PlainNursing
CMS Nursing Home Compare · August 2026

Avir at Sherman

1000 Sara Swamy Drive, Sherman, TX 75090

Avir at Sherman, a 132-bed for profit - limited liability company nursing facility in Sherman, TX, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #649 of 1,165 rated homes in TX on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. No recent finding reached the actual-harm 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: 9038911730

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2 / 5
Below average · CMS overall · nat'l 3.0
#649 of 1,165
In-state rank among rated TX homes
3.06
Well below average · nurse hrs/day · nat'l 3.86
34
Inspection findings

The verdict

Avir at Sherman, a 132-bed for profit - limited liability company nursing facility in Sherman, TX, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #649 of 1,165 rated homes in TX on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. No recent finding reached the actual-harm level.

2 / 5
CMS overall · national 3.0
#649 of 1,165
In-state rank among rated TX homes
3.06
Nurse hrs/resident-day · national 3.86
34
Inspection findings on file

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

3/5

Staffing

1/5

Quality Measures

4/5

Long-Stay Quality

5/5

Facility Information

Provider Number
676120
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
132
Residents
77
In Hospital
No
County
Grayson
Last Inspection
Jun 5, 2025

Staffing Data

How the 3.06 total nursing hours per resident-day are staffed:

RN Hours
0.15 (nat'l avg: 0.69)
LPN Hours
1.00
CNA Hours
1.91
Total Nursing Hours
3.06 (nat'l avg: 3.86)
PT Hours
0.01
Nursing Turnover
87.1%
RN Turnover
80.0%

What the CMS Record Reveals About Avir at Sherman

According to CMS Nursing Home Compare, Avir at Sherman ranks #649 of 1,165 rated nursing homes in TX on overall stars (tie-broken by health+staffing+quality, then fewer fines). Avir at Sherman operates 132 certified beds in Sherman, TX with approximately 77 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars (health inspection 3★ · staffing 1★ · quality 4★).

The inspection file contains 34 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. This provider's enforcement record shows no fines or payment denials to date. Reported nurse staffing runs 3.06 total hours per resident day (national average 3.86); RN hours specifically are 0.15 per resident day.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Avir at Sherman falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 87.1% (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 (34 most recent)

D - Isolated - Minimal harm Jun 2, 2026 Tag: 0644

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 22, 2026

D - Isolated - Minimal harm Mar 26, 2026 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Apr 1, 2026

E - Pattern - Minimal harm Feb 19, 2026 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: Mar 2, 2026

D - Isolated - Minimal harm Feb 4, 2026 Tag: 0628

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Category: Resident Rights Deficiencies

Corrected: Feb 20, 2026

D - Isolated - Minimal harm Dec 10, 2025 Tag: 0644

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jan 6, 2026

D - Isolated - Minimal harm Dec 10, 2025 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: Jan 6, 2026

D - Isolated - Minimal harm Jun 5, 2025 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: Jun 13, 2025

D - Isolated - Minimal harm Jun 5, 2025 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: Jun 13, 2025

D - Isolated - Minimal harm Jun 5, 2025 Tag: 0742

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.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 13, 2025

D - Isolated - Minimal harm Jun 5, 2025 Tag: 0698

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 13, 2025

D - Isolated - Minimal harm Jun 5, 2025 Tag: 0692

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

Category: Quality of Life and Care Deficiencies

Corrected: Jun 13, 2025

E - Pattern - Minimal harm Jun 5, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jun 13, 2025

E - Pattern - Minimal harm Jun 5, 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: Jun 13, 2025

E - Pattern - Minimal harm Jun 5, 2025 Tag: 0804

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

Category: Nutrition and Dietary Deficiencies

Corrected: Jun 13, 2025

E - Pattern - Minimal harm Jun 5, 2025 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Jun 13, 2025

E - Pattern - Minimal harm Jun 5, 2025 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 13, 2025

E - Pattern - Minimal harm Jun 5, 2025 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: Jun 13, 2025

D - Isolated - Minimal harm Apr 16, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Apr 17, 2025

D - Isolated - Minimal harm Apr 16, 2025 Tag: 0677

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

Category: Quality of Life and Care Deficiencies

Corrected: Apr 17, 2025

D - Isolated - Minimal harm May 23, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jun 21, 2024

D - Isolated - Minimal harm May 23, 2024 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: Jun 21, 2024

E - Pattern - Minimal harm May 23, 2024 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: Jun 21, 2024

E - Pattern - Minimal harm May 23, 2024 Tag: 0677

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

Category: Quality of Life and Care Deficiencies

Corrected: Jun 21, 2024

E - Pattern - Minimal harm Apr 23, 2024 Tag: 0677

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

Category: Quality of Life and Care Deficiencies

Corrected: May 22, 2024

D - Isolated - Minimal harm Sep 21, 2023 Tag: 0626

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

Category: Resident Rights Deficiencies

Corrected: Oct 20, 2023

D - Isolated - Minimal harm Sep 21, 2023 Tag: 0623

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Category: Resident Rights Deficiencies

Corrected: Oct 20, 2023

D - Isolated - Minimal harm Mar 30, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Apr 21, 2023

D - Isolated - Minimal harm Mar 30, 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: Apr 21, 2023

E - Pattern - Minimal harm Mar 30, 2023 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Apr 21, 2023

E - Pattern - Minimal harm Mar 30, 2023 Tag: 0677

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

Category: Quality of Life and Care Deficiencies

Corrected: Apr 21, 2023

E - Pattern - Minimal harm Mar 30, 2023 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 21, 2023

E - Pattern - Minimal harm Mar 30, 2023 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: May 1, 2023

E - Pattern - Minimal harm Mar 30, 2023 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: May 1, 2023

E - Pattern - Minimal harm Mar 30, 2023 Tag: 0607

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: May 1, 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 12.4% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.4% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 1.3% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 1.6% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 8.5% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 0.9% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 1.4% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.5% Yes
Percentage of long-stay residents who lose too much weight Long Stay 0.5% 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 100.0% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 31.7% 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 13.1% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 99.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 100.0% No

Penalty History

No penalties on record.

Nationwide facilities with similar scale or staffing

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

What the CMS records show for Avir at Sherman

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 132 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 Sherman?
Avir at Sherman has an overall CMS rating of 2 out of 5 stars. This rating combines health inspection results (3★), staffing levels (1★), and quality measures (4★).
Where does Avir at Sherman 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 Sherman ranks 649th among 1,165 rated nursing homes in TX (#649 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 Sherman?
Avir at Sherman reports 3.06 total nursing hours per resident day (national average: 3.86). RN hours are 0.15 per resident day (national average: 0.69). Nursing staff turnover is 87.1%.
How many beds does Avir at Sherman have?
Avir at Sherman has 132 certified beds with approximately 77 residents. The facility is located at 1000 Sara Swamy Drive, Sherman, TX 75090.
Does Avir at Sherman have any deficiencies on record?
Yes, Avir at Sherman has 34 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has Avir at Sherman received any fines or penalties?
No, Avir at Sherman has no fines or penalties on record.
Who owns Avir at Sherman?
Avir at Sherman is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was Avir at Sherman last inspected?
The most recent health inspection for Avir at Sherman was on Jun 5, 2025. The facility received a health inspection rating of 3 out of 5 stars.
What quality measures are tracked for Avir at Sherman?
Avir at Sherman 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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