Avir At Garland
321 N SHILOH RD., Garland, TX, 75042
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: Slp Operations
- Certified beds
- 109 · avg 66 residents/day
- Total nursing staff turnover
- 53.2% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 77.8% — 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 · $81,568 total
State licensing & capacity
- License number
- 312681
- Service type
- Medicare/medicaid
- Licensed capacity
- 109 beds
- Bed type breakdown
- 29 Medicare-only · 80 Medicaid/Medicare
- Current license effective
- August 1, 2025
- Current license expires
- August 1, 2028
- Initial license date
- January 1, 1972
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Winniestowell Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Slp Garland, Llc
- Administrator
- Todd C Bickle
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Disclosed owners (13 on record)
- Slp Garland, Llc
Adp of The Snf · since 2025
- Joshua Leonard
Operational/managerial Control · since 2024
- Todd c Bickle
Operational/managerial Control · since 2024
- Carlisle Taylor Whitworth 2020 Irrevocable Trust
Adp of The Snf · since 2023
- Darren Boswell
Adp of The Snf · since 2023
- Gary Scott Whitworth 2019 Irrevocable Trust
Adp of The Snf · since 2023
+ 7 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners, 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 46)
- D0880·Jan 17, 2026Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0695·Dec 3, 2025Complaint
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
- D0558·Dec 3, 2025Complaint
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
- D0550·Dec 3, 2025Complaint
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- J0689·Nov 13, 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.
- E0880·Mar 18, 2025Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0761·Mar 18, 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.
- E0695·Mar 18, 2025Complaint
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Federal penalties
By year
- 20251 fine · $27K
- 20242 fines · $47K
- 20231 fine · $8,268
Most recent events
- Nov 13, 2025Fine · $27K
- Nov 26, 2024Fine · $12K
- Aug 12, 2024Fine · $35K
- Oct 11, 2023Fine · $8,268
Largest single fine on record: $35K.
Fire-safety citations
11 Life-Safety-Code citations on file. Most recent: Mar 18, 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 Garland is a 109-bed Medicare/Medicaid nursing home in Garland, Dallas County, managed by SLP Garland, LLC under a hospital district license. CMS rates it 1 star overall, with 1-star ratings on both health inspections and staffing. Four CMS fines totaling $81,568 have been assessed. The facility is operating at roughly 60% of licensed capacity — about 66 residents on an average day.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates this facility 1 star on staffing — the lowest tier, shared by about 38% of Texas nursing homes. Each resident receives approximately 195 minutes of nursing care per day, around 46 minutes less than at a 4-star-staffing facility in Texas. Residents here require more hands-on care than at a typical facility — more dependent or medically complex on average — so those 195 minutes stretch thinner than they might elsewhere.
RN turnover runs high: roughly 8 in 10 registered nurses left in the past year. A long-stay resident will likely cycle through multiple primary caregivers over the course of a year.
CMS has recorded 4 fines totaling $81,568 since the facility's data window. Texas's median facility fine total is about $20,699, and 30% of facilities in the state have no fines at all — placing this facility's penalty record well above the state midpoint.
The facility is running at roughly 60% of its 109 licensed beds, averaging about 66 residents per day. That low occupancy, alongside a 1-star overall rating and elevated fines, is a concrete signal worth factoring in.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing levels on nights and weekends
Weekend nursing hours here average about 2.9 hours per resident per day — lower than the already-below-average weekday figure; ask how many nurses and aides are on duty overnight and on weekends.
RN turnover and care continuity
About 8 in 10 registered nurses left in the past year; ask how the facility assigns consistent caregivers to residents and how it handles those transitions.
Details behind the four CMS fines
CMS assessed four fines totaling $81,568; ask what deficiencies triggered them and what specific changes were made in response.
Why occupancy is low
The facility averages about 66 residents against 109 licensed beds — roughly 60% capacity; ask whether that reflects a planned reduction, recent admissions pauses, or other operational factors.
Resident Council access and meeting schedule
The facility has a Resident Council but no Family Council; ask how families are formally included in raising concerns and how often the Resident Council meets.
Management company's role in daily operations
Day-to-day operations are run by SLP Garland, LLC under a hospital district license; ask who holds decision-making authority on staffing and care policy.
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.