Avir at Grand Saline
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 22 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 staffing rating (2/5 stars)
- Above-median deficiencies (12 vs median 8.0)
Above average in Texas · Critically understaffed (RN) · Chain outperformer · $12,740 in fines
What this means for your family
While this facility has a history of providing kind care and effective rehab, recent reviews indicate a dangerous decline in medication management and hygiene. If you choose this facility, you must closely monitor medication logs and ensure that call lights are being answered promptly, especially during weekends.
Google Reviews
Google Reviews
22 reviews analyzed“Families should approach this facility with caution due to recent reports of serious medical neglect, including missed medications and hygiene issues. While some long-term residents have experienced kind, attentive care and effective rehabilitation, newer reviews highlight significant concerns regarding staffing shortages and cleanliness.”
Quality Themes
Tap a score for detailsStrengths
- Attentive and kind nursing staff
- Effective rehabilitation and therapy services
- Engaging resident activities
- Clean environment (noted by some long-term visitors)
Concerns
- Staffing shortages, particularly on weekends and at night (mentioned by 2 reviewers)
- Neglect regarding medication administration and hygiene (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution
How They Respond to Reviews
This facility rarely responds to reviews.
Questions for Your Tour
- 1I noticed some wonderful comments about how kind and attentive the nursing staff can be; how do you ensure that level of care remains consistent during the night and over the weekends?
- 2Could you walk me through your specific process for medication administration to ensure everything is tracked accurately and on time?
- 3With the great rehabilitation and therapy services you offer, how do you work with families to track a resident's progress during their recovery?
- 4What kind of daily activities and social engagement do you have planned to keep the residents active and involved in the community?
- 5How does the facility handle medical emergencies or changes in health status during the late-night hours when fewer staff members are on site?
- 6I've heard great things about the cleanliness of the environment here; what are your daily routines for maintaining the resident rooms and common areas?
Personalized based on this facility's data
Key Review Excerpts
“My mother stayed here for several months and the staff was so attentive and kind. Very clean place. Definitely recommend for anyone whose loved one may be in need of extra care or rehabilitation.”
“The staff was very loving and attentive. Genie, my wife, was in Country Trails for two weeks and made great improvement in her health. She especially liked the therapy team.”
“Thought it would be a good place but my grand mother has had medical incidents due to the staff not giving her medication on time. Also feeds them terrible food and rarely gives her showers.”
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
10
measures
4
measures
3
measures
Residents needing more daily help over time
Residents on anti-anxiety or sleep medication
Residents whose walking got worse
Residents with depression symptoms
Residents on antipsychotic medication
Residents vaccinated for pneumonia
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
Families have filed multiple complaint reports against this facility, resulting in 9 complaint-triggered deficiencies across recent surveys. Key recurring issues include care planning problems, infection control failures, and safety hazards like accident prevention. Recent complaints in 2025 involved serious concerns about resident assessment, care planning, abuse reporting, and wound care, though the facility has correction plans in place for all identified deficiencies.
Mar 22, 2026Complaint1
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Feb 4, 2026Routine8
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Quality of Life and Care Deficiencies
Ensure the activities program is directed by a qualified professional.
Feb 4, 2026Complaint1
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Oct 29, 2025Complaint6
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Resident Assessment and Care Planning Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
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.
May 9, 2025Complaint3
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Nov 13, 2024Routine5
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
Nursing and Physician Services Deficiencies
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Federal Penalties
Fine
Oct 29, 2025
$8,281
Ownership & Operations
Who Operates This Facility
1638 Vz Cr 1803 Opco LLC
for profit
LOH MANAGEMENT LLC
LINDA L MAYHUGH
Chain Affiliation
Avir Health Group
117 facilities nationwide
Chain avg rating: 2.3/5 · Rank 29 of 90
Ownership & Management
Owners
1638 Vr Cr 1803 Holdings, LLC
Owner · Organization
TX Snf Holdings ,LLC
Owner (parent company) · Organization
Key personnel
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
22 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 2 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.