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Avir at San Augustine

⌖ San Augustine, TX · San Augustine County
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Medicare overall rating 3 of 5 stars
Certified beds88
Medicare / MedicaidMedicare & Medicaid
OwnershipFor-profit (corporation)

About Avir at San Augustine

Avir at San Augustine is a 88-bed for-profit nursing home in San Augustine, TX. Medicare rates it 3 out of 5 stars overall (average); the average in Texas is 2.7. At its last full inspection (May 2026), inspectors found 3 problems, fewer than the Texas average of 9.4. None of the problems in its recent inspections were found to have harmed residents. Nurses and aides spend about 3 hr 33 min a day with each resident, about the same as the Texas average of 3 hr 23 min. About 82% of its nursing staff left in the past year. Medicare fined it $102,752 in the last three years. Its quality ratings are similar for short-term rehab (1 of 5) and long-term care (2 of 5).

Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology

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Key details

Facility nameAvir At San Augustine
LocationSan Augustine County, Texas
Address902 E Main St, San Augustine, TX 75972 · San Augustine County
CMS provider number675846
Ownership typeFor-profit (corporation)
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceOctober 12, 2000 (25 years)
✓ Medicare✓ Medicaid

Certified for Medicaid; ask whether a Medicaid bed is available.

Quality & inspections

Explore this facility's official CMS inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.

Overall rating3 of 5Average
Health inspections4 of 5Above average
Quality measures2 of 5Below average
Staffing1 of 5Much below average

Ratings and inspection data on this page come directly from CMS's public records and are never altered for any paid listing. Medicare data as of September 2026.

What Medicare found

2 strengths and 3 things to ask about in Medicare's inspection, fine and staffing records for this home. 4 care-quality measures are worse than the state average in the rehab and long-term care section below.

Strengths

  • Serious health citationsNone on recordNo citations for actual harm or immediate jeopardy since May 2026.
    Strength
  • Health citations at last inspection3 (May 2026)Texas average: 9.4. Most citations are minor and corrected within weeks.
    Strength

About average

  • Nurse staffing per resident3 hr 33 min a dayTexas average: 3 hr 23 min
    About average

Things to ask about

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  • Fines and penalties3 fines totaling $102,752Federal penalties from the last three years, most recently in Feb 2025 (about 1 year ago). The national average is $30,972 per home.
    Ask about this
  • Registered nurse time per resident21 min a dayTexas average: 26 min
    Worse than state average
  • Nursing staff turnover82% a yearTexas average: 55%
    Worse than state average

Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Texas average. Problems may have been corrected since; ask the home about anything listed here. How we choose these

Short-term rehab or long-term care?

Medicare rates these separately, and many homes are better at one than the other.

Short-term rehab

For a stay of a few weeks after a hospital visit, such as after surgery or a stroke.

Medicare quality rating: 1 of 5 (much below average)

  • Sent back to the hospital28.6%State average: 25.7%
    About average
  • Needed an emergency room visit19.8%State average: 12.3%
    Worse than average
  • Newly given antipsychotic drugs2.0%State average: 1.5%
    Worse than average

Physical therapist time: about 1 minute per resident a day. That is less than the state average of 4 minutes. If rehab is the goal, ask how many therapy sessions a week to expect.

Long-term care

For residents who live at the home for months or years.

Medicare quality rating: 2 of 5 (below average)

  • Falls with a major injury0.7%State average: 3.3%
    Better than average
  • Pressure sores (bedsores)6.2%State average: 3.8%
    Worse than average
  • Given antipsychotic drugs19.4%State average: 9.6%
    Worse than average
  • Hospital stays per 1,000 resident days1.8State average: 2.2
    About average

Source: Medicare (CMS) quality measures, compared with the Texas average. Lower is better for every rate shown.

Who pays, and how full it is

Most residents here have their care paid by Medicaid. In Texas, Medicaid pays for 66% of resident days at a typical home.

  • 69% Medicaid
  • 9% Medicare
  • 22% Private pay, insurance and other
Beds in use, on average47%Texas typical: 67%
Cost of care per resident day$316Texas typical: $270

Shares of resident days, from the home’s Medicare cost report for the year ending December 2024. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.

Ratings over time

Its overall Medicare rating is 3 stars now, up from 1 star in January 2019. It has ranged from 1 to 4 stars and changed 15 times.

Overall rating3★
Health inspections4★
Staffing1★
Quality of care2★
Nurse hours per resident per day3.5
20192020202120222023202420252026
Show the values by year
MonthOverallInspectionsStaffingQualityNurse hours
Jan 201911123.5
Jan 202034123.7
Jan 202134213.9
Jan 202224113.9
Jan 202345143.6
Jan 202434133.5
Feb 202523123.8
Feb 202612113.5
Sep 202634123.5

Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology

See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home

From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.

Inspection summary

How this facility compares to state and national averages on CMS-reported problems.

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Three-survey history

Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.

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