Nursing home
Avir at Grand Saline
1638 Vz Cr 1803, Grand Saline, TX 75140 · Map
For profit - Limited Liability company · Part of Avir Health Group (90 facilities) · 120 certified beds
Avir at Grand Saline is a Medicare-certified nursing home in Grand Saline, Texas. CMS rates it 3 out of 5 stars overall (2/5 for staffing, 3/5 for health inspections). Nurse staffing is 3.17 hours per resident per day, below the Texas average of 3.40. Its most recent inspection on Nov 13, 2024 cited 12 deficiencies.
- 1 fine totaling $12,740In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Avir at Grand Saline compares
This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Texas avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.17 | 3.40 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.16 | 0.44 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.29 | 2.01 | 2.34 | above avg |
| Nursing staff turnover | 43.5% | 51.5% | 46.4% | below avg |
| Deficiencies cited, last inspection | 12.0 | 9.1 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 1 fine totaling $12,740, 1 total penalty.
What inspectors found at Avir at Grand Saline
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Mar 22, 2026 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Feb 4, 2026 · Full report (PDF) - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Feb 4, 2026 · Full report (PDF) - Potential for harm
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · Feb 4, 2026 · Full report (PDF) - Potential for harm
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Feb 4, 2026 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Feb 4, 2026 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Feb 4, 2026 · Full report (PDF) - Potential for harm
Ensure the activities program is directed by a qualified professional.
Quality of Life and Care Deficiencies · Feb 4, 2026 · Full report (PDF) - Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Oct 29, 2025 · Full report (PDF) - Potential for harm
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · Oct 29, 2025 · Full report (PDF) - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Oct 29, 2025 · Full report (PDF) - Potential for harm
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning Deficiencies · Oct 29, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 1638 Vz Cr 1803
Grand Saline, TX 75140 - CMS certification #
- 675878
- Ownership
- For profit - Limited Liability company
- Certified beds
- 120
- Avg residents/day
- 83.5
- Provider type
- Medicare and Medicaid
- First certified
- 2001-07-03
- Chain
- Avir Health Group (90 facilities)
- Setting
- Rural
Part of Avir Health Group
Avir Health Group operates 90 nursing facilities across the United States. View all Avir Health Group facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Avir at Grand Saline using Google Maps.
Other public records
- Website says Nurse 24 hours a day, secured outdoor area
Full public records, with dates and sources
Care and services
From the community’s website
What Avir at Grand Saline says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Nurse on site: 24 hours a day.
Our compassionate team provides around-the-clock nursing care, emphasizing comfort, dignity, and personalized support for every resident.
(page, checked Oct 12, 2026) - Has a secured outdoor area.
An enclosed outdoor courtyard featuring benches and a serene water fountain—a favorite spot for quiet reflection and fresh air.
(page, checked Oct 12, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Ut Health East Texas Quitman Hospital, Quitman. 17.6 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Azalea Trail Nursing and Rehabilitation Center, Grand Saline. 0.5 miles away, straight line.
- Nearest home health agency office
- Veteran Home Care, Canton. 13.0 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Brookshire's Pharmacy. 0.6 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 75140 as rural (rural area).
- Dialysis within 15 miles
- Usrc Canton Dialysis, Canton, 13.2 miles away, straight line (CMS rating 4 of 5 stars)
Rcg Mineola Dialysis, Mineola, 13.2 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 19 Medicare hospices tell CMS they serve ZIP code 75140.
Reflections Hospice Of Texas LLC, office in Quitman, 19.2 miles away, straight line - Nearest geriatric medicine practice
- Vmd Primary Providers North Texas PLLC, Garland. 57.4 miles away, straight line. 2 geriatric medicine doctors listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane relatively low, inland flooding relatively moderate, wildfire relatively low, tornado relatively high, heat wave relatively high, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Avir at Grand Saline a good nursing home?
CMS gives Avir at Grand Saline an overall rating of 3 out of 5 stars, including 2/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Avir at Grand Saline staffed?
Avir at Grand Saline reports 3.17 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has Avir at Grand Saline had inspection problems?
Its most recent CMS inspection cited 12 deficiencies.
How many beds does Avir at Grand Saline have?
Avir at Grand Saline is certified for 120 beds.