ElderGrade
D

45.6/100

Below average

Avir At Overton

1110 Hwy 135 S, Overton, TX 75684

CMS 2/5 stars #3 of 3 in Rusk County (903) 834-6166
Certified beds
100
Occupancy
47%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • Abuse icon on record

    CMS flags this facility for citations of abuse that caused harm, or potential for harm, to residents.

  • 13 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $363,446 in federal fines

    CMS has fined this facility across 6 penalty action(s).

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection 2.6/30 Staffing 23/30 Stability 5/15 Outcomes 15/15 Enforcement 0/10

A full pentagon is full marks. The shape shows what kind of good or bad a home is — two homes can share a score and look nothing alike.

Inspection safety

2.6/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -20 for 11 immediate-jeopardy citation(s) in the last 3 years
  • -7.4 for 38 total citations against a national median of 17

Staffing

23/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 4.44 total nurse hours per resident per day (national median 3.77)
  • 0.28 RN hours per resident per day
  • Weekend staffing holds steady

Staff stability

5/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 58% of nursing staff left in the last year

Resident outcomes

15/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 5 of 5 stars on the CMS quality-measure rating

Enforcement history

0/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $363,446 in federal fines across 6 action(s)
  • -0 for 1 denial(s) of Medicare payment for new admissions

Grade ceiling applied

  • Capped at 64 (grade C) — CMS abuse icon on record
  • Capped at 64 (grade C) — immediate-jeopardy citation in the last 3 years

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.77 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.28 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.62 hrs
National average 3.42 hrs Better than average

The shift most families visit, and the one thinned first.

Nursing staff turnover 58.30%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 41 citations

Last standard health inspection: April 29, 2026 (3 months ago).

J May 20, 2026 F0607 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Immediate jeopardy to resident health or safety

E Apr 29, 2026 F0727

Nursing and Physician Services Deficiencies

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.

No actual harm, potential for more than minimal harm

E Apr 29, 2026 F0921

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

No actual harm, potential for more than minimal harm

D Apr 29, 2026 F0584

Resident Rights Deficiencies

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.

No actual harm, potential for more than minimal harm

D Apr 29, 2026 F0925

Environmental Deficiencies

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

No actual harm, potential for more than minimal harm

D Apr 29, 2026 F0926

Environmental Deficiencies

Have policies on smoking.

No actual harm, potential for more than minimal harm

D Mar 11, 2026 F0580 From a complaint

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

No actual harm, potential for more than minimal harm

D Mar 11, 2026 F0655 From a complaint

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of AVIR HEALTH GROUP, which operates 119 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
MURRELL, EDWARD Individual CORPORATE DIRECTOR
1110 HIGHWAY 135 S OPCO LLC Organization OPERATIONAL/MANAGERIAL CONTROL
FREUND, NOCHUM Individual OPERATIONAL/MANAGERIAL CONTROL
TRAVITSKY, AARON Individual OPERATIONAL/MANAGERIAL CONTROL
DAGAN, AMITAI Individual INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE O...
GOLDBERGER, ABRAHAM Individual INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE O...
GOLDBERGER, FAIGY Individual INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE O...
1110 HIGHWAY 135 S OPCO LLC Organization ADP OF THE SNF
1110 HIGHWAY 135 S PROPERTY OWNER LLC Organization ADP OF THE SNF
WELLTOWER INC Organization ADP OF THE SNF
WELLTOWER NNN GROUP, LLC Organization ADP OF THE SNF
WELLTOWER OP, LLC Organization ADP OF THE SNF

What families say

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Common questions about Avir At Overton

What is the ElderGrade for Avir At Overton? +

Avir At Overton holds an ElderGrade of D (45.6 out of 100), which we describe as "below average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Avir At Overton? +

Residents receive an average of 3.77 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Avir At Overton been cited for harming residents? +

Yes. 13 of the 41 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Avir At Overton accept Medicaid? +

Yes, Avir At Overton is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.