Ellery Care
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Avir At San Augustine

902 E Main St, San Augustine, TX 75972 · San Augustine County

For-profit · 88 certified beds · 43% occupancy · (936) 275-2055

Deciding as a family?

Avir At San Augustine reviews: what the government record shows

The U.S. government (CMS) rates Avir At San Augustine 3 out of 5 stars overall, average. Its nurse staffing is at or above the Texas median. Inspectors cited it for 3 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
3 of 5 stars
Nurse staffing
3.54 hrs/resident/day (+8% vs TX median)
Antipsychotic drug use
19.4% of long-stay residents (TX median 8.3%)
Falls with major injury
0.7% of long-stay residents (TX median 3%)
Federal fines (3 yrs)
$102,752
Inspection findings
20 cited, 3 immediate-jeopardy
Federal abuse-warning flag
No

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 3.54 hrs/resident/day is at or above the Texas median of 3.27.

Concerns

  • !Cited for 3 immediate-jeopardy findings (the most serious category) in recent inspections.
  • !Has paid $102,752 in federal fines in roughly the last three years.

Questions to ask on your visit

  • ·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 San Augustine

Is Avir At San Augustine a good nursing home?

Avir At San Augustine in San Augustine, Texas holds a 3 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 San Augustine staffed?

Avir At San Augustine reports 3.54 nurse hours per resident per day, at or above the Texas median of 3.27 hours per resident per day.

Has Avir At San Augustine been fined or flagged for abuse?

Avir At San Augustine has paid approximately $102,752 in federal fines in roughly the last three years, and does not currently carry a federal abuse-warning flag.

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

3.54 nurse hours per resident per day. 8% above the Texas median of 3.27.

Total nurse
3.54 hrs
RN
0.35 hrs
LPN
1.40 hrs
Aide
1.79 hrs

Nursing staff turnover: 82%

Safety & compliance flags

No CMS warning flags on record.

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.

20
total findings
3
immediate jeopardy
0
caused actual harm
3
from complaints
  • Potential for harmTag F0759 · May 13, 2026Corrected Jun 12, 2026

    Ensure medication error rates are not 5 percent or greater.

    Pharmacy Service Deficiencies

  • Potential for harmTag F0880 · May 13, 2026Corrected Jun 12, 2026

    Provide and implement an infection prevention and control program.

    Infection Control Deficiencies

  • Potential for harmTag F0690 · May 13, 2026Corrected Jun 12, 2026

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Quality of Life and Care Deficiencies

  • Immediate jeopardyTag F0695 · Feb 14, 2025ComplaintCorrected Feb 15, 2025

    Provide safe and appropriate respiratory care for a resident when needed.

    Quality of Life and Care Deficiencies

  • Potential for harmTag F0880 · Mar 5, 2025Corrected Mar 31, 2025

    Provide and implement an infection prevention and control program.

    Infection Control Deficiencies

  • Potential for harmTag F0921 · Mar 5, 2025Corrected Mar 31, 2025

    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 F0926 · Mar 5, 2025Corrected Mar 31, 2025

    Have policies on smoking.

    Environmental Deficiencies

  • Potential for harmTag F0550 · Mar 5, 2025Corrected Mar 31, 2025

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Resident Rights Deficiencies

  • Potential for harmTag F0756 · Mar 5, 2025Corrected Mar 31, 2025

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Pharmacy Service Deficiencies

  • Immediate jeopardyTag F0760 · Feb 14, 2024Corrected Dec 13, 2023

    Ensure that residents are free from significant medication errors.

    Pharmacy Service Deficiencies

Showing the 10 most recent and serious of 20 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.

19.4%
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
0.7%
of long-stay residents
Texas median 3% · National median 2.8%
Pressure ulcers (bedsores)
6.2%
of long-stay residents
Texas median 3.3% · National median 4.2%

The serious-fall rate here is at or below the Texas median, a reassuring sign for how closely the home supervises residents.

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
$102,752
Number of fines
3
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 - corporation). It is independently operated, not part of a multi-facility chain.