Avir at Stephenville
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 19 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 (2/5 stars)
- Low staffing rating (1/5 stars)
- High staff turnover (65%)
- High RN turnover (86%)
Below average in Texas · Below recommended RN staffing · Significantly below average staffing · $204,614 in fines · Very few deficiencies
What this means for your family
This facility offers deeply compassionate end-of-life care and has shown recent improvements in building maintenance under new management. However, families should be extremely cautious regarding memory care, as there are specific reports of unsafe patient-to-staff ratios for dementia patients.
Google Reviews
Google Reviews
19 reviews analyzed“Families may find comfort in the compassionate care and respectful treatment provided by the nursing and administrative staff, particularly during end-of-life care. However, significant concerns exist regarding safety and staffing ratios in memory care, as well as difficulty reaching the facility by phone.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate and respectful care
- Friendly and helpful nursing staff
- Well-maintained building under new management
Concerns
- Safety risks due to high dementia patient ratio
- Difficulty contacting the facility via phone
- Poor food quality
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
- 1With the recent changes in management, what specific improvements have been made to the building and the overall resident experience?
- 2How do you ensure that residents with high-acuity memory care needs receive enough personalized attention and safety supervision?
- 3What is the process for communicating important medical updates or daily changes to family members, and what is the best way for us to reach you?
- 4Could you tell us more about the current dining program and how you are working to enhance the variety and quality of the meals provided?
- 5How does the nursing team handle medical emergencies or sudden changes in a resident's condition during the night?
- 6What kind of daily activities or social programs are available to keep residents engaged and active within the community?
Personalized based on this facility's data
Key Review Excerpts
“As her daughter I was able to spend the most wonderful time with my mother in her final days. I also witnessed firsthand how everyone from the administrator through the kitchen staff, treated all patients with heart felt care.”
“I was just informed by the director, Eric, that he has 65 patients there and 45 of them have dementia so he is not able to insure everyone's safety at all times.”
“Facility is under new ownership and management and they’re doing a great job. The building looks great and the care team is excellent!”
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 · 15 measures
10
measures
5
measures
Residents whose walking got worse
Residents on anti-anxiety or sleep medication
Residents with depression symptoms
Residents on antipsychotic medication
Residents whose bladder or bowel control got worse
Residents vaccinated for pneumonia
Short-stay residents vaccinated for pneumonia
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has faced significant safety concerns, with 12 deficiencies triggered by family complaints regarding resident abuse, neglect reporting failures, and unsafe conditions. The most recurring problems involve fire safety violations, medication management errors, and infection control lapses that have persisted across multiple surveys from 2023-2025. While the facility reports correcting these issues, the pattern of repeated violations in critical areas like resident protection and safety systems suggests ongoing operational challenges that families should carefully consider.
Mar 27, 2026Complaint1
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Jul 24, 2025Routine8
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
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Smoke Deficiencies
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Apr 9, 2025Complaint2
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Jul 23, 2024Complaint5
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.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Jun 14, 2024Routine20
Quality of Life and Care Deficiencies
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Emergency Preparedness Deficiencies
Address subsistence needs for staff and patients.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
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 safe and appropriate respiratory care for a resident when needed.
Nursing and Physician Services Deficiencies
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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.
Egress Deficiencies
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
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
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Apr 4, 2024Complaint6
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.
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.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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.
Federal Penalties
Fine
Jun 14, 2024
$204,614
Payment Denial
Jun 14, 2024
15-day denial
Ownership & Operations
Who Operates This Facility
Stephens Memorial Hospital District
for profit
1670 LINGLEVILLE ROAD OPCO LLC
GARRY ZUBAL
Chain Affiliation
Avir Health Group
117 facilities nationwide
Chain avg rating: 2.3/5 · Rank 55 of 90
Ownership & Management
Owners
Stephens Memorial Hospital District
Owner · Organization
Dagan, Amitai
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
19 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 5 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.
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