For profit - Corporation · 112 certified beds · CMS number 675885
Avir at Caldwell, Caldwell, TX
CMS records 36 health deficiencies at Avir at Caldwell in Caldwell, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Jan 8, 2026. The highest severity cited is K (immediate jeopardy to resident health or safety). 3 citations were at the immediate jeopardy level. CMS lists 2 fines totaling $85,195 in the last three years.
- 3 immediate jeopardy (J/K/L) citations
- A tag cited in 5 inspections
- 2 under dispute (IDR/IIDR)
- 36deficiencies, 3 cycles (TX median 25)
- 14in the latest cycle (TX median 8)
- Khighest severity · Immediate jeopardy
- $85,195fines, last 3 years
- 1CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Avir at Caldwell as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Avir at Caldwell may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (14 deficiencies)
Standard inspection Jan 8, 2026. CMS counts 14 health deficiencies and 4 fire safety deficiencies in this cycle.
Jul 31, 2026 · Complaint inspection
2 deficiencies, highest K
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Plan of correction, no correction date yet
- Dispute
- Under informal dispute resolution (IDR)
F609 · Reporting suspected abuse and crimes
Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Plan of correction, no correction date yet
- Dispute
- Under informal dispute resolution (IDR)
Jun 20, 2026 · Complaint inspection
2 deficiencies, highest E
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 21, 2026
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 21, 2026
Jun 10, 2026 · Complaint inspection
2 deficiencies, highest D
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 21, 2026
F600 · Freedom from abuse and neglect
Requirement cited (CMS): Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 21, 2026
Jan 8, 2026 · Standard inspection
8 deficiencies, highest E
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 6, 2026
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 6, 2026
F693 · Feeding tube use and care
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 6, 2026
F686 · Pressure ulcer prevention and care
Requirement cited (CMS): Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 6, 2026
F679 · Activities program
Requirement cited (CMS): Provide activities to meet all resident's needs.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 6, 2026
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 6, 2026
F655 · Baseline care plan within 48 hours
Requirement cited (CMS): Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 6, 2026
F583 · Personal privacy and confidential records
Requirement cited (CMS): Keep residents' personal and medical records private and confidential.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 6, 2026
Previous cycle: 11 deficiencies (standard inspection Oct 16, 2024)
Standard inspection Oct 16, 2024. CMS counts 11 health deficiencies and 7 fire safety deficiencies in this cycle.
Aug 26, 2025 · Complaint inspection
2 deficiencies, highest K
F925 · Pest control
Requirement cited (CMS): Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Aug 27, 2025
F684 · Quality of care
Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Aug 27, 2025
Oct 16, 2024 · Standard inspection
9 deficiencies, highest F
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 4, 2024
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Nov 4, 2024
F804 · Palatable, attractive food at safe temperatures
Requirement cited (CMS): Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Nov 4, 2024
F803 · Menus that meet nutritional needs
Requirement cited (CMS): Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Nov 4, 2024
F758 · Psychotropic drug safeguards
Requirement cited (CMS): Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 4, 2024
F697 · Pain management
Requirement cited (CMS): Provide safe, appropriate pain management for a resident who requires such services.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 4, 2024
F657 · Care plan timing and team review
Requirement cited (CMS): Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 4, 2024
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 4, 2024
F568 · Accounting for resident funds
Requirement cited (CMS): Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 4, 2024
Earlier cycle: 11 deficiencies (standard inspection Aug 18, 2023)
Standard inspection Aug 18, 2023. CMS counts 11 health deficiencies and 7 fire safety deficiencies in this cycle.
Aug 24, 2024 · Complaint inspection
1 deficiency, highest D
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 12, 2024
Jul 19, 2024 · Complaint inspection
1 deficiency, highest F
F555 · Choosing an attending physician
Requirement cited (CMS): Honor the resident's right to choose his or her attending physician.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Aug 3, 2024
Jun 12, 2024 · Complaint inspection
2 deficiencies, highest E
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jul 8, 2024
F657 · Care plan timing and team review
Requirement cited (CMS): Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 8, 2024
Aug 18, 2023 · Standard inspection
7 deficiencies, highest E
F803 · Menus that meet nutritional needs
Requirement cited (CMS): Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Sep 29, 2023
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 29, 2023
F695 · Respiratory and oxygen care
Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 29, 2023
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Sep 29, 2023
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 29, 2023
F583 · Personal privacy and confidential records
Requirement cited (CMS): Keep residents' personal and medical records private and confidential.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Sep 29, 2023
F558 · Accommodating individual needs and preferences
Requirement cited (CMS): Reasonably accommodate the needs and preferences of each resident.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Sep 29, 2023
Tags cited in more than one inspection
7 tags cited on more than one inspection date at Avir at Caldwell; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F761 Drug labeling and secure storage | 5 | Jun 20, 2026; Jan 8, 2026; Aug 24, 2024; Jun 12, 2024; Aug 18, 2023 |
| F656 Comprehensive person-centered care plan | 4 | Jun 10, 2026; Jan 8, 2026; Oct 16, 2024; Aug 18, 2023 |
| F583 Personal privacy and confidential records | 2 | Jan 8, 2026; Aug 18, 2023 |
| F657 Care plan timing and team review | 2 | Oct 16, 2024; Jun 12, 2024 |
| F689 Accident prevention and supervision | 2 | Jul 31, 2026; Jun 20, 2026 |
| F803 Menus that meet nutritional needs | 2 | Oct 16, 2024; Aug 18, 2023 |
| F880 Infection prevention and control program | 2 | Jan 8, 2026; Oct 16, 2024 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Jul 31, 2026 | Fine | $75,159 |
| Aug 26, 2025 | Fine | $10,036 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.12 h (about the same as the Texas median of 3.27 h)
- RN hours per resident per day
- 0.30 h (below the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.85 h
- Nursing staff turnover
- 94.3% (Texas median 52.1%)
- Administrators who left
- 1
- CMS overall rating
- 1 of 5
- Health inspection rating
- 2 of 5
- Staffing rating
- 1 of 5
- Quality measure rating
- 3 of 5
CMS figures for Avir at Caldwell, copied as published; Texas medians are ours.
Facility details
- Address
- 1022 Presidential Corridor Hwy 21 E, Caldwell, TX 77836
- Phone
- (979) 567-0920
- County
- Burleson
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Chain (CMS)
- Avir Health Group
- Certified beds
- 112
- Average residents per day
- 47.4
- In Medicare/Medicaid since
- Sep 18, 2001
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
Questions to ask on a visit
Based on the tags cited most often here.
- How are medications stored and secured on each unit? (F761, cited 5 times)
- How are a resident's goals and preferences written into the care plan? (F656, cited 4 times)
- How do staff protect residents' privacy during bathing, dressing, and treatments? (F583, cited 2 times)
- Who sits on the care planning team, and how are family members invited? (F657, cited 2 times)
Other nursing homes in Caldwell and the same chain
- Copperas Hollow Nursing & Rehabilitation Center
Caldwell · 21 deficiencies - Avir at El Paso
El Paso · 93 deficiencies - Avir at Patriot
El Paso · 78 deficiencies - Avir at Cowhorn Creek
Texarkana · 68 deficiencies - Avir at Kerrville
Kerrville · 67 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.