F
38/100

Avir at Houston Inspection Report, Violations & Safety Grade (Houston, Texas)

2310 S Eldridge Pkwy., Houston, Texas 77077

Phone: 2815583900

CMS Overall:1/5

Overview & Bed Count

Certified Beds
148
Avg Residents/Day
75.1
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
County
Harris
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall1/5
Health1/5
Staffing2/5
Quality4/5

Nurse Staffing Check

MetricThis FacilityTexas AvgDifference
RN Hours per Resident per Day0.550.44+0.11
Total Nurse Hours per Resident per Day3.743.42+0.32
CMS Staffing Rating2/51.9/5-
Nursing Staff TurnoverN/A50.8%-

Health Citation History

44 health citations on record

DateCategoryDescriptionSeverity
2026-07-10Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2026-07-10Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.D – Moderate Harm Potential
2026-07-10Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.D – Moderate Harm Potential
2026-07-10Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.D – Moderate Harm Potential
2026-06-26Resident Assessment and Care Planning DeficienciesCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD – Moderate Harm Potential
2026-06-26Quality of Life and Care DeficienciesProvide appropriate foot care.D – Moderate Harm Potential
2026-06-26Administration DeficienciesArrange 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 – Moderate Harm Potential
2026-06-18Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D – Moderate Harm Potential
2026-06-16Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D – Moderate Harm Potential
2026-06-16Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2026-05-08Resident Rights DeficienciesEnsure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.J – Immediate Jeopardy
2026-05-08Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E – Moderate Harm Potential
2026-05-08Quality of Life and Care DeficienciesProvide activities to meet all resident's needs.E – Moderate Harm Potential
2026-05-08Pharmacy Service DeficienciesEnsure 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 – Moderate Harm Potential
2026-05-08Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.E – Moderate Harm Potential
2026-05-08Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2026-05-08Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.D – Moderate Harm Potential
2026-05-08Resident Assessment and Care Planning DeficienciesPASARR screening for Mental disorders or Intellectual DisabilitiesD – Moderate Harm Potential
2026-04-15Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E – Moderate Harm Potential
2026-04-15Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.D – Moderate Harm Potential
2025-12-02Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.K – Immediate Jeopardy
2025-12-02Resident Rights DeficienciesEnsure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.D – Moderate Harm Potential
2025-11-19Resident Assessment and Care Planning DeficienciesEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.D – Moderate Harm Potential
2025-11-19Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D – Moderate Harm Potential
2025-03-20Quality of Life and Care DeficienciesProvide activities to meet all resident's needs.E – Moderate Harm Potential
2025-03-20Quality of Life and Care DeficienciesProvide for the safe, appropriate administration of IV fluids for a resident when needed.E – Moderate Harm Potential
2025-03-20Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.E – Moderate Harm Potential
2025-03-20Resident Assessment and Care Planning DeficienciesAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.D – Moderate Harm Potential
2025-03-20Resident Assessment and Care Planning DeficienciesAssure that each resident’s assessment is updated at least once every 3 months.D – Moderate Harm Potential
2025-03-20Resident Assessment and Care Planning DeficienciesEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.D – Moderate Harm Potential
2025-03-20Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2025-03-20Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.D – Moderate Harm Potential
2025-03-20Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.D – Moderate Harm Potential
2025-03-20Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.D – Moderate Harm Potential
2025-03-07Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.E – Moderate Harm Potential
2025-03-07Quality of Life and Care DeficienciesProvide appropriate foot care.E – Moderate Harm Potential
2025-03-07Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D – Moderate Harm Potential
2024-02-20Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.J – Immediate Jeopardy
2024-02-20Nursing and Physician Services DeficienciesEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.J – Immediate Jeopardy
2024-02-20Nursing and Physician Services DeficienciesObserve each nurse aide's job performance and give regular training.E – Moderate Harm Potential
2024-02-20Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.E – Moderate Harm Potential
2023-12-07Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D – Moderate Harm Potential
2023-11-08Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.K – Immediate Jeopardy
2023-11-08Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.K – Immediate Jeopardy

Fire Safety Citation History

10 fire safety citations on record

DateCategoryDescriptionSeverity
2026-05-08Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2026-05-08Egress DeficienciesKeep aisles, corridors, and exits free of obstruction in case of emergency.E – Moderate Harm Potential
2026-05-08Smoke DeficienciesInstall smoke barrier doors that can resist smoke for at least 20 minutes.E – Moderate Harm Potential
2025-03-20Smoke DeficienciesHave a complete alarm system manually initiated and initiated by fire sprinkler system connection.D – Moderate Harm Potential
2025-03-20Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.D – Moderate Harm Potential
2025-03-20Services DeficienciesHave properly installed electrical wiring and gas equipment.D – Moderate Harm Potential
2025-03-20Gas, Vacuum, and Electrical Systems DeficienciesHave proper medical gas storage and administration areas.D – Moderate Harm Potential
2024-02-20Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.F – Moderate Harm Potential
2024-02-20Gas, Vacuum, and Electrical Systems DeficienciesEnsure precautions for handling oxygen cylinders and equipment are correctly followed.E – Moderate Harm Potential
2024-02-20Smoke DeficienciesProperly select, install, inspect, or maintain portable fire extinguishes.D – Moderate Harm Potential

Total Penalties & Fines

$180,218
Total Fine Amount (CMS)
4
Number of Fines
5
Total Penalties
DateTypeFine AmountPayment Denial
2026-05-08Fine$27,378-
2025-11-19Fine$124,099-
2024-02-20Fine$10,845-
2024-02-20Payment Denial-3 days starting 2024-03-20
2023-11-08Fine$17,896-

Need Help Finding Safe Care?

Our family advisors can help you find vetted, top-rated facilities in the Houston area at no cost.

Advisor service is free for families. We may receive referral compensation.