63/100
Average
Avir At Garland
321 N Shiloh Rd., Garland, TX 75042
- Certified beds
- 109
- Occupancy
- 73%
- 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.
$91,641 in federal fines
CMS has fined this facility across 5 penalty action(s).
Our read on Avir At Garland
Garland Nursing and Rehabilitation runs on thinner staffing than most homes, 3.38 nurse hours per resident day against a national average of 3.86, and it gets even thinner on weekends, when coverage drops about 11% below the home's own weekday level. That gap shows up in the numbers that matter: a one-star health inspection rating, 43 deficiencies on the current record, seven of them serious enough to put residents at risk of harm, plus six tied to abuse. Fines total $91,343 across five penalties. Annual turnover of 50.9% means more than half the nursing staff leaves each year, well above the 45.8% national rate, so residents cycle through caregivers who are still learning the building.
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
13/30Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
- →3.49 total nurse hours per resident per day (national median 3.77)
- →0.44 RN hours per resident per day
- →Weekend staffing drops 11% against weekdays
Staff stability
9/15How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
- →51% of nursing staff left in the last year
Resident outcomes
9/15The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
- →3 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.
- →$91,641 in federal fines across 5 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 21, 2026 (5 months ago). No citations were recorded.
No health-inspection citations on record for this facility in the current CMS release.
Who owns this home
Full recordPart of AVIR HEALTH GROUP, which operates 118 homes. Staffing budgets are usually set at chain level, not in the building.
What families say
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Common questions about Avir At Garland
What is the ElderGrade for Avir At Garland? +
Avir At Garland holds an ElderGrade of C (63 out of 100), which we describe as "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 Garland? +
Residents receive an average of 3.38 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Has Avir At Garland 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 Garland accept Medicaid? +
Yes, Avir At Garland 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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