Avir at Woodlands
State inspectors recorded 3 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
Serious inspection findings
2025-04-02 — IMMEDIATE JEOPARDY (tag F0689, severity K)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2025-04-02 — IMMEDIATE JEOPARDY (tag F0725, severity K)
Nursing and Physician Services Deficiencies · correction not recorded in CMS data
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
2025-04-02 — IMMEDIATE JEOPARDY (tag F0600, severity K)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Staffing, from payroll records
Nursing hours / resident / day
2.35
state median 2.67
Weekend staffing gap
+2%
more nursing hours on weekends · state median −7%
RN hours / resident / day
0.55
registered nurses only
Contract (agency) staff
0%
share of all nursing hours
Nursing staff turnover
66%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
2 enforcement action(s), totaling $85,613 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-04-02 | Fine | $85,613 |
| 2023-07-18 | Payment Denial | payment denial |
Ownership
Ownership type: For profit - Limited Liability company. Part of the AVIR HEALTH GROUP chain.
Other facilities under the same ownership, with their CMS overall ratings:
- Avir at Beaumont (BEAUMONT, TX) —
- Avir at New Braunfels (New Braunfels, TX) —
- Avir at Rose Trail (TYLER, TX) —
- Avir at Petal Hill (Tyler, TX) —
- Avir at Jeffrey Place (Waco, TX) —
- Avir at Temple West (TEMPLE, TX) —
- Avir at Center (CENTER, TX) —
- Avir at Graham (GRAHAM, TX) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2025-08-13 | F0655 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-08-13 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-08-13 | F0727 | Nursing and Physician Services Deficiencies | F | not recorded |
| 2025-08-13 | F0802 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2025-08-13 | F0809 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2025-04-02 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | K | not recorded |
| 2025-04-02 | F0689 | Quality of Life and Care Deficiencies | K | not recorded |
| 2025-04-02 | F0725 | Nursing and Physician Services Deficiencies | K | not recorded |
| 2024-07-10 | F0552 | Resident Rights Deficiencies | E | not recorded |
| 2024-07-10 | F0656 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2024-07-10 | F0689 | Quality of Life and Care Deficiencies | E | not recorded |
| 2024-07-10 | F0725 | Nursing and Physician Services Deficiencies | E | not recorded |
| 2024-07-10 | F0727 | Nursing and Physician Services Deficiencies | E | not recorded |
| 2024-07-10 | F0804 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2024-07-10 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2024-07-10 | F0921 | Environmental Deficiencies | E | not recorded |
| 2023-10-09 | F0584 | Resident Rights Deficiencies | E | not recorded |
| 2023-10-09 | F0804 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2023-10-09 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2023-10-09 | F0926 | Environmental Deficiencies | E | not recorded |
| 2023-09-08 | F0656 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2023-09-08 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-09-08 | F0760 | Pharmacy Service Deficiencies | E | not recorded |
| 2023-08-10 | F0584 | Resident Rights Deficiencies | E | not recorded |
| 2023-08-10 | F0921 | Environmental Deficiencies | E | not recorded |
| 2023-08-10 | F0926 | Environmental Deficiencies | D | not recorded |
| 2023-07-25 | F0657 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2023-07-18 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2023-07-18 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2023-05-04 | F0657 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2023-05-04 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-05-04 | F0727 | Nursing and Physician Services Deficiencies | E | not recorded |
| 2023-05-04 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2023-05-04 | F0880 | Infection Control Deficiencies | D | not recorded |