Avir At Overton
1110 HWY 135 S, Overton, TX, 75684
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
- 100 · avg 49 residents/day
- Total nursing staff turnover
- 64.9% — higher 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)
- 5 fines · $343,425 total
- Payment denials
- 1 denial
State licensing & capacity
- License number
- 311807
- Service type
- Medicare/medicaid
- Licensed capacity
- 100 beds
- Bed type breakdown
- 37 Medicare-only · 63 Medicaid/Medicare
- Current license effective
- October 20, 2025
- Current license expires
- January 1, 2027
- Initial license date
- September 1, 2018
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Winniestowell Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- 1110 Highway 135 S Opco Llc
- Administrator
- Linda L Mayhugh
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.
Parent entity
wm 41 Overton Re, Llc
Disclosed owners (12 on record)
- Joshua Leonard
Operational/managerial Control · since 2024
- Carlisle Taylor Whitworth 2020 Irrevocable Trust
5% or Greater Mortgage Interest · 24% · since 2024
- Edward r Murrell
Corporate Director · since 2024
- Gary Scott Whitworth 2019 Irrevocable Trust
5% or Greater Mortgage Interest · 30% · since 2024
- Khoren Hekimian
Adp of The Snf · since 2024
- Leo t Sanders
Adp of The Snf · since 2024
+ 6 additional owners on the federal record.
Recent change of ownership
January 2024 (2 years ago) · acquired from Overton Healthcare Center
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, 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 39)
- D0684·Jan 13, 2026Complaint
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D0609·Nov 24, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D0600·Nov 24, 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.
- D0550·Nov 21, 2025Complaint
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- J0689·Aug 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.
- J0600·Aug 13, 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.
- E0921·Feb 18, 2025
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- E0812·Feb 18, 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.
Federal penalties
By year
- 20253 fines · $153K
- 20232 fines · $190K · 1 payment denial
Most recent events
- Aug 13, 2025Fine · $14K
- Aug 13, 2025Fine · $8,281
- Jan 14, 2025Fine · $131K
- Oct 26, 2023Fine · $168K
- Aug 16, 2023Payment denial · 8 days · starting Sep 15, 2023
- Aug 16, 2023Fine · $23K
Largest single fine on record: $168K.
Fire-safety citations
10 Life-Safety-Code citations on file, including 1 at severity J–L. Most recent: Feb 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 Overton is a 100-bed nursing home in Overton, Texas, licensed for Medicare and Medicaid, operated under Avir Health Group. CMS rates it 1 star overall, with a 1-star health inspection rating and substantiated findings of resident abuse or neglect within the past 36 months. Five fines totaling $343,425 have been assessed. The facility is running at roughly 49% 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 1 star — the bottom tier, shared by about 38% of Texas nursing homes. Each resident receives roughly 173 minutes of nursing care per day, about 68 minutes less than at a 4-star-staffing facility in Texas. Of those 173 minutes, only 16 involve a registered nurse. The facility's resident dependency level is higher than typical, meaning those already-thin hours stretch further than the raw numbers suggest.
About 6 in 10 nursing staff left in the past year. Texas nursing homes at the 75th percentile of turnover sit at 60% — this facility, at 64.9%, is above even that mark. A long-stay resident will likely go through two or three primary caregivers over the course of a year.
CMS has substantiated findings of resident abuse or neglect at this facility within the past 36 months. This is a federal designation based on inspection records, not an allegation.
Five CMS fines have been assessed totaling $343,425. The statewide median for facilities that receive any fine at all is about $20,699; 30% of Texas nursing homes have no fines on record. This facility's total is roughly 16 times the state median.
The facility is operating at approximately 49% of its 100 licensed beds — about 49 residents on an average day. This sits well below typical occupancy for nursing homes in Texas. Other signals in this record — 1-star staffing, high turnover, substantiated abuse findings, and severe fines — are present alongside that low census.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Substantiated abuse findings on record
CMS records show substantiated abuse or neglect findings within the past 36 months — ask what specifically was cited, what changed in response, and how staff are trained and monitored now.
Five fines totaling $343,425
Ask what each of the five CMS fines was issued for and which, if any, deficiencies from those citations remain open or under a correction plan.
Nursing staff hours per resident
Residents here receive about 173 minutes of nursing care per day, including only 16 minutes with a registered nurse — ask how care plans are reviewed and who oversees clinical decisions day-to-day.
Staff turnover at 65 percent
Roughly 6 in 10 nursing staff left in the past year — ask how long the current charge nurses and CNAs on each shift have been in their roles.
Facility running at half capacity
Only about 49 of 100 licensed beds are filled — ask whether any wings or units are closed, and how that affects staffing deployment across the building.
Management company vs. licensee
The licensed owner is Winniestowell Hospital District, but day-to-day operations are managed by 1110 Highway 135 S Opco LLC — ask which entity employs the staff and who is responsible for care-quality decisions.
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.