facebook tracking Avir at Lancaster, Lancaster TX: CMS Ratings & Inspections
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Avir at Lancaster

All states › Texas › Lancaster › Avir at Lancaster

1241 Westridge Ave Lancaster, TX 75146 · Dallas County

(972) 227-5110

All 4 nursing homes in Lancaster, TX (4 take Medicaid)

Accepts Medicare Accepts Medicaid 110 certified beds Government

CMS certification number 675809 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Avir at Lancaster 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 Lancaster as of October 2026.

CMS rates it 1 out of 5 stars overall, below the Texas average of 2.8. Inspectors issued 30 citations in the last three years. CMS imposed 3 penalties, including $42,851 in fines, in that time.

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 3.07 hours per resident per day at Avir at Lancaster, below the Texas median of 3.30 (US median: 3.72). About 0.61 of those hours are from registered nurses. On weekends it falls to 2.60 hours, 15% below its all-week average. Ask how weekends are staffed. 55.9% of nursing staff left within a year (Texas median 50.2%). 2 administrators left in the past year.

Nursing care per resident per day 3.07 hours
Below the Texas median of 3.30 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.61 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 2.60 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 55.9% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 27.3% a year Share of registered nurses who left over a year.
Administrators who left 2 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds110
Residents per day 63 About 57% of beds filled, on average
OwnershipGovernment - Federal
Payment acceptedMedicare and Medicaid
Certified sinceOctober 1999
Part of a chainAvir Health Group
Legal business nameHAMILTON COUNTY HOSPITAL DISTRICT

Paying for care at Avir at Lancaster: Medicare and Medicaid

Avir at Lancaster 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 January 15, 2026 and found 5 deficiencies, plus 10 from complaint inspections in the same period. In total, inspectors issued 30 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 30 citations at Avir at Lancaster across 13 inspection dates, 19 of them from complaint investigations. 3 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on April 11, 2026 (complaint inspection). The most common areas cited were resident rights (10) and quality of life and care (5). The most serious was cited under the CMS rule to "provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them" (tag F0776, level J, April 11, 2026). 1 citation was under CMS's abuse, neglect and exploitation rules.

July 29, 2026 · 1 citation · includes complaint inspection

GDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Actual harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Complaint inspection · Deficient, Provider has date of correction (Jul 31, 2026)

July 25, 2026 · 1 citation · includes complaint inspection

EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Complaint inspection · Deficient, Provider has date of correction (Jul 26, 2026)

June 30, 2026 · 2 citations · includes complaint inspection

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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Complaint inspection · Deficient, Provider has date of correction (Jul 1, 2026)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0655 · Complaint inspection · Deficient, Provider has date of correction (Jul 1, 2026)

June 12, 2026 · 1 citation · includes complaint inspection

EHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Complaint inspection · Deficient, Provider has date of correction (Jun 30, 2026)

May 4, 2026 · 1 citation · includes complaint inspection

EKeep residents' personal and medical records private and confidential.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0583 · Complaint inspection · Deficient, Provider has date of correction (May 5, 2026)

April 11, 2026 · 2 citations, includes immediate jeopardy · includes complaint inspection

JProvide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.

Immediate jeopardy · Administration Deficiencies · Tag F0776 · Complaint inspection · Deficient, Provider has date of correction (Apr 12, 2026)

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

Actual harm · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Deficient, Provider has date of correction (Apr 12, 2026)

January 15, 2026 · 5 citations

EProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0688 · Deficient, Provider has date of correction (Feb 15, 2026)

EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Feb 15, 2026)

DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (Feb 15, 2026)

DProvide appropriate treatment and care according to orders, resident’s preferences and goals.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Deficient, Provider has date of correction (Feb 15, 2026)

DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Deficient, Provider has date of correction (Feb 15, 2026)

November 24, 2025 · 1 citation · includes complaint inspection

DHonor the resident's right to manage his or her financial affairs.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0567 · Complaint inspection · Deficient, Provider has date of correction (Nov 25, 2025)

November 5, 2025 · 1 citation · includes complaint inspection

DProperly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0568 · Complaint inspection · Deficient, Provider has date of correction (Nov 6, 2025)

June 19, 2025 · 1 citation, includes immediate jeopardy · includes complaint inspection

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

Immediate jeopardy · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Complaint inspection · Deficient, Provider has date of correction (Jun 20, 2025)

October 31, 2024 · 4 citations · includes complaint inspection

EEnsure residents have reasonable access to and privacy in their use of communication methods.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0576 · Complaint inspection · Deficient, Provider has date of correction (Nov 15, 2024)

EHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Complaint inspection · Deficient, Provider has date of correction (Nov 15, 2024)

EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Complaint inspection · Deficient, Provider has date of correction (Nov 15, 2024)

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

Potential for more than minimal harm · Environmental Deficiencies · Tag F0925 · Complaint inspection · Deficient, Provider has date of correction (Nov 15, 2024)

September 18, 2024 · 4 citations, includes immediate jeopardy · includes complaint inspection

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

Immediate jeopardy · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Past Non-Compliance (Aug 19, 2024)

EHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Complaint inspection · Deficient, Provider has date of correction (Sep 19, 2024)

EHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0585 · Complaint inspection · Deficient, Provider has date of correction (Sep 19, 2024)

ESafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0842 · Complaint inspection · Deficient, Provider has date of correction (Sep 19, 2024)

September 20, 2023 · 6 citations

FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Oct 7, 2023)

DHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0578 · Deficient, Provider has date of correction (Oct 7, 2023)

DHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Deficient, Provider has date of correction (Oct 7, 2023)

DProvide enough food/fluids to maintain a resident's health.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0692 · Deficient, Provider has date of correction (Oct 7, 2023)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Oct 7, 2023)

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

Potential for more than minimal harm · Environmental Deficiencies · Tag F0921 · Deficient, Provider has date of correction (Oct 7, 2023)

Questions to ask on a tour of Avir at Lancaster

  1. Inspectors cited the home at the immediate-jeopardy level on April 11, 2026 under the rule on administration. What changed afterwards, and can I see the plan of correction?
  2. CMS cited the home under its abuse and neglect rules on June 19, 2025. How are staff trained, and how are concerns reported?
  3. Weekend staffing is 15% below the all-week average. Who is on duty on Saturday nights?
  4. Several administrators left in the past year. What has changed for residents since then?
  5. The home averages about 57% of its beds filled. Are any units closed?
  6. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  7. 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

3 penalties in the last three years, including $42,851 in fines.

DateTypeAmount or length
Apr 11, 2026 Fine $11,942
Jun 19, 2025 Fine $17,282
Sep 18, 2024 Fine $13,627

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 1/5 1/5 3/5 3/5
August 2026 2/5 2/5 3/5 4/5
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Location

Hospitals near Avir at Lancaster

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Lancaster Nursing & Rehabilitation Lancaster · 0.3 mi away ★☆☆☆☆ Inspection 2/5 · Staffing 1/5 120 beds · Medicaid
Millbrook Healthcare and Rehabilitation Center Lancaster · 1.7 mi away ★★☆☆☆ Inspection 2/5 · Staffing 1/5 124 beds · Medicaid
Windsor Gardens Lancaster · 2.5 mi away ★★☆☆☆ Inspection 2/5 · Staffing 2/5 150 beds · Medicaid
Desoto Nursing & Rehabilitation Center Desoto · 5.2 mi away ★★☆☆☆ Inspection 3/5 · Staffing 1/5 110 beds · Medicaid
Five Points Nursing and Rehabilitation Desoto · 5.4 mi away ★★☆☆☆ Inspection 3/5 · Staffing 1/5 120 beds · Medicaid

More nursing homes near Avir at Lancaster ›   All nursing homes in Lancaster ›

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Other Avir Health Group nursing homes in Texas

Affiliation comes from CMS's affiliated-entity data, October 2026. All 118 Avir Health Group 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.

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https://www.nursinghomesineachstate.com/texas/lancaster/avir-at-lancaster/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.