Avir at Sherman
1000 Sara Swammy Dr · Sherman, TX · 75090 · 9038911730
132 certified beds For profit - Limited Liability company Chain: Avir Health Group
Why this verdict
- Staffing levels are well below research benchmarks for safe care.
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
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
RN staffing in the bottom 10% nationally
0.17 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
87% 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: 4 of 5
| Total nurse hours / resident-day | 3.20 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.17 | 0.55–0.75 |
| Weekend hours / resident-day | 2.91 | ≈ weekday level |
| Nursing turnover / year | 87% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (35 in the current record)
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Potential for harm · D March 26, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Corrected April 1, 2026 · Infection Control
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Potential for harm · E February 19, 2026 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected March 2, 2026 · Pharmacy Service
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Potential for harm · D February 4, 2026 · found via complaint
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected February 20, 2026 · Resident Rights
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Potential for harm · D December 10, 2025 · 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 January 6, 2026 · Resident Rights
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Potential for harm · D December 10, 2025 · found via complaint
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected January 6, 2026 · Resident Assessment and Care Planning
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Potential for harm · E June 5, 2025 · 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 June 13, 2025 · Resident Rights
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Potential for harm · E June 5, 2025 · 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 June 13, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 5, 2025 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected June 13, 2025 · Quality of Life and Care
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Potential for harm · D June 5, 2025 · found via complaint
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected June 13, 2025 · Quality of Life and Care
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Potential for harm · D June 5, 2025 · found via complaint
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Corrected June 13, 2025 · Quality of Life and Care
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Potential for harm · D June 5, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected June 13, 2025 · Pharmacy Service
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Potential for harm · E June 5, 2025 · found via complaint
Ensure medication error rates are not 5 percent or greater.
Corrected June 13, 2025 · Pharmacy Service
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Potential for harm · D June 5, 2025 · 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 June 13, 2025 · Pharmacy Service
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Potential for harm · E June 5, 2025 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected June 13, 2025 · Nutrition and Dietary
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Potential for harm · E June 5, 2025 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 13, 2025 · Nutrition and Dietary
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Potential for harm · E June 5, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected June 13, 2025 · Infection Control
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Potential for harm · D April 16, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 17, 2025 · Quality of Life and Care
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Potential for harm · D April 16, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected April 17, 2025 · Infection Control
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Potential for harm · E May 23, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected June 21, 2024 · Quality of Life and Care
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Potential for harm · D May 23, 2024
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 June 21, 2024 · Pharmacy Service
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Potential for harm · E May 23, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 21, 2024 · Nutrition and Dietary
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Potential for harm · D May 23, 2024
Provide and implement an infection prevention and control program.
Corrected June 21, 2024 · Infection Control
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Potential for harm · E April 23, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected May 22, 2024 · Quality of Life and Care
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Potential for harm · D September 21, 2023 · found via complaint
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected October 20, 2023 · Resident Rights
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Potential for harm · D September 21, 2023 · found via complaint
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Corrected October 20, 2023 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
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 676120 · certified since November 2, 2006. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.