Nursing home report
WACO, TX · Medicare-certified · 120 beds
Avir at Waco has an overall 4 out of 5 stars, with solid health inspection results but weaker staffing at 2 stars and 3.50 nurse hours per resident per day, below the 4.1 federal benchmark. It had $0 in fines in the last 24 months, and recent inspection issues were cited in food service, pharmacy services, and menu/nutrition standards.
Health inspections
Staffing
3.4979 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4979.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
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
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited December 2024 — widespread issue, potential for harm.
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
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.
F-Tag 755 — 42 CFR §483.45 — S/S: E
The home failed to ensure meals and menus were planned, updated, and followed to meet residents’ nutritional needs. Cited December 2024 — limited pattern, potential for harm.
F-Tag 803 — 42 CFR §483.60 — S/S: E
The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited December 2024 — limited pattern, potential for harm.
F-Tag 804 — 42 CFR §483.60 — S/S: E
The nursing home failed to reasonably accommodate each resident’s needs and preferences. Cited November 2023 — limited pattern, potential for harm.
F-Tag 558 — 42 CFR §483.10 — 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.
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 2 health deficiencies.
Health inspection found 4 health deficiencies.
Health inspection found 6 health deficiencies.
Now operated by Mcculloch County Hospital District, previously Royal Manor Ii.
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.
