Avir at Giddings
A nursing home in Giddings, Texas 78942
1400 N Main St, Giddings, Texas 78942. (979) 542-1755.
Watch and the shortlist are kept with a free account, on every device. Your watch list. CMS’s own record is on Care Compare.
The short answer
Record last released by CMS on Oct 28, 2026.
- 1of 5 CMS’s overall rating
- 12 health citations at the latest inspection cycle Texas average: 9.6
- 3.15 nurse hours per resident per day Texas average: 3.42
- 3 fines 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?
12 health citations at the latest inspection cycle
The Texas average is 9.6.
Last standard inspection Apr 23, 2026.
Most serious in three years: immediate jeopardy to health or safety (J), at a complaint inspection on Nov 27, 2025
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
38 citations in 11 months of the last 36. Last cited May 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 38 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. 19 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
May 12, 2026: complaint inspection1 citation
-
Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
Apr 23, 2026: standard inspection9 citations
-
Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
-
Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
-
Provide care and assistance to perform activities of daily living for any resident who is unable.
-
Provide activities to meet all resident’s needs.
-
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
-
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.
-
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
-
Provide and implement an infection prevention and control program.
Nov 27, 2025: complaint inspection2 citations
-
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
May 2, 2025: complaint inspection1 citation
-
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Feb 26, 2025: standard inspection7 citations
-
Reasonably accommodate the needs and preferences of each resident.
-
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.
-
Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
-
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
-
Make sure that a working call system is available in each resident’s bathroom and bathing area.
-
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Feb 26, 2025: standard and complaint inspection1 citation
-
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Feb 20, 2025: complaint inspection4 citations
-
Provide care and assistance to perform activities of daily living for any resident who is unable.
-
Provide activities to meet all resident’s needs.
-
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
-
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Sep 26, 2024: complaint inspection1 citation
-
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jul 9, 2024: complaint inspection1 citation
-
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Apr 23, 2024: complaint inspection1 citation
-
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.
Apr 15, 2024: complaint inspection1 citation
-
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Mar 27, 2024: complaint inspection1 citation
-
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Jan 19, 2024: standard inspection3 citations
-
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.
-
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.
-
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Jan 19, 2024: standard and complaint inspection4 citations
-
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
-
Honor the resident’s right to share a room with spouse or roommate of choice and receive written notice before a change is made.
-
Provide activities to meet all resident’s needs.
-
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Dec 30, 2023: complaint inspection1 citation
-
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.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Oct 15, 1992.
- 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, limited liability company.
- 102 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 3 fines in the last three years, $39,701 in all.
- 1 Medicare payment denial in the last three years.
- 19 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Nov 27, 2025 | Fine | $10,535 |
| Sep 26, 2024 | Fine | $8,021 |
| Dec 30, 2023 | Medicare payment denial | Not given |
| Dec 30, 2023 | Fine | $21,145 |
Who does the caring?
3.15 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 | 3.15 | 3.42 |
| Of which registered nurses | 0.33 | 0.44 |
| At weekends | 2.78 | 2.99 |
| Nursing staff turnover | 40.5% | 50.8% |
| Registered nurse turnover | Not given | 49.8% |
| Administrators who left | 0 | Not given |
Who owns it?
- Winnie-Stowell Hospital District owns 100% directly since Jun 1, 2021.
- 1400 N Main St Opco LLC runs it.
- 6 owners or officers are people: Edward R Murrell (corporate officer); Aaron Travitsky (runs it (operational or managerial control)); William Michael Mcbroom (runs it (operational or managerial control)); William Michael Mcbroom (additional disclosable party (controls, leases property to, or provides services to the home)); Rita Agyemang-Barimah (runs it (operational or managerial control)); Rita Agyemang-Barimah (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 |
|---|---|---|---|
| Winnie-Stowell Hospital District | Owns 5% or more directly | 100% | Jun 1, 2021 |
| 1400 N Main St Property Owner LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Oct 1, 2025 | |
| 1400 N Main St Opco LLC | Runs it (operational or managerial control) | Oct 1, 2025 | |
| Welltower Nnn Group, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Oct 1, 2025 | |
| Welltower Op LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Oct 1, 2025 | |
| Welltower Inc. | Additional disclosable party (controls, leases property to, or provides services to the home) | Oct 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 | 1 of 5 |
| Staffing | 2 of 5 |
| Quality measures | 4 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 31.7 miles, this one had the 3rd most health citations at the latest inspection cycle (12; the middle value was 9).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Avir at Giddings This nursing home | 12 | |
| Giddings Nursing and Rehabilitation | 0.1 | 23 |
| Towers Nursing Home | 17.9 | 8 |
| Avir at La Grange | 20.1 | 11 |
| Monument Hill Nursing and Rehabilitation Center | 21.5 | 9 |
| Windsor Nursing and Rehabilitation Center of Bastr | 24.3 | 9 |
| Bastrop Lost Pines Nursing and Rehabilitation Cent | 24.4 | 7 |
| Silver Pines Nursing and Rehabilitation Center | 24.5 | 4 |
| Copperas Hollow Nursing & Rehabilitation Center | 27.5 | 4 |
| Avir at Caldwell | 27.9 | 16 |
| Elgin Nursing and Rehabilitation Center | 29.4 | 12 |
| Rockdale Estates & Rehabilitation | 31.7 | 5 |
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
-
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).
-
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).
-
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).
-
Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
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.