For profit - Limited Liability company · 95 certified beds · CMS number 455489
Avir at Jeffrey Place, Waco, TX
CMS records 33 health deficiencies at Avir at Jeffrey Place in Waco, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Apr 9, 2026. The highest severity cited is J (immediate jeopardy to resident health or safety). 2 citations were at the immediate jeopardy level, 1 of them recorded as past non-compliance (fixed before the inspection). CMS lists 2 fines totaling $22,382 and 1 payment denial in the last three years.
- 2 immediate jeopardy (J/K/L) citations
- A tag cited in 3 inspections
- Ownership changed in the last 12 months (CMS)
- 33deficiencies, 3 cycles (TX median 25)
- 3in the latest cycle (TX median 8)
- Jhighest severity · Immediate jeopardy
- $22,382fines, last 3 years
- 3CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Avir at Jeffrey Place as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Avir at Jeffrey Place may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (3 deficiencies)
Standard inspection Apr 9, 2026. CMS counts 3 health deficiencies and 1 fire safety deficiency in this cycle.
Apr 9, 2026 · Standard inspection
3 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 May 8, 2026
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 May 8, 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 May 8, 2026
Previous cycle: 14 deficiencies (standard inspection Feb 6, 2025)
Standard inspection Feb 6, 2025. CMS counts 14 health deficiencies and 3 fire safety deficiencies in this cycle.
Jul 29, 2025 · 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 Aug 29, 2025
Jul 11, 2025 · Complaint inspection
2 deficiencies, highest J
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 Jul 20, 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
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Past non-compliance (fixed before the inspection), May 31, 2025
Feb 6, 2025 · Standard inspection
10 deficiencies, highest F
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 Feb 10, 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
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Feb 10, 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 Feb 10, 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 Feb 10, 2025
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 10, 2025
F676 · Maintaining daily living abilities
Requirement cited (CMS): Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 10, 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 Feb 10, 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 Feb 10, 2025
F559 · Roommate choice and room-change notice
Requirement cited (CMS): Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 10, 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 Feb 10, 2025
Jan 22, 2025 · Complaint inspection
1 deficiency, highest D
F624 · Preparing residents for a move
Requirement cited (CMS): Prepare residents for a safe transfer or discharge from the nursing home.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 12, 2025
Earlier cycle: 16 deficiencies (standard inspection Jan 24, 2024)
Standard inspection Jan 24, 2024. CMS counts 16 health deficiencies and 8 fire safety deficiencies in this cycle.
Jul 19, 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 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 Jul 21, 2024
Jun 27, 2024 · 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 Jul 1, 2024
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 Jul 1, 2024
May 7, 2024 · Complaint inspection
2 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 May 10, 2024
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
- Past non-compliance (fixed before the inspection), Apr 24, 2024
Apr 8, 2024 · Complaint inspection
3 deficiencies, 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
- Correction date Apr 9, 2024
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 Apr 9, 2024
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 Apr 9, 2024
Jan 24, 2024 · Standard inspection
6 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 22, 2024
F813 · Food brought in by visitors
Requirement cited (CMS): Have a policy regarding use and storage of foods brought to residents by family and other visitors.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 22, 2024
F730 · Nurse aide reviews and in-service training
Requirement cited (CMS): Observe each nurse aide's job performance and give regular training.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 22, 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 Feb 22, 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 Feb 22, 2024
F565 · Resident and family councils
Requirement cited (CMS): Honor the resident's right to organize and participate in resident/family groups in the facility.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 22, 2024
Oct 17, 2023 · Complaint inspection
1 deficiency, highest E
F695 · Respiratory and oxygen care
Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Oct 27, 2023
Tags cited in more than one inspection
10 tags cited on more than one inspection date at Avir at Jeffrey Place; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F656 Comprehensive person-centered care plan | 3 | Feb 6, 2025; Jun 27, 2024; Jan 24, 2024 |
| F761 Drug labeling and secure storage | 3 | Feb 6, 2025; Jul 19, 2024; May 7, 2024 |
| F584 Safe, clean, homelike surroundings | 2 | Feb 6, 2025; Jan 24, 2024 |
| F600 Freedom from abuse and neglect | 2 | May 7, 2024 (PNC); Apr 8, 2024 |
| F689 Accident prevention and supervision | 2 | Jul 11, 2025 (PNC); Apr 8, 2024 |
| F695 Respiratory and oxygen care | 2 | Feb 6, 2025; Oct 17, 2023 |
| F755 Pharmacy services and a consultant pharmacist | 2 | Apr 9, 2026; Jul 29, 2025 |
| F760 No significant medication errors | 2 | Apr 9, 2026; Jul 11, 2025 |
| F812 Food safety and sanitation | 2 | Apr 9, 2026; Feb 6, 2025 |
| F880 Infection prevention and control program | 2 | Feb 6, 2025; Jan 24, 2024 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Jul 11, 2025 | Fine | $14,361 |
| Apr 8, 2024 | Fine | $8,021 |
| Apr 8, 2024 | Payment Denial | 3 days from May 7, 2024 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.31 h (about the same as the Texas median of 3.27 h)
- RN hours per resident per day
- 0.26 h (below the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.94 h
- Nursing staff turnover
- 62.1% (Texas median 52.1%)
- Administrators who left
- 1
- CMS overall rating
- 3 of 5
- Health inspection rating
- 3 of 5
- Staffing rating
- 2 of 5
- Quality measure rating
- 4 of 5
CMS figures for Avir at Jeffrey Place, copied as published; Texas medians are ours.
Facility details
- Address
- 820 Jeffrey Dr, Waco, TX 76710
- Phone
- (254) 772-9480
- County
- Mc Lennan
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Chain (CMS)
- Avir Health Group
- Certified beds
- 95
- Average residents per day
- 68.3
- In Medicare/Medicaid since
- Jun 22, 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.
- 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)
- How often are rooms cleaned and bed linens changed? (F584, cited 2 times)
- How does the home screen, train, and supervise staff to protect residents? (F600, cited 2 times)
Other nursing homes in Waco and the same chain
- Greenview Nursing and Rehabilitation
Waco · 53 deficiencies - Lakeshore Village Nursing and Rehabilitation
Waco · 52 deficiencies - The Chateau Waco
Waco · 31 deficiencies - Wesley Woods Health & Rehabilitation
Waco · 29 deficiencies - Woodland Springs Nursing Center
Waco · 29 deficiencies - Ridgecrest Retirement and Healthcare Community
Waco · 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.