Quick answers
- Where is Avir at Sherman?
- 1000 Sara Swamy Drive, Sherman, TX 75090, in Grayson County, Texas.
- What is the phone number of Avir at Sherman?
- (903) 891-1730, as listed by Medicare (CMS).
- What is the Medicare star rating of Avir at Sherman?
- Medicare overall rating: 1 out of 5 stars (CMS data updated 2026-10-01).
- Has Avir at Sherman been fined?
- Medicare lists no fines for Avir at Sherman.
- What did inspectors find at Avir at Sherman?
- In its last three inspection cycles (April 23, 2024 to August 5, 2026), Medicare lists 44 health citations; the most serious was level E. 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 (April 23, 2024 to August 5, 2026), Avir at Sherman had 44 health citations; the most serious was level E (no actual harm, potential for more than minimal harm). Medicare lists no fines or payment denials for it in the last three years. Nurse staffing is 3.18 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: August 5, 2026 — 26 health citations
Inspections in this cycle: December 10, 2025 (complaint investigation); February 4, 2026 (complaint investigation); February 19, 2026 (complaint investigation); March 26, 2026 (complaint investigation); June 2, 2026 (complaint investigation); August 5, 2026 (complaint investigation); August 5, 2026 (standard health inspection).
Show 26 citations (levels A to F, no actual harm)
F0641 Level E
“Ensure each resident receives an accurate assessment.”
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.”
F0695 Level E
“Provide safe and appropriate respiratory care for a resident when needed.”
F0759 Level E
“Ensure medication error rates are not 5 percent or greater.”
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.”
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0842 Level E
“Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0925 Level E
“Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.”
F0755 Level E
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0578 Level D
“Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.”
F0605 Level D
“Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.”
F0627 Level D
“Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.”
F0628 Level D
“Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.”
F0644 Level D
“Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.”
F0657 Level D
“Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”
F0677 Level D
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0685 Level D
“Assist a resident in gaining access to vision and hearing services.”
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.”
F0755 Level D
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0644 Level D
“Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
F0628 Level D
“Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.”
F0580 Level D
“Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.”
F0644 Level D
“Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.”
Previous cycle: June 5, 2025 — 13 health citations
Inspections in this cycle: April 16, 2025 (complaint investigation); June 5, 2025 (complaint investigation); June 5, 2025 (standard health inspection).
Show 13 citations (levels A to F, no actual harm)
F0584 Level E
“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.”
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.”
F0759 Level E
“Ensure medication error rates are not 5 percent or greater.”
F0804 Level E
“Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.”
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.”
F0692 Level D
“Provide enough food/fluids to maintain a resident's health.”
F0698 Level D
“Provide safe, appropriate dialysis care/services for a resident who requires such services.”
F0742 Level D
“Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.”
F0755 Level D
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
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.”
F0677 Level D
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
Earlier cycle: May 23, 2024 — 5 health citations
Inspections in this cycle: April 23, 2024 (complaint investigation); May 23, 2024 (standard health inspection).
Show 5 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.”
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0677 Level E
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
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.”
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 (5)
K0345 Level F
“Have approved installation, maintenance and testing program for fire alarm systems.”
K0345 Level F
“Have approved installation, maintenance and testing program for fire alarm systems.”
K0352 Level F
“Properly install and monitor supervisory attachments on automatic sprinkler systems.”
K0324 Level C
“Provide properly protected cooking facilities.”
K0374 Level E
“Install smoke barrier doors that can resist smoke for at least 20 minutes.”
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 | 0.14 | 0.44 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.93 | 0.94 | 0.86 |
| Nurse aide hours per resident per day | 2.11 | 2.03 | 2.35 |
| Total nurse staff hours per resident per day | 3.18 | 3.42 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 2.85 | 2.99 | 3.43 |
| RN hours per resident per day on the weekend | 0.15 | 0.35 | 0.48 |
| Nursing staff turnover (per year) | 90.4% | 50.8% | 45.3% |
| RN turnover (per year) | 100.0% | 49.8% | 42.5% |
| Administrators who left in the last year | 1.0 | 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 118 nursing homes: Avir Health Group.
Legal business name: Dallas County Hospital District.
Owners and managers Medicare lists (2)
| Name | Role | Share | Since |
|---|---|---|---|
| Dallas County Hospital District | Direct owner | 100% | March 31, 2017 |
| 1000 E Sara Swamy Dr Opco, LLC | Management company (operational or managerial control) | NOT APPLICABLE | August 1, 2025 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 132 |
| Average residents per day | 77.3 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – limited liability company |
| Group or chain (affiliated entity) | Avir Health Group |
| Legal business name | Dallas County Hospital District |
| First approved by Medicare/Medicaid | 2006-11-02 |
| Located inside a hospital | Yes |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 1000 Sara Swamy Drive, Sherman, TX 75090 |
| County | Grayson County |
| State | Texas |
| Phone | (903) 891‑1730 |
| CMS Certification Number | 676120 |
| 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).
- Texoma Healthcare Center0.8 mi · Sherman, TX · 1 of 5 stars
- Focused Care at Sherman3.5 mi · Sherman, TX · 1 of 5 stars
- Beacon Hill3.7 mi · Denison, TX · 4 of 5 stars
- Woodlands Place Rehabilitation Suites5.6 mi · Denison, TX · 3 of 5 stars
- Denison Nursing and Rehab5.8 mi · Denison, TX · 2 of 5 stars
Nearest hospital emergency rooms
- Baylor Scott and White Surgical Hospital at Sherma0.2 mi · Sherman, TX · Acute Care Hospital
- Wilson N Jones Regional Medical Center3.0 mi · Sherman, TX · Acute Care Hospital
- Texoma Medical Center6.5 mi · Denison, 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