Avir At Sweetwater
1600 JOSEPHINE ST, Sweetwater, TX, 79556
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 - Corporation · Chain: Slp Operations
- Certified beds
- 79 · avg 48 residents/day
- Total nursing staff turnover
- 50% — near the Texas averageTexas 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
State licensing & capacity
- License number
- 148106
- Service type
- Medicare/medicaid
- Licensed capacity
- 100 beds
- Bed type breakdown
- 21 licensed-only · 7 Medicare-only · 72 Medicaid/Medicare
- Current license effective
- October 1, 2025
- Current license expires
- August 31, 2026
- Initial license date
- September 1, 1971
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Stratford Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- 1600 Josephine St Opco Llc
- Administrator
- Samuel T Tumlinson
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 Sweetwater 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 2023
- Gary Scott Whitworth 2019 Irrevocable Trust
5% or Greater Mortgage Interest · 30% · since 2023
- Jennifer g Liedtke
Adp of The Snf · since 2023
- Lqcp Management, Llc
5% or Greater Mortgage Interest · 21% · since 2023
- Richard l Chumley
Corporate Director · since 2023
+ 6 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
Recent health-deficiency citations (most recent 8 of 14)
- D0880·Dec 17, 2024
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0812·Dec 17, 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.
- E0804·Dec 17, 2024
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- D0759·Dec 17, 2024
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
- F0585·Dec 17, 2024
Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
- E0565·Dec 17, 2024
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
- E0813·Oct 26, 2023
Nutrition and Dietary Deficiencies
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
- F0812·Oct 26, 2023
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Fire-safety citations
7 Life-Safety-Code citations on file. Most recent: Dec 17, 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
Licensed for 100 beds in Sweetwater, Avir At Sweetwater is a Medicare/Medicaid nursing home that has operated since 1971 under a hospital district license held by Stratford Hospital District. CMS rates it 4 stars overall, with a 5-star quality-of-care rating and a 1-star staffing rating. The facility is running at roughly 60% of its licensed capacity, with 47.7 residents on an average day across 79 certified beds.
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 roughly 151 minutes of nursing care per day, approximately 90 minutes less than at a 4-star-staffed facility in Texas. Residents here need more hands-on care than at a typical facility — less mobile or more dependent on average — so those 151 minutes stretch thinner than the number alone suggests. The 21 minutes of registered nurse time per resident per day falls well below the 37-minute threshold for 4-star staffing in Texas.
Despite the staffing rating, CMS scores quality of care at 5 stars, with a 5-star long-stay outcome rating. Those two ratings — the lowest staffing tier and the highest quality-of-care tier — point in opposite directions, and the gap is wide enough to ask about directly during a visit.
The facility is running at about 60% of its 79 certified beds, averaging roughly 48 residents per day. Paired with the 1-star staffing rating, low occupancy raises a practical question: whether the facility is running lean on staff relative to its licensed capacity or relative to its actual daily resident count.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing levels on a typical day
CMS rates staffing 1 star here — ask how many nurses and aides are on the floor on a weekday, a weekend, and an overnight shift.
How quality scores stay high
CMS rates quality of care 5 stars alongside a 1-star staffing rating — ask what specific practices the team uses to maintain outcomes with fewer nursing hours per resident.
Registered nurse coverage
Reported RN time comes to about 21 minutes per resident per day — ask whether a registered nurse is on-site around the clock or only during certain shifts.
Why occupancy is at 60%
The facility averages about 48 residents against 79 certified beds — ask whether that reflects a recent change in admissions, staffing constraints, or something else.
Management company's role
The license is held by Stratford Hospital District but day-to-day management sits with 1600 Josephine St Opco LLC — ask how decisions about staffing and care are divided between the two.
Resident Council activity
The facility has a Resident Council but no Family Council — ask how often the Resident Council meets and how family members can raise concerns outside of 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.