Quick answers
- Where is Avir at San Augustine?
- 902 E. Main Street, San Augustine, TX 75972, in San Augustine County, Texas.
- What is the phone number of Avir at San Augustine?
- (936) 275-2055, as listed by Medicare (CMS).
- What is the Medicare star rating of Avir at San Augustine?
- Medicare overall rating: 3 out of 5 stars (CMS data updated 2026-10-01).
- Has Avir at San Augustine been fined?
- Medicare lists 3 fines totaling $102,752.
- What did inspectors find at Avir at San Augustine?
- In its last three inspection cycles (February 14, 2024 to May 13, 2026), Medicare lists 20 health citations; the most serious was level J. 3 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 (February 14, 2024 to May 13, 2026), Avir at San Augustine had 20 health citations; the most serious was level J (immediate jeopardy to resident health or safety). 3 of them were level G or higher (actual harm or immediate jeopardy). It was fined $102,752 in total (3 fines, the latest on February 14, 2025). Nurse staffing is 3.73 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: May 13, 2026 — 3 health citations
Inspections in this cycle: May 13, 2026 (standard health inspection).
Show 3 citations (levels A to F, no actual harm)
F0759 Level E
“Ensure medication error rates are not 5 percent or greater.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
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.”
Previous cycle: March 5, 2025 — 6 health citations
Inspections in this cycle: February 14, 2025 (complaint investigation); March 5, 2025 (standard health inspection).
F0695 Level J
“Provide safe and appropriate respiratory care for a resident when needed.”
immediate jeopardy to resident health or safety; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 5 less serious citations (levels A to F)
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0921 Level E
“Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.”
F0926 Level E
“Have policies on smoking.”
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0756 Level D
“Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.”
Earlier cycle: February 14, 2024 — 11 health citations
Inspections in this cycle: February 14, 2024 (complaint investigation); February 14, 2024 (standard health inspection).
F0760 Level J
“Ensure that residents are free from significant medication errors.”
immediate jeopardy to resident health or safety; isolated (a few residents) · Pharmacy Service Deficiencies
F0770 Level J
“Provide timely, quality laboratory services/tests to meet the needs of residents.”
immediate jeopardy to resident health or safety; isolated (a few residents) · Administration Deficiencies
Show 9 less serious citations (levels A to F)
F0609 Level E
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
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.”
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0600 Level D
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
F0610 Level D
“Respond appropriately to all alleged violations.”
F0677 Level D
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0732 Level C
“Post nurse staffing information every day.”
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 (11)
K0341 Level F
“Install a fire alarm system that can be heard throughout the facility.”
K0345 Level F
“Have approved installation, maintenance and testing program for fire alarm systems.”
K0353 Level E
“Inspect, test, and maintain automatic sprinkler systems.”
K0211 Level D
“Keep aisles, corridors, and exits free of obstruction in case of emergency.”
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.”
K0324 Level D
“Provide properly protected cooking facilities.”
K0351 Level D
“Install an approved automatic sprinkler system.”
K0321 Level F
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
K0345 Level F
“Have approved installation, maintenance and testing program for fire alarm systems.”
K0353 Level F
“Inspect, test, and maintain automatic sprinkler systems.”
K0511 Level F
“Have properly installed electrical wiring and gas equipment.”
Fines and payment denials
Total fines over about the last three years: $102,752 (3 fines). A payment denial means Medicare stopped paying for new admissions for a time.
| Date | Penalty | Amount or length |
|---|---|---|
| February 14, 2025 | Fine | $75,498 |
| February 14, 2024 | Fine | $13,627 |
| February 14, 2024 | Fine | $13,627 |
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 | 0.41 | 0.44 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.49 | 0.94 | 0.86 |
| Nurse aide hours per resident per day | 1.83 | 2.03 | 2.35 |
| Total nurse staff hours per resident per day | 3.73 | 3.42 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 3.20 | 2.99 | 3.43 |
| RN hours per resident per day on the weekend | 0.40 | 0.35 | 0.48 |
| Nursing staff turnover (per year) | 79.6% | 50.8% | 45.3% |
| Administrators who left in the last year | 0.0 | 0.6 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 88 |
| Average residents per day | 37.2 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – corporation |
| Legal business name | Legal Business Name Not Available |
| First approved by Medicare/Medicaid | 2000-10-12 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 902 E. Main Street, San Augustine, TX 75972 |
| County | San Augustine County |
| State | Texas |
| Phone | (936) 275‑2055 |
| CMS Certification Number | 675846 |
| Name in Medicare records | AVIR AT SAN AUGUSTINE |
| 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).
- Stonecreek Nursing & Rehabilitation1.6 mi · San Augustine, TX · 4 of 5 stars
- Colonial Pines Healthcare Center3.2 mi · San Augustine, TX · 4 of 5 stars
- Avir at Center19 mi · Center, TX · 4 of 5 stars
- Pine Grove Nursing Center19 mi · Center, TX · 5 of 5 stars
- Hemphill Care Center19 mi · Hemphill, TX · 2 of 5 stars
Nearest hospital emergency rooms
- CHI St Lukes Health Memorial San Augustine0.4 mi · San Augustine, TX · Rural Emergency Hospital
- Sabine County Hospital21 mi · Hemphill, TX · Critical Access Hospital
- Nacogdoches Memorial Hospital33 mi · Nacogdoches, 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