Avir at Lancaster
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 51 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.
- Abuse citation on record
- Low overall rating (2/5 stars)
- High staff turnover (68%)
- High RN turnover (64%)
Below average in Texas · Below recommended RN staffing · $39,757 in fines · Abuse citation
What this means for your family
The facility's physical therapy and social work teams are significant assets for recovery and emotional support. However, families should closely monitor nighttime care and communication, as there are recurring reports of unresponsive staff and inconsistent care during off-hours.
Google Reviews
Google Reviews
51 reviews on Google“Families should be aware of significant fluctuations in care quality, as recent reviews praise the physical therapy and certain daytime staff, while older reviews highlight severe issues with hygiene and administration. While the rehabilitation services and social workers receive high praise, there are documented concerns regarding night shift staffing and communication responsiveness.”
Quality Themes
Tap a score for detailsStrengths
- Excellent physical therapy and rehab services
- Compassionate social work staff
- Friendly daytime nursing and CNA staff
- High-quality dining options
Concerns
- Inconsistent staffing quality between day and night shifts (mentioned by 2 reviewers)
- Difficulty reaching staff via telephone (mentioned by 3 reviewers)
- Issues with facility cleanliness and maintenance (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 45 analyzed
How They Respond to Reviews
The owner uses a highly templated approach, employing a small set of pre-written scripts based on the star rating. Responses rarely address the specific details or names mentioned in the reviews, instead relying on standardized apologies or gratitude.
Questions for Your Tour
- 1We've heard great things about your physical therapy and rehab services; could you tell us more about how the therapists work with residents to meet their mobility goals?
- 2Since we know the daytime nursing and CNA staff are very friendly, how do you ensure that same level of care and attentiveness is maintained during the night shifts?
- 3What specific protocols do you have in place to ensure medication management is handled with 100% accuracy and safety?
- 4We noticed the facility is working on various improvements; what is your current plan for facility maintenance and ensuring all common areas stay deeply cleaned?
- 5If we need to reach a nurse or a family member needs an update, what is the best and most reliable way to get a quick response from your team?
- 6What kind of daily social activities or dining experiences do you offer to help residents stay engaged and connected with one another?
Personalized based on this facility's data
Key Review Excerpts
“Day shift 6am -2pm is great. But rest of day and night shifts sucks. But PT staff is awesome. They got me stronger from major back surgery.”
“Llegar a este Lugar y Conocer a Tara Mi Terapista fue de lo Mejor que me pasó. Ella creyó en Mi Potencial y Estuvo siempre diciendo Tu puedes. Ahora hemos logrado nuestra meta.”
“The Food is Outstanding, makes you feel like you at home. I know cause I been cooking here for 3years!!!”
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
11
measures
3
measures
3
measures
Residents on anti-anxiety or sleep medication
Residents whose bladder or bowel control got worse
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for pneumonia
Residents needing more daily help over time
Residents whose walking got worse
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
This facility has concerning patterns with 12 complaint-triggered deficiencies from families filing reports, including serious issues like abuse protection and financial management. The most recurring problems involve resident rights violations (particularly safe, clean environment), food safety and dietary services, and fire safety compliance. Most deficiencies show corrections, but recent complaints in 2024-2025 about financial management and abuse protection suggest ongoing care quality concerns that families should investigate thoroughly.
Jan 15, 2026Routine10
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
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.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Nov 24, 2025Complaint1
Resident Rights Deficiencies
Honor the resident's right to manage his or her financial affairs.
Nov 5, 2025Complaint1
Resident Rights Deficiencies
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Jun 19, 2025Complaint1
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.
Oct 31, 2024Routine8
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Miscellaneous Deficiencies
Have restrictions on the use of highly flammable decorations.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Miscellaneous Deficiencies
Have restrictions on the use of highly flammable decorations.
Oct 31, 2024Complaint8
Resident Rights Deficiencies
Ensure residents have reasonable access to and privacy in their use of communication methods.
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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Resident Rights Deficiencies
Ensure residents have reasonable access to and privacy in their use of communication methods.
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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Federal Penalties
Fine
Apr 11, 2026
$17,252
Fine
Jun 19, 2025
$16,985
Fine
Sep 18, 2024
$13,627
Ownership & Operations
Who Operates This Facility
Hamilton County Hospital District
for profit
1241 WESTRIDGE AVE OPCO LLC
WENNA MERRILL
Chain Affiliation
Avir Health Group
117 facilities nationwide
Chain avg rating: 2.3/5 · Rank 44 of 90
Ownership & Management
Owners
Hamilton County Hospital District
Owner · Organization
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
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
51 reviews from families & visitors
Official Website
Visit avirhg.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
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