PlainNursing
CMS Nursing Home Compare · August 2026

Avir at Overton

1110 Hwy 135 S, Overton, TX 75684

Avir at Overton, a 100-bed for profit - limited liability company nursing facility in Overton, TX, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #633 of 1,165 rated homes in TX on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 13 inspection findings reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 9038346166

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2 / 5
Below average · CMS overall · nat'l 3.0
#633 of 1,165
In-state rank among rated TX homes
3.77
About average · nurse hrs/day · nat'l 3.86
41
Inspection findings · 13 serious

The verdict

Avir at Overton, a 100-bed for profit - limited liability company nursing facility in Overton, TX, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #633 of 1,165 rated homes in TX on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 13 inspection findings reached the actual-harm or immediate-jeopardy level.

2 / 5
CMS overall · national 3.0
#633 of 1,165
In-state rank among rated TX homes
3.77
Nurse hrs/resident-day · national 3.86
41
Inspection findings · 13 serious

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 1,177 TX nursing homes split by ownership sector

This facility is recorded as For profit - Limited Liability company. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

1/5

Staffing

3/5

Quality Measures

5/5

Long-Stay Quality

5/5

Facility Information

Provider Number
675408
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
100
Residents
47
In Hospital
No
County
Rusk
Last Inspection
Apr 29, 2026
Special Focus
SFF Candidate
Abuse citation on record

Staffing Data

How the 3.77 total nursing hours per resident-day are staffed:

RN Hours
0.28 (nat'l avg: 0.69)
LPN Hours
0.89
CNA Hours
2.60
Total Nursing Hours
3.77 (nat'l avg: 3.86)
PT Hours
0.05
Nursing Turnover
58.3%

What the CMS Record Reveals About Avir at Overton

According to CMS Nursing Home Compare, Avir at Overton ranks #633 of 1,165 rated nursing homes in TX on overall stars (tie-broken by health+staffing+quality, then fewer fines). Avir at Overton operates 100 certified beds in Overton, TX with approximately 47 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars (health inspection 1★ · staffing 3★ · quality 5★).

The inspection file contains 41 deficiency records from recent surveys, of which 13 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. CMS enforcement records show 5 penalties totaling $341K levied against this facility. Staffing is reported at 3.77 total nursing hours per resident day (national average 3.86), with RN coverage at 0.28 per resident day. This facility is flagged as an SFF Candidate, a larger pool of providers eligible for the Special Focus Facility program but not currently selected (states have a limited number of active SFF slots); it remains under normal, not enhanced, oversight.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Avir at Overton falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 58.3% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (41 most recent)

J - Isolated - Jeopardy May 20, 2026 Tag: 0607

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: May 27, 2026

D - Isolated - Minimal harm Apr 29, 2026 Tag: 0926

Have policies on smoking.

Category: Environmental Deficiencies

Corrected: Apr 30, 2026

D - Isolated - Minimal harm Apr 29, 2026 Tag: 0925

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

Category: Environmental Deficiencies

Corrected: Apr 30, 2026

D - Isolated - Minimal harm Apr 29, 2026 Tag: 0584

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.

Category: Resident Rights Deficiencies

Corrected: Apr 30, 2026

E - Pattern - Minimal harm Apr 29, 2026 Tag: 0921

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

Category: Environmental Deficiencies

Corrected: Apr 30, 2026

E - Pattern - Minimal harm Apr 29, 2026 Tag: 0727

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.

Category: Nursing and Physician Services Deficiencies

Corrected: Apr 30, 2026

D - Isolated - Minimal harm Mar 11, 2026 Tag: 0655

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 12, 2026

D - Isolated - Minimal harm Mar 11, 2026 Tag: 0580

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

Category: Resident Rights Deficiencies

Corrected: Mar 12, 2026

D - Isolated - Minimal harm Jan 13, 2026 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Jan 14, 2026

D - Isolated - Minimal harm Nov 24, 2025 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Nov 25, 2025

D - Isolated - Minimal harm Nov 24, 2025 Tag: 0600

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Nov 25, 2025

D - Isolated - Minimal harm Nov 21, 2025 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Nov 22, 2025

J - Isolated - Jeopardy Aug 13, 2025 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

J - Isolated - Jeopardy Aug 13, 2025 Tag: 0600

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

C - Widespread - No harm Feb 18, 2025 Tag: 0732

Post nurse staffing information every day.

Category: Nursing and Physician Services Deficiencies

Corrected: Feb 19, 2025

D - Isolated - Minimal harm Feb 18, 2025 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Feb 19, 2025

E - Pattern - Minimal harm Feb 18, 2025 Tag: 0921

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

Category: Environmental Deficiencies

Corrected: Feb 19, 2025

E - Pattern - Minimal harm Feb 18, 2025 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Feb 19, 2025

E - Pattern - Minimal harm Feb 18, 2025 Tag: 0727

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.

Category: Nursing and Physician Services Deficiencies

Corrected: Feb 19, 2025

J - Isolated - Jeopardy Jan 26, 2025 Tag: 0678

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 6, 2025

J - Isolated - Jeopardy Jan 26, 2025 Tag: 0600

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Feb 6, 2025

E - Pattern - Minimal harm Jan 14, 2025 Tag: 0600

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jan 15, 2025

D - Isolated - Minimal harm May 21, 2024 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jun 5, 2024

D - Isolated - Minimal harm Dec 6, 2023 Tag: 0637

Assess the resident when there is a significant change in condition

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 11, 2023

E - Pattern - Minimal harm Dec 6, 2023 Tag: 0925

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

Category: Environmental Deficiencies

Corrected: Dec 11, 2023

E - Pattern - Minimal harm Dec 6, 2023 Tag: 0807

Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.

Category: Nutrition and Dietary Deficiencies

Corrected: Dec 11, 2023

E - Pattern - Minimal harm Dec 6, 2023 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Dec 11, 2023

E - Pattern - Minimal harm Dec 6, 2023 Tag: 0755

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

Category: Pharmacy Service Deficiencies

Corrected: Dec 11, 2023

F - Widespread - Minimal harm Dec 6, 2023 Tag: 0851

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Category: Administration Deficiencies

Corrected: Dec 11, 2023

F - Widespread - Minimal harm Dec 6, 2023 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Dec 11, 2023

J - Isolated - Jeopardy Oct 26, 2023 Tag: 0695

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

Category: Quality of Life and Care Deficiencies

Corrected: Oct 27, 2023

J - Isolated - Jeopardy Oct 26, 2023 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Oct 27, 2023

J - Isolated - Jeopardy Oct 26, 2023 Tag: 0580

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

Category: Resident Rights Deficiencies

Corrected: Oct 27, 2023

K - Pattern - Jeopardy Oct 26, 2023 Tag: 0867

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Category: Administration Deficiencies

Corrected: Oct 27, 2023

K - Pattern - Jeopardy Oct 26, 2023 Tag: 0607

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Oct 27, 2023

K - Pattern - Jeopardy Oct 26, 2023 Tag: 0600

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Oct 27, 2023

D - Isolated - Minimal harm Sep 6, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Sep 23, 2023

D - Isolated - Minimal harm Sep 6, 2023 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Sep 23, 2023

E - Pattern - Minimal harm Aug 16, 2023 Tag: 0584

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.

Category: Resident Rights Deficiencies

Corrected: Sep 7, 2023

K - Pattern - Jeopardy Aug 16, 2023 Tag: 0687

Provide appropriate foot care.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 7, 2023

K - Pattern - Jeopardy Aug 16, 2023 Tag: 0600

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Sep 7, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 11.6% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.0% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 4.3% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 8.4% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 2.9% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 17.9% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 4.5% Yes
Percentage of long-stay residents who lose too much weight Long Stay 3.1% No
Percentage of long-stay residents who have depressive symptoms Long Stay 0.0% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 99.5% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 34.6% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 13.4% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 87.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay N/A No

Penalty History 5 penalties totaling $341K

Date Type Amount
May 20, 2026 Fine $20K
Aug 13, 2025 Fine $8K
Aug 13, 2025 Fine $14K
Jan 14, 2025 Fine $131K
Oct 26, 2023 Fine $168K

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Avir at Overton, both outside TX so the neighborhoods are not the same-state geography list below.

What the CMS records show for Avir at Overton

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The TX registry aggregates state averages and the highest-rated homes in this cohort. View TX registry
  • Peer homes near 100 beds show how CMS stars vary at a similar scale in TX. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Avir at Overton?
Avir at Overton has an overall CMS rating of 2 out of 5 stars. This rating combines health inspection results (1★), staffing levels (3★), and quality measures (5★).
Where does Avir at Overton rank among nursing homes in TX?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Avir at Overton ranks 633rd among 1,165 rated nursing homes in TX (#633 of 1,165). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Avir at Overton?
Avir at Overton reports 3.77 total nursing hours per resident day (national average: 3.86). RN hours are 0.28 per resident day (national average: 0.69). Nursing staff turnover is 58.3%.
How many beds does Avir at Overton have?
Avir at Overton has 100 certified beds with approximately 47 residents. The facility is located at 1110 Hwy 135 S, Overton, TX 75684.
Does Avir at Overton have any deficiencies on record?
Yes, Avir at Overton has 41 deficiencies on record from recent inspections. Of these, 13 are classified as causing actual harm or jeopardy.
Has Avir at Overton received any fines or penalties?
Yes, Avir at Overton has received 5 penalties totaling $341K.
Who owns Avir at Overton?
Avir at Overton is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was Avir at Overton last inspected?
The most recent health inspection for Avir at Overton was on Apr 29, 2026. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for Avir at Overton?
Avir at Overton is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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