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Nursing HomeMedicaid Investigative

Avir at Sherman

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

1000 Sara Swammy Drive, Sherman, TX 75090132 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
3.6/5

based on 74 Google reviews

5
4
3
2
1
Avir at Sherman Nursing Home in Sherman, TX — Street View
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4/ 10
moderate Risk

Quality Concerns Identified

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

  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (15 vs median 8.0)
  • High staff turnover (83%)
  • High RN turnover (100%)

Above average in Texas · Critically understaffed (RN) · Above average staffing · Very high staff turnover · Chain outperformer · No penalties on record

Source: Medicare data

What this means for your family

This facility is a strong candidate if you value a modern, clean, and recently renovated environment with many kind, long-term staff members. However, you must implement a rigorous check-in plan for weekends, as multiple families have reported that staffing levels drop significantly and call responses become unreliable during those times.

Google Reviews

Google Reviews

74 reviews on Google
AVIR AT SHERMAN (formerly Homestead of Sherman) is frequently praised for its recent facility remodel and the kindness of many long-term staff members. However, families should be extremely cautious regarding weekend staffing levels and responsiveness to call lights, as multiple reviewers report significant neglect and slow response times during off-hours.

Quality Themes

Tap a score for details
Food3.0Staff6.0Clean7.0Activities5.0Meds2.0MemoryN/AComms3.0ValueN/A

Strengths

  • Recent facility remodel and clean environment
  • Compassionate long-term nursing staff
  • Effective rehabilitation and therapy services
  • Friendly and welcoming front desk/reception

Concerns

  • Inadequate staffing and slow response times on weekends (mentioned by 4 reviewers)
  • Poor communication from the business and admissions offices (mentioned by 2 reviewers)
  • Inconsistency in cleanliness of resident rooms (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'17(3)'19(1)'21(2)'23(6)'25(17)'26(3)

Distribution · 77 analyzed

5
45
4
7
3
1
2
1
1
23

How They Respond to Reviews

60%response rate
Good

The owner uses a mix of personalized, name-specific responses for positive reviews and structured, professional templates for negative reviews. While they frequently use repetitive phrases for 5-star ratings, they actively attempt to move critical conversations to a private channel with specific contact information.

Questions for Your Tour

  • 1The recent remodel looks wonderful; how do you ensure that the cleanliness of the resident rooms is maintained consistently throughout the week?
  • 2I noticed your long-term nursing staff is very well-regarded; how do you support them in maintaining quick response times, especially during the weekends?
  • 3Could you walk us through your process for medication management to ensure everything is handled accurately and timely?
  • 4What is the communication process like between the clinical staff and the families, particularly regarding updates from the admissions or business offices?
  • 5What are some of the favorite daily activities or social events that help residents stay engaged with one another?
  • 6How is the dining experience structured here, and are there ways to provide input on the meal menus?

Personalized based on this facility's data


Key Review Excerpts

The staff is always nice and hands on, I've dealt with them for 2 yrs and everyone is always pleasant with my mother even though she is a wrecking ball

Long-term resident's family · 2025★★★★★

Staff is friendly and efficient. They have always been quick to resolve any issues that we have had at the facility. I do trust that when I am not there, my mom is being looked after especially since she is nonverbal.

Long-term resident's family · 2025★★★★

The recent remodel has made it much more inviting! The wellness program is wonderful and includes activities for everyone.

Long-term resident's family · 2024★★★★★
Source: 74 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.17hrs
22%
Registered nurses for medical care
Total Nursing
3.20hrs
78%
All nurses + aides combined
Staff Turnover
87%
Lower is better (< 30% = good)
RN Turnover
100%
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

12

measures

Worse Than Avg

1

measures

Mixed Results

3

measures

Similar to Avg

1

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility0.8%
Better than Avg
Here
0.8%
US
15.4%
TX
9.4%
Grayson
10.5%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility31.6%
Worse than Avg
Here
31.6%
US
19.5%
TX
18.4%
Grayson
27.4%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
TX
2.5%
Grayson
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 Facility11.7%
Better than Avg
Here
11.7%
US
19.4%
TX
14.2%
Grayson
13.3%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
TX
96.9%
Grayson
97.3%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility10.3%
Better than Avg
Here
10.3%
US
15.3%
TX
14.9%
Grayson
11.1%
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%
Grayson
81.7%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility99.3%
Better than Avg
Here
99.3%
US
81.8%
TX
89.2%
Grayson
82.0%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
TX
1.5%
Grayson
1.8%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

16deficiencies
Well above state avg (9.1)
23 complaint-triggered

Families have filed 20 complaint reports triggering half of the deficiencies, indicating serious ongoing concerns about resident care. The facility repeatedly struggles with medication management, infection control, and daily care assistance, with these issues persisting across multiple surveys from 2023 through 2025. While the facility reports correcting each deficiency, the pattern of recurring problems in core care areas suggests systemic challenges that families should carefully consider.

Mar 26, 2026Complaint
1
0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Feb 19, 2026Complaint
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.

Feb 4, 2026Complaint
1
0628Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Dec 10, 2025Complaint
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.

0644Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

Jun 5, 2025Complaint
11
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.

0656Potential for harm · PatternCorrected

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.

0759Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0804Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0742Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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

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.

Jun 5, 2025Routine
3
0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0352Potential for harm · WidespreadCorrected

Smoke Deficiencies

Properly install and monitor supervisory attachments on automatic sprinkler systems.

0324Minimal · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Dallas County Hospital District

Organization Type

for profit

Management Company

1000 E SARA SWAMY DR OPCO, LLC

Administrator

RYAN WESTBROOK

Chain Affiliation

Chain Name

Avir Health Group

Chain Size

117 facilities nationwide

Chain avg rating: 2.0/5 · Rank 3 of 9

Ownership & Management

Owners

Dallas County Hospital District

Owner · Organization

100%

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

Castaneda, EdmundoOfficer / DirectorCerise, FrederickOfficer / Director1000 E Sara Swamy Dr Opco, LLCManagerFreund, NochumManagerHydari, RakhshiManager
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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