Snyder, TX

Avir at Snyder

3-star overall rating with 3-star inspections with $15,631 in total fines with 5 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

210 E 37th St, Snyder, TX

(325) 573-9377

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Avir Health Group

Operator or chain grouping

Approved since

1996-12-04

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

90 facilities

Chain averages 2 overall / 2 health / 2 staffing / 4 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.41

Registered nurse staffing · state 0.44 · national 0.68

LPN hours / resident day

1.09

Licensed practical nurse staffing · state 0.95 · national 0.87

Aide hours / resident day

1.35

Nurse aide staffing · state 2.01 · national 2.35

Total nurse hours

2.85

All reported nurse hours · state 3.40 · national 3.89

Licensed hours

1.51

RN + LPN hours · state 1.38 · national 1.54

Weekend hours

2.48

Weekend nurse staffing · state 2.99 · national 3.43

Weekend RN hours

0.26

Weekend registered nurse coverage · state 0.34 · national 0.47

Physical therapist

0.02

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

0.52

CMS adjusted RN staffing hours

Adjusted total hours

3.54

CMS adjusted total nurse staffing hours

Case-mix index

1.10

Higher values indicate more complex resident acuity

RN turnover

Annual RN turnover

Total nurse turnover

68%

Annual nurse turnover · state 52% · national 46%

SNF VBP

Value-based purchasing

Program rank

8,384

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

26.93

Composite VBP score used to determine payment impact.

Payment multiplier

0.9844

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

5.39

Performance 41.67% · Measure score 5.39 · Achievement 5.39 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

Baseline 3.02 hours · Performance 2.80 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.87%	10.72% 0.9 pts better	No Different than the National Rate · Eligible stays 41 · Observed rate 4.88% · Lower 95% interval 6.29%
Discharge to community	31.9%	50.57% 18.7 pts worse	Worse than the National Rate · Eligible stays 26 · Observed rate 15.38% · Lower 95% interval 21.21%
Medicare spending per beneficiary	1.04	1.02 About the same
Drug regimen review with follow-up	96.55%	95.27% 1.3 pts better	Numerator 28 · Denominator 29
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 29
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 29 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 23 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 48
Staff flu vaccination coverage	27.78%	42% 14.2 pts worse	Numerator 15 · Denominator 54
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.5	2.1 0.6 pts better	1.9 0.4 pts better	Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.1 · Expected 1.5 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.7	2.1 0.6 pts worse	1.8 0.9 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.7 · Observed 2.3 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	97.1% 2.9 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	97.9% 2.1 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	3.3%	3.3% About the same	3.3% About the same	Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 2.1% · Q3 2.0% · Q4 0.0% · 4Q avg 3.3% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.6%	2.7% 2.1 pts better	11.4% 10.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6%
Percentage of long-stay residents who lose too much weight	0.7%	3.3% 2.6 pts better	5.4% 4.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.7% · Q3 0.0% · Q4 0.0% · 4Q avg 0.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	23.0%	18.9% 4.1 pts worse	19.6% 3.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 23.8% · Q2 24.3% · Q3 20.0% · Q4 24.2% · 4Q avg 23.0%
Percentage of long-stay residents who received an antipsychotic medication	13.4%	10.8% 2.6 pts worse	16.7% 3.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 18.5% · Q2 13.0% · Q3 15.4% · Q4 4.8% · 4Q avg 13.4% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.0% About the same	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	18.6%	15.4% 3.2 pts worse	16.3% 2.3 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 18.6% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	17.1%	16.1% 1 pts worse	14.9% 2.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 17.1% · Q2 28.6% · Q3 13.2% · Q4 9.4% · 4Q avg 17.1% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.5% 0.5 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.5%	0.8% 0.3 pts better	1.7% 1.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.1% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	19.1%	15.0% 4.1 pts worse	19.8% 0.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 19.8% · Q2 27.4% · Q3 16.3% · Q4 12.0% · 4Q avg 19.1%
Percentage of long-stay residents with pressure ulcers	2.8%	4.2% 1.4 pts better	5.1% 2.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 2.1% · Q3 4.6% · Q4 0.0% · 4Q avg 2.8% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	95.2%	89.7% 5.5 pts better	81.7% 13.5 pts better	Short Stay · 2024Q4-2025Q3 · Q1 97.0% · Q2 97.4% · Q3 95.8% · Q4 90.0% · 4Q avg 95.2%
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	1.5% 1.5 pts better	1.6% 1.6 pts better	Short Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	100.0%	88.0% 12 pts better	79.7% 20.3 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0%

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-10-15 · Fire 2024-10-15

5 health deficiencies

Top issue: Pharmacy Service (3 deficiencies)

2 fire-safety deficiencies

Top issue: Services (1 deficiency)

Cycle 2 Health 2023-09-07 · Fire 2023-09-07

9 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

3 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2022-07-19 · Fire 2022-07-19

8 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2024-10-15

K344 · Smoke Deficiencies

Fire Safety

Have an alternate power supply for its alarm system.

Corrected 2024-11-29

C · Minimal harm 2024-10-15

K521 · Services Deficiencies

Fire Safety

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

Corrected 2024-11-29

F · Potential for more than minimal harm 2023-09-07

K222 · Egress Deficiencies

Fire Safety

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.

Corrected 2023-10-22

F · Potential for more than minimal harm 2023-09-07

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2023-10-22

F · Potential for more than minimal harm 2023-09-07

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2023-10-22

Inspection history

Recent health citations

E · Potential for more than minimal harm 2024-10-15

F804 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2024-11-29

E · Potential for more than minimal harm 2024-10-15

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2024-11-29

D · Potential for more than minimal harm 2024-10-15

F758 · Pharmacy Service Deficiencies

Health

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.

Corrected 2024-11-29

D · Potential for more than minimal harm 2024-10-15

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-11-29

D · Potential for more than minimal harm 2024-10-15

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2024-11-29

E · Potential for more than minimal harm 2024-05-30

F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2024-07-16

E · Potential for more than minimal harm 2024-04-11

F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2024-05-10

J · Immediate jeopardy 2023-11-04

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-12-19

J · Immediate jeopardy 2023-11-04

F726 · Nursing and Physician Services Deficiencies

Health

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.

Corrected 2023-12-19

F · Potential for more than minimal harm 2023-09-07

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2023-10-22

E · Potential for more than minimal harm 2023-09-07

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2023-10-22

E · Potential for more than minimal harm 2023-09-07

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2023-10-22

E · Potential for more than minimal harm 2023-09-07

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-10-22

E · Potential for more than minimal harm 2023-09-07

F761 · Pharmacy Service Deficiencies

Health

Corrected 2023-10-22

E · Potential for more than minimal harm 2023-09-07

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2023-10-22

D · Potential for more than minimal harm 2023-09-07

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-10-22

D · Potential for more than minimal harm 2023-08-03

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2023-09-03

D · Potential for more than minimal harm 2023-08-03

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2023-09-03

E · Potential for more than minimal harm 2022-07-19

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2022-09-02

E · Potential for more than minimal harm 2022-07-19

F727 · Nursing and Physician Services Deficiencies

Health

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.

Corrected 2022-09-02

D · Potential for more than minimal harm 2022-07-19

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2022-09-02

D · Potential for more than minimal harm 2022-07-19

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2022-09-02

Penalties and ownership

What sits behind the stars

$15,631 2023-11-04

Fine

Fine · fine $15,631

Fine

$0 2023-11-04

Payment Denial

Payment Denial · denial start 2023-12-02 · 17 days

17 day denial

Ownership

Uvalde County Hospital Authority

5% Or Greater Direct Ownership Interest · Organization

100% 36 facilities 2022-07-01

Apolinar, Adam

Corporate Officer · Individual

0% 37 facilities 2022-07-01

Carlisle Taylor Whitworth 2020 Irrevocable Trust