Avir At Belton
810 E. 13TH AVE, Belton, TX, 76513
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company
- Certified beds
- 114 · avg 51 residents/day
- Total nursing staff turnover
- 41.7% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 60% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 4 fines · $264,912 total
- Infection control citations
- 2
State licensing & capacity
- License number
- 308173
- Service type
- Medicare/medicaid
- Licensed capacity
- 114 beds
- Bed type breakdown
- 11 Medicare-only · 103 Medicaid/Medicare
- Current license effective
- August 5, 2025
- Current license expires
- May 1, 2027
- Initial license date
- September 30, 1987
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- South Limestone Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- 810 E 13Th Ave Opco, Llc
- Administrator
- Sandra D Burnon
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Avir Health Group chain — 90 facilities. Chain-wide average overall rating 2.3 / 5.
Disclosed owners (4 on record)
- Cassandra Huynh
Operational/managerial Control · since 2024
- Sandra Burnon
Operational/managerial Control · since 2024
- Larry n Price
Corporate Officer · since 2021
- South Limestone Hospital District
5% or Greater Direct Ownership Interest · 100% · since 2021
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 23)
- E0656·Jan 30, 2026Complaint
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- J0689·Nov 10, 2025Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- G0600·Dec 18, 2024Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- G0550·Dec 18, 2024Complaint
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D0880·Sep 12, 2024Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- F0812·Sep 12, 2024Complaint
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E0695·Sep 12, 2024Complaint
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
- D0558·Sep 12, 2024Complaint
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Federal penalties
By year
- 20251 fine · $25K
- 20241 fine · $8,018
- 20232 fines · $232K
Most recent events
- Nov 10, 2025Fine · $25K
- Dec 18, 2024Fine · $8,018
- Aug 18, 2023Fine · $44K
- May 18, 2023Fine · $188K
Largest single fine on record: $188K.
Fire-safety citations
11 Life-Safety-Code citations on file. Most recent: Sep 12, 2024. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Avir At Belton is a 114-bed nursing home in Belton, Texas, licensed since 1987 and currently operating at roughly 45% of capacity — about 51 residents per day. CMS rates it 2 stars overall, with a 1-star staffing rating and $264,912 in fines across 4 penalties. Its quality-measure rating is 5 stars. The licensee is South Limestone Hospital District; day-to-day management is handled by 810 E 13th Ave Opco, LLC.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here 1 star — the lowest tier, shared by about 38% of Texas nursing homes. Each resident receives approximately 205 minutes of nursing care per day, roughly 36 minutes less than at a 4-star-staffing facility in Texas. Of that, about 14 minutes comes from a registered nurse; the Texas threshold for 4-star RN staffing is 37 minutes per resident per day.
About 4 in 10 nursing staff left in the past year — below Texas's 25th-percentile cutoff, meaning turnover here is better than roughly three-quarters of nursing homes in the state. That stability is notable given the staffing-hours gap: the team is relatively consistent, but smaller relative to resident needs than peer facilities.
Four CMS fines have totaled $264,912. The Texas median across fined facilities is $20,699; roughly 30% of Texas nursing homes have no fines at all. This facility's total is more than 12 times the state median.
The facility is operating at approximately 45% of its 114 licensed beds — about 51 residents per day. That is well below typical occupancy for Texas nursing homes and warrants a direct question about current admissions and financial stability.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Reason for low occupancy
The facility runs at roughly 45% of its 114 licensed beds — ask what is driving that and whether it affects staffing levels or available services.
Context behind the four fines
Four CMS penalties totaling $264,912 far exceed the Texas median; ask what the citations were for and what specific changes followed each one.
RN coverage on a typical day
Reported RN hours average about 14 minutes per resident per day; ask how many registered nurses are scheduled per shift and how that changes on nights and weekends.
Management company's role
Day-to-day operations are run by 810 E 13th Ave Opco, LLC under a hospital district license — ask how long that management arrangement has been in place and who holds final authority over care decisions.
Resident Council access
A Resident Council exists here but no Family Council; ask how families can raise concerns and how frequently resident concerns are communicated back to families.
Staffing plan relative to census
With about 51 residents in a 114-bed building, ask whether staffing schedules are adjusted as occupancy changes, and what the minimum nurse-to-resident ratio is.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.