Avir At Memorial
1300 MEMORIAL DR, Denison, TX, 75020
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 · Chain: Fundamental Healthcare
- Certified beds
- 136 · avg 55 residents/day
- Total nursing staff turnover
- 46.8% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 40% — lower than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $47,097 total
State licensing & capacity
- License number
- 147531
- Service type
- Medicare/medicaid
- Licensed capacity
- 136 beds
- Bed type breakdown
- 47 Medicare-only · 89 Medicaid/Medicare
- Current license effective
- April 1, 2026
- Current license expires
- April 1, 2029
- Initial license date
- September 1, 1971
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Dallas County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- 1300 Memorial Dr Opco Llc
- Administrator
- Kody Long
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Fundamental Healthcare chain — 69 facilities across 7 states. Chain-wide average overall rating 2.4 / 5.
Disclosed owners (6 on record)
- Shannan Dawn Bradley
Corporate Director · since 2023
- Edmundo Castaneda
Corporate Officer · since 2022
- Erin Clemens
W-2 Managing Employee · since 2022
- Dallas County Hospital District
5% or Greater Direct Ownership Interest · 100% · since 2017
- Texoma Long Term Care, Llc
Operational/managerial Control · since 2017
- Frederick p Cerise
Corporate Director · since 2014
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 35)
- D0761·Dec 3, 2025Complaint
Pharmacy Service Deficiencies
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.
- D0558·Dec 3, 2025Complaint
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
- D0695·Dec 3, 2025Complaint
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
- E0880·Sep 11, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0812·Sep 11, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0804·Sep 11, 2025
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- D0761·Sep 11, 2025
Pharmacy Service Deficiencies
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.
- D0759·Sep 11, 2025
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Federal penalties
By year
- 20241 fine · $47K
Most recent events
- Aug 12, 2024Fine · $47K
Fire-safety citations
14 Life-Safety-Code citations on file. Most recent: Sep 11, 2025. 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 Memorial is a 136-bed nursing home in Denison, Texas, part of the Fundamental Healthcare chain and managed by 1300 Memorial Dr Opco LLC. CMS rates it 2 stars overall, with 2-star ratings on both health inspections and staffing. One CMS fine totaling $47,097 has been issued. Quality-of-care outcomes rate 4 stars overall, including a 5-star rating for long-stay residents. The facility is currently operating at roughly 40% of licensed capacity.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 2 stars. Each resident receives about 203 minutes of nursing care per day — roughly 38 minutes less than at a 4-star-staffing facility in Texas, which sits at 241 minutes. Of those 203 minutes, only about 20 come from a registered nurse; the Texas threshold for a 4-star RN rating is 37 minutes per resident per day.
One administrator has left in the past year. That level of leadership change can disrupt care routines and staff accountability, even when it doesn't rise to the level of outright instability.
CMS recorded one fine totaling $47,097 in the period covered by this data. The median fine among Texas nursing homes that receive any fine is about $20,699, so this fine is roughly twice the state median. About 30% of Texas nursing homes have no fines at all in the same period.
The facility is operating at roughly 40% of its 136 licensed beds — about 55 residents on an average day. Low occupancy at a nursing home can reflect several different situations: a newer or repositioned facility still filling beds, a facility that has reduced admissions voluntarily, or one that families and referral sources are choosing less often. The data alone doesn't distinguish between those.
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 averages about 55 residents in 136 licensed beds — ask management what is driving the low census and whether admissions are being actively restricted for any reason.
Administrator continuity plan
One administrator left in the past year; ask who is currently in the role, how long they have been in place, and what continuity planning exists if leadership changes again.
Details behind the $47,097 fine
CMS issued one fine totaling $47,097 — ask what deficiency triggered it, what corrective steps were taken, and whether a follow-up inspection has since occurred.
How RN coverage is scheduled
Residents here receive about 20 minutes of registered-nurse time per day; ask how RN hours are distributed across shifts and what happens on nights and weekends when coverage is typically thinner.
What drives the strong outcomes ratings
Long-stay quality outcomes rate 5 stars despite 2-star staffing and inspection ratings — ask which specific measures score well and how the facility tracks them.
Resident Council access and frequency
The facility has a Resident Council but no Family Council; ask how often the Resident Council meets and how family members can raise concerns if they are not residents themselves.
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.