Government - Federal · 110 certified beds · CMS number 675809
Avir at Lancaster, Lancaster, TX
CMS records 31 health deficiencies at Avir at Lancaster in Lancaster, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Jan 15, 2026. The highest severity cited is J (immediate jeopardy to resident health or safety). 3 citations were at the immediate jeopardy level, 1 of them recorded as past non-compliance (fixed before the inspection). CMS lists 3 fines totaling $42,851 in the last three years.
- 31deficiencies, 3 cycles (TX median 25)
- 15in the latest cycle (TX median 8)
- Jhighest severity · Immediate jeopardy
- $42,851fines, last 3 years
- 1CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Avir at Lancaster as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Avir at Lancaster may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (15 deficiencies)
Standard inspection Jan 15, 2026. CMS counts 15 health deficiencies and 5 fire safety deficiencies in this cycle.
Jul 29, 2026 · Complaint inspection
1 deficiency, highest G
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
- G Actual harm (not immediate jeopardy), isolated
- Status
- Correction date Jul 31, 2026
Jul 25, 2026 · Complaint inspection
1 deficiency, highest E
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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- No plan of correction on file
Jun 30, 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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jul 1, 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 Jul 1, 2026
Jun 12, 2026 · Complaint inspection
1 deficiency, highest E
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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 30, 2026
May 4, 2026 · Complaint inspection
1 deficiency, highest E
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 May 5, 2026
Apr 11, 2026 · Complaint inspection
2 deficiencies, highest J
F776 · Radiology and diagnostic services
Requirement cited (CMS): Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Apr 12, 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
- G Actual harm (not immediate jeopardy), isolated
- Status
- Correction date Apr 12, 2026
Jan 15, 2026 · Standard inspection
5 deficiencies, highest E
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 Feb 15, 2026
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 Feb 15, 2026
F688 · Range of motion and mobility
Requirement cited (CMS): Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 15, 2026
F684 · Quality of care
Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 15, 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 15, 2026
Nov 24, 2025 · Complaint inspection
1 deficiency, highest D
F567 · Managing personal money
Requirement cited (CMS): Honor the resident's right to manage his or her financial affairs.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 25, 2025
Nov 5, 2025 · Complaint inspection
1 deficiency, highest D
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 6, 2025
Previous cycle: 9 deficiencies (standard inspection Oct 31, 2024)
Standard inspection Oct 31, 2024. CMS counts 9 health deficiencies and 4 fire safety deficiencies in this cycle.
Jun 19, 2025 · Complaint inspection
1 deficiency, highest J
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
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Jun 20, 2025
Oct 31, 2024 · Standard + complaint inspection
4 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 Nov 15, 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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Nov 15, 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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Nov 15, 2024
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 Nov 15, 2024
Sep 18, 2024 · Complaint inspection
4 deficiencies, highest J
F842 · Complete, confidential medical records
Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Sep 19, 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
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Past non-compliance (fixed before the inspection), Aug 19, 2024
F585 · Grievances and how they are handled
Requirement cited (CMS): Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Sep 19, 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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Sep 19, 2024
Earlier cycle: 7 deficiencies (standard inspection Sep 20, 2023)
Standard inspection Sep 20, 2023. CMS counts 7 health deficiencies and 3 fire safety deficiencies in this cycle.
Sep 20, 2023 · Standard inspection
6 deficiencies, highest F
F921 · Safe, functional, sanitary building
Requirement cited (CMS): Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 7, 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 Oct 7, 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
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Oct 7, 2023
F692 · Nutrition and hydration
Requirement cited (CMS): Provide enough food/fluids to maintain a resident's health.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 7, 2023
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
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 7, 2023
F578 · Refusing treatment and advance directives
Requirement cited (CMS): Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 7, 2023
Sep 7, 2023 · Complaint inspection
1 deficiency, highest D
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 Oct 7, 2023
Tags cited in more than one inspection
5 tags cited on more than one inspection date at Avir at Lancaster; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F584 Safe, clean, homelike surroundings | 4 | Jun 12, 2026; Oct 31, 2024; Sep 18, 2024; Sep 20, 2023 |
| F755 Pharmacy services and a consultant pharmacist | 3 | Jul 25, 2026; Jan 15, 2026; Sep 7, 2023 |
| F812 Food safety and sanitation | 3 | Jan 15, 2026; Oct 31, 2024; Sep 20, 2023 |
| F656 Comprehensive person-centered care plan | 2 | Jul 29, 2026; Jan 15, 2026 |
| F689 Accident prevention and supervision | 2 | Apr 11, 2026; Sep 18, 2024 (PNC) |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Apr 11, 2026 | Fine | $11,942 |
| Jun 19, 2025 | Fine | $17,282 |
| Sep 18, 2024 | Fine | $13,627 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.36 h (about the same as the Texas median of 3.27 h)
- RN hours per resident per day
- 0.77 h (above the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.87 h
- Nursing staff turnover
- 63.2% (Texas median 52.1%)
- Administrators who left
- 1
- CMS overall rating
- 1 of 5
- Health inspection rating
- 1 of 5
- Staffing rating
- 3 of 5
- Quality measure rating
- 4 of 5
CMS figures for Avir at Lancaster, copied as published; Texas medians are ours.
Facility details
- Address
- 1241 Westridge Ave, Lancaster, TX 75146
- Phone
- (972) 227-5110
- County
- Dallas
- Accepts
- Medicare and Medicaid
- Ownership
- Government - Federal
- Chain (CMS)
- Avir Health Group
- Certified beds
- 110
- Average residents per day
- 56.6
- In Medicare/Medicaid since
- Oct 8, 1999
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident and family council
- Both
- Sprinklers in all required areas
- Yes
Questions to ask on a visit
Based on the tags cited most often here.
- How often are rooms cleaned and bed linens changed? (F584, cited 4 times)
- How are new medication orders filled, and how quickly can urgent medications arrive? (F755, cited 3 times)
- When was the kitchen last inspected, and how are food temperatures checked? (F812, cited 3 times)
- How are a resident's goals and preferences written into the care plan? (F656, cited 2 times)
Other nursing homes in Lancaster and the same chain
- Lancaster Nursing & Rehabilitation
Lancaster · 32 deficiencies - Millbrook Healthcare and Rehabilitation Center
Lancaster · 27 deficiencies - Windsor Gardens
Lancaster · 27 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.