Nursing home report
Registered name: Avir at Grand Saline
GRAND SALINE, TX · Medicare-certified · 120 beds
Country Trails Wellness & Rehabilitation Center in Grand Saline, TX has a 3-star overall rating, with a 2-star staffing rating and reported nurse staffing below the federal benchmark (3.68 vs 4.1 hours per resident per day). It has had $8,281 in fines in the last 24 months and a recent federal penalty, while health inspections are 3 stars and quality measures are 4 stars.
Health inspections
Staffing
3.6812 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6812.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited October 2025 — isolated incident, immediate jeopardy to residents.
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited February 2026 — widespread issue, potential for harm.
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to properly screen residents for mental health or intellectual disability needs before or during admission. Cited February 2026 — limited pattern, potential for harm.
F-Tag 645 — 42 CFR §483.20 — S/S: E
The home failed to provide activities that met all residents’ needs. Cited February 2026 — limited pattern, potential for harm.
F-Tag 679 — 42 CFR §483.24 — S/S: E
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited February 2026 — limited pattern, potential for harm.
F-Tag 755 — 42 CFR §483.45 — S/S: E
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 1 health deficiency.
Health inspection found 7 health deficiencies.
A federal fine of $8,281 was recorded.
Health inspection found 6 health deficiencies.
On record with Medicare: 1 fine · $8,281 in total fines.
Federal fine
Oct 29, 2025
Now operated by Avir at Grand Saline, previously Country Trails Wellness & Rehabilitation Center.
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.
