All states › Texas › Denison › Avir at Memorial
1300 Memorial Dr Denison, TX 75020 · Grayson County
All 5 nursing homes in Denison, TX (5 take Medicaid)
CMS certification number 455806 · See this home on Medicare Care Compare
Is Avir at Memorial a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Avir at Memorial as of October 2026.
CMS rates it 1 out of 5 stars overall, below the Texas average of 2.8.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.30 hours per resident per day at Avir at Memorial, about the same as the Texas median of 3.30 (US median: 3.72). About 0.35 of those hours are from registered nurses. On weekends it falls to 2.95 hours, 11% below its all-week average. 100% of nursing staff left within a year (Texas median 50.2%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there. 2 administrators left in the past year.
About this nursing home
Paying for care at Avir at Memorial: Medicare and Medicaid
Avir at Memorial is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Texas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on September 11, 2025 and found 10 deficiencies, plus 5 from complaint inspections in the same period. In total, inspectors issued 37 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 37 citations at Avir at Memorial across 6 inspection dates, 9 of them from complaint investigations. 2 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on August 12, 2024 (complaint inspection). The most common areas cited were quality of life and care (12) and infection control (5). The most serious was cited under the CMS rule to "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" (tag F0584, level K, August 12, 2024). 2 citations were under CMS's abuse, neglect and exploitation rules.
May 3, 2026 · 2 citations · includes complaint inspection
EProvide and implement an infection prevention and control program.
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
December 3, 2025 · 3 citations · includes complaint inspection
DReasonably accommodate the needs and preferences of each resident.
DProvide safe and appropriate respiratory care for a resident when needed.
DEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
September 11, 2025 · 10 citations
EEnsure residents have reasonable access to and privacy in their use of communication methods.
EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EProvide and implement an infection prevention and control program.
DAllow resident to participate in the development and implementation of his or her person-centered plan of care.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide safe and appropriate respiratory care for a resident when needed.
DEnsure medication error rates are not 5 percent or greater.
DEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
DEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
May 20, 2025 · 1 citation · includes complaint inspection
EProvide and implement an infection prevention and control program.
August 12, 2024 · 14 citations, includes immediate jeopardy · includes complaint inspection
KHonor 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.
KMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
EProvide care and assistance to perform activities of daily living for any resident who is unable.
EProvide activities to meet all resident's needs.
EEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
EProvide and implement an infection prevention and control program.
DAssist a resident in gaining access to vision and hearing services.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
DProvide safe, appropriate dialysis care/services for a resident who requires such services.
June 22, 2023 · 7 citations
EProvide care and assistance to perform activities of daily living for any resident who is unable.
EProvide appropriate treatment and care according to orders, resident’s preferences and goals.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DProvide and implement an infection prevention and control program.
Questions to ask on a tour of Avir at Memorial
- Inspectors cited the home at the immediate-jeopardy level on August 12, 2024 under the rule on resident rights. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on May 3, 2026. How are staff trained, and how are concerns reported?
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Nursing staff turnover was 100% a year. How many of the staff come from agencies?
- Several administrators left in the past year. What has changed for residents since then?
- The home averages about 48% of its beds filled. Are any units closed?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
1 penalty in the last three years, including $47,097 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Aug 12, 2024 | Fine | $47,097 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 2/5 | 1/5 | 4/5 |
| August 2026 | 1/5 | 2/5 | 1/5 | 4/5 |
Add this rating badge to your websiteFree. Shows Avir at Memorial's Medicare star rating and updates itself.
Size and colour
Preview
Paste it where the badge should appear: in WordPress, a Custom HTML block or a footer widget; on other sites, any spot that accepts HTML. The badge updates itself when CMS publishes new ratings.
Location
Hospitals near Avir at Memorial
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
-
4.4 mi
Texoma Medical Center DenisonEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 1h 56m for patients treated and sent home
-
6.9 mi
Baylor Scott and White Surgical Hospital at Sherma ShermanEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 2h 8m for patients treated and sent home
- 8.2 mi
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Avir at Memorial › All nursing homes in Denison ›
Compare Avir at Memorial with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Beacon Hill · Denison · 4 stars · 3.3 mi
- The Homestead of Denison · Denison · 3 stars · 0.3 mi
- Woodlands Place Rehabilitation Suites · Denison · 3 stars · 1.3 mi
- Denison Nursing and Rehab · Denison · 2 stars · 2.2 mi
Other Fundamental Healthcare nursing homes in Texas
- Villa Haven Health and Rehabilitation Center · Breckenridge · 5 stars
- Sterling Oaks Rehabilitation · Katy · 5 stars
- Brownfield Rehabilitation and Care Center · Brownfield · 4 stars
- Creekside Terrace Rehabilitation · Belton · 4 stars
- Edgewood Rehabilitation and Care Center · Mesquite · 4 stars
- Canton Oaks · Canton · 4 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 66 Fundamental Healthcare nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.