Federal inspection record · CMS data as of October 1, 2026
Avir at Mineola
320 Greenville Ave., Mineola, TX · (903) 569-3852
- Cited for abuse (CMS abuse icon)
- Certified beds
- 115
- Residents per day
- 70
- Ownership
- For-Profit
- Chain
- Avir Health Group
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- February 4, 1997
1
How this home got 2 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.
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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.
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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.
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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
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.
2
Where it sits among Texas homes
Avir at Mineola carries 103 inspection points. That is fewer than 34% 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
53 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
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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K
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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J
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Everything else, by area of care
Resident Rights12E
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the 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.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the 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.
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
- 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 voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- 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.
- D
Honor the resident's right to organize and participate in resident/family groups in the facility.
- 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.
Quality of Life and Care9E
- D
Provide safe and appropriate respiratory care for a resident when needed.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Assist a resident in gaining access to vision and hearing services.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Freedom from Abuse, Neglect, and Exploitation7E
- E
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
- E
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- D
Protect each resident from the wrongful use of the resident's belongings or money.
- E
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- E
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- E
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
Pharmacy Service6E
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
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.
- 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.
- D
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
- D
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.
Nursing and Physician Services4F
- F
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.
- E
Post nurse staffing information every day.
- E
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
- E
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.
Resident Assessment and Care Planning4D
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Administration3E
- E
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.
- D
Provide timely, quality laboratory services/tests to meet the needs of residents.
- D
Provide timely, quality laboratory services/tests to meet the needs of residents.
Infection Control2E
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Environmental2E
- E
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- D
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Nutrition and Dietary1E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspection history
2025-12-10
11 health deficiencies · 5 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
2024-09-11
23 health deficiencies · 4 fire-safety deficiencies
Top issue: Resident Rights (7 deficiencies)
2023-08-11
19 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 36 min of nursing staff time a day, 12 min of it from a registered nurse.
This home
3 h 36 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
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
$24,974 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-05-11 | Fine | $16,569 |
| 2026-01-29 | Fine | $8,405 |
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 days1 pts worse | 3.0 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.4 pts worse | 2.4 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.7 pts better | 98.1% | 96.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.9 pts worse | 96.1% | 97.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.9 pts worse | 4.1% | 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 weight0.2 pts worse | 3.1% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication19 pts worse | 36.8% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication18.3 pts worse | 28.1% | 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 worsened2 pts worse | 14.9% | 12.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2.1 pts worse | 17.9% | 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 incontinence2.6 pts better | 9.9% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1 pts worse | 4.7% | 3.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine10.3 pts worse | 78.4% | 88.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit9.6 pts better | 2.6% | 12.2% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.6 pts worse | 3.0% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine20.9 pts worse | 64.5% | 85.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission5.5 pts worse | 31.0% | 25.5% | 23.4% |
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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 |
|---|---|---|---|
| Hopkins County Hospital District | 5% Or Greater Direct Ownership Interest · Organization | 100% | 5 facilities |
| 320 Greenville Highway Opco LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| 320 Greenville Highway Property Owner LLC | Adp Of The SNF · Organization | 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 |
| Morris, James | Adp Of The SNF · Individual | 0% | 4 facilities |
| Smith, Michael | Corporate Officer · Individual | 0% | 18 facilities |
| Spencer, Clark | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Spencer, Clark | Adp Of The SNF · Individual | 0% | 1 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
12 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Services6E
- D
Have properly installed electrical wiring and gas equipment.
- C
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- E
Have properly installed electrical wiring and gas equipment.
- C
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- E
Have properly installed electrical wiring and gas equipment.
- C
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Smoke4E
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Gas, Vacuum, and Electrical Systems2D
- D
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
- D
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
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Other homes nearby
-
Mineola Gardens Wellness & Rehabilitation
Mineola, TX · Opco Skilled Management · Abuse icon
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 11 min
- Fines
- $50,527
-
Quitman Wellness & Rehabilitation
Quitman, TX · Opco Skilled Management
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 6 min
- Fines
- $39,049
-
Avir at Lindale
Lindale, TX · Avir Health Group
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 29 min
- Fines
- $754,567