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Nursing HomeMedicaid Investigative

Avir at Giddings

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

1400 N Main St, Giddings, TX 78942102 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.2/5

based on 14 Google reviews

5
4
3
2
1

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3/ 10
moderate Risk

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)
  • Above-median deficiencies (11 vs median 8.0)

Bottom 25% in Texas · Critically understaffed (RN) · Worst in AVIR HEALTH GROUP chain · $165,239 in fines

Source: Medicare data

What this means for your family

This facility shows a concerning downward trend in care quality and administrative reliability. While the rehab services were once highly recommended, recent families report dangerous levels of neglect and poor communication; if you choose this facility, you must closely monitor daily hygiene and ensure staff are responding to your calls.

Google Reviews

Google Reviews

14 reviews analyzed
Families should exercise extreme caution, as recent reviews highlight severe issues with neglect, including unattended falls, unemptied hygiene equipment, and poor communication. While older reviews from 2020-2022 praised the rehab team and staff attentiveness, more recent feedback indicates significant declines in care quality and administrative responsiveness.

Quality Themes

Tap a score for details
Food1.0Staff2.0Clean2.0ActivitiesN/AMedsN/AMemoryN/AComms1.0Value1.0

Strengths

  • Lack of unpleasant odors
  • Historically strong rehabilitation services
  • Effective COVID-19 vaccine management (in 2021)

Concerns

  • Severe neglect and lack of supervision leading to falls
  • Poor communication from administration and inability to reach staff on weekends (mentioned by 2 reviewers)
  • Inadequate hygiene and cleanliness of resident rooms (mentioned by 2 reviewers)
  • Staffing shortages and unprofessional attitudes (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'15(1)'17(1)'20(2)'22(2)'24(3)

Distribution

5
4
4
0
3
0
2
1
1
4

How They Respond to Reviews

29%response rate
Generic

The owner uses highly repetitive, templated responses that largely ignore the specific details mentioned in the reviews. Most responses follow a near-identical script regardless of the reviewer's specific praise.

Questions for Your Tour

  • 1We've heard great things about the rehabilitation services here; could you tell us more about how the therapy programs are structured for residents?
  • 2How does the administration ensure that families can easily reach a staff member or supervisor during the weekends?
  • 3What specific steps are being taken to ensure that resident rooms and common areas are kept consistently clean and well-maintained?
  • 4Could you describe the daily meal schedule and how you ensure the dining experience is both nutritious and enjoyable for everyone?
  • 5What is the protocol for monitoring residents to prevent falls, especially during the night or when staff are busy?
  • 6What kind of social activities or daily outings are available to help residents stay engaged with the community?

Personalized based on this facility's data


Key Review Excerpts

The room was filthy, potty chair was never emptied unless we did it, cold dry bologna sandwich for supper, clothes not changed, and then she fell while unattended.

Rehab patient's family · 2022☆☆☆☆

With the great rehab team being persistent and patient with helping my mother to return independently back home at 93 is wondering . I would highly recommend Oakland Manor in Giddings Texas

Long-term rehab patient's family · 2020★★★★★

Not impressed with admin, didn't gather all my daughters things when she passed, info I needed. Did not send me her personal effects as requested.

Deceased resident's family · 2024★★☆☆☆
Source: 14 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.27hrs
35%
Registered nurses for medical care
Total Nursing
3.08hrs
75%
All nurses + aides combined
Staff Turnover
33%
Lower is better (< 30% = good)

Both 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 · 16 measures

Medicare Rating
4/ 5
Better Than Avg

13

measures

Worse Than Avg

3

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
TX
2.5%
Lee
3.1%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility9.2%
Better than Avg
Here
9.2%
US
19.4%
TX
14.2%
Lee
17.5%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility7.7%
Better than Avg
Here
7.7%
US
15.4%
TX
9.4%
Lee
17.5%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
TX
96.9%
Lee
95.1%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility11.2%
Better than Avg
Here
11.2%
US
14.4%
TX
16.1%
Lee
15.5%
🩹

Residents with pressure sores (bedsores)

↓ Lower is better
This Facility8.6%
Worse than Avg
Here
8.6%
US
4.9%
TX
4.0%
Lee
5.2%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
81.8%
TX
89.2%
Lee
87.7%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
TX
1.5%
Lee
1.6%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

11deficiencies
4penalties
Above state avg (9.1)
24 complaint-triggered
$165,239 in fines

This facility shows a concerning pattern with 22 complaint-triggered deficiencies out of 45 total, indicating families have repeatedly filed reports about care issues. The most recurring problems involve safety hazards and accident prevention, medication management, and maintaining clean living environments. While the facility has corrected most violations, the persistent nature of safety violations across multiple years and the high volume of family complaints suggest ongoing quality concerns that warrant careful consideration before placement.

Nov 27, 2025Complaint
2
0689SevereCorrected

Quality of Life and Care Deficiencies

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

0684MinorCorrected

Quality of Life and Care Deficiencies

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

May 2, 2025Complaint
1
0755MinorCorrected

Pharmacy Service Deficiencies

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

Feb 26, 2025Routine
11
0372ModerateCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0558ModerateCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0584ModerateCorrected

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.

0812ModerateCorrected

Nutrition and Dietary Deficiencies

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

0943ModerateCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

0351ModerateCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0353ModerateCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0656MinorCorrected

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.

0684MinorCorrected

Quality of Life and Care Deficiencies

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

0919MinorCorrected

Environmental Deficiencies

Make sure that a working call system is available in each resident's bathroom and bathing area.

0511MinorCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

Feb 26, 2025Complaint
1
0755ModerateCorrected

Pharmacy Service Deficiencies

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

Feb 20, 2025Complaint
4
0679ModerateCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0677MinorCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0800MinorCorrected

Nutrition and Dietary Deficiencies

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

0842MinorCorrected

Resident Assessment and Care Planning Deficiencies

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

Sep 26, 2024Complaint
1
0689Severe

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

Nov 27, 2025

$15,940

Fine

Sep 26, 2024

$8,021

Fine

Dec 30, 2023

$21,145

Payment Denial

Dec 30, 2023

3-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

Winniestowell Hospital District

Organization Type

for profit

Management Company

1400 N MAIN ST OPCO LLC

Administrator

CHRISTINE BRYAN

Chain Affiliation

Chain Name

Avir Health Group

Chain Size

117 facilities nationwide

Chain avg rating: 2.3/5 · Rank 83 of 90 (Worst)

Ownership & Management

Key personnel

Agyemang-barimah, RitaW-2 Managing EmployeeMurrell, EdwardOfficer / DirectorNorris, SherrieOfficer / DirectorMurrell, EdwardOfficer / DirectorSlp Giddings LLCManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

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. 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.

Safer Alternatives Nearby

Based on current clinical data, we identified 2 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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