Avir at Portland
221 Cedar Dr · Portland, TX · 78374 · 3616431888
97 certified beds For profit - Corporation Chain: Avir Health Group Hospital-based
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $8,985 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
2 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Total nurse staffing below 3.0 hours per resident-day
2.98 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
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: 2 of 5 Staffing: 1 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 2.98 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.43 | 0.55–0.75 |
| Weekend hours / resident-day | 2.66 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 2 · $119,462 |
Inspection citations (28 in the current record)
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Potential for harm · D March 19, 2026 · 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 March 20, 2026 · Resident Assessment and Care Planning
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Potential for harm · E March 19, 2026 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected March 20, 2026 · Pharmacy Service
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Potential for harm · D March 19, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Corrected March 20, 2026 · Infection Control
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Potential for harm · D September 9, 2025
Keep residents' personal and medical records private and confidential.
Corrected September 30, 2025 · Resident Rights
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Potential for harm · D September 9, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected September 30, 2025 · Quality of Life and Care
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Potential for harm · E September 9, 2025
Ensure that residents are free from significant medication errors.
Corrected September 30, 2025 · Pharmacy Service
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Potential for harm · D September 9, 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 September 30, 2025 · Pharmacy Service
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Potential for harm · E September 9, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 30, 2025 · Nutrition and Dietary
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Potential for harm · D September 9, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected September 30, 2025 · Resident Assessment and Care Planning
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Potential for harm · D September 9, 2025
Provide and implement an infection prevention and control program.
Corrected September 30, 2025 · Infection Control
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Potential for harm · E July 1, 2025 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected August 4, 2025 · Quality of Life and Care
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Potential for harm · D August 16, 2024
Keep residents' personal and medical records private and confidential.
Corrected September 20, 2024 · Resident Rights
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Potential for harm · D August 16, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected September 20, 2024 · Resident Rights
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Potential for harm · D August 16, 2024
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected September 20, 2024 · Resident Assessment and Care Planning
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Potential for harm · D August 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 September 20, 2024 · Resident Assessment and Care Planning
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Potential for harm · D August 16, 2024
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected September 20, 2024 · Quality of Life and Care
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Potential for harm · D August 16, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected September 20, 2024 · Pharmacy Service
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Potential for harm · F August 16, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 20, 2024 · Nutrition and Dietary
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Potential for harm · E August 16, 2024
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected September 20, 2024 · Environmental
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Actual harm · G July 26, 2024 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected May 8, 2024 · Pharmacy Service
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Immediate jeopardy · K April 11, 2024 · 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 April 12, 2024 · Resident Rights
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Immediate jeopardy · K April 11, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 12, 2024 · Quality of Life and Care
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Potential for harm · D April 11, 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 April 12, 2024 · Resident Assessment and Care Planning
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Potential for harm · D April 11, 2024 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 12, 2024 · Quality of Life and Care
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Potential for harm · D November 15, 2023 · found via complaint
Keep residents' personal and medical records private and confidential.
Corrected November 21, 2023 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 26, 2024 | Fine | $8,985 |
| April 11, 2024 | Fine | $110,477 |
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 675850 · certified since November 14, 2000. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.