Avir at Mineola
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 21 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 overall rating (1/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (22 vs median 8.0)
- High staff turnover (57%)
Bottom 25% in Texas · Critically understaffed (RN) · Worst in AVIR HEALTH GROUP chain · $29,757 in fines
What this means for your family
This facility's recent history is deeply concerning, with multiple reports of neglect, hygiene issues, and medical errors. While some older reviews suggest a higher standard of care, the current trend of understaffing and lack of essential supplies is a major red flag that requires direct investigation during your tour.
Google Reviews
Google Reviews
21 reviews analyzed“Families should exercise extreme caution, as recent reviews frequently report severe issues with neglect, hygiene, and staff incompetence. While some older reviews and a few current visitors praise the cleanliness and friendliness of the staff, a significant pattern of recent complaints highlights critical failures in medical accuracy and basic supplies.”
Quality Themes
Strengths
- Clean and well-maintained environment (mentioned in older/specific reviews)
- Friendly and respectful administrative staff
- Effective communication from staff during transitions (noted by some families)
Concerns
- Severe hygiene and odor issues (mentioned by 3 reviewers)
- Staffing shortages and inadequate caregiver-to-resident ratios (mentioned by 3 reviewers)
- Medical incompetence and failure to recognize serious conditions (mentioned by 2 reviewers)
- Rude or unprofessional staff behavior (mentioned by 4 reviewers)
- Shortage of essential supplies like diapers and bed pads
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 families have mentioned how helpful the administrative team is during transitions; how do you ensure that communication remains just as strong once a resident is settled in?
- 2With the recent changes in staffing levels, what specific steps are being taken to ensure there are enough caregivers available to assist with personal hygiene and daily care?
- 3How does the nursing team monitor for changes in a resident's medical condition to ensure nothing serious is overlooked?
- 4What is your current process for managing medication administration to ensure everything is handled with 100% accuracy?
- 5Could you tell me about your routine for maintaining the cleanliness of the resident rooms and managing odors in the common areas?
- 6How do you ensure that essential supplies like incontinence briefs and bed pads are always fully stocked for every resident?
Personalized based on this facility's data
Key Review Excerpts
“I have been so impressed with the care my grandmother-in-law has received in this facility. This home is clean and well maintained. Everyone is so friendly and respectful.”
“The entire facility smells like urine, and my grandmother was definitely neglected in her time there. The staff was not upfront or honest, and Im astastounded at the amount of inappropriate medication given to my grandmother.”
“They run out of needed things like adult diapers and bed pads every few days. They don't know the difference of blisters on someone's behind and shingles!”
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
12
measures
5
measures
Residents on antipsychotic medication
Residents on anti-anxiety or sleep medication
Residents with depression symptoms
Residents whose bladder or bowel control got worse
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
AVIR at Mineola shows significant concern with 68 deficiencies across 11 surveys, including 24 triggered by family complaints about serious issues like abuse prevention, medication management, and nursing staffing. Recurring problems include maintaining a safe environment, proper medication handling, nursing supervision, and fire safety violations. While all deficiencies show correction dates, the pattern of repeated complaints and similar violations suggests ongoing quality control challenges families should carefully consider.
Dec 10, 2025Routine13
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.
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.
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Sep 18, 2025Complaint2
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
Aug 29, 2025Complaint4
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Nursing and Physician Services Deficiencies
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
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.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
May 8, 2025Complaint2
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
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.
Apr 10, 2025Complaint12
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.
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.
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
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.
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.
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Sep 11, 2024Routine13
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.
Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Administration Deficiencies
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Administration Deficiencies
Provide timely, quality laboratory services/tests to meet the needs of residents.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Federal Penalties
Fine
Jan 29, 2026
$12,740
Fine
Jul 29, 2023
$17,017
Ownership & Operations
Who Operates This Facility
Hopkins County Hospital District
for profit
320 GREENVILLE HIGHWAY OPCO LLC
CLARK W SPENCER, JR
Chain Affiliation
Avir Health Group
117 facilities nationwide
Chain avg rating: 2.3/5 · Rank 89 of 90 (Worst)
Ownership & Management
Owners
Hopkins County Hospital District
Owner · Organization
Dagan, Amitai
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Goldberger, Abraham
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Goldberger, Faigy
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
21 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 4 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.
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Mineola Gardens Wellness & Rehabilitation
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Quitman Wellness & Rehabilitation
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Wesley House
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