The home failed to provide safe and appropriate breathing care when a resident needed it. Cited February 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 695 — 42 CFR §483.25(i) — S/S: J
Nursing home report
AVIR AT SAN AUGUSTINE
SAN AUGUSTINE, TX · Medicare-certified · 88 beds
Needs attention
For-profitChain member
2 of 5 overall
AVIR AT SAN AUGUSTINE has a 2 out of 5 star overall rating. Key concerns include 1-star staffing, nurse staffing below the federal benchmark (3.79 vs. 4.1 hours per resident per day), and $75,498 in fines over the last 24 months with a recent federal penalty; health inspection is 3 stars and quality measures are 2 stars.
Facility ratings
Health inspections
Staffing
3.79 hrs/resident/day
Quality measures
Last inspection: March 5, 2025Penalties, last 24 months: $75,498recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.79.
Staffing detail
- Registered nurses
- 0.41
- Licensed practical nurses
- 1.51
- Nurse aides
- 1.88
- Weekend nursing
- 3.35
Hours per resident per day.
Total staff turnover: 78%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
21%Improving
Residents with a fall causing major injury
0.7%Improving
Residents with pressure ulcers (bedsores)
6.4%Improving
Residents with a urinary tract infection
2.1%Steady
Residents who lost too much weight
0%Steady
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
20.9%Improving
Residents whose ability to walk got worse
29.2%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
18.2%Worsening
Short-stay residents newly given an antipsychotic
5.1%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
13.5%Improving
Residents with depressive symptoms
1.6%Steady
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
85.6%Worsening
Short-stay residents given the seasonal flu vaccine
40.5%Steady
Short-stay residents given the pneumonia vaccine
60.2%Improving
What the inspectors found
The nursing home failed to ensure residents were free from significant medication errors. Cited February 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: J
The home failed to provide timely, quality lab services and tests needed by residents. Cited February 2024 — isolated incident, immediate jeopardy to residents.
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F-Tag 770 — 42 CFR §483.50 — S/S: J
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited March 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The nursing home failed to keep its areas safe, easy to use, clean, and comfortable for residents, staff, and visitors. Cited March 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 921 — 42 CFR §483.90 — 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 5 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $75,498 was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 11 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 3 fines · $102,752 in total fines.
- $75,498
Federal fine
Feb 14, 2025
- $13,627
Federal fine
Feb 14, 2024
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of AVIR HEALTH GROUP · 117 homes · 2.2 stars avg
- Occupancy
- 37.1 residents on an average day (42% of 88 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 25 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.