AVIR AT JACKSBORO
Grade C — 75/100 composite score
CMS Star Ratings
Certified Beds
104
Ownership
For profit - Corporation
Total Fines
$23,813
Last Survey
N/A
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Staffing Hours & Turnover
Hours per Resident per Day (PBJ)
Turnover Rates
Ownership
JACK COUNTY HOSPITAL DISTRICT
100%
211 E JASPER STREET OPCO LLC
JACKSBORO NURSING OPERATIONS, LLC
THCM, LLC
BRITTAIN, JACEY
JAMAL, SYED
BEAMAN, FRANK
LEE, KIM
WELLTOWER INC
211 E JASPER STREET PROPERTY OWNER LLC
WELLTOWER NNN GROUP, LLC
WELLTOWER OP LLC
Penalties & Fines (1)
| Date | Type | Description | Amount |
|---|---|---|---|
| Aug 26, 2023 | Fine | — | $23,813 |
Health Inspection Deficiencies (25)
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
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.
Nursing and Physician Services Deficiencies
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.
Pharmacy Service Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies
Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies
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.
Nursing and Physician Services Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Administration Deficiencies
Keep all essential equipment working safely.
Environmental Deficiencies
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Frequently Asked Questions
What is the CareGrader rating for AVIR AT JACKSBORO?
AVIR AT JACKSBORO in JACKSBORO, Texas has a CareGrader grade of C (Average), with a composite score of 75 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.
What is the CMS star rating for AVIR AT JACKSBORO?
AVIR AT JACKSBORO has an overall CMS star rating of 3 out of 5, a health inspection rating of 3/5, and a staffing rating of 1/5. CareGrader combines this with additional data to calculate an A-F grade.
How many health deficiencies does AVIR AT JACKSBORO have?
AVIR AT JACKSBORO has 25 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.
Has AVIR AT JACKSBORO been fined?
Yes. AVIR AT JACKSBORO has $23,813 in total fines from CMS enforcement actions across 1 penalty.
How many beds does AVIR AT JACKSBORO have?
AVIR AT JACKSBORO has 104 certified beds with approximately 52 current residents (50% occupancy). The facility is located at 211 E JASPER ST, JACKSBORO, Texas 76458. It is a for profit - corporation facility.
Data Disclaimer
Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.