GoodStanding

Nursing home report

Avir at Grand Saline

GRAND SALINE, TX · Medicare-certified · 120 beds

Needs attention
For-profitChain member
1 of 5 overall

Avir at Grand Saline has a 1-star overall rating, with 1-star staffing and 2-star health inspection ratings, while quality measures are 4 stars. It also had a recent federal penalty, $8,281 in fines over the last 24 months, and reported nurse staffing of 3.32 hours per resident per day versus the 4.1-hour federal benchmark.

Facility ratings

Health inspections

Staffing

3.3239 hrs/resident/day

Quality measures

Last inspection: March 22, 2026Penalties, last 24 months: $8,281recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3239.

Staffing detail

Registered nurses
0.11
Licensed practical nurses
0.86
Nurse aides
2.35
Weekend nursing
3.10

Hours per resident per day.

Total staff turnover: 48%

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

16.3%16.1%No change

Residents with a fall causing major injury

0%5%Worsening

Residents with pressure ulcers (bedsores)

10.8%5.8%Improving

Residents with a urinary tract infection

3.2%0%Improving

Residents who lost too much weight

0%1.6%Worsening

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

5.7%4.5%Improving

Residents whose ability to walk got worse

4%13%Worsening

Long-stay residents on antianxiety or sleep medication

31.6%35.8%Worsening

Short-stay residents newly given an antipsychotic

7.4%11.1%Worsening

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

17.4%16.7%Improving

Residents with depressive symptoms

1.8%1.4%No change

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

96.4%93.2%Worsening

What the inspectors found

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.

View the original federal record

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.

View the original federal record

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.

View the original federal record

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.

View the original federal record

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.

View the original federal record

F-Tag 755 — 42 CFR §483.45 — S/S: E

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  3. INSPECTION

    Health inspection found 7 health deficiencies.

    See what inspectors found
  4. PENALTY

    A federal fine of $8,281 was recorded.

  5. INSPECTION

    Health inspection found 6 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 1 fine · $8,281 in total fines.

  • Federal fine

    Oct 29, 2025

    $8,281

Operator & ownership

Ownership
For profit - Limited Liability company
Chain
Part of AVIR HEALTH GROUP · 117 homes · 2.2 stars avg
Occupancy
87.6 residents on an average day (73% of 120 beds)
Resident voice
Resident council
Medicare history
Certified for 24 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.