45/100
Below average
Avir At San Augustine
902 E. Main Street, San Augustine, TX 75972
- Certified beds
- 88
- Occupancy
- 43%
- 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.
$102,752 in federal fines
CMS has fined this facility across 3 penalty action(s).
Nursing staff turnover of 82%
High turnover means residents rarely see the same caregiver twice. The national average is about 50%.
Our read on Avir At San Augustine
Avir At San Augustine runs on thin staffing: 3.54 nurse hours per resident day, about 8% under the national average, and weekends drop roughly 7% below its own weekday levels. That's a real problem when turnover hits 82%, nearly double the national 45.8%, because new hires cycle through faster than they can learn residents' needs. The inspection history backs this up: 20 deficiencies on the current record, including 3 at harm or jeopardy level and 3 tied to abuse, with $102,752 in fines across three penalties. A 4/5 inspection rating and recent May 2026 survey suggest the home can pass a walkthrough, but a 1/5 staffing score and 2/5 quality measures tell you what day-to-day care actually looks like.
Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.
How this grade was calculated
Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.
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
30/30Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
- →No citations recorded in the last 3 years
Staffing
8/30Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
- →3.13 total nurse hours per resident per day (national median 3.77)
- →0.35 RN hours per resident per day
- →Weekend staffing drops 7% against weekdays
Staff stability
0/15How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
- →82% of nursing staff left in the last year
Resident outcomes
5/15The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
- →2 of 5 stars on the CMS quality-measure rating
Enforcement history
2/10Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
- →$102,752 in federal fines across 3 action(s)
Staffing, against the national average
Full detailHours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Recent inspection findings
Last standard health inspection: May 13, 2026 (5 months ago). No citations were recorded.
No health-inspection citations on record for this facility in the current CMS release.
What families say
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Common questions about Avir At San Augustine
What is the ElderGrade for Avir At San Augustine? +
Avir At San Augustine holds an ElderGrade of D (45 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 San Augustine? +
Residents receive an average of 3.54 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Has Avir At San Augustine been cited for harming residents? +
No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.
Does Avir At San Augustine accept Medicaid? +
Yes, Avir At San Augustine 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.
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