Avir At La Grange
457 N. MAIN STREET, La Grange, TX, 78945
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 - Partnership · Chain: Summit Ltc
- Certified beds
- 98 · avg 43 residents/day
- Total nursing staff turnover
- 67.6% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
State licensing & capacity
- License number
- 147224
- Service type
- Medicare/medicaid
- Licensed capacity
- 98 beds
- Bed type breakdown
- 33 Medicare-only · 65 Medicaid/Medicare
- Current license effective
- August 1, 2025
- Current license expires
- March 31, 2026
- Initial license date
- September 1, 1971
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Tetra Holdco Llc (Limited Liability Company (LLC))
- Operator / manager
- 457 N Main St Opco, Llc
- Administrator
- Maricruz Rebollar
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Summit Ltc chain — 9 facilities. Chain-wide average overall rating 2.0 / 5.
Disclosed owners (4 on record)
- Pamela Noell
Operational/managerial Control · since 2025
- Hans James Raj
Adp of The Snf · since 2024
- Oakbend Medical Center
5% or Greater Direct Ownership Interest · 100% · since 2017
- Joseph Freudenberger
Corporate Officer · since 2007
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of April 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 17)
- D0761·Jan 13, 2026Complaint
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.
- D0684·Jan 13, 2026Complaint
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D0580·Jan 13, 2026Complaint
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- C0912·Dec 12, 2024
Environmental Deficiencies
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
- D0880·Dec 12, 2024
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- F0812·Dec 12, 2024
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0761·Dec 12, 2024
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.
- E0699·Dec 12, 2024
Quality of Life and Care Deficiencies
Provide care or services that was trauma informed and/or culturally competent.
Fire-safety citations
14 Life-Safety-Code citations on file. Most recent: Dec 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 La Grange is a 98-bed nursing home in La Grange, Fayette County, licensed since 1971 and currently accepting Medicare and Medicaid. CMS rates it 4 stars overall, with a 5-star quality-of-care rating and a 4-star health inspection score — but a 1-star staffing rating. The facility is operating at roughly 44% of licensed capacity. It is part of the Summit LTC chain and is managed by 457 N Main St Opco, LLC under licensee Tetra Holdco 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 182 minutes of nursing care per day, roughly 59 minutes less than at a 4-star-staffing facility in Texas. Residents here need more hands-on care than at a typical facility — more dependent or medically complex on average — so those 182 minutes stretch thinner than the raw number suggests. RN coverage is 15 minutes per resident per day, well below the 37 minutes associated with 4-star-staffing facilities in Texas.
Roughly 7 in 10 nursing staff left in the past year. Texas's 75th-percentile cutoff for turnover is 60% — this facility's 67.6% sits above that threshold. A long-stay resident will likely go through two or three primary caregivers over the course of a year.
The facility is running at about 44% of its 98 licensed beds, with an average of 43 residents on any given day. That is well below typical occupancy levels for Texas nursing homes.
Despite the staffing rating, CMS rates quality of care at 5 stars — the highest tier — for long-stay residents, and the health inspection record is 4 stars. Those two scores diverge from the staffing picture.
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 average 2.64 per resident per day here, compared to 3.03 on weekdays — ask how many nurses and aides are on the floor overnight and on Saturdays and Sundays.
How turnover affects your parent's care
With roughly 7 in 10 nursing staff turning over in the past year, ask how the facility ensures continuity of care when a resident's primary aide or nurse leaves.
Why so few beds are occupied
The facility is at about 44% of its licensed capacity — ask whether that reflects a recent change in admissions, staffing constraints, or something else.
RN presence each day
Reported RN hours work out to about 15 minutes per resident per day — ask how many hours a registered nurse is on-site and what triggers a call to the RN after hours.
Administrator continuity going forward
One administrator change occurred in the past year — ask how long the current administrator, Maricruz Rebollar, has been in the role and what her plans are.
How the 5-star care rating is sustained
CMS rates quality of care 5 stars despite a 1-star staffing score — ask which specific care measures drive that rating and how staff levels are managed to maintain it.
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.