Avir at Grand Saline
A nursing home in Grand Saline, Texas 75140
1638 Vz CR 1803, Grand Saline, Texas 75140. (903) 962-7595.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 3of 5 CMS’s overall rating
- 18 health citations at the latest inspection cycle Texas average: 9.6
- 3.60 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?
18 health citations at the latest inspection cycle
The Texas average is 9.6.
Last standard inspection Feb 4, 2026.
Most serious in three years: immediate jeopardy to health or safety (J), at a complaint inspection on Oct 29, 2025
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
24 citations in 7 months of the last 36. Last cited Jul 2026. Most serious: immediate jeopardy to health or safety (J). 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 24 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. 15 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Jul 27, 2026: complaint inspection3 citations
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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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Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Jun 13, 2026: complaint inspection1 citation
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Mar 22, 2026: complaint inspection1 citation
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Feb 4, 2026: standard inspection6 citations
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PASARR screening for Mental disorders or Intellectual Disabilities
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Provide activities to meet all resident’s needs.
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Ensure the activities program is directed by a qualified professional.
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Provide and implement an infection prevention and control program.
Feb 4, 2026: standard and complaint inspection1 citation
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Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Oct 29, 2025: complaint inspection6 citations
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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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Ensure that residents are fully informed and understand their health status, care and treatments.
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Allow resident to participate in the development and implementation of his or her person-centered plan of care.
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Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
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Create and put into place a plan for meeting the resident’s most immediate needs within 48 hours of being admitted
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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.
May 9, 2025: complaint inspection3 citations
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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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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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Provide and implement an infection prevention and control program.
Nov 13, 2024: standard inspection3 citations
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Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident’s well being.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Provide and implement an infection prevention and control program.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Jul 3, 2001.
- 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.
- 120 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 1 fine in the last three years, $8,410 in all.
- No Medicare payment denials in the last three years.
- 15 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Oct 29, 2025 | Fine | $8,410 |
Who does the caring?
3.60 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 | 3.60 | 3.42 |
| Of which registered nurses | 0.17 | 0.44 |
| At weekends | 3.26 | 2.99 |
| Nursing staff turnover | 50.6% | 50.8% |
| Registered nurse turnover | 60% | 49.8% |
| Administrators who left | 1 | Not given |
Who owns it?
- 1638 Vr CR 1803 Holdings, LLC owns 100% directly since Apr 1, 2025.
- 9 owners or officers are people: Abraham Goldberger (owns 5% or more through other companies, 65%); Nochum Freund (owns 5% or more through other companies, 15%); Amitai Dagan (owns 5% or more through other companies, 9.99%); Aaron Travitsky (owns 5% or more through other companies, 9.99%); Linda Mayhugh (runs it (operational or managerial control)); Linda Mayhugh (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Nochum Freund (runs it (operational or managerial control)); Aaron Travitsky (runs it (operational or managerial control)).
- 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 |
|---|---|---|---|
| TX SNF Holdings Member, LLC | Owns 5% or more through other companies | 100% | Apr 1, 2025 |
| 1638 Vr CR 1803 Holdings, LLC | Owns 5% or more directly | 100% | Apr 1, 2025 |
| 1638 Vz CR 1803 Property Owner, LLC | Holds 5% or more security interest | 100% | Apr 1, 2025 |
| Welltower Nnn Group, LLC | Holds 5% or more security interest | 100% | Apr 1, 2025 |
| Welltower Op LLC | Holds 5% or more security interest | 100% | Apr 1, 2025 |
| Welltower Inc. | Holds 5% or more security interest | 100% | Apr 1, 2025 |
| TX SNF Holdings ,LLC | Owns 5% or more through other companies | 100% | Apr 1, 2025 |
| GRAF Holdings LLC | Owns 5% or more through other companies | 65% | Apr 1, 2025 |
| Ana TX Holdings, LLC | Owns 5% or more through other companies | 35% | Apr 1, 2025 |
| 1638 Vz CR 1803 Property Owner, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 1, 2025 | |
| Welltower Nnn Group, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 1, 2020 | |
| Welltower Op LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 1, 2025 | |
| Welltower Inc. | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 1, 2025 |
How do residents fare?
- CMS rates its quality measures 5 of 5 (Texas average 3.8).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 3 of 5 |
| Health inspections | 2 of 5 |
| Staffing | 2 of 5 |
| Quality measures | 5 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 21.6 miles, this one had the 2nd most health citations at the latest inspection cycle (18; the middle value was 8).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Avir at Grand Saline This nursing home | 18 | |
| Azalea Trail Nursing and Rehabilitation Center | 0.5 | 2 |
| Avir at Bradburn | 0.8 | 13 |
| Van Healthcare | 11.7 | 6 |
| Avir at Mineola | 13.2 | 11 |
| Canton Oaks | 13.2 | 0 |
| Mineola Gardens Wellness & Rehabilitation | 13.7 | 9 |
| Emory Health and Rehab | 14.3 | 5 |
| Crestwood Health and Rehabilitation Center | 16.3 | 3 |
| Quitman Wellness & Rehabilitation | 18.2 | 8 |
| Avir at Lindale | 21.5 | 19 |
| Colonial Nursing & Rehabilitation Center | 21.6 | 8 |
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).
-
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.