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Nursing HomeMedicaid Investigative

Avir at Jeffrey Place

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

820 Jeffrey Dr, Richland Hills · Waco, TX 7671095 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.2/5

based on 41 Google reviews

5
4
3
2
1
Avir at Jeffrey Place Nursing Home in Waco, TX — Street View
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5/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (2/5 stars)
  • Low staffing rating (2/5 stars)
  • Above-median deficiencies (13 vs median 8.0)
  • High staff turnover (61%)

Below average in Texas · Critically understaffed (RN) · $29,666 in fines

Source: Medicare data

What this means for your family

This facility offers exceptional activity programming and a highly regarded therapy department that can significantly improve quality of life. However, you must investigate their communication protocols and visitation policies, as recent reviews indicate serious lapses in notifying families during medical crises and potential conflicts regarding access to residents.

Google Reviews

Google Reviews

41 reviews on Google
Families generally praise the facility for its exceptionally kind, attentive nursing staff and a highly engaging activities program led by a dedicated director. However, there are serious allegations regarding poor communication during medical emergencies and restrictive visitation policies involving legal/family disputes.

Quality Themes

Tap a score for details
FoodN/AStaff9.0CleanN/AActivities10.0MedsN/AMemory5.0Comms4.0ValueN/A

Strengths

  • Compassionate and attentive nursing staff
  • Engaging and well-planned activity programs
  • Effective physical and rehabilitation therapy
  • Warm, family-like atmosphere

Concerns

  • Poor communication during medical emergencies
  • Restrictive or difficult visitation policies

Rating Trends

Tap a year to see what changed

2341.0'17(1)5.04.7'21(23)3.01.0'23(1)5.02.0'25(2)5.0'26(2)

Distribution · 38 analyzed

5
29
4
2
3
1
2
0
1
6
12 reviews posted between Apr 5, 2021Apr 7, 2021 · 11 were 5-star

How They Respond to Reviews

30%response rate
Good

The owner uses a mix of personalized acknowledgments for positive reviews and a structured, professional template for negative feedback. While some responses are highly specific to the reviewer's name or content, others rely on a standardized corporate message.

Questions for Your Tour

  • 1We've heard wonderful things about the warm, family-like atmosphere here; how do you help new residents settle into the community?
  • 2Since we know how important staying active is, could you tell us more about the specific activity programs you have planned for the residents?
  • 3How does the nursing team communicate important updates or changes in health status to family members?
  • 4In the event of a medical emergency or a sudden change in a resident's condition, what is the protocol for notifying the family?
  • 5What steps are being taken to ensure the staffing levels are consistent and provide the attentive care the residents need?
  • 6Could you walk us through your current visiting hours and how you balance resident privacy with family connection?

Personalized based on this facility's data


Key Review Excerpts

The staff at Jeffrey Place are top notch and the smiles on each residents face is a reflection of the special kind of care they receive there.

Long-term resident's family · 2024★★★★★

Tammy and all the staff I've met at Jeffrey Place work together to make sure my sister and their residents are fed, sleep well, entertained, and that they know they care about them.

Memory care family member · 2021★★★★★

Therapy was phenomenal. Eric is the man! Nursing staff were so kind and handled my loved ones with care.

Rehab patient's family · 2021★★★★★
Source: 41 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.30hrs
40%
Registered nurses for medical care
Total Nursing
3.51hrs
86%
All nurses + aides combined
Staff Turnover
59%
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 · 17 measures

Medicare Rating
4/ 5
Better Than Avg

13

measures

Worse Than Avg

3

measures

Mixed Results

1

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility2.5%
Better than Avg
Here
2.5%
US
12.1%
TX
2.5%
Mclennan
2.8%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility11.8%
Better than Avg
Here
11.8%
US
19.4%
TX
14.2%
Mclennan
15.8%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
TX
96.9%
Mclennan
97.9%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility21.0%
Worse than Avg
Here
21.0%
US
15.3%
TX
14.9%
Mclennan
14.6%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility10.3%
Better than Avg
Here
10.3%
US
14.4%
TX
16.1%
Mclennan
15.7%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility14.9%
Mixed vs Avgs
Here
14.9%
US
15.4%
TX
9.4%
Mclennan
13.7%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
79.7%
TX
88.0%
Mclennan
88.9%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility97.1%
Better than Avg
Here
97.1%
US
81.8%
TX
89.2%
Mclennan
94.0%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility10.7%
Worse than Avg
Here
10.7%
US
1.6%
TX
1.5%
Mclennan
1.4%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

13deficiencies
3penalties
Above state avg (9.1)
16 complaint-triggered
$29,666 in fines

Families have repeatedly filed complaints leading to 16 deficiencies, raising concerns about this facility's responsiveness to resident needs. The most recurring problems involve medication management errors, accident prevention and supervision failures, and residents' rights violations including proper notification of families about incidents. While the facility appears to correct identified issues, the pattern of complaint-driven discoveries suggests ongoing quality of care problems that families should investigate thoroughly before placement.

Jul 29, 2025Complaint
1
0755Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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

Jul 11, 2025Complaint
2
0689Immediate jeopardy · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

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

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Feb 6, 2025Routine
13
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0004Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0321Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0584Potential for harm · PatternCorrected

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.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0559Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

0656Potential for harm · IsolatedCorrected

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.

0676Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0761Potential for harm · IsolatedCorrected

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.

0521Minimal · Widespread

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Jan 22, 2025Complaint
1
0624Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Prepare residents for a safe transfer or discharge from the nursing home.

Jul 19, 2024Complaint
2
0677Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0761Potential for harm · PatternCorrected

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.

Jun 27, 2024Complaint
2
0580Potential for harm · IsolatedCorrected

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.

0656Potential for harm · IsolatedCorrected

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.

Federal Penalties

Fine

Jul 11, 2025

$14,069

Fine

Apr 8, 2024

$8,021

Payment Denial

Apr 8, 2024

3-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

820 Jeffrey St Opco LLC

Organization Type

for profit

Administrator

DENNIS A HORSCH

Chain Affiliation

Chain Name

Avir Health Group

Chain Size

117 facilities nationwide

Chain avg rating: 2.3/5 · Rank 53 of 90

Ownership & Management

Owners

Undisclosed

Ownership Data Not Available · Organization

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 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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