For profit - Corporation · 109 certified beds · CMS number 455490
Avir at The Lakes, Texas City, TX
CMS records 29 health deficiencies at Avir at The Lakes in Texas City, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Dec 4, 2025. The highest severity cited is J (immediate jeopardy to resident health or safety). 1 citation was at the immediate jeopardy level, 1 of them recorded as past non-compliance (fixed before the inspection). CMS lists 1 fine totaling $8,410 in the last three years.
- 29deficiencies, 3 cycles (TX median 25)
- 9in the latest cycle (TX median 8)
- Jhighest severity · Immediate jeopardy
- $8,410fines, last 3 years
- 2CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Avir at The Lakes as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Avir at The Lakes may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (9 deficiencies)
Standard inspection Dec 4, 2025. CMS counts 9 health deficiencies and 6 fire safety deficiencies in this cycle.
Dec 4, 2025 · Standard inspection
8 deficiencies, highest E
F914 · Visual privacy in bedrooms
Requirement cited (CMS): Provide bedrooms that don't allow residents to see each other when privacy is needed.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jan 4, 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 Jan 4, 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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jan 4, 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 Jan 4, 2026
F658 · Professional standards in care
Requirement cited (CMS): Ensure services provided by the nursing facility meet professional standards of quality.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jan 4, 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 Jan 4, 2026
F645 · Pre-admission screening for mental disorder or intellectual disability
Requirement cited (CMS): PASARR screening for Mental disorders or Intellectual Disabilities
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jan 4, 2026
F641 · Accurate resident assessments
Requirement cited (CMS): Ensure each resident receives an accurate assessment.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 4, 2026
Nov 24, 2025 · Complaint inspection
1 deficiency, highest J
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)
Previous cycle: 6 deficiencies (standard inspection Sep 11, 2024)
Standard inspection Sep 11, 2024. CMS counts 6 health deficiencies and 3 fire safety deficiencies in this cycle.
Nov 26, 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 Dec 10, 2024
Sep 11, 2024 · Standard inspection
5 deficiencies, highest F
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 4, 2024
F791 · Dental services in Medicaid nursing facilities
Requirement cited (CMS): Provide or obtain dental services for each resident.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Oct 4, 2024
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 Oct 4, 2024
F640 · Submitting assessment data on time
Requirement cited (CMS): Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Oct 4, 2024
F550 · Dignity and the right to exercise rights
Requirement cited (CMS): Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Oct 4, 2024
Earlier cycle: 14 deficiencies (standard inspection Aug 4, 2023)
Standard inspection Aug 4, 2023. CMS counts 14 health deficiencies and 2 fire safety deficiencies in this cycle.
Jun 5, 2024 · Complaint inspection
3 deficiencies, highest F
F925 · Pest control
Requirement cited (CMS): Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Jun 7, 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 Jun 7, 2024
F622 · Permitted reasons for transfer or discharge
Requirement cited (CMS): Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 7, 2024
Aug 4, 2023 · Standard inspection
11 deficiencies, highest F
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Sep 3, 2023
F825 · Therapy and rehabilitation services
Requirement cited (CMS): Provide or get specialized rehabilitative services as required for a resident.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 3, 2023
F760 · No significant medication errors
Requirement cited (CMS): Ensure that residents are free from significant medication errors.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 3, 2023
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 3, 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 Sep 3, 2023
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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Sep 3, 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 3, 2023
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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Sep 3, 2023
F645 · Pre-admission screening for mental disorder or intellectual disability
Requirement cited (CMS): PASARR screening for Mental disorders or Intellectual Disabilities
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 3, 2023
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 Sep 3, 2023
F636 · Full assessment at admission and yearly
Requirement cited (CMS): Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 3, 2023
Tags cited in more than one inspection
5 tags cited on more than one inspection date at Avir at The Lakes; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F644 Coordinating with PASARR screening | 2 | Sep 11, 2024; Aug 4, 2023 |
| F645 Pre-admission screening for mental disorder or intellectual disability | 2 | Dec 4, 2025; Aug 4, 2023 |
| F656 Comprehensive person-centered care plan | 2 | Dec 4, 2025; Aug 4, 2023 |
| F755 Pharmacy services and a consultant pharmacist | 2 | Dec 4, 2025; Aug 4, 2023 |
| F812 Food safety and sanitation | 2 | Sep 11, 2024; Jun 5, 2024 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Nov 24, 2025 | Fine | $8,410 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 2.86 h (below the Texas median of 3.27 h)
- RN hours per resident per day
- 0.40 h (about the same as the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.50 h
- Nursing staff turnover
- 62.0% (Texas median 52.1%)
- Administrators who left
- 0
- 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 The Lakes, copied as published; Texas medians are ours.
Facility details
- Address
- 424 N Tarpey Rd, Texas City, TX 77591
- Phone
- (409) 938-8431
- County
- Galveston
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Chain (CMS)
- Hamilton County Hospital District
- Certified beds
- 109
- Average residents per day
- 70
- In Medicare/Medicaid since
- Sep 12, 1984
- 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.
- If a resident has a mental health condition or intellectual disability, how are PASARR recommendations included in their care? (F644, cited 2 times)
- How does the home confirm the pre-admission screening is done for new residents with a mental health condition or intellectual disability? (F645, cited 2 times)
- How are a resident's goals and preferences written into the care plan? (F656, cited 2 times)
- How are new medication orders filled, and how quickly can urgent medications arrive? (F755, cited 2 times)
Other nursing homes in Texas City and the same chain
- Seabreeze Nursing and Rehabilitation
Texas City · 41 deficiencies - The Shoal
Texas City · 12 deficiencies - Harbor Point Skilled Nursing
Texas City · 10 deficiencies - The Phoenix Post-Acute
Texas City · 8 deficiencies - Colonial Manor Advanced Rehab & Healthcare
Pharr · 37 deficiencies - The Reserve at Richardson
Richardson · 35 deficiencies - Cedar Hollow Rehabilitation Center
Sherman · 30 deficiencies - Rosenberg Health & Rehabilitation Center
Rosenberg · 29 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.