All states › Texas › San Augustine › Avir at San Augustine
902 E. Main Street San Augustine, TX 75972 · San Augustine County
All 3 nursing homes in San Augustine, TX (3 take Medicaid)
CMS certification number 675846 · See this home on Medicare Care Compare
Is Avir at San Augustine 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 San Augustine as of October 2026.
CMS rates it 3 out of 5 stars overall, about the same as 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 3.73 hours per resident per day at Avir at San Augustine, above the Texas median of 3.30 (US median: 3.72). About 0.41 of those hours are from registered nurses. On weekends it falls to 3.20 hours, 14% below its all-week average. 79.6% 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.
About this nursing home
Paying for care at Avir at San Augustine: Medicare and Medicaid
Avir at San Augustine 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 May 13, 2026 and found 3 deficiencies. In total, inspectors issued 20 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 20 citations at Avir at San Augustine across 4 inspection dates, 3 of them from complaint investigations. 3 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on February 14, 2025 (complaint inspection). The most common areas cited were quality of life and care (4) and freedom from abuse, neglect, and exploitation (3). The most serious was cited under the CMS rule to "provide safe and appropriate respiratory care for a resident when needed" (tag F0695, level J, February 14, 2025). 3 citations were under CMS's abuse, neglect and exploitation rules.
May 13, 2026 · 3 citations
EEnsure medication error rates are not 5 percent or greater.
EProvide and implement an infection prevention and control program.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
March 5, 2025 · 5 citations
EProvide and implement an infection prevention and control program.
EMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
EHave policies on smoking.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
February 14, 2025 · 1 citation, includes immediate jeopardy · includes complaint inspection
JProvide safe and appropriate respiratory care for a resident when needed.
February 14, 2024 · 11 citations, includes immediate jeopardy · includes complaint inspection
JEnsure that residents are free from significant medication errors.
JProvide timely, quality laboratory services/tests to meet the needs of residents.
ETimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DRespond appropriately to all alleged violations.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CPost nurse staffing information every day.
Questions to ask on a tour of Avir at San Augustine
- Inspectors cited the home at the immediate-jeopardy level on February 14, 2025 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on February 14, 2024. 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 79.6% a year. How many of the staff come from agencies?
- CMS rates short-stay quality 1 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
- The home averages about 42% 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
3 penalties in the last three years, including $102,752 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Feb 14, 2025 | Fine | $75,498 |
| Feb 14, 2024 | Fine | $13,627 |
| Feb 14, 2024 | Fine | $13,627 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 3/5 | 4/5 | 1/5 | 2/5 |
| August 2026 | 3/5 | 4/5 | 1/5 | 2/5 |
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Location
Hospitals near Avir at San Augustine
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
- 0.4 mi
-
19.6 mi
Sabine County Hospital HemphillEmergency roomMedian ER visit 1h 56m for patients treated and sent home
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 San Augustine › All nursing homes in San Augustine ›
Compare Avir at San Augustine with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Stonecreek Nursing & Rehabilitation · San Augustine · 4 stars · 1.6 mi
- Colonial Pines Healthcare Center · San Augustine · 4 stars · 3.2 mi
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.