Avir at Stephenville
A nursing home in Stephenville, Texas 76401
1670 Lingleville Rd, Stephenville, Texas 76401. (254) 968-2158.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 1of 5 CMS’s overall rating
- 8 health citations at the latest inspection cycle Texas average: 9.6
- 3.01 nurse hours per resident per day Texas average: 3.42
- 1 fine in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean8
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Immediate jeopardy
- CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
8 health citations at the latest inspection cycle
The Texas average is 9.6.
Last standard inspection Jul 24, 2025.
Most serious in three years: immediate jeopardy to health or safety (K), at a standard inspection on Jun 14, 2024
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
31 citations in 9 months of the last 36. Last cited Aug 2026. Most serious: immediate jeopardy to health or safety (K). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 31 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 18 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Aug 20, 2026: complaint inspection3 citations
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Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
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Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
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Ensure the activities program is directed by a qualified professional.
Jun 5, 2026: complaint inspection2 citations
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Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Mar 27, 2026: complaint inspection1 citation
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Ensure that residents are fully informed and understand their health status, care and treatments.
Jul 24, 2025: standard inspection2 citations
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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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.
Apr 9, 2025: complaint inspection1 citation
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Provide and implement an infection prevention and control program.
Jul 23, 2024: complaint inspection5 citations
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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.
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Respond appropriately to all alleged violations.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jun 14, 2024: standard inspection11 citations
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Provide for the safe, appropriate administration of IV fluids for a resident when needed.
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Ensure that residents are free from significant medication errors.
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Keep residents’ personal and medical records private and confidential.
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Provide safe and appropriate respiratory care for a resident when needed.
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Ensure that the resident and his/her doctor meet face-to-face at all required visits.
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Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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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.
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Provide and implement an infection prevention and control program.
Apr 4, 2024: complaint inspection3 citations
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
-
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.
Dec 15, 2023: complaint inspection3 citations
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Provide activities to meet all resident’s needs.
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Provide safe and appropriate respiratory care for a resident when needed.
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Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Mar 16, 1988.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, corporation.
- 102 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 1 fine in the last three years, $204,614 in all.
- 1 Medicare payment denial in the last three years.
- 18 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Jun 14, 2024 | Medicare payment denial | Not given |
| Jun 14, 2024 | Fine | $204,614 |
Who does the caring?
3.01 nurse hours per resident per day
The Texas average is 3.42.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Texas average |
|---|---|---|
| Nurse hours per resident per day | 3.01 | 3.42 |
| Of which registered nurses | 0.29 | 0.44 |
| At weekends | 2.50 | 2.99 |
| Nursing staff turnover | 83.3% | 50.8% |
| Registered nurse turnover | 100% | 49.8% |
| Administrators who left | 2 | Not given |
Who owns it?
- Stephens Memorial Hospital District owns 100% directly since Feb 28, 2015.
- 1670 Lingleville Road Opco, LLC runs it.
- 6 owners or officers are people: Brian Roland (corporate officer); Nochum Freund (runs it (operational or managerial control)); Aaron Travitsky (runs it (operational or managerial control)); James Easley (corporate officer, 0%); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Garry Zubal (additional disclosable party (controls, leases property to, or provides services to the home)).
- Part of Avir Health Group (118 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- A real-estate investment trust is among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| 1670 Lingleville Road Property Owner, LLC | Holds 5% or more security interest | 100% | Mar 1, 2025 |
| Stephens Memorial Hospital District | Owns 5% or more directly | 100% | Feb 28, 2015 |
| Welltower Nnn Group, LLC | Holds 5% or more security interest | 100% | Mar 1, 2025 |
| Welltower Op LLC | Holds 5% or more security interest | 100% | Mar 1, 2025 |
| Welltower Inc. | Holds 5% or more security interest | 100% | Mar 1, 2025 |
| 1670 Lingleville Road Opco, LLC | Runs it (operational or managerial control) | Mar 1, 2025 | |
| 1670 Lingleville Road Opco, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 22, 2025 | |
| 1670 Lingleville Road Property Owner, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Mar 1, 2025 | |
| Welltower Nnn Group, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Mar 1, 2025 | |
| Welltower Op LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Mar 1, 2025 | |
| Welltower Inc. | Additional disclosable party (controls, leases property to, or provides services to the home) | Mar 1, 2025 |
How do residents fare?
- CMS rates its quality measures 4 of 5 (Texas average 3.8).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 1 of 5 |
| Health inspections | 2 of 5 |
| Staffing | 1 of 5 |
| Quality measures | 4 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 30.5 miles, this one had the 4th most health citations at the latest inspection cycle (8; the middle value was 5).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Avir at Stephenville This nursing home | 8 | |
| Lone Star Rehabilitation & Wellness Center | 0.7 | 5 |
| Stephenville Nursing and Rehabilitation | 1.2 | 3 |
| De Leon Nursing and Rehabilitation | 19.2 | 1 |
| Hico Nursing and Rehabilitation | 20.1 | 0 |
| Legacy Estate Long Term Care | 25.2 | 5 |
| Granbury Rehab & Nursing | 27.6 | 14 |
| Cherokee Rose Nursing & Rehabilitation | 27.9 | 5 |
| Glen Rose Nursing and Rehab Center | 28.0 | 7 |
| Granbury Care Center | 29.1 | 10 |
| Avir at Granbury | 30.3 | 14 |
| Harbor Lakes Nursing and Rehabilitation Center | 30.5 | 1 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
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Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.