24 months.
- 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
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
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.
5 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.
$153,442 in federal fines in the last 24 months
3 fines — CMS fines are reserved for verified, serious non-compliance.
RN staffing in the bottom 10% nationally
0.22 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
68% 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: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.23 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.22 | 0.55–0.75 |
| Weekend hours / resident-day | 2.91 | ≈ weekday level |
| Nursing turnover / year | 68% | median 45% |
| Fines (3-yr window) | 5 · $343,831 |
Inspection citations (40 in the current record)
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Potential for harm · D April 29, 2026
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 April 30, 2026 · Resident Rights
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Potential for harm · E April 29, 2026
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected April 30, 2026 · Nursing and Physician Services
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Potential for harm · E April 29, 2026
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected April 30, 2026 · Environmental
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Potential for harm · D April 29, 2026
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected April 30, 2026 · Environmental
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Potential for harm · D April 29, 2026
Have policies on smoking.
Corrected April 30, 2026 · Environmental
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Potential for harm · D March 11, 2026 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected March 12, 2026 · Resident Rights
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Potential for harm · D March 11, 2026 · found via complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected March 12, 2026 · Resident Assessment and Care Planning
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Potential for harm · D January 13, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 14, 2026 · Quality of Life and Care
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Potential for harm · D November 24, 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 November 25, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 24, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected November 25, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 21, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected November 22, 2025 · Resident Rights
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Immediate jeopardy · J August 13, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Past Non-Compliance · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J August 13, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Past Non-Compliance · Quality of Life and Care
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Potential for harm · D February 18, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 19, 2025 · Quality of Life and Care
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Potential for harm · E February 18, 2025
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected February 19, 2025 · Nursing and Physician Services
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Potential for harm · E February 18, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 19, 2025 · Nutrition and Dietary
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Potential for harm · E February 18, 2025
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected February 19, 2025 · Environmental
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No harm found · C February 18, 2025
Post nurse staffing information every day.
Corrected February 19, 2025 · Nursing and Physician Services
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Immediate jeopardy · J January 26, 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 February 6, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J January 26, 2025 · found via complaint
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected February 6, 2025 · Quality of Life and Care
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Potential for harm · E January 14, 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 January 15, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 21, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected June 5, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 6, 2023
Assess the resident when there is a significant change in condition
Corrected December 11, 2023 · Resident Assessment and Care Planning
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Potential for harm · E December 6, 2023
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected December 11, 2023 · Pharmacy Service
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Potential for harm · E December 6, 2023
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 December 11, 2023 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| August 13, 2025 | Fine | $8,431 |
| August 13, 2025 | Fine | $14,325 |
| January 14, 2025 | Fine | $130,686 |
| October 26, 2023 | Fine | $167,564 |
| August 16, 2023 | Fine | $22,825 |
| August 16, 2023 | Payment Denial | 8 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 675408 · certified since November 14, 1994. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.