The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited July 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Nursing home report
Avir at Graham
GRAHAM, TX · Medicare-certified · 116 beds
In good standing
Government-runChain member
5 of 5 overall
5 out of 5 stars overall. Avir at Graham has a top health inspection score and no fines in the last 24 months, but its staffing and quality measures are both 2 out of 5 stars, and reported nurse staffing is 3.23 hours per resident per day versus the 4.1 federal benchmark.
Facility ratings
Health inspections
Staffing
3.2316 hrs/resident/day
Quality measures
Last inspection: August 14, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2316.
Staffing detail
- Registered nurses
- 0.51
- Licensed practical nurses
- 0.92
- Nurse aides
- 1.80
- Weekend nursing
- 3.09
Hours per resident per day.
Total staff turnover: 35%
Registered nurse turnover: 40%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
30%30%No change
Residents with a fall causing major injury
2.6%0%Improving
Residents with pressure ulcers (bedsores)
2.2%2%No change
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
0%0%No change
Residents who were physically restrained
0%2.9%Worsening
Residents needing more help with daily activities
30.4%21.7%Improving
Residents whose ability to walk got worse
—34.5%—
Long-stay residents on antianxiety or sleep medication
33.3%29.2%Improving
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
10.4%2.7%Improving
Residents with depressive symptoms
2.7%3.2%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—100%—
Short-stay residents given the pneumonia vaccine
100%100%No change
What the inspectors found
The nursing home failed to keep essential equipment working safely. Cited July 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 908 — 42 CFR §483.90 — S/S: F
The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited August 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 804 — 42 CFR §483.60 — S/S: E
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited June 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 755 — 42 CFR §483.45 — S/S: E
The home failed to properly label and securely store medications and biologicals. Cited June 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
- Ownership
- Government - Hospital district
- Chain
- Part of AVIR HEALTH GROUP · 117 homes · 2.2 stars avg
- Occupancy
- 40.1 residents on an average day (35% of 116 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 40 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.