Avir At Lancaster
1241 WESTRIDGE AVE, Lancaster, TX, 75146
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 Abuse Flag
CMS has flagged this facility for a substantiated finding of resident abuse, neglect, or exploitation in its current or recent inspection cycle. Ask the facility for the specific citation and corrective-action plan during your visit, and consider contacting your state's long-term care ombudsman for context.
Source: CMS Care Compare.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: Avir Health Group
- Certified beds
- 110 · avg 53 residents/day
- Total nursing staff turnover
- 67.9% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 63.6% — higher 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)
- 2 fines · $39,757 total
State licensing & capacity
- License number
- 308135
- Service type
- Medicare/medicaid
- Licensed capacity
- 110 beds
- Bed type breakdown
- 31 Medicare-only · 79 Medicaid/Medicare
- Current license effective
- October 7, 2025
- Current license expires
- February 10, 2027
- Initial license date
- April 25, 1974
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Hamilton County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- 1241 Westridge Ave Opco Llc
- Administrator
- Wenna Merrill
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 (13 on record)
- Naquita Melton
Adp of The Snf · since 2024
- Joshua Leonard
Operational/managerial Control · since 2024
- Darren Boswell
Adp of The Snf · since 2023
- wm 41 Flatonia re Llc
5% or Greater Mortgage Interest · 100% · since 2023
- (unnamed Owner)
Adp of The Snf · since 2023
- (unnamed Owner)
Adp of The Snf · since 2023
+ 7 additional owners on the federal record.
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)
- D0567·Nov 24, 2025Complaint
Resident Rights Deficiencies
Honor the resident's right to manage his or her financial affairs.
- D0568·Nov 5, 2025Complaint
Resident Rights Deficiencies
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
- J0600·Jun 19, 2025Complaint
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.
- E0925·Oct 31, 2024Complaint
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- E0812·Oct 31, 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.
- E0584·Oct 31, 2024Complaint
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- E0576·Oct 31, 2024Complaint
Resident Rights Deficiencies
Ensure residents have reasonable access to and privacy in their use of communication methods.
- E0842·Sep 18, 2024Complaint
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Federal penalties
By year
- 20251 fine · $26K
- 20241 fine · $14K
Most recent events
- Jun 19, 2025Fine · $26K
- Sep 18, 2024Fine · $14K
Largest single fine on record: $26K.
Fire-safety citations
10 Life-Safety-Code citations on file. Most recent: Oct 31, 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 Lancaster is a 110-bed Medicare/Medicaid nursing home in Lancaster, Dallas County, operated under the Avir Health Group chain. CMS rates it 2 stars overall, with a substantiated abuse or neglect finding on record. Two fines totaling $39,757 have been issued, and the facility is running at roughly 48% occupancy — about 53 residents in 110 licensed beds. Quality-of-care measures rate 4 stars despite the lower overall rating.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS has substantiated findings of resident abuse or neglect at this facility within the past 36 months. This is separate from inspection deficiencies — it reflects a confirmed incident and appears on the CMS record regardless of other scores.
CMS rates staffing 3 stars here. Each resident receives about 191 minutes of nursing care per day — roughly 50 minutes less than at a 4-star-staffing facility in Texas, which sits at 241 minutes. About 19% of Texas nursing homes share this staffing rating.
Roughly 7 in 10 nursing staff left in the past year. Texas nursing homes at the 75th percentile of turnover reach 60% — this facility's 68% rate exceeds that threshold. A long-stay resident will likely cycle through multiple primary caregivers over time.
One administrator has turned over in the past year. The signal is elevated — not the highest tier, but above the baseline that would be unremarkable.
Two CMS fines totaling $39,757 have been issued. The state median for fined facilities in Texas is about $20,699, and roughly 30% of Texas nursing homes have no fines at all.
The facility is operating at roughly 48% of its 110 licensed beds — about 53 residents on an average day. Low occupancy at a facility with other active signals can reflect resident or referral avoidance, though the specific cause isn't determinable from licensing and CMS data alone.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Nature of the abuse finding
CMS shows a substantiated abuse or neglect finding within the past 36 months — ask what happened, what the facility did in response, and what policies changed afterward.
Why occupancy is at 48%
With roughly 53 residents in 110 licensed beds, ask management directly what is driving the low census and whether referral sources or state agencies have raised concerns.
Staffing on nights and weekends
Reported weekend nursing hours average 2.89 hours per resident per day — lower than the overall daily figure — so ask how many nurses and aides are on duty overnight and on weekends.
Caregiver continuity for new residents
With 7 in 10 nursing staff leaving in the past year, ask how the facility assigns consistent aides to residents and what the current vacancy rate looks like.
Administrator tenure and transition
One administrator has left in the past year; ask how long the current administrator Wenna Merrill has been in the role and what changed under the previous leadership.
What drives the 4-star quality score
Quality measures rate 4 stars despite a 2-star overall rating — ask which specific measures score highest and how the facility tracks outcomes like falls, pressure injuries, and hospital readmissions.
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.