Avir at the Meadow
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 106 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 (2/5 stars)
- Above-median deficiencies (15 vs median 8.0)
- High staff turnover (57%)
- High RN turnover (57%)
Bottom 25% in Texas · Critically understaffed (RN) · Worst in SUMMIT LTC chain · $35,731 in fines
What this means for your family
While the facility offers wonderful social activities and has some very dedicated individual caregivers, the pattern of serious medical neglect and hygiene issues is concerning. If you choose this facility, you must implement a rigorous daily monitoring system for your loved one's hydration, wound care, and medication adherence.
Google Reviews
Google Reviews
106 reviews on Google“AVIR AT THE MEADOW receives praise for its friendly, professional staff and engaging community activities like carnival days and outings. However, families should be extremely cautious due to serious, recurring reports of medical neglect, including severe bed sores, medication errors, and inadequate response to call lights. There are also frequent complaints regarding facility cleanliness, specifically concerning unpleasant odors and pest issues.”
Quality Themes
Tap a score for detailsStrengths
- Friendly and professional front-desk and administrative staff
- Engaging resident activities and community events
- Effective physical therapy and rehabilitation progress for some patients
- Welcoming and caring nursing team members
Concerns
- Serious medical neglect and patient safety issues (bed sores, oxygen mismanagement) (mentioned by 4 reviewers)
- Unpleasant facility odors (urine smell) (mentioned by 3 reviewers)
- Staffing shortages and slow response to call lights (mentioned by 5 reviewers)
- Issues with room maintenance and climate control (broken AC/heat) (mentioned by 3 reviewers)
- Hygiene and cleanliness issues (bed bugs, roaches, or lack of bathing) (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 110 analyzed
How They Respond to Reviews
This facility rarely responds to reviews.
Questions for Your Tour
- 1I've heard wonderful things about your front-desk and administrative team; how do you ensure that same level of friendly communication extends to the nursing and care staff?
- 2What specific steps are being taken to ensure the facility remains clean, fresh-smelling, and well-maintained for the residents?
- 3With the recent inspections, what specific improvements have been implemented regarding medication management and patient safety protocols?
- 4How do you manage staffing levels during night shifts or weekends to ensure that call lights are answered promptly?
- 5Could you tell me more about the types of engaging resident activities and community events you have planned for the upcoming month?
- 6In the event of a medical emergency or a sudden change in health, what is the specific process for notifying the family and coordinating care?
Personalized based on this facility's data
Key Review Excerpts
“The staff is helpful and friendly. The receptionist Bill Lindsey is particularly instrumental in helping family members. He knows the patients well and keeps family informed of any needs.”
“I would like to give Cameron credit today for his kindness to bring an extra blanket for Loi Ly. Loi was trembling and his body jumped due to $coldness. After I asked for a blanket, Camron went to the laundry room and brought back one.”
“My husband was a resident here during COVID when family wasn't allowed to visit. By the time we got him moved closer to home he had bed sores you could put your fist in and they were moving up his spine and were deemed incurable.”
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
11
measures
3
measures
1
measures
Residents with depression symptoms
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
Residents vaccinated for pneumonia
Residents on anti-anxiety or sleep medication
Residents whose walking got worse
Residents needing more daily help over time
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
Families have frequently filed complaints resulting in 23 deficiencies, with concerns persisting over multiple years in medication management, resident safety, and care planning. Key recurring issues include medication errors, accident hazards, respiratory care problems, and failures to report suspected abuse or neglect properly. While the facility reports correcting each violation, the pattern of repeated complaints in similar care areas—particularly medication safety appearing across surveys from 2023 to 2025—suggests ongoing challenges in maintaining consistent quality standards.
Jan 29, 2026Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jan 7, 2026Complaint3
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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.
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Dec 30, 2025Complaint2
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Nov 4, 2025Complaint2
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Jan 15, 2025Routine3
Smoke Deficiencies
Provide properly protected cooking facilities.
Miscellaneous Deficiencies
Meet Health Care Facilities Code mechanical requirements.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Jan 15, 2025Complaint6
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.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Quality of Life and Care Deficiencies
Provide or obtain dental services for each resident.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Federal Penalties
Fine
Dec 6, 2024
$6,325
Fine
Dec 1, 2023
$29,406
Payment Denial
Dec 1, 2023
13-day denial
Ownership & Operations
Who Operates This Facility
Fannin County Hospital Authority
for profit
8383 MEADOW RD OPCO LLC
MR. R DALE WHITFIELD
Chain Affiliation
Summit Ltc
6 facilities nationwide
Chain avg rating: 2.0/5 · Rank 7 of 9 (Worst)
Ownership & Management
Owners
Fannin County Hospital Authority
Owner · Organization
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
106 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 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.
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