Ellery Care
D

Avir At Overton

1110 Hwy 135 S, Overton, TX 75684 · Rusk County

For-profit · 100 certified beds · 47% occupancy · (903) 834-6166

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Avir At Overton reviews: what the government record shows

The U.S. government (CMS) rates Avir At Overton 2 out of 5 stars overall, below average. Its nurse staffing is at or above the Texas median. It currently carries a federal abuse-warning icon. Inspectors cited it for 13 immediate-jeopardy findings in recent inspection cycles.

Updated September 2026 from the latest CMS data release. Ellery Care shows the government's own inspection and safety record, not consumer reviews.

At a glance

CMS overall rating
2 of 5 stars
Nurse staffing
3.77 hrs/resident/day (+15% vs TX median)
Antipsychotic drug use
17.9% of long-stay residents (TX median 8.3%)
Falls with major injury
4.3% of long-stay residents (TX median 3%)
Federal fines (3 yrs)
$340,621
Inspection findings
41 cited, 13 immediate-jeopardy
Federal abuse-warning flag
Yes

Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05.

What this means for your family

Several serious marks on its federal record. Look closely and ask hard questions before deciding.

Strengths

  • ✓Nurse staffing of 3.77 hrs/resident/day is at or above the Texas median of 3.27.

Concerns

  • !CMS rates it just 2 of 5 stars overall.
  • !Currently carries the federal abuse-warning icon on CMS Care Compare.
  • !Cited for 13 immediate-jeopardy findings (the most serious category) in recent inspections.
  • !Has paid $340,621 in federal fines in roughly the last three years.

Questions to ask on your visit

  • ·What was the abuse-warning finding, and what has changed since?
  • ·Can we see the most recent inspection report and the plan of correction?

Touring in person? Our free nursing-home tour checklist has 30 questions to ask and the red flags to watch for, printable to take with you.

A plain-English read of this home's public record. Not advice — always visit in person.

Common questions about Avir At Overton

Is Avir At Overton a good nursing home?

Avir At Overton in Overton, Texas holds a 2 of 5 star CMS overall rating. Several serious marks on its federal record. Look closely and ask hard questions before deciding.

How is Avir At Overton staffed?

Avir At Overton reports 3.77 nurse hours per resident per day, at or above the Texas median of 3.27 hours per resident per day.

Has Avir At Overton been fined or flagged for abuse?

Avir At Overton has paid approximately $340,621 in federal fines in roughly the last three years, and currently carries the federal abuse-warning icon on CMS Care Compare.

CMS quality ratings

Overall★★★★★
Health inspections★★★★★
Staffing★★★★★
Quality of resident care★★★★★

Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. Stars are CMS's own five-star ratings.

Nurse staffing

Staffing is the single strongest predictor of nursing home quality, and the number pay-to-play referral sites rarely show you.

TX median 3.27

3.77 nurse hours per resident per day. 15% above the Texas median of 3.27.

Total nurse
3.77 hrs
RN
0.28 hrs
LPN
0.89 hrs
Aide
2.60 hrs

Nursing staff turnover: 58.3%

Safety & compliance flags

  • Federal abuse warning icon
  • Special Focus Facility candidate

Recent inspection findings

The specific problems state inspectors cited, the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.

41
total findings
13
immediate jeopardy
0
caused actual harm
24
from complaints
  • Immediate jeopardyTag F0607 · May 20, 2026ComplaintCorrected May 27, 2026

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies

  • Immediate jeopardyTag F0600 · Aug 13, 2025Complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies

  • Immediate jeopardyTag F0689 · Aug 13, 2025Complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Quality of Life and Care Deficiencies

  • Potential for harmTag F0727 · Apr 29, 2026Corrected Apr 30, 2026

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    Nursing and Physician Services Deficiencies

  • Potential for harmTag F0921 · Apr 29, 2026Corrected Apr 30, 2026

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Environmental Deficiencies

  • Potential for harmTag F0584 · Apr 29, 2026Corrected Apr 30, 2026

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Resident Rights Deficiencies

  • Potential for harmTag F0925 · Apr 29, 2026Corrected Apr 30, 2026

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Environmental Deficiencies

  • Potential for harmTag F0926 · Apr 29, 2026Corrected Apr 30, 2026

    Have policies on smoking.

    Environmental Deficiencies

  • Potential for harmTag F0580 · Mar 11, 2026ComplaintCorrected Mar 12, 2026

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Resident Rights Deficiencies

  • Potential for harmTag F0655 · Mar 11, 2026ComplaintCorrected Mar 12, 2026

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Resident Assessment and Care Planning Deficiencies

Showing the 10 most recent and serious of 41 findings. See the full inspection history on Medicare.gov.

Antipsychotic drug use

The share of long-stay residents given antipsychotic medication. These drugs are sometimes used to sedate residents with dementia, a practice CMS and resident advocates watch closely. Lower is better.

17.9%
of long-stay residents
Texas median 8.3%
National median 13.4%

This is above the national median. Ask how the home decides to start these medications and how often it reviews them.

Source: CMS MDS Quality Measures, long-stay antipsychotic measure, retrieved 2026-09-05. See the Texas study

Preventable harm

Two injuries that good staffing and attentive care are meant to prevent: serious falls and pressure ulcers (bedsores). These are the outcomes families fear most, and they rarely appear on referral sites. Lower is better on both.

Falls with major injury
4.3%
of long-stay residents
Texas median 3% · National median 2.8%
Pressure ulcers (bedsores)
2.9%
of long-stay residents
Texas median 3.3% · National median 4.2%

The serious-fall rate here is above the national median. It is worth asking how the home prevents falls and whether recent injuries prompted any changes.

Source: CMS MDS Quality Measures, long-stay falls and pressure-ulcer measures, period 2025Q2-2026Q1, retrieved 2026-09-05. Texas falls study · bedsore study

Federal fines and penalties

Money CMS has fined this home, plus other federal penalties, over roughly the last three years. Fines follow serious or repeated violations.

Total fines
$340,621
Number of fines
5
Payment denials
0

Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. See the most-fined homes in Texas

Ownership

This home is for-profit (for profit - limited liability company). It is part of the Avir Health Group chain, which operates 116 facilities, with a chain-average CMS rating of 2.3 stars.