nursing home in Overton, TX
Avir at Overton
1110 Hwy 135 S, Overton, TX 75684 · (903) 834-6166
★★★★★2
Below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★3
- Quality measures★★★★★5
- Abuse citation
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Avir at Overton at a glance
Avir at Overton is a 100-bed for-profit nursing home in Overton, Texas (Rusk County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the Texas average of 2.7.
Residents receive about 3.8 hours of nursing care per day (0.3 of them from registered nurses), better than the state average of 3.4 hours.
Its most recent standard health inspection (April 29, 2026) found 12 health citations. The Texas average is 9.4.
Federal regulators fined it 5 times in the past three years, totaling $340,621.
Nursing staff turnover is 58.3% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 100
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Avir Health Group
- Medicare-certified since
- November 14, 1994
- Resident/family council
- Resident
- County
- Rusk County
- CMS Certification Number
- 675408
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 2.7 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 1.9 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 3.7 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 5 / 5 | 4 / 5 | 3.8 / 5 | Better |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.77 hrs | 3.39 hrs | 3.86 hrs | Average |
| Registered nurse hours per resident per day (higher is better) | 0.28 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.60 hrs | 2.01 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 3.62 hrs | 2.98 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 58.3% | 55.3% | 45.8% | 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) | 12 | 9 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 7 | 4 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 292.3 | 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) | 5 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $340,621 | $44,141 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 5 | 2 | 1 | Worse |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 100 | 113 | 107 | |
| Average residents per day | 47 | 76 | 86 | |
| Occupancy | 47.3% | 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) | 4.3% | 3.3% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 2.9% | 3.8% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 17.9% | 9.6% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 0% | 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) | 11.6% | 15.8% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 8.4% | 14% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 3.1% | 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) | 34.6% | 18% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 13.4% | 13.4% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 98% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 99.5% | 96.6% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 4.5% | 1.5% | 1.6% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 87% | 88.9% | 82% | Better |
Inspection citations
State inspectors cited this home for 38 health deficiencies and 12 fire safety deficiencies in the inspection records CMS currently publishes. 11 citations involved actual harm, including 11 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| May 20, 2026 Complaint | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | J Immediate jeopardy, isolated | Corrected May 27, 2026 |
| April 29, 2026 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 | E Potential harm, pattern | Corrected June 12, 2026 |
| April 29, 2026 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | E Potential harm, pattern | Corrected June 12, 2026 |
| April 29, 2026 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected June 12, 2026 |
| April 29, 2026 Fire safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Tag K0374 | E Potential harm, pattern | Corrected June 12, 2026 |
| April 29, 2026 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected June 12, 2026 |
| April 29, 2026 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 | No revisit needed |
| April 29, 2026 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. Egress Deficiencies · Tag K0222 | B No harm, pattern | Corrected June 12, 2026 |
| April 29, 2026 Standard | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Tag F0921 | E Potential harm, pattern | Corrected April 30, 2026 |
| April 29, 2026 Standard | 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. Nursing and Physician Services Deficiencies · Tag F0727 | E Potential harm, pattern | Corrected April 30, 2026 |
| April 29, 2026 Standard | Have policies on smoking. Environmental Deficiencies · Tag F0926 | D Potential harm, isolated | Corrected April 30, 2026 |
| April 29, 2026 Standard | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Tag F0925 | D Potential harm, isolated | Corrected April 30, 2026 |
| April 29, 2026 Standard | 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 | D Potential harm, isolated | Corrected April 30, 2026 |
| March 11, 2026 Complaint | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Tag F0655 | D Potential harm, isolated | Corrected March 12, 2026 |
| March 11, 2026 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected March 12, 2026 |
| January 13, 2026 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected January 14, 2026 |
| November 24, 2025 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected November 25, 2025 |
| November 24, 2025 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 November 25, 2025 |
| November 21, 2025 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected November 22, 2025 |
| August 13, 2025 Complaint | 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 | J Immediate jeopardy, isolated | Past Non-Compliance |
| August 13, 2025 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 | J Immediate jeopardy, isolated | Past Non-Compliance |
| February 18, 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 | Waiver has been granted |
| February 18, 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 February 19, 2025 |
| February 18, 2025 Standard | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Tag F0921 | E Potential harm, pattern | Corrected February 19, 2025 |
| February 18, 2025 Standard | 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. Nursing and Physician Services Deficiencies · Tag F0727 | E Potential harm, pattern | Corrected February 19, 2025 |
| February 18, 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 | D Potential harm, isolated | Corrected February 19, 2025 |
| February 18, 2025 Standard | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Tag F0732 | C No harm, widespread | Corrected February 19, 2025 |
| January 26, 2025 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 | J Immediate jeopardy, isolated | Corrected February 6, 2025 |
| January 26, 2025 Complaint | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. Quality of Life and Care Deficiencies · Tag F0678 | J Immediate jeopardy, isolated | Corrected February 6, 2025 |
| January 14, 2025 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 | E Potential harm, pattern | Corrected January 15, 2025 |
| May 21, 2024 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected June 5, 2024 |
| December 6, 2023 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | E Potential harm, pattern | Corrected January 4, 2024 |
| December 6, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected January 8, 2024 |
| December 6, 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 | Waiver has been granted |
| December 6, 2023 Standard | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Administration Deficiencies · Tag F0851 | F Potential harm, widespread | Corrected December 11, 2023 |
| December 6, 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 | F Potential harm, widespread | Corrected December 11, 2023 |
| December 6, 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 December 11, 2023 |
| December 6, 2023 Standard | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. Nutrition and Dietary Deficiencies · Tag F0807 | E Potential harm, pattern | Corrected December 11, 2023 |
| December 6, 2023 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 December 11, 2023 |
| December 6, 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 | E Potential harm, pattern | Corrected December 11, 2023 |
| December 6, 2023 Standard | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Tag F0637 | D Potential harm, isolated | Corrected December 11, 2023 |
| October 26, 2023 Fire safety | Establish emergency prep training and testing. Emergency Preparedness Deficiencies · Tag E0036 | K Immediate jeopardy, pattern | Corrected October 27, 2023 |
| October 26, 2023 Complaint | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Tag F0867 | K Immediate jeopardy, pattern | Corrected October 27, 2023 |
| October 26, 2023 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 | K Immediate jeopardy, pattern | Corrected October 27, 2023 |
| October 26, 2023 Complaint | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | K Immediate jeopardy, pattern | Corrected October 27, 2023 |
| October 26, 2023 Complaint | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | J Immediate jeopardy, isolated | Corrected October 27, 2023 |
| October 26, 2023 Complaint | 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 | J Immediate jeopardy, isolated | Corrected October 27, 2023 |
| October 26, 2023 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | J Immediate jeopardy, isolated | Corrected October 27, 2023 |
| September 6, 2023 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected September 23, 2023 |
| September 6, 2023 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected September 23, 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 5 federal penalties in the past three years, including $340,621 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| May 20, 2026 | Fine | $19,615 |
| August 13, 2025 | Fine | $14,325 |
| August 13, 2025 | Fine | $8,431 |
| January 14, 2025 | Fine | $130,686 |
| October 26, 2023 | Fine | $167,564 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| 1110 HIGHWAY 135 S OPCO LLC Organization | adp of the snf | NOT APPLICABLE | 02/11/2026 |
| 1110 HIGHWAY 135 S PROPERTY OWNER LLC Organization | adp of the snf | NOT APPLICABLE | 10/01/2025 |
| HEKIMIAN, KHOREN Individual | adp of the snf | NOT APPLICABLE | 01/01/2024 |
| SANDERS, LEO Individual | adp of the snf | NOT APPLICABLE | 01/01/2024 |
| WELLTOWER INC Organization | adp of the snf | NOT APPLICABLE | 10/01/2025 |
| WELLTOWER NNN GROUP, LLC Organization | adp of the snf | NOT APPLICABLE | 10/01/2025 |
| WELLTOWER OP, LLC Organization | adp of the snf | NOT APPLICABLE | 10/01/2025 |
| MURRELL, EDWARD Individual | corporate director | NOT APPLICABLE | 01/01/2024 |
| DAGAN, AMITAI Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 02/11/2026 |
| GOLDBERGER, ABRAHAM Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 02/11/2026 |
| GOLDBERGER, FAIGY Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 02/11/2026 |
| 1110 HIGHWAY 135 S OPCO LLC Organization | operational/managerial control | NOT APPLICABLE | 10/01/2025 |
| FREUND, NOCHUM Individual | operational/managerial control | NOT APPLICABLE | 10/01/2025 |
| TRAVITSKY, AARON Individual | operational/managerial control | NOT APPLICABLE | 10/01/2025 |
Other nursing homes near Avir at Overton
Arbor Grace Guest Care Center
2700 S. Henderson Blvd., Kilgore, TX 75662 · 8.2 mi
For-profit · 127 beds
★★★★★1Much below averageWillow Rehab & Nursing
1901 Whippoorwill, Kilgore, TX 75662 · 8.9 mi
For-profit · 118 beds · Part of Advanced Healthcare Solutions
★★★★★3AverageHenderson Health & Rehabilitation Center
1010 W. Main St., Henderson, TX 75652 · 12.7 mi
For-profit · 173 beds · Part of Advanced Healthcare Solutions
- Abuse citation
★★★★★2Below averageAutumn Leaves Nursing and Rehab INC
321 Kilgore Drive, Henderson, TX 75652 · 12.8 mi
Government · 125 beds · Part of Ml Healthcare
★★★★★2Below averageOak Brook Health Care Center
107 Stacy Dr., Whitehouse, TX 75791 · 15.5 mi
Government · 120 beds · Part of Caring Healthcare Group
★★★★★3AverageThe Center at Grande
3219 East Grande Boulevard, Tyler, TX 75707 · 16.8 mi
For-profit · 96 beds · Part of Veritas Management Group
★★★★★5Much above average
Frequently asked questions
What is Avir at Overton's rating?
Avir at Overton has 2 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 Overton receive?
Its most recent standard health inspection found 12 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Avir at Overton 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 Overton?
It is for profit - limited liability company and part of Avir Health Group. The ownership section on this page lists the owners and managers reported to CMS.
Where is Avir at Overton and how do I contact it?
Avir at Overton is at 1110 Hwy 135 S, Overton, TX 75684. Phone: (903) 834-6166.
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.