The home failed to ensure IV fluids were given safely and appropriately when needed. Cited June 2024 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 694 — 42 CFR §483.25 — S/S: K
Nursing home report
STEPHENVILLE, TX · Medicare-certified · 102 beds
AVIR AT STEPHENVILLE has an overall rating of 1 out of 5 stars, with especially weak staffing at 1 out of 5 and reported nurse staffing below the federal benchmark (3.35 vs. 4.1 hours per resident per day). It also has a recent federal penalty and $204,614 in fines over the last 24 months; health inspections are 2 out of 5 and quality measures are 4 out of 5.
Health inspections
Staffing
3.3534 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3534.
Hours per resident per day.
How often residents experience these outcomes, with the direction over the past year.
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
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the pneumonia vaccine
The home failed to ensure IV fluids were given safely and appropriately when needed. Cited June 2024 — limited pattern, immediate jeopardy to residents.
F-Tag 694 — 42 CFR §483.25 — S/S: K
The nursing home failed to ensure residents were free from significant medication errors. Cited June 2024 — limited pattern, immediate jeopardy to residents.
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: K
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited July 2025 — limited pattern, potential for harm.
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: E
The home failed to arrange hospice services or help the resident transfer to a place that would provide hospice care. Cited July 2025 — limited pattern, potential for harm.
F-Tag 849 — 42 CFR §483.70 — 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 April 2025 — limited pattern, potential for harm.
F-Tag 880 — 42 CFR §483.80(a) — 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 2 health deficiencies.
Health inspection found 1 health deficiency.
A federal payment denial was recorded.
A federal fine of $204,614 was recorded.
On record with Medicare: 1 fine · $204,614 in total fines · 1 payment denial.
Medicare/Medicaid payment denial
Jun 14, 2024
Federal fine
Jun 14, 2024
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.