D65

AVIR AT LANCASTER

Grade D 65/100 composite score

For profit - CorporationAbuse Citation

CMS Star Ratings

Overall
2/5
Health Insp.
2/5
Quality
4/5
Staffing
3/5
RN Staffing
Not rated

Certified Beds

110

Ownership

For profit - Corporation

Total Fines

$39,757

Last Survey

N/A

1241 Westridge Ave, Lancaster, TX 75146
9722275110

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.91h
LPN
0.85h
CNA
2.17h
Total
3.92h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

HAMILTON COUNTY HOSPITAL DISTRICT

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Feb 2021

100%

SLP LANCASTER LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Feb 2021

LEONARD, JOSHUA

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Oct 2024

HOOPER, GRADY

IndividualCORPORATE OFFICERSince Feb 2021

WM 41 FLATONIA RE LLC

Organization5% OR GREATER MORTGAGE INTERESTSince Aug 2023

Penalties & Fines (2)

$39,757total fines
DateTypeDescriptionAmount
Jun 19, 2025Fine$26,130
Sep 18, 2024Fine$13,627

Health Inspection Deficiencies (23)

November 24, 2025Health1 deficiency
0567DMinimal harm, Isolated

Honor the resident's right to manage his or her financial affairs.

Resident Rights Deficiencies

November 5, 2025Health1 deficiency
0568DMinimal harm, Isolated

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Resident Rights Deficiencies

June 19, 2025Health1 deficiency1 severe
0600JImmediate jeopardy, Isolated

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Jun 20, 2025
October 31, 2024Health4 deficiencies
0576EMinimal harm, Pattern

Ensure residents have reasonable access to and privacy in their use of communication methods.

Resident Rights Deficiencies

Corrected Nov 15, 2024
0584EMinimal harm, Pattern

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.

Resident Rights Deficiencies

Corrected Nov 15, 2024
0812EMinimal harm, Pattern

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Nov 15, 2024
0925EMinimal harm, Pattern

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Environmental Deficiencies

Corrected Nov 15, 2024
September 18, 2024Health4 deficiencies1 severe
0584EMinimal harm, Pattern

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.

Resident Rights Deficiencies

Corrected Sep 19, 2024
0585EMinimal harm, Pattern

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Resident Rights Deficiencies

Corrected Sep 19, 2024
0689JImmediate jeopardy, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Aug 19, 2024
0842EMinimal harm, Pattern

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

Corrected Sep 19, 2024
September 20, 2023Health6 deficiencies
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Oct 7, 2023
0578DMinimal harm, Isolated

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Resident Rights Deficiencies

Corrected Oct 7, 2023
0584DMinimal harm, Isolated

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.

Resident Rights Deficiencies

Corrected Oct 7, 2023
0692DMinimal harm, Isolated

Provide enough food/fluids to maintain a resident's health.

Quality of Life and Care Deficiencies

Corrected Oct 7, 2023
0812FMinimal harm, Widespread

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Oct 7, 2023
0921DMinimal harm, Isolated

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Environmental Deficiencies

Corrected Oct 7, 2023
September 7, 2023Health1 deficiency
0755DMinimal harm, Isolated

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Pharmacy Service Deficiencies

Corrected Oct 7, 2023
July 20, 2022Health5 deficiencies
0584DMinimal harm, Isolated

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.

Resident Rights Deficiencies

Corrected Aug 20, 2022
0679EMinimal harm, Pattern

Provide activities to meet all resident's needs.

Quality of Life and Care Deficiencies

Corrected Aug 20, 2022
0680EMinimal harm, Pattern

Ensure the activities program is directed by a qualified professional.

Quality of Life and Care Deficiencies

Corrected Aug 20, 2022
0687DMinimal harm, Isolated

Provide appropriate foot care.

Quality of Life and Care Deficiencies

Corrected Aug 20, 2022
0812EMinimal harm, Pattern

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Aug 20, 2022

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Frequently Asked Questions

What is the CareGrader rating for AVIR AT LANCASTER?

AVIR AT LANCASTER in Lancaster, Texas has a CareGrader grade of D (Below Average), with a composite score of 65.3 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 LANCASTER?

AVIR AT LANCASTER has an overall CMS star rating of 2 out of 5, a health inspection rating of 2/5, and a staffing rating of 3/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does AVIR AT LANCASTER have?

AVIR AT LANCASTER has 23 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). This facility has abuse citations on record. View the full inspection timeline above for details on each deficiency.

Has AVIR AT LANCASTER been fined?

Yes. AVIR AT LANCASTER has $39,757 in total fines from CMS enforcement actions across 2 penalties.

How many beds does AVIR AT LANCASTER have?

AVIR AT LANCASTER has 110 certified beds with approximately 52 current residents (47% occupancy). The facility is located at 1241 Westridge Ave, Lancaster, Texas 75146. 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.