Avir at San Augustine
902 E Main St · San Augustine, TX · 75972 · 9362752055
88 certified beds For profit - Limited Liability company Chain: Avir Health Group
Why this verdict
- Federal penalties on record: $75,498 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
3 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
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.
$75,498 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
78% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
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: 3 of 5 Staffing: 1 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.79 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.41 | 0.55–0.75 |
| Weekend hours / resident-day | 3.35 | ≈ weekday level |
| Nursing turnover / year | 78% | median 45% |
| Fines (3-yr window) | 3 · $102,752 |
Inspection citations (25 in the current record)
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Potential for harm · D March 5, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 31, 2025 · Resident Rights
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Potential for harm · D March 5, 2025
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected March 31, 2025 · Pharmacy Service
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Potential for harm · E March 5, 2025
Provide and implement an infection prevention and control program.
Corrected March 31, 2025 · Infection Control
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Potential for harm · E March 5, 2025
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected March 31, 2025 · Environmental
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Potential for harm · E March 5, 2025
Have policies on smoking.
Corrected March 31, 2025 · Environmental
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Immediate jeopardy · J February 14, 2025 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected February 15, 2025 · Quality of Life and Care
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Immediate jeopardy · J February 14, 2024
Ensure that residents are free from significant medication errors.
Corrected December 13, 2023 · Pharmacy Service
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Immediate jeopardy · J February 14, 2024 · found via complaint
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected December 13, 2023 · Administration
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Potential for harm · D February 14, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 11, 2024 · Resident Rights
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Potential for harm · D February 14, 2024
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected March 11, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E February 14, 2024
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected March 11, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 14, 2024
Respond appropriately to all alleged violations.
Corrected March 11, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 14, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected March 11, 2024 · Quality of Life and Care
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Potential for harm · D February 14, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 11, 2024 · Quality of Life and Care
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Potential for harm · E February 14, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 11, 2024 · Nutrition and Dietary
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Potential for harm · E February 14, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected March 11, 2024 · Infection Control
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No harm found · C February 14, 2024
Post nurse staffing information every day.
Corrected March 11, 2024 · Nursing and Physician Services
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Potential for harm · D December 7, 2022
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 December 8, 2022 · Quality of Life and Care
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Potential for harm · E December 7, 2022
Provide safe and appropriate respiratory care for a resident when needed.
Corrected December 8, 2022 · Quality of Life and Care
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Potential for harm · E December 7, 2022
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected December 8, 2022 · Pharmacy Service
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Potential for harm · E December 7, 2022
Ensure medication error rates are not 5 percent or greater.
Corrected December 8, 2022 · Pharmacy Service
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Potential for harm · D December 7, 2022
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 8, 2022 · Nutrition and Dietary
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Potential for harm · D December 7, 2022
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected December 8, 2022 · Nutrition and Dietary
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Potential for harm · D December 7, 2022
Provide and implement an infection prevention and control program.
Corrected December 8, 2022 · Infection Control
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Potential for harm · D December 7, 2022
Keep all essential equipment working safely.
Corrected December 8, 2022 · Environmental
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 14, 2025 | Fine | $75,498 |
| February 14, 2024 | Fine | $13,627 |
| February 14, 2024 | Fine | $13,627 |
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 675846 · certified since October 12, 2000. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.