Avir at Garland
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 62 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (1/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (15 vs median 8.0)
- High staff turnover (53%)
- High RN turnover (78%)
Bottom 25% in Texas · Critically understaffed (RN) · Worst in SLP OPERATIONS chain · $81,568 in fines
What this means for your family
While certain staff members in the memory care and rehab units are highly regarded for their kindness, the facility is currently facing serious allegations of neglect, poor hygiene, and staffing shortages. If you choose this facility, you should closely monitor your loved one's hygiene and wound care, and verify that medication administration is being handled accurately.
Google Reviews
Google Reviews
62 reviews on Google“Families considering AVIR AT GARLAND will find a deeply polarized environment. While many long-term residents and their families praise specific staff members in the memory care and rehab units for being compassionate and attentive, there are frequent and serious allegations regarding severe neglect, poor hygiene, and inadequate staffing. Recent reviews specifically highlight concerns regarding wound care, medication errors, and lack of communication from administration.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate memory care staff
- Effective physical therapy and rehab services
- Friendly and dedicated individual caregivers
- Engaging activities and social programs
Concerns
- Severe staffing shortages and lack of responsiveness (mentioned by 5 reviewers)
- Poor hygiene and unpleasant facility odors (mentioned by 4 reviewers)
- Unprofessional or rude administration and nursing leadership (mentioned by 4 reviewers)
- Inadequate wound care and physical neglect (mentioned by 3 reviewers)
- Issues with medication management and accuracy (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 77 analyzed
How They Respond to Reviews
The owner relies heavily on templated, boilerplate responses that fail to address specific allegations regarding staffing, hygiene, or professionalism. While they attempt to provide contact information for escalation, the core of the responses is repetitive and lacks genuine engagement with the reviewers' specific grievances.
Questions for Your Tour
- 1We've heard wonderful things about your memory care staff and social programs; could you tell us more about the specific activities planned for residents each week?
- 2With the recent changes in staffing levels, what steps is the facility taking to ensure there is always enough nursing presence on every shift?
- 3How does the nursing team manage medication administration to ensure accuracy and prevent any missed doses?
- 4What specific protocols are in place to maintain high standards of cleanliness and hygiene throughout the resident rooms and common areas?
- 5How does the administration handle communication with families, especially if we have a concern about a resident's care or a change in their health?
- 6Can you describe your process for wound care and how the clinical team monitors for any signs of physical neglect or skin breakdown?
Personalized based on this facility's data
Key Review Excerpts
“My mom has been at this facility for a little over 8 months and we've had our ups and downs but in all honesty her direct staff in the memory care unit of this facility have been amazing to her they're kind to her they're gentle and they always update me if she has fallen or they see a new scrape and I really appreciate them for that”
“The staff at the nursing home genuinely cares for my grandmother; they treat both her and our family with respect and compassion, and she has been able to make this place feel like home.”
“I went to visit today and it was the WORST EXPERIENCE/PLACE EVER. GARLAND NURSING & REHABILITATION CENTER I get there and someone let me into the locked area where Ma was supposed to be. It smelled like straight urine.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
12
measures
3
measures
2
measures
Residents on anti-anxiety or sleep medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on antipsychotic medication
Residents whose bladder or bowel control got worse
Residents vaccinated for pneumonia
Residents vaccinated for the flu
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has a concerning pattern of complaints from families, with 39 out of 57 deficiencies triggered by reports of problems. Issues repeatedly involve accident prevention and safety hazards, abuse protection policies, and care planning, spanning from 2022 through 2026. While most violations show correction dates, the recurring nature across multiple surveys and a recent uncorrected infection control deficiency from January 2026 suggest ongoing quality concerns that families should carefully consider.
Mar 12, 2026Complaint1
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Jan 17, 2026Complaint1
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Dec 3, 2025Complaint3
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Nov 13, 2025Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Mar 18, 2025Routine8
Smoke Deficiencies
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Resident Rights Deficiencies
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.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Egress Deficiencies
Install proper backup exit lighting.
Mar 18, 2025Complaint7
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Pharmacy Service Deficiencies
Ensure 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.
Federal Penalties
Fine
Nov 13, 2025
$26,685
Fine
Nov 26, 2024
$12,038
Fine
Aug 12, 2024
$34,577
Fine
Oct 11, 2023
$8,268
Ownership & Operations
Who Operates This Facility
Winniestowell Hospital District
for profit
SLP GARLAND, LLC
TODD C BICKLE
Chain Affiliation
Avir Health Group
117 facilities nationwide
Chain avg rating: 2.3/5 · Rank 16 of 21 (Worst)
Ownership & Management
Owners
Undisclosed
Ownership Data Not Available · Organization
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
62 reviews from families & visitors
Official Website
Visit avirhg.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.
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