For profit - Limited Liability company · 132 certified beds · CMS number 676120
Avir at Sherman, Sherman, TX
CMS records 34 health deficiencies at Avir at Sherman in Sherman, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Jun 5, 2025. The highest severity cited is E (no actual harm, potential for more than minimal harm). CMS lists no fines or payment denials in the last three years.
- 34deficiencies, 3 cycles (TX median 25)
- 17in the latest cycle (TX median 8)
- Ehighest severity · Potential for harm
- $0fines, last 3 years
- 2CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Avir at Sherman as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Avir at Sherman may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (17 deficiencies)
Standard inspection Jun 5, 2025. CMS counts 17 health deficiencies and 3 fire safety deficiencies in this cycle.
Jun 2, 2026 · Complaint inspection
1 deficiency, highest D
F644 · Coordinating with PASARR screening
Requirement cited (CMS): Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 22, 2026
Mar 26, 2026 · Complaint inspection
1 deficiency, highest D
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 Apr 1, 2026
Feb 19, 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
- Correction date Mar 2, 2026
Feb 4, 2026 · Complaint inspection
1 deficiency, highest D
F628 · Discharge paperwork, notices, and bed-hold information
Requirement cited (CMS): Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 20, 2026
Dec 10, 2025 · Complaint inspection
2 deficiencies, highest D
F644 · Coordinating with PASARR screening
Requirement cited (CMS): Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 6, 2026
F580 · Telling residents and families about changes
Requirement cited (CMS): Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 6, 2026
Jun 5, 2025 · Standard + complaint inspection
11 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 Jun 13, 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 Jun 13, 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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 13, 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 Jun 13, 2025
F759 · Medication error rate under 5 percent
Requirement cited (CMS): Ensure medication error rates are not 5 percent or greater.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 13, 2025
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 13, 2025
F742 · Treatment for mental health and trauma
Requirement cited (CMS): Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 13, 2025
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 Jun 13, 2025
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 Jun 13, 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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 13, 2025
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 13, 2025
Previous cycle: 6 deficiencies (standard inspection May 23, 2024)
Standard inspection May 23, 2024. CMS counts 6 health deficiencies and 1 fire safety deficiency in this cycle.
Apr 16, 2025 · Complaint inspection
2 deficiencies, highest D
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 Apr 17, 2025
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
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 17, 2025
May 23, 2024 · Standard inspection
4 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 Jun 21, 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 Jun 21, 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
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 21, 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 Jun 21, 2024
Earlier cycle: 11 deficiencies (standard inspection Mar 30, 2023)
Standard inspection Mar 30, 2023. CMS counts 11 health deficiencies and 3 fire safety deficiencies in this cycle.
Apr 23, 2024 · Complaint inspection
1 deficiency, highest E
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 May 22, 2024
Sep 21, 2023 · Complaint inspection
2 deficiencies, highest D
F626 · Returning after a hospital stay
Requirement cited (CMS): Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 20, 2023
F623 · Written notice before a move
Requirement cited (CMS): Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 20, 2023
Mar 30, 2023 · 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 Apr 21, 2023
F759 · Medication error rate under 5 percent
Requirement cited (CMS): Ensure medication error rates are not 5 percent or greater.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 21, 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 Apr 21, 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 Apr 21, 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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 21, 2023
F610 · Investigating and responding to allegations
Requirement cited (CMS): Respond appropriately to all alleged violations.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date May 1, 2023
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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date May 1, 2023
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 May 1, 2023
Tags cited in more than one inspection
8 tags cited on more than one inspection date at Avir at Sherman; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F880 Infection prevention and control program | 5 | Mar 26, 2026; Jun 5, 2025; Apr 16, 2025; May 23, 2024; Mar 30, 2023 |
| F677 Help with daily care | 4 | Apr 16, 2025; May 23, 2024; Apr 23, 2024; Mar 30, 2023 |
| F755 Pharmacy services and a consultant pharmacist | 3 | Feb 19, 2026; Jun 5, 2025; Mar 30, 2023 |
| F644 Coordinating with PASARR screening | 2 | Jun 2, 2026; Dec 10, 2025 |
| F656 Comprehensive person-centered care plan | 2 | Jun 5, 2025; Mar 30, 2023 |
| F759 Medication error rate under 5 percent | 2 | Jun 5, 2025; Mar 30, 2023 |
| F761 Drug labeling and secure storage | 2 | Jun 5, 2025; May 23, 2024 |
| F812 Food safety and sanitation | 2 | Jun 5, 2025; May 23, 2024 |
Fines and payment denials
CMS lists no fines or payment denials for this nursing home in the last three years.
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.06 h (below the Texas median of 3.27 h)
- RN hours per resident per day
- 0.15 h (below the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.78 h
- Nursing staff turnover
- 87.1% (Texas median 52.1%)
- Administrators who left
- 1
- CMS overall rating
- 2 of 5
- Health inspection rating
- 3 of 5
- Staffing rating
- 1 of 5
- Quality measure rating
- 4 of 5
CMS figures for Avir at Sherman, copied as published; Texas medians are ours.
Facility details
- Address
- 1000 Sara Swamy Drive, Sherman, TX 75090
- Phone
- (903) 891-1730
- County
- Grayson
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Chain (CMS)
- Avir Health Group
- Certified beds
- 132
- Average residents per day
- 76.8
- In Medicare/Medicaid since
- Nov 2, 2006
- 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 often do residents who need help get assistance with bathing, grooming, and mouth care? (F677, cited 4 times)
- How are new medication orders filled, and how quickly can urgent medications arrive? (F755, cited 3 times)
- If a resident has a mental health condition or intellectual disability, how are PASARR recommendations included in their care? (F644, cited 2 times)
Other nursing homes in Sherman and the same chain
- Focused Care at Sherman
Sherman · 48 deficiencies - Texoma Healthcare Center
Sherman · 44 deficiencies - Cedar Hollow Rehabilitation Center
Sherman · 30 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.