D63

Avir at Jeffrey Place

Grade D 63/100 composite score

For profit - Corporation

CMS Star Ratings

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

Certified Beds

95

Ownership

For profit - Corporation

Total Fines

$29,666

Last Survey

N/A

820 Jeffrey Dr, Waco, TX 76710
2547729480

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.18h
LPN
0.96h
CNA
2.67h
Total
3.81h
Facility
State Average

Turnover Rates

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

Ownership

SLP MT OPERATIONS, LLC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Sep 2019

100%

SENIOR LIVING PROPERTIES LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Sep 2019

SLP MANAGEMENT HOLDINGS, LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Sep 2019

SLP OPERATIONS, LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Sep 2019

BOSWELL, DARREN

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Sep 2019

EDEN, JAMES

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Sep 2019

WHITWORTH, GARY

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Sep 2019

LEONARD, JOSHUA

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Oct 2024

LEONARD, JOSHUA

IndividualCORPORATE OFFICERSince Oct 2024

CARLISLE TAYLOR WHITWORTH 2020 IRREVOCABLE TRUST

Organization5% OR GREATER MORTGAGE INTERESTSince Sep 2019

GARY SCOTT WHITWORTH 2019 IRREVOCABLE TRUST

Organization5% OR GREATER MORTGAGE INTERESTSince Sep 2019

LQCP MANAGEMENT, LLC

Organization5% OR GREATER MORTGAGE INTERESTSince Sep 2019

WM 41 JEFFREY PLACE RE, LLC

Organization5% OR GREATER MORTGAGE INTERESTSince Sep 2019

WM-LQC MM, LLC

Organization5% OR GREATER MORTGAGE INTERESTSince Sep 2019

WT HOLDINGS, LP

Organization5% OR GREATER MORTGAGE INTERESTSince Sep 2019

Penalties & Fines (3)

$29,666total fines
DateTypeDescriptionAmount
Jul 11, 2025Fine$21,645
Apr 8, 2024Fine$8,021
Apr 8, 2024Payment Denial

Health Inspection Deficiencies (38)

July 29, 2025Health1 deficiency
0755EMinimal harm, Pattern

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

Pharmacy Service Deficiencies

Corrected Aug 29, 2025
July 11, 2025Health2 deficiencies1 severe
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 May 31, 2025
0760DMinimal harm, Isolated

Ensure that residents are free from significant medication errors.

Pharmacy Service Deficiencies

Corrected Jul 20, 2025
February 6, 2025Health10 deficiencies
0558DMinimal harm, Isolated

Reasonably accommodate the needs and preferences of each resident.

Resident Rights Deficiencies

Corrected Feb 10, 2025
0559DMinimal harm, Isolated

Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

Resident Rights Deficiencies

Corrected Feb 10, 2025
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 Feb 10, 2025
0656DMinimal harm, Isolated

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

Corrected Feb 10, 2025
0676DMinimal harm, Isolated

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Quality of Life and Care Deficiencies

Corrected Feb 10, 2025
0684DMinimal harm, Isolated

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Feb 10, 2025
0695DMinimal harm, Isolated

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies

Corrected Feb 10, 2025
0761DMinimal harm, Isolated

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

Corrected Feb 10, 2025
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 Feb 10, 2025
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Feb 10, 2025
January 22, 2025Health1 deficiency
0624DMinimal harm, Isolated

Prepare residents for a safe transfer or discharge from the nursing home.

Resident Rights Deficiencies

Corrected Feb 12, 2025
July 19, 2024Health2 deficiencies
0677EMinimal harm, Pattern

Provide care and assistance to perform activities of daily living for any resident who is unable.

Quality of Life and Care Deficiencies

Corrected Jul 21, 2024
0761EMinimal harm, Pattern

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

Corrected Jul 21, 2024
June 27, 2024Health2 deficiencies
0580DMinimal harm, Isolated

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Resident Rights Deficiencies

Corrected Jul 1, 2024
0656DMinimal harm, Isolated

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

Corrected Jul 1, 2024
May 7, 2024Health2 deficiencies
0600DMinimal harm, 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 Apr 24, 2024
0761DMinimal harm, Isolated

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

Corrected May 10, 2024
April 8, 2024Health3 deficiencies1 severe
0600DMinimal harm, 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 Apr 9, 2024
0626DMinimal harm, Isolated

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

Resident Rights Deficiencies

Corrected Apr 9, 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 Apr 9, 2024
January 24, 2024Health6 deficiencies
0565EMinimal harm, Pattern

Honor the resident's right to organize and participate in resident/family groups in the facility.

Resident Rights Deficiencies

Corrected Feb 22, 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 Feb 22, 2024
0656EMinimal harm, Pattern

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

Corrected Feb 22, 2024
0730EMinimal harm, Pattern

Observe each nurse aide's job performance and give regular training.

Nursing and Physician Services Deficiencies

Corrected Feb 22, 2024
0813EMinimal harm, Pattern

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Nutrition and Dietary Deficiencies

Corrected Feb 22, 2024
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Feb 22, 2024
October 17, 2023Health1 deficiency
0695EMinimal harm, Pattern

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies

Corrected Oct 27, 2023
May 4, 2023Health2 deficiencies
0761EMinimal harm, Pattern

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

Corrected May 20, 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 May 20, 2023
November 10, 2022Health6 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 Dec 10, 2022
0693DMinimal harm, Isolated

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.

Quality of Life and Care Deficiencies

Corrected Dec 10, 2022
0761DMinimal harm, Isolated

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

Corrected Dec 10, 2022
0804DMinimal harm, Isolated

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Nutrition and Dietary Deficiencies

Corrected Dec 10, 2022
0914DMinimal harm, Isolated

Provide bedrooms that don't allow residents to see each other when privacy is needed.

Environmental Deficiencies

Corrected Dec 10, 2022
0919DMinimal harm, Isolated

Make sure that a working call system is available in each resident's bathroom and bathing area.

Environmental Deficiencies

Corrected Dec 10, 2022

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Frequently Asked Questions

What is the CareGrader rating for Avir at Jeffrey Place?

Avir at Jeffrey Place in Waco, Texas has a CareGrader grade of D (Below Average), with a composite score of 63 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 Jeffrey Place?

Avir at Jeffrey Place has an overall CMS star rating of 2 out of 5, a health inspection rating of 2/5, and a staffing rating of 2/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does Avir at Jeffrey Place have?

Avir at Jeffrey Place has 38 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 Jeffrey Place been fined?

Yes. Avir at Jeffrey Place has $29,666 in total fines from CMS enforcement actions across 3 penalties.

How many beds does Avir at Jeffrey Place have?

Avir at Jeffrey Place has 95 certified beds with approximately 69 current residents (73% occupancy). The facility is located at 820 Jeffrey Dr, Waco, Texas 76710. 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.