Avir At Giddings
1400 N MAIN ST, Giddings, TX, 78942
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: Avir Health Group
- Certified beds
- 102 · avg 54 residents/day
- Total nursing staff turnover
- 31.6% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · 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 · $165,239 total
- Payment denials
- 1 denial
State licensing & capacity
- License number
- 150004
- Service type
- Medicare/medicaid
- Licensed capacity
- 102 beds
- Bed type breakdown
- 25 Medicare-only · 77 Medicaid/Medicare
- Current license effective
- October 16, 2025
- Current license expires
- August 13, 2027
- Initial license date
- December 17, 1991
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Winniestowell Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- 1400 N Main St Opco Llc
- Administrator
- Christine Bryan
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 (6 on record)
- Rita Agyemang-barimah
W-2 Managing Employee · since 2023
- Richard Jorgensen
Operational/managerial Control · since 2022
- Slp Giddings Llc
Operational/managerial Control · 100% · since 2021
- Edward r Murrell
Corporate Officer · since 2016
- Winnie-stowell Hospital District
5% or Greater Direct Ownership Interest · 100% · since 2014
- Sherrie Norris
Corporate Director · since 2013
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 36)
- J0689·Nov 27, 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.
- D0684·Nov 27, 2025Complaint
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D0755·May 2, 2025Complaint
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E0755·Feb 26, 2025Complaint
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E0943·Feb 26, 2025
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
- D0919·Feb 26, 2025
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
- E0812·Feb 26, 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.
- D0684·Feb 26, 2025
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Federal penalties
By year
- 20251 fine · $16K
- 20241 fine · $8,021
- 20232 fines · $141K · 1 payment denial
Most recent events
- Nov 27, 2025Fine · $16K
- Sep 26, 2024Fine · $8,021
- Dec 30, 2023Payment denial · 3 days · starting Feb 17, 2024
- Dec 30, 2023Fine · $21K
- May 8, 2023Fine · $120K
Largest single fine on record: $120K.
Fire-safety citations
9 Life-Safety-Code citations on file. Most recent: Feb 26, 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 Giddings is a 102-bed nursing home in Giddings, Texas, operated under Winniestowell Hospital District and managed by 1400 N Main St Opco Llc as part of the Avir Health Group chain. CMS rates it 1 star overall, with a 1-star health inspection rating — the lowest tier available. Four CMS fines totaling $165,239 have been assessed; the state median across fined facilities is $20,699. Quality-of-care measures rate 4 stars. The facility is operating at roughly 52% of its licensed beds.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 3 stars. Each resident receives about 189 minutes of nursing care per day — roughly 52 minutes less than the daily average at a 4-star-staffing facility in Texas. Residents here require more hands-on care than at a typical facility — they are sicker or less mobile on average — so the same staffing hours stretch thinner than the raw number suggests. Registered nurses account for 22 of those 189 minutes, against 37 minutes at the 4-star-staffing threshold in Texas.
Approximately 3 in 10 nursing staff left in the past year. That rate falls below the state's 25th-percentile cutoff — better than about three-quarters of nursing homes in Texas. The low turnover and the 3-star staffing rating describe different things: the team is stable, but the hours per resident are below what higher-rated peers provide.
CMS recorded four fines totaling $165,239 since the facility's inspection history. The state median for fined Texas facilities is $20,699, and 30% of Texas nursing homes have no fines at all. The 1-star health inspection rating reflects a pattern of deficiencies beyond the fines themselves.
The facility is operating at roughly 52% of its 102 licensed beds — about 53 residents on an average day. That low occupancy, paired with the 1-star health inspection rating and the fine total, describes a facility under measurable regulatory pressure.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Health inspection deficiency detail
Ask for the most recent inspection report and which deficiencies drove the 1-star health inspection rating, since that is the lowest possible score.
Four fines in the record
Ask what the four CMS fines — totaling $165,239 — were cited for and what specific changes were made after each citation.
Staffing hours on weekends
Weekend nursing hours here average 2.845 minutes per resident per day, below the already-below-peer weekday figure — ask how staffing levels and supervisor coverage differ on weekends.
Low occupancy and current admissions
With only about 53 residents filling 102 licensed beds, ask whether the low census affects staffing levels, service availability, or plans for the facility's operation.
Management company relationship
The licensee is a hospital district, but day-to-day management runs through 1400 N Main St Opco Llc — ask which entity is responsible for staffing decisions and responding to care complaints.
Resident Council access and frequency
A Resident Council exists here but no Family Council — ask how often the Resident Council meets and how families can surface concerns directly.
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.