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
Trinity Nursing and Rehabilitation
Registered name: AVIR AT SAN AUGUSTINE
SAN AUGUSTINE, TX · Medicare-certified · 88 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
3 of 5 overall
Trinity Nursing and Rehabilitation in San Augustine, TX has a 3-star overall rating, with a strong health inspection score (4 stars) but very low staffing (1 star). Reported nurse staffing is 3.54 hours per resident per day, below the federal benchmark of 4.1, and the facility had $75,498 in fines in the last 24 months plus a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.5425 hrs/resident/day
Quality measures
Last inspection: May 13, 2026Penalties, last 24 months: $75,498recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5425.
Staffing detail
- Registered nurses
- 0.35
- Licensed practical nurses
- 1.40
- Nurse aides
- 1.79
- Weekend nursing
- 3.29
Hours per resident per day.
Total staff turnover: 82%
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
23.1%17.9%Improving
Residents with a fall causing major injury
0%2.6%Worsening
Residents with pressure ulcers (bedsores)
5.7%11.4%Worsening
Residents with a urinary tract infection
7.5%0%Improving
Residents who lost too much weight
0%0%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
27.6%14.8%Improving
Residents whose ability to walk got worse
—26.3%—
Long-stay residents on antianxiety or sleep medication
19.4%25.7%Worsening
Short-stay residents newly given an antipsychotic
—2%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
20.7%3.5%Improving
Residents with depressive symptoms
5.7%3.1%Improving
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
88.1%92.1%Improving
Short-stay residents given the seasonal flu vaccine
—40.5%—
Short-stay residents given the pneumonia vaccine
—86.4%—
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.
View the original federal record
F-Tag 770 — 42 CFR §483.50 — S/S: J
The nursing home failed to keep medication mistakes below the allowed level. Cited May 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 759 — 42 CFR §483.45(f)(1) — S/S: E
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 May 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — 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 3 health deficiencies.
See what inspectors found
- 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 - Corporation
- Chain
- Part of AVIR HEALTH GROUP · 119 homes · 2.3 stars avg
- Occupancy
- 38 residents on an average day (43% 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.