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Nursing HomeMedicaid

Avir at La Grange

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

457 N. Main Street, La Grange, TX 7894598 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
4.1/5

based on 26 Google reviews

5
4
3
2
1
Avir at La Grange Nursing Home in La Grange, TX — Street View
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What this means for your family

This facility offers excellent rehabilitation and therapy services that can significantly aid post-hospital recovery. However, families should closely monitor hygiene standards and staffing levels, as multiple reviewers have noted concerns regarding cleanliness and the use of temporary contract staff.

Google Reviews

Google Reviews

26 reviews analyzed
Families may find comfort in the facility's reputation for attentive nursing and a warm, family-like atmosphere during therapy and long-term care. However, significant concerns exist regarding staffing shortages, inconsistent cleanliness, and slow response times during shift changes.

Quality Themes

Tap a score for details
Food3.0Staff7.0Clean3.0Activities5.0MedsN/AMemoryN/AComms4.0ValueN/A

Strengths

  • Attentive and professional nursing staff
  • High-quality rehabilitation and therapy services
  • Friendly and welcoming atmosphere for visitors
  • Compassionate activities programming

Concerns

  • Staffing shortages leading to reliance on contract caregivers (mentioned by 2 reviewers)
  • Slow response times to call buttons during meal times or shift changes
  • Inconsistent food quality and temperature (mentioned by 2 reviewers)
  • Issues with facility cleanliness and hygiene (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2343.02019(2)5.02020(2)3.52022(6)4.72023(7)4.02024(8)4.02025(1)

Distribution

5
10
4
1
3
1
2
0
1
4

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1I've heard wonderful things about your therapy services; could you tell me more about how the rehabilitation program works for new residents?
  • 2With the busy nature of meal times and shift changes, how do you ensure that call buttons are answered promptly for residents?
  • 3How do you maintain consistent food temperature and quality during the different meal services throughout the day?
  • 4What specific steps are being taken to ensure the facility remains exceptionally clean and hygienic for all residents?
  • 5Could you describe some of the compassionate activities and programming you have planned for the residents this month?
  • 6How does the nursing team communicate important medical updates or changes in condition to family members?

Personalized based on this facility's data


Key Review Excerpts

The therapy department is top notch as well as the treatment nurse there. They had my grandmother home after only two weeks of therapy and wound care treatment after her hospital stay.

Long-term resident's family · 2020★★★★★

The people are nice but they're understaffed. At certain times i.e. meal time or shift change, it can take more than an hour for someone to respond to your call button.

Rehab patient · 2019☆☆☆☆

I love the personal care. I love the way everyone feels like family and is willing to go above and beyond for each other.

Long-term resident's family · 2020★★★★★
Source: 26 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.27hrs
36%
Registered nurses for medical care
Total Nursing
2.84hrs
69%
All nurses + aides combined
Staff Turnover
72%
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
5/ 5
Better Than Avg

15

measures

Worse Than Avg

1

measures

Mixed Results

1

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility5.2%
Better than Avg
Here
5.2%
US
19.4%
TX
14.2%
Fayette
21.7%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
TX
2.5%
Fayette
12.3%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility17.9%
Better than Avg
Here
17.9%
US
19.5%
TX
18.4%
Fayette
25.8%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility8.3%
Better than Avg
Here
8.3%
US
14.4%
TX
16.1%
Fayette
13.8%
⚖️

Residents who lost too much weight

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
5.3%
TX
3.2%
Fayette
7.1%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
TX
96.9%
Fayette
95.3%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility97.2%
Better than Avg
Here
97.2%
US
81.8%
TX
89.2%
Fayette
83.8%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility91.3%
Better than Avg
Here
91.3%
US
79.7%
TX
88.0%
Fayette
81.3%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility6.7%
Worse than Avg
Here
6.7%
US
1.6%
TX
1.5%
Fayette
1.6%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

10deficiencies
Above state avg (9.1)
3 complaint-triggered

This facility shows a pattern of recurring deficiencies across multiple surveys, with families filing complaint reports that triggered investigations in 2026. The most persistent issues involve fire safety and smoke detection systems, nutrition and dietary services, and resident room size requirements that have appeared repeatedly across surveys from 2022-2024. While all deficiencies show correction dates, the recurring nature of problems with safety systems and basic facility standards suggests ongoing operational challenges that families should carefully consider.

Mar 5, 2026Routine
8
0727ModerateCorrected

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.

0565ModerateCorrected

Resident Rights Deficiencies

Honor the resident's right to organize and participate in resident/family groups in the facility.

0686ModerateCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0880ModerateCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0925ModerateCorrected

Environmental Deficiencies

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

0761MinorCorrected

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.

0912MinorCorrected

Environmental Deficiencies

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

0521Minor

Services Deficiencies

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

Jan 13, 2026Complaint
3
0580MinorCorrected

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.

0684MinorCorrected

Quality of Life and Care Deficiencies

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

0761MinorCorrected

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.

Dec 12, 2024Routine
32
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.

0039ModerateCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0345ModerateCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0372ModerateCorrected

Smoke Deficiencies

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

0712ModerateCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0918ModerateCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

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.

0039ModerateCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0345ModerateCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0372ModerateCorrected

Smoke Deficiencies

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

0712ModerateCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0918ModerateCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0699ModerateCorrected

Quality of Life and Care Deficiencies

Provide care or services that was trauma informed and/or culturally competent.

0699ModerateCorrected

Quality of Life and Care Deficiencies

Provide care or services that was trauma informed and/or culturally competent.

0583MinorCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

0644MinorCorrected

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

0761MinorCorrected

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.

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0293MinorCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0355MinorCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0583MinorCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

0644MinorCorrected

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

0761MinorCorrected

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.

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0293MinorCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0355MinorCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0912MinorCorrected

Environmental Deficiencies

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

0324MinorCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0521MinorCorrected

Services Deficiencies

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

0912MinorCorrected

Environmental Deficiencies

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

0324MinorCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0521MinorCorrected

Services Deficiencies

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

Oct 12, 2023Routine
8
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.

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.

0371MinorCorrected

Smoke Deficiencies

Have properly sized and located compartments to protect residents from smoke.

0371MinorCorrected

Smoke Deficiencies

Have properly sized and located compartments to protect residents from smoke.

0912MinorCorrected

Environmental Deficiencies

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

0912MinorCorrected

Environmental Deficiencies

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Sep 9, 2022Routine
8
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.

0344ModerateCorrected

Smoke Deficiencies

Have an alternate power supply for its alarm system.

0355ModerateCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

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.

0806MinorCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

0912MinorCorrected

Environmental Deficiencies

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

0211MinorCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0521MinorCorrected

Services Deficiencies

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

Ownership & Operations

Who Operates This Facility

Owner / Operator

Tetra Holdco LLC

Organization Type

for profit

Management Company

457 N MAIN ST OPCO, LLC

Administrator

MARICRUZ REBOLLAR

Chain Affiliation

Chain Name

Summit Ltc

Chain Size

6 facilities nationwide

Chain avg rating: 2.0/5 · Rank 1 of 9 (Best)

Ownership & Management

Owners

Oakbend Medical Center

Owner · Organization

100%

Key personnel

Freudenberger, JosephOfficer / DirectorNoell, PamelaManagerNoell, PamelaAdp of the SnfRaj, HansAdp of the Snf
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.

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