Avir at Overton
Nursing Home · Overton, TX
CMS certification number675408
CMS lists this nursing home as a Special Focus Facility candidate – one of the lowest-performing nursing homes in its state based on inspection history.
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).
Contact & location
1110 Hwy 135 SOverton, TX 75684
Rusk County
- Phone
- (903) 834-6166
- ZIP code
- 75684 – all care providers
Facility details
- Certified beds
- 100
- Residents per day
- 47.3 (47% occupied)
- Ownership
- For profit - Limited Liability company
- Legal name
- Winnie-Stowell Hospital District
- Chain
- Avir Health Group (116 facilities, avg 2.3★)
- Medicare certified since
- November 14, 1994
- 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
- 3.77 (state 3.39 · U.S. 3.86)
- Registered nurses (RN)
- 0.28 (state 0.43 · U.S. 0.69)
- Licensed practical nurses
- 0.89 (state 0.95 · U.S. 0.86)
- Nurse aides
- 2.60 (state 2.00 · U.S. 2.32)
- Weekend total
- 3.62 (state 2.98 · U.S. 3.42)
- Nursing staff turnover
- 58.3 (state 55.3 · U.S. 45.8)%
- RN turnover
- —
- Administrators who left
- 1 in the last year
Inspections
- Last standard inspection
- April 29, 2026
- Health deficiencies (last cycle)
- 14.0 (state 9.3 · U.S. 9.3)
- From complaints
- 9
- Citations on record (3 years)
- 41 health · 12 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-05-20 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2026-05-27 |
| 2026-04-29 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. F0727 · Nursing and Physician Services Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-04-30 |
| 2026-04-29 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F0921 · Environmental Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-04-30 |
| 2026-04-29 | 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 |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-30 |
| 2026-04-29 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. F0925 · Environmental Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-30 |
| 2026-04-29 | Have policies on smoking. F0926 · Environmental Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-30 |
| 2026-03-11 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-12 |
| 2026-03-11 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-12 |
| 2026-01-13 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-14 |
| 2025-11-24 | 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 2025-11-25 |
| 2025-11-24 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-11-25 |
| 2025-11-21 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-11-22 |
| 2025-08-13 | 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 |
J Immediate jeopardy to resident health or safety |
Past Non-Compliance |
| 2025-08-13 | 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 · complaint inspection |
J Immediate jeopardy to resident health or safety |
Past Non-Compliance |
| 2025-02-18 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. F0727 · Nursing and Physician Services Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-02-19 |
| 2025-02-18 | 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 2025-02-19 |
| 2025-02-18 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F0921 · Environmental Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-02-19 |
| 2025-02-18 | 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 2025-02-19 |
| 2025-02-18 | Post nurse staffing information every day. F0732 · Nursing and Physician Services Deficiencies |
C No actual harm, potential for minimal harm |
Corrected 2025-02-19 |
| 2025-01-26 | 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 |
J Immediate jeopardy to resident health or safety |
Corrected 2025-02-06 |
| 2025-01-26 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. F0678 · Quality of Life and Care Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2025-02-06 |
| 2025-01-14 | 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 |
E No actual harm, potential for more than minimal harm |
Corrected 2025-01-15 |
| 2024-05-21 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-05 |
| 2023-12-06 | 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 2023-12-11 |
| 2023-12-06 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. F0851 · Administration Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2023-12-11 |
| 2023-12-06 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-12-11 |
| 2023-12-06 | 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 2023-12-11 |
| 2023-12-06 | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. F0807 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-12-11 |
| 2023-12-06 | 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 2023-12-11 |
| 2023-12-06 | Assess the resident when there is a significant change in condition F0637 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-12-11 |
| 2023-10-26 | 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 |
K Immediate jeopardy to resident health or safety |
Corrected 2023-10-27 |
| 2023-10-26 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
K Immediate jeopardy to resident health or safety |
Corrected 2023-10-27 |
| 2023-10-26 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. F0867 · Administration Deficiencies · complaint inspection |
K Immediate jeopardy to resident health or safety |
Corrected 2023-10-27 |
| 2023-10-26 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2023-10-27 |
| 2023-10-26 | 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 · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2023-10-27 |
| 2023-10-26 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2023-10-27 |
| 2023-09-06 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-09-23 |
| 2023-09-06 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-09-23 |
| 2023-08-16 | 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 |
K Immediate jeopardy to resident health or safety |
Corrected 2023-09-07 |
| 2023-08-16 | Provide appropriate foot care. F0687 · Quality of Life and Care Deficiencies · complaint inspection |
K Immediate jeopardy to resident health or safety |
Corrected 2023-09-07 |
| 2023-08-16 | 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 |
E No actual harm, potential for more than minimal harm |
Corrected 2023-09-07 |
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
5 penalties in the last three years, including $340,621 in fines.
| Date | Type | Amount |
|---|---|---|
| 2026-05-20 | Fine | $19,615 |
| 2025-08-13 | Fine | $14,325 |
| 2025-08-13 | Fine | $8,431 |
| 2025-01-14 | Fine | $130,686 |
| 2023-10-26 | Fine | $167,564 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| 1110 Highway 135 S Opco LLC (organization) | Administrator · NOT APPLICABLE | |
| 1110 Highway 135 S Property Owner LLC (organization) | Administrator · NOT APPLICABLE | |
| Hekimian, Khoren (individual) | Administrator · NOT APPLICABLE | |
| Sanders, Leo (individual) | Administrator · NOT APPLICABLE | |
| Welltower INC (organization) | Administrator · NOT APPLICABLE | |
| Welltower NNN Group, LLC (organization) | Administrator · NOT APPLICABLE | |
| Welltower Op, LLC (organization) | Administrator · NOT APPLICABLE | |
| Murrell, Edward (individual) | Corporate Director · NOT APPLICABLE | |
| Dagan, Amitai (individual) | Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE | |
| Goldberger, Abraham (individual) | Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE | |
| Goldberger, Faigy (individual) | Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE | |
| 1110 Highway 135 S Opco LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Freund, Nochum (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Travitsky, Aaron (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Avir at Overton?
Avir at Overton has a 2-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 Overton have?
It has 100 certified beds and cares for about 47 residents per day.
Has Avir at Overton been fined?
Yes. CMS lists 5 penalties totaling $340,621 in the last three years.
Who owns Avir at Overton?
It is part of Avir Health Group 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 Overton?
(903) 834-6166. The facility is located at 1110 Hwy 135 S, Overton, TX 75684.
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.