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Avir at Winnsboro

Open-data reference.

Avir at Winnsboro is a for profit - limited liability company facility in WINNSBORO, TX with 112 certified beds and a 1-star overall CMS rating. The facility has 50 deficiency records on file. Total penalties: $101K.

910 S BEECH ST, WINNSBORO, TX 75494

Phone: 9033425243

Overall Rating

1/5

Health Inspection

1/5

Staffing

2/5

Quality Measures

3/5

Long-Stay Quality

4/5

Facility Information

Provider Number
675812
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
112
Residents
62
In Hospital
No
County
Wood
Last Inspection
Jun 25, 2025

Staffing Data

RN Hours
0.35 (nat'l avg: 0.68)
LPN Hours
1.17
CNA Hours
1.61
Total Nursing Hours
3.13 (nat'l avg: 3.89)
PT Hours
0.04
Nursing Turnover
55.2%
RN Turnover
42.9%

What the CMS Record Reveals About Avir at Winnsboro

Avir at Winnsboro operates 112 certified beds in WINNSBORO, TX with approximately 62 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (1★), staffing levels (2★), and quality measures (3★). 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.

The inspection file contains 50 deficiency records from recent surveys, of which 4 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 4 penalties totaling $101K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 3.13 total nursing hours per resident day (national average 3.89), with RN coverage at 0.35 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Avir at Winnsboro falls into a category where comparative context matters. 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. Reported nursing turnover at this facility is 55.2%, above the level where continuity of care typically begins to suffer. 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 details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (50 most recent)

J — Isolated - Jeopardy Jun 25, 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: Jun 14, 2025

D — Isolated - Minimal harm Jun 25, 2025 Tag: 0838

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Category: Administration Deficiencies

Corrected: Jun 26, 2025

F — Widespread - Minimal harm Jun 25, 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 26, 2025

E — Pattern - Minimal harm Jun 25, 2025 Tag: 0804

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

Category: Nutrition and Dietary Deficiencies

Corrected: Jun 26, 2025

D — Isolated - Minimal harm Jun 25, 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 26, 2025

D — Isolated - Minimal harm Jun 25, 2025 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Jun 26, 2025

D — Isolated - Minimal harm Jun 25, 2025 Tag: 0757

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Category: Pharmacy Service Deficiencies

Corrected: Jun 26, 2025

D — Isolated - Minimal harm Jun 25, 2025 Tag: 0699

Provide care or services that was trauma informed and/or culturally competent.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 26, 2025

D — Isolated - Minimal harm Jun 25, 2025 Tag: 0695

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

Category: Quality of Life and Care Deficiencies

Corrected: Jun 26, 2025

D — Isolated - Minimal harm Jun 25, 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 26, 2025

J — Isolated - Jeopardy Mar 6, 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: Aug 14, 2024

D — Isolated - Minimal harm Mar 6, 2025 Tag: 0602

Protect each resident from the wrongful use of the resident's belongings or money.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Aug 12, 2024

E — Pattern - Minimal harm Mar 6, 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: Dec 26, 2024

E — Pattern - Minimal harm May 9, 2024 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 20, 2024

D — Isolated - Minimal harm May 9, 2024 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: May 10, 2024

D — Isolated - Minimal harm May 9, 2024 Tag: 0881

Implement a program that monitors antibiotic use.

Category: Infection Control Deficiencies

Corrected: May 10, 2024

E — Pattern - Minimal harm May 9, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: May 10, 2024

D — Isolated - Minimal harm May 9, 2024 Tag: 0849

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Category: Administration Deficiencies

Corrected: May 10, 2024

E — Pattern - Minimal harm May 9, 2024 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 10, 2024

D — Isolated - Minimal harm May 9, 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: May 10, 2024

E — Pattern - Minimal harm May 9, 2024 Tag: 0804

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

Category: Nutrition and Dietary Deficiencies

Corrected: May 10, 2024

D — Isolated - Minimal harm May 9, 2024 Tag: 0791

Provide or obtain dental services for each resident.

Category: Quality of Life and Care Deficiencies

Corrected: May 10, 2024

D — Isolated - Minimal harm May 9, 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: May 10, 2024

E — Pattern - Minimal harm May 9, 2024 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: May 10, 2024

E — Pattern - Minimal harm May 9, 2024 Tag: 0758

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Category: Pharmacy Service Deficiencies

Corrected: May 10, 2024

E — Pattern - Minimal harm May 9, 2024 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: May 10, 2024

D — Isolated - Minimal harm May 9, 2024 Tag: 0699

Provide care or services that was trauma informed and/or culturally competent.

Category: Quality of Life and Care Deficiencies

Corrected: May 10, 2024

E — Pattern - Minimal harm May 9, 2024 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: May 10, 2024

D — Isolated - Minimal harm May 9, 2024 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: May 10, 2024

E — Pattern - Minimal harm May 9, 2024 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: May 10, 2024

D — Isolated - Minimal harm May 9, 2024 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 10, 2024

D — Isolated - Minimal harm May 9, 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: May 10, 2024

D — Isolated - Minimal harm May 9, 2024 Tag: 0607

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: May 10, 2024

D — Isolated - Minimal harm May 9, 2024 Tag: 0583

Keep residents' personal and medical records private and confidential.

Category: Resident Rights Deficiencies

Corrected: May 10, 2024

E — Pattern - Minimal harm May 9, 2024 Tag: 0578

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.

Category: Resident Rights Deficiencies

Corrected: May 10, 2024

E — Pattern - Minimal harm May 9, 2024 Tag: 0576

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

Category: Resident Rights Deficiencies

Corrected: May 11, 2024

E — Pattern - Minimal harm May 9, 2024 Tag: 0565

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

Category: Resident Rights Deficiencies

Corrected: May 11, 2024

D — Isolated - Minimal harm May 9, 2024 Tag: 0558

Reasonably accommodate the needs and preferences of each resident.

Category: Resident Rights Deficiencies

Corrected: May 11, 2024

D — Isolated - Minimal harm May 9, 2024 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: May 11, 2024

E — Pattern - Minimal harm Jan 9, 2024 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: Jan 10, 2024

E — Pattern - Minimal harm Nov 29, 2023 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Nov 30, 2023

E — Pattern - Minimal harm Nov 29, 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: Nov 30, 2023

E — Pattern - Minimal harm Nov 29, 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: Nov 30, 2023

E — Pattern - Minimal harm Nov 29, 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: Nov 30, 2023

F — Widespread - Minimal harm Jun 23, 2023 Tag: 0836

Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.

Category: Administration Deficiencies

Corrected: Jun 24, 2023

F — Widespread - Minimal harm Jun 23, 2023 Tag: 0835

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Category: Administration Deficiencies

Corrected: Jun 24, 2023

L — Widespread - Jeopardy Jun 23, 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: Jun 24, 2023

J — Isolated - Jeopardy May 1, 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: May 2, 2023

D — Isolated - Minimal harm May 1, 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 2, 2023

E — Pattern - Minimal harm Apr 5, 2023 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 20, 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 7.0% Yes
Percentage of long-stay residents who lose too much weight Long Stay 3.6% No
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 0.4% Yes
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 experiencing one or more falls with major injury Long Stay 3.2% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 98.4% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 82.0% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 4.6% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 17.9% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 78.3% No
Percentage of long-stay residents with pressure ulcers Long Stay 5.3% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 3.7% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 17.4% Yes

Penalty History 4 penalties totaling $101K

Date Type Amount
Mar 6, 2025 Fine $9K
Jun 23, 2023 Fine $59K
May 1, 2023 Fine $13K

Frequently Asked Questions

What is the overall CMS rating for Avir at Winnsboro?
Avir at Winnsboro has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (1★), staffing levels (2★), and quality measures (3★).
What are the staffing levels at Avir at Winnsboro?
Avir at Winnsboro reports 3.13 total nursing hours per resident day (national average: 3.89). RN hours are 0.35 per resident day (national average: 0.68). Nursing staff turnover is 55.2%.
How many beds does Avir at Winnsboro have?
Avir at Winnsboro has 112 certified beds with approximately 62 residents. The facility is located at 910 S BEECH ST, WINNSBORO, TX 75494.
Does Avir at Winnsboro have any deficiencies on record?
Yes, Avir at Winnsboro has 50 deficiencies on record from recent inspections. Of these, 4 are classified as causing actual harm or jeopardy.
Has Avir at Winnsboro received any fines or penalties?
Yes, Avir at Winnsboro has received 4 penalties totaling $101K.
Who owns Avir at Winnsboro?
Avir at Winnsboro is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was Avir at Winnsboro last inspected?
The most recent health inspection for Avir at Winnsboro was on Jun 25, 2025. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for Avir at Winnsboro?
Avir at Winnsboro 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. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial