Avir At Winnsboro
910 SOUTH BEECH STREET, Winnsboro, TX, 75494
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: Avir Health Group
- Certified beds
- 112 · avg 62 residents/day
- Total nursing staff turnover
- 55.2% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 42.9% — lower 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)
- 4 fines · $100,615 total
State licensing & capacity
- License number
- 149854
- Service type
- Medicare/medicaid
- Licensed capacity
- 112 beds
- Bed type breakdown
- 37 Medicare-only · 75 Medicaid/Medicare
- Current license effective
- April 1, 2025
- Current license expires
- April 1, 2028
- Initial license date
- September 1, 1971
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Titus County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- 910 S Beech St Opco, Llc
- Administrator
- Christine Donald
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 (10 on record)
- 910 s Beech st Opco Llc
Operational/managerial Control · since 2025
- 910 s. Beech st Property Owner, Llc
Adp of The Snf · since 2025
- Aaron Travitsky
Operational/managerial Control · since 2025
- Christine Donald
Adp of The Snf · since 2025
- Hccf Management Group xi Llc
Adp of The Snf · since 2025
- James e Gulde
Operational/managerial Control · since 2025
+ 4 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 55)
- J0689·Jun 25, 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.
- D0838·Jun 25, 2025
Administration Deficiencies
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
- F0812·Jun 25, 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.
- E0804·Jun 25, 2025
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- D0761·Jun 25, 2025
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.
- D0695·Jun 25, 2025
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
- D0656·Jun 25, 2025
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D0759·Jun 25, 2025
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Federal penalties
By year
- 20252 fines · $28K
- 20232 fines · $72K
Most recent events
- Jun 25, 2025Fine · $19K
- Mar 6, 2025Fine · $9,113
- Jun 23, 2023Fine · $59K
- May 1, 2023Fine · $13K
Largest single fine on record: $59K.
Fire-safety citations
7 Life-Safety-Code citations on file. Most recent: Jun 25, 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 Winnsboro is a 112-bed nursing home in Winnsboro, TX, licensed under Titus County Hospital District and operated by Avir Health Group. CMS rates it 1 star overall, with 1-star health inspections and 2-star staffing. Four fines totaling $100,615 have been issued. At roughly 55% occupancy — about 62 residents in 112 licensed beds — the facility is operating well below capacity.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 2 stars. Each resident receives about 188 minutes of nursing care per day — roughly 53 minutes less than at a 4-star-staffing facility in Texas, which sits at 241 minutes. Residents here also tend to need more hands-on help than at a typical facility — less mobile or more dependent on average — so those 188 minutes stretch thinner than the number alone suggests.
Four CMS fines totaling $100,615 have been issued. The state median fine total across penalized Texas nursing homes is about $20,699; this facility's total is roughly five times that figure. Around 30% of Texas nursing homes have received no fines at all.
One administrator has turned over in the past year. That sits above the baseline but below the threshold of two or more departures that signal deeper organizational instability.
The facility is running at roughly 55% of its 112 licensed beds — about 62 residents on an average day. Paired with a 1-star overall rating and $100,615 in fines, that low occupancy reflects a facility families are passing over at a measurable rate.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
What drove the four CMS fines
This facility has received four fines totaling $100,615 — ask what deficiencies triggered each fine and what specific changes were made afterward.
Current administrator tenure
One administrator left in the past year; ask how long the current administrator has been in the role and whether further leadership changes are expected.
Staffing on nights and weekends
Reported weekend nursing hours drop to 2.75 hours per resident per day, below the already-low weekday figure — ask how many nurses and aides are on duty on a typical Saturday night.
Why occupancy is at 55%
With roughly 62 residents in 112 beds, ask directly what has kept census low and whether any wings or units are currently closed.
How the 1-star inspection rating is being addressed
CMS's most recent health inspection produced a 1-star rating — ask which deficiencies were cited and what the facility's current corrective action plan covers.
Resident Council meeting frequency
The facility has a Resident Council but no Family Council — ask how often the Resident Council meets and how family members can raise concerns without a formal channel.
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.