Federal inspection record · CMS data as of October 1, 2026
Avir at Giddings
1400 N Main St, Giddings, TX · (979) 542-1755
- Certified beds
- 102
- Residents per day
- 62
- Ownership
- For-Profit
- Chain
- Avir Health Group
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- October 15, 1992
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Texas homes
Avir at Giddings carries 167.25 inspection points. That is fewer than 15% of Texas's 1,166 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Texas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–26 pts
- 4★ 26–51 pts
- 3★ 51–85 pts
- 2★ 85–145.75 pts
- 1★ over 145.75 pts
Bars show every rated home in Texas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
38 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (3)
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
K
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Everything else, by area of care
Quality of Life and Care10E
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Provide activities to meet all resident's needs.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide activities to meet all resident's needs.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide activities to meet all resident's needs.
Resident Rights7E
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
Reasonably accommodate the needs and preferences of each resident.
- E
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.
- E
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.
- D
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
- D
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.
- E
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.
Nutrition and Dietary5F
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
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.
Resident Assessment and Care Planning4E
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Pharmacy Service4E
- E
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.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
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.
Freedom from Abuse, Neglect, and Exploitation2E
- E
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Environmental2E
- D
Make sure that a working call system is available in each resident's bathroom and bathing area.
- E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Infection Control1E
- E
Provide and implement an infection prevention and control program.
Inspection history
2026-04-23
12 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
2025-02-26
13 health deficiencies · 4 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2024-01-19
13 health deficiencies · 2 fire-safety deficiencies
Top issue: Resident Rights (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 9 min of nursing staff time a day, 20 min of it from a registered nurse.
This home
3 h 9 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 41% of nursing staff and 0% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$39,701 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-11-27 | Fine | $10,535 |
| 2024-09-26 | Fine | $8,021 |
| 2023-12-30 | Fine | $21,145 |
| 2023-12-30 | Payment Denial · 3 day denial | $0 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.5 pts better | 1.5 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.5 pts worse | 3.5 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.6 pts better | 100.0% | 96.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3 pts better | 100.0% | 97.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.1 pts worse | 4.3% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms2.3 pts better | 0.0% | 2.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.3 pts better | 0.6% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication9.1 pts worse | 26.9% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1.6 pts worse | 11.4% | 9.8% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened1.5 pts better | 11.4% | 12.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased5.4 pts better | 10.4% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.0% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.8 pts better | 0.0% | 0.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.7 pts better | 8.8% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.8 pts worse | 5.5% | 3.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine11.3 pts better | 100.0% | 88.7% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.4 pts worse | 2.8% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine14.6 pts better | 100.0% | 85.4% | 80.1% |
·
Who owns and runs it
15 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| 1400 N Main St Opco LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| 1400 N Main St Property Owner LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Agyemang-Barimah, Rita | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Agyemang-Barimah, Rita | Adp Of The SNF · Individual | 0% | 1 facilities |
| Dagan, Amitai | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 156 facilities |
| Freund, Nochum | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 164 facilities |
| Goldberger, Abraham | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 154 facilities |
| Goldberger, Faigy | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 118 facilities |
| Mcbroom, William | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Mcbroom, William | Adp Of The SNF · Individual | 0% | 1 facilities |
| Murrell, Edward | Corporate Officer · Individual | 0% | 77 facilities |
| Travitsky, Aaron | Operational/Managerial Control · Individual | 0% | 162 facilities |
| Welltower Inc | Adp Of The SNF · Organization | 0% | 139 facilities |
| Welltower Nnn Group, LLC | Adp Of The SNF · Organization | 0% | 121 facilities |
| Welltower Op LLC | Adp Of The SNF · Organization | 0% | 158 facilities |
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Fire safety
6 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke3F
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Install an approved automatic sprinkler system.
- E
Inspect, test, and maintain automatic sprinkler systems.
Services2D
- D
Have properly installed electrical wiring and gas equipment.
- D
Have properly installed electrical wiring and gas equipment.
Miscellaneous1E
- E
Have simulated fire drills held at unexpected times.
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Other homes nearby
-
Giddings Nursing and Rehabilitation
Giddings, TX · Harmony Care Group · Special Focus · Abuse icon
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 59 min
- Fines
- $196,621
-
Towers Nursing Home
Smithville, TX · Wellsential Health
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 2 h 33 min
- Fines
- $15,239
-
Avir at La Grange
La Grange, TX
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 5 min
- Fines
- $0