Avir At San Augustine
902 E MAIN STREET, San Augustine, TX, 75972
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: Summit Ltc
- Certified beds
- 88 · avg 39 residents/day
- Total nursing staff turnover
- 73.2% — 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)
- 3 fines · $102,752 total
State licensing & capacity
- License number
- 312618
- Service type
- Medicare/medicaid
- Licensed capacity
- 88 beds
- Bed type breakdown
- 28 Medicare-only · 60 Medicaid/Medicare
- Current license effective
- September 1, 2025
- Current license expires
- September 1, 2026
- Initial license date
- October 12, 2000
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- 902 E Main St Opco Llc (Limited Liability Company (LLC))
- Operator / manager
- Summit Ltc Management Llc
- Administrator
- Melissa J Adams
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Disclosed owners (9 on record)
- Summit Ltc Management Llc
Adp of The Snf · since 2025
- Ahammed Hashim
Adp of The Snf · since 2024
- Deepti a Govathoti
Adp of The Snf · since 2024
- Melissa Adams
Adp of The Snf · since 2024
- Melissa Smith
Adp of The Snf · since 2024
- Christopher m Slimmer
Operational/managerial Control · 50% · since 2016
+ 3 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 25)
- E0926·Mar 5, 2025
Environmental Deficiencies
Have policies on smoking.
- E0921·Mar 5, 2025
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- E0880·Mar 5, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0756·Mar 5, 2025
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D0550·Mar 5, 2025
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- J0695·Feb 14, 2025Complaint
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
- E0880·Feb 14, 2024Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- J0770·Feb 14, 2024Complaint
Administration Deficiencies
Provide timely, quality laboratory services/tests to meet the needs of residents.
Federal penalties
By year
- 20251 fine · $75K
- 20242 fines · $27K
Most recent events
- Feb 14, 2025Fine · $75K
- Feb 14, 2024Fine · $14K
- Feb 14, 2024Fine · $14K
Largest single fine on record: $75K.
Fire-safety citations
13 Life-Safety-Code citations on file. Most recent: Mar 5, 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 San Augustine is an 88-bed nursing home in San Augustine, TX, accepting Medicare and Medicaid. CMS rates it 1 star overall — the lowest rating — with 1-star scores on both staffing and quality measures. Three CMS fines total $102,752 since the last inspection cycle, well above the Texas median of $20,699. The facility is operating at roughly 44% of licensed capacity, about 39 residents in 88 beds.
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 among Texas nursing homes, which puts this facility in a group representing about 38% of the state. Each resident receives roughly 208 minutes of nursing care per day, about 33 minutes less than at a 4-star-staffing facility in Texas. Residents here need more hands-on care than at a typical facility — on average more dependent or medically complex — so those 208 minutes stretch thinner than the raw number suggests. Registered nurse coverage is 11 minutes per resident per day against a 4-star Texas benchmark of 37 minutes.
Roughly 7 in 10 nursing staff left in the past year. At that pace, a long-stay resident will likely go through two or three primary caregivers. Texas nursing homes at the 75th percentile turn over 60% of staff annually; this facility's 73% rate sits above that threshold.
Three CMS fines totaling $102,752 have been assessed — five times the Texas median of $20,699 per fined facility, and about 70% of Texas nursing homes have received at least one fine, meaning the dollar amount here is the distinguishing factor. Quality measures rate 1 star overall, with short-stay outcomes also at 1 star and long-stay outcomes at 2 stars.
The facility is operating at roughly 44% of its 88 licensed beds — about 39 residents on an average day. Other signals in this record include high turnover and significant fines, so the low occupancy occurs alongside those factors rather than in isolation.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing coverage on nights and weekends
With 1-star CMS staffing and weekend nursing hours of 3.1 hours per resident per day, ask how many nurses and aides are on duty overnight and on Saturdays and Sundays.
What the $102,752 in fines covered
Three CMS fines totaling $102,752 were assessed — ask which deficiencies triggered them and what specific changes were made in response.
Caregiver continuity for your parent
With roughly 7 in 10 nursing staff leaving in the past year, ask whether a consistent aide or nurse would be assigned to your parent and how that assignment is protected when staff turn over.
Why so few beds are filled
About 39 of 88 licensed beds are occupied — ask what has driven admissions this low and whether any planned changes would significantly increase the resident count.
Registered nurse hours on this unit
Reported RN coverage is 11 minutes per resident per day; ask how many hours a registered nurse is physically present in the building each day and who handles clinical decisions overnight.
How resident concerns are raised
The facility has a Resident Council but no Family Council — ask how family members are expected to raise ongoing concerns about care between scheduled visits.
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.