Avir at Grapevine has a 2-star overall rating, with 2 stars for health inspections and 1 star for staffing, while quality measures are 5 stars. It reports 3.10 nurse hours per resident per day versus the 4.1 federal benchmark, and it had $29,614 in fines in the last 24 months with a recent federal penalty.
Last inspection: November 20, 2025Penalties, last 24 months: $29,614recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.0973.
Staffing detail
Registered nurses
0.41
Licensed practical nurses
1.06
Nurse aides
1.63
Weekend nursing
2.93
Hours per resident per day.
Total staff turnover: 59%
Registered nurse turnover: 54%
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).
Last yrNowTrend
Long-stay residents on antipsychotic medication
0%6.2%Worsening
Residents with a fall causing major injury
5.5%2.4%Improving
Residents with pressure ulcers (bedsores)
1.8%2.2%No change
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
15.4%1.5%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
17.6%8.2%Improving
Residents whose ability to walk got worse
15.5%4.8%Improving
Long-stay residents on antianxiety or sleep medication
24.7%18.8%Improving
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
1.1%0%Improving
Residents with new or worsening incontinence
10.3%10.4%No change
Residents with depressive symptoms
14.8%5.2%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—97.9%—
Long-stay residents given the pneumonia vaccine
92.3%100%Improving
Short-stay residents given the seasonal flu vaccine
—79.3%—
Short-stay residents given the pneumonia vaccine
69%91.7%Improving
What the inspectors found
The home failed to ensure staff provided basic life support, including CPR, before emergency medical personnel arrived. Cited March 2025 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 678 — 42 CFR §483.24(a)(3) — S/S: K
The nursing home failed to protect residents from abuse and neglect by others. Cited March 2025 — isolated incident, immediate jeopardy to residents.
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F-Tag 600 — 42 CFR §483.12 — S/S: J
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited July 2024 — isolated incident, immediate jeopardy to residents.
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F-Tag 684 — 42 CFR §483.25 — S/S: J
The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited July 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: J
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited November 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 727 — 42 CFR §483.35 — S/S: F
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 10 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
PENALTY
A federal fine of $14,917 was recorded.
PENALTY
A federal fine of $14,697 was recorded.
Penalties & enforcement
On record with Medicare: 2 fines · $29,614 in total fines.
Federal fine
Mar 13, 2025
$14,917
Federal fine
Jul 19, 2024
$14,697
Operator & ownership
Ownership
For profit - Limited Liability company
Chain
Part of AVIR HEALTH GROUP · 117 homes · 2.2 stars avg
Occupancy
85.9 residents on an average day (68% of 126 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.