Avir at Memorial
Nursing Home · Denison, TX
CMS certification number455806
Contact & location
1300 Memorial DRDenison, TX 75020
Grayson County
- Phone
- (903) 465-7442
- ZIP code
- 75020 – all care providers
Facility details
- Certified beds
- 136
- Residents per day
- 58.5 (43% occupied)
- Ownership
- For profit - Limited Liability company
- Legal name
- Dallas County Hospital District
- Chain
- Fundamental Healthcare (66 facilities, avg 2.4★)
- Medicare certified since
- May 2, 1989
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.43 (state 3.39 · U.S. 3.86)
- Registered nurses (RN)
- 0.44 (state 0.43 · U.S. 0.69)
- Licensed practical nurses
- 1.09 (state 0.95 · U.S. 0.86)
- Nurse aides
- 1.90 (state 2.00 · U.S. 2.32)
- Weekend total
- 2.96 (state 2.98 · U.S. 3.42)
- Nursing staff turnover
- —
- RN turnover
- —
- Administrators who left
- 1 in the last year
Inspections
- Last standard inspection
- September 11, 2025
- Health deficiencies (last cycle)
- 15.0 (state 9.3 · U.S. 9.3)
- From complaints
- 5
- Citations on record (3 years)
- 37 health · 14 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-05-03 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-05-25 |
| 2026-05-03 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-05-25 |
| 2025-12-03 | Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-12-18 |
| 2025-12-03 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-12-18 |
| 2025-12-03 | 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. F0761 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-12-18 |
| 2025-09-11 | Ensure residents have reasonable access to and privacy in their use of communication methods. F0576 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-09-26 |
| 2025-09-11 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-09-26 |
| 2025-09-11 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-09-26 |
| 2025-09-11 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-09-26 |
| 2025-09-11 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. F0553 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-26 |
| 2025-09-11 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-26 |
| 2025-09-11 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-26 |
| 2025-09-11 | Ensure medication error rates are not 5 percent or greater. F0759 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-26 |
| 2025-09-11 | 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. F0761 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-26 |
| 2025-09-11 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804 · Nutrition and Dietary Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-26 |
| 2025-05-20 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-05-22 |
| 2024-08-12 | 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. F0584 · Resident Rights Deficiencies · complaint inspection |
K Immediate jeopardy to resident health or safety |
Corrected 2024-08-30 |
| 2024-08-12 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. F0925 · Environmental Deficiencies · complaint inspection |
K Immediate jeopardy to resident health or safety |
Corrected 2024-08-30 |
| 2024-08-12 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-08-30 |
| 2024-08-12 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-08-30 |
| 2024-08-12 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-08-30 |
| 2024-08-12 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-08-30 |
| 2024-08-12 | Provide activities to meet all resident's needs. F0679 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-08-30 |
| 2024-08-12 | 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. F0761 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-08-30 |
| 2024-08-12 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-08-30 |
| 2024-08-12 | Assist a resident in gaining access to vision and hearing services. F0685 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-30 |
| 2024-08-12 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-30 |
| 2024-08-12 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-30 |
| 2024-08-12 | 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. F0693 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-30 |
| 2024-08-12 | Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-30 |
| 2023-06-22 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-06-27 |
| 2023-06-22 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-06-27 |
| 2023-06-22 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-06-27 |
| 2023-06-22 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. F0925 · Environmental Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-06-27 |
| 2023-06-22 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-06-27 |
| 2023-06-22 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-06-27 |
| 2023-06-22 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-06-27 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
1 penalty in the last three years, including $47,097 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-08-12 | Fine | $47,097 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Dallas County Hospital District (organization) | 5%+ Direct Ownership Interest · 100% | |
| Bradley, Shannan (individual) | Corporate Director · NOT APPLICABLE | |
| Cerise, Frederick (individual) | Corporate Director · NOT APPLICABLE | |
| Castaneda, Edmundo (individual) | Corporate Officer · NOT APPLICABLE | |
| Dallas County Hospital District (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Texoma Long Term Care, LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Bradley, Shannan (individual) | W-2 Managing Employee · NOT APPLICABLE | |
| Castaneda, Edmundo (individual) | W-2 Managing Employee · NOT APPLICABLE | |
| Clemens, Erin (individual) | W-2 Managing Employee · NOT APPLICABLE |
Frequently asked questions
What is the rating of Avir at Memorial?
Avir at Memorial has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.
How many beds does Avir at Memorial have?
It has 136 certified beds and cares for about 59 residents per day.
Has Avir at Memorial been fined?
Yes. CMS lists 1 penalty totaling $47,097 in the last three years.
Who owns Avir at Memorial?
It is part of Fundamental Healthcare and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Avir at Memorial?
(903) 465-7442. The facility is located at 1300 Memorial DR, Denison, TX 75020.
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Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.