nursing home in Denison, TX
Avir at Memorial
1300 Memorial Dr, Denison, TX 75020 · (903) 465-7442
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★1
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Avir at Memorial at a glance
Avir at Memorial is a 136-bed for-profit nursing home in Denison, Texas (Grayson County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Texas average of 2.7.
Residents receive about 3.4 hours of nursing care per day (0.4 of them from registered nurses), close to the state average of 3.4 hours.
Its most recent standard health inspection (September 11, 2025) found 15 health citations. The Texas average is 9.4.
Federal regulators fined it 1 time in the past three years, totaling $47,097.
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 136
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Fundamental Healthcare
- Medicare-certified since
- May 2, 1989
- Resident/family council
- Resident
- County
- Grayson County
- CMS Certification Number
- 455806
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 2.7 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 1.9 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 3.7 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 4 / 5 | 4 / 5 | 3.8 / 5 | Average |
| Short-stay (rehab) quality rating (higher is better) | 3 / 5 | 3.2 / 5 | 3.3 / 5 | Average |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.43 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.44 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.90 hrs | 2.01 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.96 hrs | 2.98 hrs | 3.42 hrs | Worse |
| Administrators who left in the past year (lower is better) | 1 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 15 | 9 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 5 | 4 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 139.3 | 102 | 80.6 | Worse |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $47,097 | $44,141 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 1 | 2 | 1 | Average |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 136 | 113 | 107 | |
| Average residents per day | 59 | 76 | 86 | |
| Occupancy | 43% | 67.6% | 80.9% |
Long-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 5.6% | 3.3% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 4.2% | 3.8% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 13.5% | 9.6% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0.5% | 0.8% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.3% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 9.5% | 15.8% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 5% | 14% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 4.1% | 3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 0% | 2.4% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 11.4% | 18% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 8.5% | 13.4% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 96.4% | 98% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 93.5% | 96.6% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 5.1% | 1.5% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 67.7% | 88% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 70.1% | 88.9% | 82% | Worse |
Inspection citations
State inspectors cited this home for 37 health deficiencies and 14 fire safety deficiencies in the inspection records CMS currently publishes. 2 citations involved actual harm, including 2 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| May 3, 2026 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected May 25, 2026 |
| May 3, 2026 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected May 25, 2026 |
| December 3, 2025 Complaint | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected December 18, 2025 |
| December 3, 2025 Complaint | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected December 18, 2025 |
| December 3, 2025 Complaint | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | D Potential harm, isolated | Corrected December 18, 2025 |
| September 11, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected September 26, 2025 |
| September 11, 2025 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected September 26, 2025 |
| September 11, 2025 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | C No harm, widespread | Corrected September 26, 2025 |
| September 11, 2025 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | C No harm, widespread | Corrected September 26, 2025 |
| September 11, 2025 Standard | Ensure residents have reasonable access to and privacy in their use of communication methods. Resident Rights Deficiencies · Tag F0576 | E Potential harm, pattern | Corrected September 26, 2025 |
| September 11, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected September 26, 2025 |
| September 11, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected September 26, 2025 |
| September 11, 2025 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | E Potential harm, pattern | Corrected September 26, 2025 |
| September 11, 2025 Standard | Allow resident to participate in the development and implementation of his or her person-centered plan of care. Resident Rights Deficiencies · Tag F0553 | D Potential harm, isolated | Corrected September 26, 2025 |
| September 11, 2025 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected September 26, 2025 |
| September 11, 2025 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | D Potential harm, isolated | Corrected September 26, 2025 |
| September 11, 2025 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected September 26, 2025 |
| September 11, 2025 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected September 26, 2025 |
| September 11, 2025 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected September 26, 2025 |
| May 20, 2025 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected May 22, 2025 |
| August 12, 2024 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | E Potential harm, pattern | Corrected August 30, 2024 |
| August 12, 2024 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | C No harm, widespread | Corrected August 30, 2024 |
| August 12, 2024 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | C No harm, widespread | Corrected August 30, 2024 |
| August 12, 2024 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | C No harm, widespread | Corrected August 30, 2024 |
| August 12, 2024 Complaint | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Tag F0925 | K Immediate jeopardy, pattern | Corrected August 30, 2024 |
| August 12, 2024 Complaint | 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. Resident Rights Deficiencies · Tag F0584 | K Immediate jeopardy, pattern | Corrected August 30, 2024 |
| August 12, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected August 30, 2024 |
| August 12, 2024 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | E Potential harm, pattern | Corrected August 30, 2024 |
| August 12, 2024 Standard | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Tag F0679 | E Potential harm, pattern | Corrected August 30, 2024 |
| August 12, 2024 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected August 30, 2024 |
| August 12, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected August 30, 2024 |
| August 12, 2024 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | E Potential harm, pattern | Corrected August 30, 2024 |
| August 12, 2024 Complaint | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | E Potential harm, pattern | Corrected August 30, 2024 |
| August 12, 2024 Standard | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0698 | D Potential harm, isolated | Corrected August 30, 2024 |
| August 12, 2024 Standard | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies · Tag F0693 | D Potential harm, isolated | Corrected August 30, 2024 |
| August 12, 2024 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected August 30, 2024 |
| August 12, 2024 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected August 30, 2024 |
| August 12, 2024 Standard | Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies · Tag F0685 | D Potential harm, isolated | Corrected August 30, 2024 |
| June 22, 2023 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected June 27, 2023 |
| June 22, 2023 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | E Potential harm, pattern | Corrected June 27, 2023 |
| June 22, 2023 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | D Potential harm, isolated | Corrected June 27, 2023 |
| June 22, 2023 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected June 27, 2023 |
| June 22, 2023 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | C No harm, widespread | Corrected June 23, 2023 |
| June 22, 2023 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | C No harm, widespread | Corrected June 23, 2023 |
| June 22, 2023 Standard | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Tag F0925 | E Potential harm, pattern | Corrected June 27, 2023 |
| June 22, 2023 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | E Potential harm, pattern | Corrected June 27, 2023 |
| June 22, 2023 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | E Potential harm, pattern | Corrected June 27, 2023 |
| June 22, 2023 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected June 27, 2023 |
| June 22, 2023 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected June 27, 2023 |
| June 22, 2023 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected June 27, 2023 |
| June 22, 2023 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected June 27, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $47,097 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| August 12, 2024 | Fine | $47,097 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| DALLAS COUNTY HOSPITAL DISTRICT Organization | 5% or greater direct ownership interest | 100% | 04/01/2017 |
| BRADLEY, SHANNAN Individual | corporate director | NOT APPLICABLE | 12/11/2023 |
| CERISE, FREDERICK Individual | corporate director | NOT APPLICABLE | 03/24/2014 |
| CASTANEDA, EDMUNDO Individual | corporate officer | NOT APPLICABLE | 01/10/2022 |
| DALLAS COUNTY HOSPITAL DISTRICT Organization | operational/managerial control | NOT APPLICABLE | 04/01/2017 |
| TEXOMA LONG TERM CARE, LLC Organization | operational/managerial control | NOT APPLICABLE | 04/01/2017 |
| BRADLEY, SHANNAN Individual | w-2 managing employee | NOT APPLICABLE | 12/11/2023 |
| CASTANEDA, EDMUNDO Individual | w-2 managing employee | NOT APPLICABLE | 01/10/2022 |
| CLEMENS, ERIN Individual | w-2 managing employee | NOT APPLICABLE | 01/01/2022 |
Other nursing homes near Avir at Memorial
The Homestead of Denison
1101 Reba McEntire Lane, Denison, TX 75020 · under 1 mi
For-profit · 140 beds · Part of Priority Management
★★★★★3AverageWoodlands Place Rehabilitation Suites
5600 Woodlands Trail, Denison, TX 75020 · 1.3 mi
For-profit · 133 beds · Part of Fundamental Healthcare
★★★★★3Average- ★★★★★2Below average
Beacon Hill
3515 S Park Ave, Denison, TX 75020 · 3.3 mi
For-profit · 150 beds · Part of Cantex Continuing Care
★★★★★4Above averageSouthern Pointe Living Center
101 Sherrard Drive, Colbert, OK 74733 · 6.4 mi
For-profit · 95 beds · Part of Bgm Estate
★★★★★1Much below averageAvir at Sherman
1000 Sara Swamy Drive, Sherman, TX 75090 · 6.9 mi
For-profit · 132 beds · Part of Avir Health Group
★★★★★2Below average
Frequently asked questions
What is Avir at Memorial's rating?
Avir at Memorial has 1 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.
How many inspection citations did Avir at Memorial receive?
Its most recent standard health inspection found 15 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Avir at Memorial accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Avir at Memorial?
It is for profit - limited liability company and part of Fundamental Healthcare. The ownership section on this page lists the owners and managers reported to CMS.
Where is Avir at Memorial and how do I contact it?
Avir at Memorial is at 1300 Memorial Dr, Denison, TX 75020. Phone: (903) 465-7442.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.