Federal inspection record · CMS data as of October 1, 2026
Avir at The Meadow
8383 Meadow Road, Dallas, TX · (214) 239-6000
- Certified beds
- 184
- Residents per day
- 83
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- December 19, 1980
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.
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Staffing
★★★★★no change (already 1)
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 The Meadow carries 191.5 inspection points. That is fewer than 12% 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
44 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 (5)
-
G
Keep residents' personal and medical records private and confidential.
-
G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
K
Provide safe, appropriate pain management for a resident who requires such services.
-
K
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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K
Ensure that residents are free from significant medication errors.
Everything else, by area of care
Quality of Life and Care14E
- E
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- 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.
- 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.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- E
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- E
Provide or obtain dental services for each resident.
- 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 care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- 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.
Resident Rights6E
- 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 a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- C
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 organize and participate in resident/family groups in the facility.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Assessment and Care Planning4E
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure each resident receives an accurate assessment.
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.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Nutrition and Dietary4E
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- 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.
- C
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Infection Control3E
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation3D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Protect each resident from the wrongful use of the resident's belongings or money.
Environmental1E
- E
Make sure that a working call system is available in each resident's bathroom and bathing area.
Inspection history
2026-03-05
21 health deficiencies · 16 fire-safety deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
2025-01-15
10 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2023-12-01
13 health deficiencies · 7 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 2 h 36 min of nursing staff time a day, 12 min of it from a registered nurse.
This home
2 h 36 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 57% 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
Fines and payment denials
$35,731 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-12-06 | Fine | $6,325 |
| 2023-12-01 | Fine | $29,406 |
| 2023-12-01 | Payment Denial · 13 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 days0.4 pts worse | 2.4 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.1 pts better | 1.9 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.3 pts better | 99.7% | 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 injury2.2 pts better | 1.0% | 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 weight2.9 pts better | 0.0% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication2.5 pts worse | 20.3% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1.8 pts worse | 11.6% | 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 worsened0.1 pts better | 12.8% | 12.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1.7 pts worse | 17.5% | 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 incontinence4.5 pts better | 8.0% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.4 pts better | 1.3% | 3.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine10 pts better | 98.7% | 88.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.2 pts better | 11.0% | 12.2% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.6 pts worse | 4.0% | 1.4% | 1.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission6.4 pts worse | 31.9% | 25.5% | 23.4% |
·
Who owns and runs it
14 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 |
|---|---|---|---|
| Fannin County Hospital Authority | 5% Or Greater Direct Ownership Interest · Organization | 100% | 54 facilities |
| 8383 Meadows Rd Opco, LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| 8383 Meadows Rd 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 | Operational/Managerial Control · 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 |
| Jamal, Syed | Operational/Managerial Control · Individual | 0% | 6 facilities |
| Jamal, Syed | Adp Of The SNF · Individual | 0% | 6 facilities |
| Sanderson, Clark | Corporate Officer · Individual | 0% | 58 facilities |
| Travitsky, Aaron | Operational/Managerial Control · Individual | 0% | 162 facilities |
| Welltower Nnn Group, LLC | Adp Of The SNF · Organization | 0% | 121 facilities |
| Welltower Op LLC | Adp Of The SNF · Organization | 0% | 158 facilities |
| Whitfield, Dale | Adp Of The SNF · Individual | 0% | 1 facilities |
·
Fire safety
25 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke7F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Properly select, install, inspect, or maintain portable fire extinguishes.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Install corridor and hallway doors that block smoke.
- F
Provide properly protected cooking facilities.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Properly provide smoke detection systems in areas open to corridors.
Miscellaneous5F
- F
Have simulated fire drills held at unexpected times.
- F
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- F
Meet Health Care Facilities Code mechanical requirements.
- F
Provide a written emergency evacuation plan.
- F
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Egress5E
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E
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.
- E
Install emergency lighting that can last at least 1 1/2 hours.
- E
Have properly located and lighted "Exit" signs.
- E
Meet other general requirements that are deficient.
Emergency Preparedness3F
- F
Include a process for Emergency Preparedness collaboration.
- F
Establish staff and initial training requirements.
- F
Conduct risk assessment and an All-Hazards approach.
Gas, Vacuum, and Electrical Systems3F
- F
Have a battery powered remote alarm panel in a location accessible by operating personnel.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Have generator or other power source capable of supplying service within 10 seconds.
Construction1F
- F
Meet other general requirements.
Services1E
- E
Have properly installed electrical wiring and gas equipment.
·
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