Medicare shows an abuse citation on record. Review the linked inspection sources and ask the facility about corrective action before deciding.
based on 65 Google reviews

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These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.
Medicare shows an abuse citation on record. Read the linked source details, ask the administrator what corrective action was taken, and independently verify the facility’s current status before deciding.
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
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Concerns
Rating Trends
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Distribution · 81 analyzed
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.
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.”
“The list goes on. Always short of staff. Reported to the state and they were citied the same day.”
Both RN and total nursing hours are below the EveryPlace reference benchmarks. Ask the facility how it staffs each shift for current resident needs.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 17 measures
11
measures
2
measures
4
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
Detailed Medicare record · up to 3-year lookback
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.
Nursing and Physician Services Deficiencies
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
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.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Federal Penalties
Fine
May 21, 2026
$19,115
Fine
Nov 13, 2025
$17,345
Fine
Nov 26, 2024
$12,038
Fine
Aug 12, 2024
$34,577
Fine
Oct 11, 2023
$8,268
Winniestowell Hospital District
for profit
SLP GARLAND, LLC
TODD C BICKLE
Avir Health Group
116 facilities nationwide
Chain avg rating: 2.3/5 · Rank 16 of 21 (Lowest rating)
Owners
Boswell, Darren
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Eden, James
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Whitworth, Gary
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Key personnel
Contact this facility directly and verify the details that matter most to your family.
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
65 reviews from families & visitors
Official Website
Visit avirhg.com
Medicare data downloads
Original nursing home datasets
EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Some summaries, interpretations, suggested questions, and pricing research are AI-generated or AI-assisted and may contain errors or omit important context. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.
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