For profit - Limited Liability company · 136 certified beds · CMS number 455806

Avir at Memorial, Denison, TX

CMS records 37 health deficiencies at Avir at Memorial in Denison, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Sep 11, 2025. The highest severity cited is K (immediate jeopardy to resident health or safety). 2 citations were at the immediate jeopardy level. CMS lists 1 fine totaling $47,097 in the last three years.

Inspections and deficiencies

CMS findings for Avir at Memorial as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Avir at Memorial may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare

Most recent cycle (15 deficiencies)

Standard inspection Sep 11, 2025. CMS counts 15 health deficiencies and 4 fire safety deficiencies in this cycle.

May 3, 2026 · Complaint inspection

2 deficiencies, highest E

F880 · Infection prevention and control program

Requirement cited (CMS): Provide and implement an infection prevention and control program.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date May 25, 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 May 25, 2026

Dec 3, 2025 · Complaint inspection

3 deficiencies, 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 Dec 18, 2025

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 Dec 18, 2025

F558 · Accommodating individual needs and preferences

Requirement cited (CMS): Reasonably accommodate the needs and preferences of each resident.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Dec 18, 2025

Sep 11, 2025 · Standard inspection

10 deficiencies, highest E

F880 · Infection prevention and control program

Requirement cited (CMS): Provide and implement an infection prevention and control program.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Sep 26, 2025

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
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Sep 26, 2025

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
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Sep 26, 2025

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 26, 2025

F759 · Medication error rate under 5 percent

Requirement cited (CMS): Ensure medication error rates are not 5 percent or greater.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Sep 26, 2025

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 26, 2025

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 Sep 26, 2025

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 26, 2025

F576 · Phone, mail, and internet access

Requirement cited (CMS): Ensure residents have reasonable access to and privacy in their use of communication methods.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Sep 26, 2025

F553 · Taking part in care planning

Requirement cited (CMS): Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Sep 26, 2025
Previous cycle: 15 deficiencies (standard inspection Aug 12, 2024)

Standard inspection Aug 12, 2024. CMS counts 15 health deficiencies and 4 fire safety deficiencies in this cycle.

May 20, 2025 · Complaint inspection

1 deficiency, highest E

F880 · Infection prevention and control program

Requirement cited (CMS): Provide and implement an infection prevention and control program.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date May 22, 2025

Aug 12, 2024 · Standard + complaint inspection

14 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 30, 2024

F880 · Infection prevention and control program

Requirement cited (CMS): Provide and implement an infection prevention and control program.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Aug 30, 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 Aug 30, 2024

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 Aug 30, 2024

F698 · Dialysis care

Requirement cited (CMS): Provide safe, appropriate dialysis care/services for a resident who requires such services.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Aug 30, 2024

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 Aug 30, 2024

F690 · Bladder, bowel, and catheter care

Requirement cited (CMS): Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Aug 30, 2024

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
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Aug 30, 2024

F685 · Vision and hearing services

Requirement cited (CMS): Assist a resident in gaining access to vision and hearing services.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Aug 30, 2024

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 Aug 30, 2024

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 Aug 30, 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
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Aug 30, 2024

F607 · Abuse prevention policies

Requirement cited (CMS): Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Aug 30, 2024

F584 · Safe, clean, homelike surroundings

Requirement cited (CMS): 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.

Severity
K Immediate jeopardy to resident health or safety, pattern
Status
Correction date Aug 30, 2024
Earlier cycle: 7 deficiencies (standard inspection Jun 22, 2023)

Standard inspection Jun 22, 2023. CMS counts 7 health deficiencies and 6 fire safety deficiencies in this cycle.

Jun 22, 2023 · Standard inspection

7 deficiencies, highest E

F925 · Pest control

Requirement cited (CMS): Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jun 27, 2023

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 Jun 27, 2023

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
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jun 27, 2023

F755 · Pharmacy services and a consultant pharmacist

Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jun 27, 2023

F684 · Quality of care

Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jun 27, 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 Jun 27, 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 Jun 27, 2023

Tags cited in more than one inspection

8 tags cited on more than one inspection date at Avir at Memorial; each date counts once and does not mean the same incident. PNC = past non-compliance.

TagInspectionsDates
F880 Infection prevention and control program5May 3, 2026; Sep 11, 2025; May 20, 2025; Aug 12, 2024; Jun 22, 2023
F656 Comprehensive person-centered care plan3Sep 11, 2025; Aug 12, 2024; Jun 22, 2023
F761 Drug labeling and secure storage3Dec 3, 2025; Sep 11, 2025; Aug 12, 2024
F812 Food safety and sanitation3Sep 11, 2025; Aug 12, 2024; Jun 22, 2023
F677 Help with daily care2Aug 12, 2024; Jun 22, 2023
F689 Accident prevention and supervision2Sep 11, 2025; Aug 12, 2024
F695 Respiratory and oxygen care2Dec 3, 2025; Sep 11, 2025
F925 Pest control2Aug 12, 2024; Jun 22, 2023

Fines and payment denials

DateTypeAmount / length
Aug 12, 2024Fine$47,097

Staffing and CMS ratings

Total nurse staff hours per resident per day
3.43 h (about the same as the Texas median of 3.27 h)
RN hours per resident per day
0.44 h (above the Texas median of 0.38 h)
Weekend nurse staff hours per resident per day
2.96 h
Nursing staff turnover
not reported
Administrators who left
1
CMS overall rating
1 of 5
Health inspection rating
2 of 5
Staffing rating
1 of 5
Quality measure rating
4 of 5

CMS figures for Avir at Memorial, copied as published; Texas medians are ours.

Facility details

Address
1300 Memorial Dr, Denison, TX 75020
Phone
(903) 465-7442
County
Grayson
Accepts
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Chain (CMS)
Fundamental Healthcare
Certified beds
136
Average residents per day
58.5
In Medicare/Medicaid since
May 2, 1989
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 do staff track and report infections among residents? (F880, cited 5 times)
  • How are a resident's goals and preferences written into the care plan? (F656, cited 3 times)
  • How are medications stored and secured on each unit? (F761, cited 3 times)
  • When was the kitchen last inspected, and how are food temperatures checked? (F812, cited 3 times)

Other nursing homes in Denison and the same chain

Source

CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.

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