Quick answers
- Where is Avir at Memorial?
- 1300 Memorial Dr, Denison, TX 75020, in Grayson County, Texas.
- What is the phone number of Avir at Memorial?
- (903) 465-7442, as listed by Medicare (CMS).
- What is the Medicare star rating of Avir at Memorial?
- Medicare overall rating: 1 out of 5 stars (CMS data updated 2026-10-01).
- Has Avir at Memorial been fined?
- Medicare lists 1 fine totaling $47,097.
- What did inspectors find at Avir at Memorial?
- In its last three inspection cycles (June 22, 2023 to May 3, 2026), Medicare lists 37 health citations; the most serious was level K. 2 were level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (June 22, 2023 to May 3, 2026), Avir at Memorial had 37 health citations; the most serious was level K (immediate jeopardy to resident health or safety). 2 of them were level G or higher (actual harm or immediate jeopardy). It was fined $47,097 in total (1 fine, the latest on August 12, 2024). Nurse staffing is 3.30 hours per resident per day; the Texas average is 3.42 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: September 11, 2025 — 15 health citations
Inspections in this cycle: September 11, 2025 (standard health inspection); December 3, 2025 (complaint investigation); May 3, 2026 (complaint investigation).
Show 15 citations (levels A to F, no actual harm)
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0576 Level E
“Ensure residents have reasonable access to and privacy in their use of communication methods.”
F0689 Level E
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0600 Level D
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
F0558 Level D
“Reasonably accommodate the needs and preferences of each resident.”
F0695 Level D
“Provide safe and appropriate respiratory care for a resident when needed.”
F0761 Level D
“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.”
F0553 Level D
“Allow resident to participate in the development and implementation of his or her person-centered plan of care.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0695 Level D
“Provide safe and appropriate respiratory care for a resident when needed.”
F0759 Level D
“Ensure medication error rates are not 5 percent or greater.”
F0761 Level D
“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.”
F0804 Level D
“Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.”
Previous cycle: August 12, 2024 — 15 health citations
Inspections in this cycle: August 12, 2024 (standard health inspection); May 20, 2025 (complaint investigation).
F0584 Level K
“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.”
immediate jeopardy to resident health or safety; pattern (some residents) · Resident Rights Deficiencies
F0925 Level K
“Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.”
immediate jeopardy to resident health or safety; pattern (some residents) · Environmental Deficiencies
Show 13 less serious citations (levels A to F)
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0607 Level E
“Develop and implement policies and procedures to prevent abuse, neglect, and theft.”
F0656 Level E
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0677 Level E
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0679 Level E
“Provide activities to meet all resident's needs.”
F0761 Level 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.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0685 Level D
“Assist a resident in gaining access to vision and hearing services.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0690 Level D
“Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.”
F0693 Level D
“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.”
F0698 Level D
“Provide safe, appropriate dialysis care/services for a resident who requires such services.”
Earlier cycle: June 22, 2023 — 7 health citations
Inspections in this cycle: June 22, 2023 (standard health inspection); August 12, 2024 (complaint investigation).
Show 7 citations (levels A to F, no actual harm)
F0677 Level E
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0684 Level E
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0925 Level E
“Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0755 Level D
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (14)
K0353 Level F
“Inspect, test, and maintain automatic sprinkler systems.”
K0372 Level E
“Ensure smoke barriers are constructed to a 1 hour fire resistance rating.”
K0211 Level C
“Keep aisles, corridors, and exits free of obstruction in case of emergency.”
K0521 Level C
“Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.”
K0741 Level E
“Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.”
K0211 Level C
“Keep aisles, corridors, and exits free of obstruction in case of emergency.”
K0324 Level C
“Provide properly protected cooking facilities.”
K0521 Level C
“Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.”
K0324 Level E
“Provide properly protected cooking facilities.”
K0372 Level E
“Ensure smoke barriers are constructed to a 1 hour fire resistance rating.”
K0321 Level D
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
K0741 Level D
“Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.”
K0211 Level C
“Keep aisles, corridors, and exits free of obstruction in case of emergency.”
K0521 Level C
“Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.”
Fines and payment denials
Total fines over about the last three years: $47,097 (1 fine). A payment denial means Medicare stopped paying for new admissions for a time.
| Date | Penalty | Amount or length |
|---|---|---|
| August 12, 2024 | Fine | $47,097 |
Source: Medicare (CMS) Penalties file, data updated October 1, 2026.
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | Texas | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.35 | 0.44 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.04 | 0.94 | 0.86 |
| Nurse aide hours per resident per day | 1.91 | 2.03 | 2.35 |
| Total nurse staff hours per resident per day | 3.30 | 3.42 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 2.95 | 2.99 | 3.43 |
| RN hours per resident per day on the weekend | 0.18 | 0.35 | 0.48 |
| Nursing staff turnover (per year) | 100.0% | 50.8% | 45.3% |
| Administrators who left in the last year | 2.0 | 0.6 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Part of a group of 66 nursing homes: Fundamental Healthcare.
Legal business name: Legal Business Name Not Available.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 136 |
| Average residents per day | 65.1 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – limited liability company |
| Group or chain (affiliated entity) | Fundamental Healthcare |
| Legal business name | Legal Business Name Not Available |
| First approved by Medicare/Medicaid | 1989-05-02 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 1300 Memorial Dr, Denison, TX 75020 |
| County | Grayson County |
| State | Texas |
| Phone | (903) 465‑7442 |
| CMS Certification Number | 455806 |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- The Homestead of Denison0.3 mi · Denison, TX · 3 of 5 stars
- Woodlands Place Rehabilitation Suites1.3 mi · Denison, TX · 3 of 5 stars
- Denison Nursing and Rehab2.2 mi · Denison, TX · 2 of 5 stars
- Beacon Hill3.3 mi · Denison, TX · 4 of 5 stars
- Southern Pointe Living Center6.4 mi · Colbert, OK · 1 of 5 stars
Nearest hospital emergency rooms
- Texoma Medical Center3.1 mi · Denison, TX · Acute Care Hospital
- Baylor Scott and White Surgical Hospital at Sherma7.0 mi · Sherman, TX · Acute Care Hospital
- Wilson N Jones Regional Medical Center9.9 mi · Sherman, TX · Acute Care Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13