Federal inspection record · CMS data as of October 1, 2026

Avir at Mansfield

1402 E. Broad St., Mansfield, TX · (979) 639-1515

CMS overall rating

4 of 5

Compare with a nearby home →
Certified beds
127
Residents per day
73
Ownership
For-Profit
Chain
Avir Health Group
Medicare / Medicaid
Medicare + Medicaid
Certified since
June 9, 1999

1

How this home got 4 stars

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.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.

  2. Staffing

    −1 star

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    +1 star

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    4 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Texas homes

Avir at Mansfield carries 48 inspection points. That is fewer than 69% of Texas's 1,166 rated homes.

5★4★3★2★1★+35 homes above 292.505102550100200inspection points → fewer is better on the leftThis home · 48 pts · 4★

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

29 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 13 4 pts
E 15 8 pts
F 1 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

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.

No citation on record at the harm or immediate-jeopardy level.

Everything else, by area of care

Resident Rights9E
  1. E

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    June 5, 2025 · Standard · F565 · Corrected June 7, 2025

  2. 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.

    June 5, 2025 · Standard · F584 · Corrected June 7, 2025

  3. D

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    June 5, 2025 · Standard · F561 · Corrected June 7, 2025

  4. 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.

    August 16, 2024 · Complaint · F584 · Corrected August 19, 2024

  5. E

    Allow resident to participate in the development and implementation of his or her person-centered plan of care.

    April 25, 2024 · Standard · F553 · Corrected May 15, 2024

  6. 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.

    April 25, 2024 · Standard · F584 · Corrected May 15, 2024

  7. D

    Reasonably accommodate the needs and preferences of each resident.

    April 25, 2024 · Standard · F558 · Corrected May 15, 2024

  8. 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.

    March 5, 2024 · Complaint · F584 · Corrected March 26, 2024

  9. D

    Reasonably accommodate the needs and preferences of each resident.

    January 11, 2024 · Complaint · F558 · Corrected February 5, 2024

Nutrition and Dietary8E
  1. E

    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.

    August 6, 2026 · Standard · F803 · Corrected September 1, 2026

  2. E

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    August 6, 2026 · Standard · F806 · Corrected September 1, 2026

  3. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    August 6, 2026 · Standard · F812 · Corrected September 1, 2026

  4. D

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    April 9, 2025 · Complaint · F805 · Corrected April 10, 2025

  5. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    August 16, 2024 · Complaint · F812 · Corrected August 19, 2024

  6. E

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    April 25, 2024 · Standard · F804 · Corrected May 15, 2024

  7. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    April 25, 2024 · Standard · F812 · Corrected May 15, 2024

  8. D

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    March 5, 2024 · Complaint · F812 · Corrected March 26, 2024

Quality of Life and Care6E
  1. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    August 6, 2026 · Standard · F677 · Corrected September 1, 2026

  2. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    August 6, 2026 · Standard · F689 · Corrected September 1, 2026

  3. E

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    June 5, 2025 · Standard · F689 · Corrected June 7, 2025

  4. D

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    November 23, 2024 · Complaint · F686 · Corrected December 12, 2024

  5. D

    Provide safe and appropriate respiratory care for a resident when needed.

    August 16, 2024 · Complaint · F695 · Corrected August 19, 2024

  6. E

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

    January 11, 2024 · Complaint · F700 · Corrected February 5, 2024

Environmental2E
  1. E

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    April 25, 2024 · Standard · F921 · Corrected May 15, 2024

  2. D

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    April 25, 2024 · Standard · F919 · Corrected May 15, 2024

Freedom from Abuse, Neglect, and Exploitation1D
  1. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    August 6, 2026 · Standard · F609 · Corrected September 1, 2026

Administration1D
  1. D

    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.

    June 5, 2025 · Standard · F849 · Corrected June 7, 2025

Infection Control1F
  1. F

    Provide and implement an infection prevention and control program.

    April 25, 2024 · Standard · F880 · Corrected May 15, 2024

Resident Assessment and Care Planning1D
  1. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    April 25, 2024 · Standard · F656 · Corrected May 15, 2024

Inspection history

  1. 2026-08-06

    6 health deficiencies · 12 fire-safety deficiencies

    Top issue: Nutrition and Dietary (3 deficiencies)

  2. 2025-06-05

    7 health deficiencies · 12 fire-safety deficiencies

    Top issue: Resident Rights (3 deficiencies)

  3. 2024-04-25

    16 health deficiencies · 8 fire-safety deficiencies

    Top issue: Resident Rights (6 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 2 h 56 min of nursing staff time a day, 10 min of it from a registered nurse.

This home

2 h 56 min

Texas average

3 h 25 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 24% of nursing staff and 67% 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

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.6 pts better1.42.01.8
Number of outpatient emergency department visits per 1000 long-stay resident days1.4 pts better0.62.01.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.6 pts better100.0%96.4%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3 pts better100.0%97.0%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury3.2 pts better0.0%3.2%3.2%
Percentage of long-stay residents who have depressive symptoms2.3 pts better0.0%2.3%13.5%
Percentage of long-stay residents who lose too much weight2.9 pts better0.0%2.9%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication8 pts better9.8%17.8%19.5%
Percentage of long-stay residents who received an antipsychotic medication8.2 pts better1.6%9.8%15.4%
Percentage of long-stay residents who were physically restrainedAbout the same0.0%0.0%0.1%
Percentage of long-stay residents whose ability to walk independently worsened5.7 pts better7.2%12.9%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased7.9 pts better7.9%15.8%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better0.0%0.3%0.7%
Percentage of long-stay residents with a urinary tract infection0.4 pts better0.4%0.8%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.5 pts better9.0%12.5%18.3%
Percentage of long-stay residents with pressure ulcers1.1 pts better2.6%3.7%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine8.2 pts better96.9%88.7%82.3%
Percentage of short-stay residents who newly received an antipsychotic medication1.2 pts worse2.6%1.4%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine11.4 pts better96.8%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
NameRoleShareHomes
Hamilton County Hospital District5% Or Greater Direct Ownership Interest · Organization100%7 facilities
1402 E Broad Street Property Owner, LLCAdp Of The SNF · Organization0%1 facilities
1402 E. Broad St Opco,llcOperational/Managerial Control · Organization0%1 facilities
1402 E. Broad St Opco,llcAdp Of The SNF · Organization0%1 facilities
Acosta, MelchorAdp Of The SNF · Individual0%3 facilities
Dagan, AmitaiIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%156 facilities
Freund, NochumOperational/Managerial Control · Individual0%164 facilities
Goldberger, AbrahamIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%154 facilities
Goldberger, FaigyIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%118 facilities
Hooper, GradyCorporate Officer · Individual0%61 facilities
Miller, KissyAdp Of The SNF · Individual0%1 facilities
Travitsky, AaronOperational/Managerial Control · Individual0%162 facilities
Welltower IncAdp Of The SNF · Organization0%139 facilities
Welltower Nnn Group, LLCAdp Of The SNF · Organization0%121 facilities
Welltower Op LLCAdp Of The SNF · Organization0%158 facilities

·

Fire safety

32 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke13F
  1. F

    Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

    August 6, 2026 · K343 · Corrected September 18, 2026

  2. F

    Inspect, test, and maintain automatic sprinkler systems.

    August 6, 2026 · K353 · Corrected September 18, 2026

  3. F

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    August 6, 2026 · K372 · Corrected September 18, 2026

  4. F

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    August 6, 2026 · K374 · Corrected September 18, 2026

  5. E

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    June 5, 2025 · K321 · Corrected June 7, 2025

  6. E

    Inspect, test, and maintain automatic sprinkler systems.

    June 5, 2025 · K353 · Corrected June 7, 2025

  7. E

    Install corridor and hallway doors that block smoke.

    June 5, 2025 · K363 · Corrected June 7, 2025

  8. E

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    June 5, 2025 · K372 · Corrected June 7, 2025

  9. D

    Install an approved automatic sprinkler system.

    June 5, 2025 · K351 · Corrected June 7, 2025

  10. D

    Properly select, install, inspect, or maintain portable fire extinguishes.

    June 5, 2025 · K355 · Corrected June 7, 2025

  11. E

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    April 25, 2024 · K321 · Corrected May 16, 2024

  12. E

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    April 25, 2024 · K372 · Corrected April 24, 2024

  13. D

    Inspect, test, and maintain automatic sprinkler systems.

    April 25, 2024 · K353 · Corrected May 16, 2024

Emergency Preparedness7F
  1. F

    Establish staff and initial training requirements.

    August 6, 2026 · E37 · Corrected September 18, 2026

  2. F

    Develop and maintain an Emergency Preparedness Program (EP).

    August 6, 2026 · E4 · Corrected September 18, 2026

  3. F

    Include a process for Emergency Preparedness collaboration.

    August 6, 2026 · E9 · Corrected September 18, 2026

  4. F

    List the names and contact information of those in the facility.

    June 5, 2025 · E30 · Corrected June 25, 2025

  5. F

    Conduct risk assessment and an All-Hazards approach.

    June 5, 2025 · E6 · Corrected June 25, 2025

  6. F

    Conduct testing and exercise requirements.

    April 25, 2024 · E39 · Corrected May 24, 2024

  7. F

    Develop and maintain an Emergency Preparedness Program (EP).

    April 25, 2024 · E4 · Corrected May 24, 2024

Egress5E
  1. E

    Install emergency lighting that can last at least 1 1/2 hours.

    August 6, 2026 · K291 · Corrected September 18, 2026

  2. D

    Install proper backup exit lighting.

    August 6, 2026 · K281 · Corrected September 18, 2026

  3. D

    Have properly located and lighted "Exit" signs.

    August 6, 2026 · K293 · Corrected September 18, 2026

  4. D

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

    June 5, 2025 · K222 · Corrected June 7, 2025

  5. E

    Install emergency lighting that can last at least 1 1/2 hours.

    April 25, 2024 · K291 · Corrected May 16, 2024

Services3C
  1. C

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    August 6, 2026 · K521 · Corrected September 18, 2026

  2. C

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    June 5, 2025 · K521 · Corrected June 30, 2025

  3. C

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    April 25, 2024 · K521 · Corrected April 25, 2024

Miscellaneous2F
  1. F

    Have simulated fire drills held at unexpected times.

    August 6, 2026 · K712 · Corrected September 18, 2026

  2. F

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    April 25, 2024 · K741 · Corrected May 13, 2024

Gas, Vacuum, and Electrical Systems2F
  1. F

    Have proper medical gas storage and administration areas.

    June 5, 2025 · K923 · Corrected June 7, 2025

  2. F

    Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

    June 5, 2025 · K929 · Corrected June 7, 2025

·

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