Avir at San Augustine
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 23 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)
- High staff turnover (73%)
Bottom 25% in Texas · Critically understaffed (RN) · Above average staffing · Very high staff turnover · Worst in SUMMIT LTC chain · $102,752 in fines
What this means for your family
This facility is an excellent choice for patients requiring intensive rehabilitation or specialized respiratory care, as the clinical staff is highly regarded. However, families should maintain diligent oversight of all billing statements and paperwork, as multiple reviewers have flagged serious concerns regarding administrative and financial transparency.
Google Reviews
Google Reviews
23 reviews on Google“Families can expect high-quality clinical care and a compassionate rehabilitation program, with several reviewers specifically praising the therapy department and respiratory specialists. While the nursing and CNA staff are frequently described as attentive and kind, there are serious allegations regarding administrative issues, including billing disputes and poor communication with management.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate and professional nursing staff
- Excellent rehabilitation and therapy programs
- Clean and well-maintained environment
- Specialized respiratory care for complex needs
Concerns
- Administrative and billing irregularities (mentioned by 2 reviewers)
- Poor communication with administrative staff (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 26 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1We've read some lovely things about the compassion of your nursing staff; how do you ensure that level of personal care is maintained during shift changes?
- 2Since your facility is known for excellent respiratory care, how do you coordinate specialized medical needs with the daily nursing routine?
- 3What is the best way for our family to stay in regular contact with the administrative team regarding updates on our loved one's care?
- 4In the event of a medical emergency during the night, what is the specific protocol for notifying the family and contacting physicians?
- 5Could you tell us more about the rehabilitation and therapy programs available and how they are integrated into a resident's daily schedule?
- 6What kind of daily social activities or group outings are available to help residents stay engaged with one another?
Personalized based on this facility's data
Key Review Excerpts
“I was here for rehabilitation from surgeries and the staff here and in the therapy department were top notch h they made sure I was well taken care of care of and looked after while I was there the entire staff from the office all the way to the cooks very friendly and caring for everyone.”
“Summit Care in San Augustine is an amazing facility! They have a full time respiratory therapist for trach and vented residents and the staff is very knowledgeable!”
“He loves the home-cooked meals they serve three times daily, and he raves about the home-made ice cream, along with the many social activities. His medications are given on time, and they even provide transportation to dialysis”
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
8
measures
9
measures
Residents whose walking got worse
Residents on antipsychotic medication
Residents vaccinated for pneumonia
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents needing more daily help over time
Residents whose bladder or bowel control 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 recurring issues across multiple areas, with families filing three complaint reports that triggered inspections. Fire safety and medication management are the most persistent problems, appearing repeatedly across surveys from 2022 to 2025, indicating these critical safety issues have not been effectively resolved. Additional recurring concerns include infection control and resident protection from abuse and neglect, suggesting ongoing challenges with basic care standards and safety protocols.
Mar 5, 2025Routine11
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies
Have policies on smoking.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Install an approved automatic sprinkler system.
Feb 14, 2025Complaint1
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Feb 14, 2024Routine13
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Feb 14, 2024Complaint2
Administration Deficiencies
Provide timely, quality laboratory services/tests to meet the needs of residents.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Dec 7, 2022Routine11
Smoke Deficiencies
Properly install and monitor supervisory attachments on automatic sprinkler systems.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
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 medication error rates are not 5 percent or greater.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Environmental Deficiencies
Keep all essential equipment working safely.
Federal Penalties
Fine
Feb 14, 2025
$75,498
Fine
Feb 14, 2024
$13,627
Fine
Feb 14, 2024
$13,627
Ownership & Operations
Who Operates This Facility
902 E Main St Opco LLC
for profit
SUMMIT LTC MANAGEMENT LLC
MELISSA J ADAMS
Chain Affiliation
Avir Health Group
117 facilities nationwide
Chain avg rating: 2.0/5 · Rank 5 of 9 (Worst)
Ownership & Management
Owners
Undisclosed
Ownership Data Not Available · Organization
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
23 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 3 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.