Avir at Kingsland

Kingsland, TX

CMS provider ID 676035CMS source updated July 29, 2026

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CMS overview

CMS overall

Health inspection

Staffing

Quality-measure

No proprietary TrustHub score. These ratings are published separately by CMS.

How CMS describes these ratings

CMS overall rating: The CMS overall rating summarizes health inspections, staffing, and quality measures within Medicare's Five-Star system.
Health inspection rating: The CMS health inspection rating reflects findings from standard and complaint inspections used in Medicare's Five-Star system.
Staffing rating: The CMS staffing rating reflects staffing levels and related measures used in Medicare's Five-Star system.
Quality-measure rating: The CMS quality-measure rating summarizes selected resident assessment and claims-based measures used in Medicare's Five-Star system.

CMS certified beds: 122
Ownership descriptor: Government - Hospital district
Medicare participation: Yes
Medicaid participation: Yes

Facility information

Contact

CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.

Phone: 3253884538Verified public information · checked Aug 2026

State regulatory evidence

State License & Oversight

Texas Health and Human Services Commission is the state source for this license record. It does not replace CMS federal certification, ratings, or certified-bed counts.

Texas Health and Human Services Commission

State license: 308003
License type: Nursing Facility

State regulatory data · checked Aug 2026

View source details · Official TX source

Decision guide

What to review

Factual evidence to examine before you decide. These summaries are not a score or recommendation.

Staffing

CMS publishes a 1-star staffing rating for this facility.

RN staffing was 0.35 hours per resident day in 2026Q1, calculated from CMS PBJ records.

View staffing evidence

Inspections

The latest standard inspection on May 28, 2026 cited 6 deficiencies.

View inspection evidence

Ownership

CMS-published records list 16 ownership or control parties.

CMS records show an ownership change effective October 2020.

View ownership evidence

Chain context

CMS groups this facility with a chain covering 119 facilities across 1 states or territories.

View chain evidence

Ownership & operation

Ownership & Operation

Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.

Ownership type: Government - Hospital districtCMS
Chain: AVIR HEALTH GROUPCMS identifies this facility as part of the AVIR HEALTH GROUP chain.
Related facilities: 58Current CMS organization identity
Ownership changes: 1 recordedCMS enrollment records

Explore ownership network →

Who is behind this facility?

SeniorTrustHub found evidence connecting this facility to:

1 CMS-reported ownership organization
CMS reports 10 individual ownership interests
a CMS chain / common-control group
recorded ownership-change events

Related facilities

58 currently connected nursing homes share this CMS organization identity with FANNIN COUNTY HOSPITAL AUTHORITY.

Average CMS overall rating: 2.7 stars across 58 reporting facilities
CMS monetary penalties: 40 of 58 facilities had a recorded monetary penalty in the available CMS period.
Recent CMS penalties: 22 facilities had a CMS penalty in the last 18 months.
Recent high-value CMS enforcement: 16 facilities had a high-value CMS fine or payment denial in the last 18 months.
Recent CMS complaint inspections: 49 facilities had a CMS complaint inspection in the last 18 months.
Total recorded CMS fines: $3,059,874

These figures summarize currently connected CMS-certified nursing homes. Some facilities have incomplete measures; missing values are omitted, not treated as zero. Ownership structures can change. State operator or licensee evidence may differ from CMS ownership disclosures.

Ownership

Who CMS records show is connected to this facility

These are CMS-published ownership disclosures. Medicare enrollment ownership and managerial-control information is reported by enrolled providers through CMS forms; it is not an independent determination of beneficial ownership.

Reported party records: 16
Organizations shown: 6
Individuals shown: 10
Latest ownership source update: Jul 27, 2026

CMS-published ownership and control parties

FANNIN COUNTY HOSPITAL AUTHORITY
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Oct 1, 2020
Other facilities connected through this exact CMS organization identity: 0 across TX.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
3727 W RANCH ROAD 1431 PROPERTY OWNER, LLC
Organization · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across TX.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
RAMIREZ, ROBERTO
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2025
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
SYED, ASIF
Individual · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2025
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
WELLTOWER NNN GROUP, LLC
Organization · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across TX.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
WELLTOWER OP, LLC
Organization · ADP OF THE SNF
Association date reported to CMS: Aug 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across TX.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
SANDERSON, CLARK
Individual · CORPORATE OFFICER
Association date reported to CMS: Aug 1, 2025
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
DAGAN, AMITAI
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: Nov 11, 2025
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
GOLDBERGER, ABRAHAM
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: Nov 11, 2025
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
GOLDBERGER, FAIGY
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: Nov 11, 2025
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
3727 W RANCH ROAD 1431 HOLDINGS LLC
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across TX.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
FREUND, NOCHUM
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 1, 2025
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
RAMIREZ, ROBERTO
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Feb 9, 2023
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
SYED, ASIF
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 1, 2025
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
TRAVITSKY, AARON
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 1, 2025
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
FANNIN COUNTY HOSPITAL AUTHORITY
Organization · Medicare-enrolled legal organization
Other facilities connected through this exact CMS organization identity: 57 across TX.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility Enrollments
CMS dataset identifier
5f2c306f-3b1c-42cd-b037-187b2ce22126
Source updated
Jul 27, 2026
Retrieved
Aug 15, 2026
View official CMS source

Ownership changes reported in CMS enrollment records

Oct 1, 2020CHANGE OF OWNERSHIPPHPM MISSION CARE CENTERS-NEW COVENANT, LP to FANNIN COUNTY HOSPITAL AUTHORITY
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility Change of Ownership
CMS dataset identifier
f557a6ed-95b3-4a22-8433-4175db2dec1c
Source updated
Jul 27, 2026
Retrieved
Aug 15, 2026
View official CMS source

What this means

Roles are shown as CMS publishes them. Different CMS sources can describe different enrollment, ownership, and control concepts, so TrustHub keeps each source-specific disclosure distinct.

Questions to ask

CMS records list several organizations with ownership or control roles. Which entity is responsible for day-to-day operations at this facility?
CMS enrollment records show a change of ownership effective Oct 1, 2020. What operational or leadership changes followed that event?
CMS records connect FANNIN COUNTY HOSPITAL AUTHORITY to 58 facilities. Which policies and staffing decisions are managed centrally versus locally?

Chain context

CMS groups this facility with AVIR HEALTH GROUP

Chain-level values describe this CMS-defined group, not any one facility. CMS Chain ID 719 is a grouping identifier, not a legal organization.

Facilities: 119
States and territories: 1
Average overall rating: 2.3
Average staffing rating: 1.7
Average total nurse HPRD: 3.2
Total fines: 204

Review CMS chain evidence

CMS-published history

Monthly chain measures
Month	Facilities	Overall rating	Staffing rating
Wed Jul	119	2.3	1.7
Mon Jun	118	2.3	1.6
Fri May	117	2.2	1.6
Wed Apr	110	2.2	1.7
Sun Mar	90	2.3	1.7
Sun Feb	71	2.2	1.6

Questions to ask

CMS groups facilities in 1 states or territories under this chain. Which operational policies are set at the chain level?
CMS reports 204 fines across the chain in this dataset. What compliance functions are managed centrally?

CMS chain source and methodology

Nursing Home Chain Performance Measures, fixed version da2db00a-0f3d-40a9-a535-588ff1220c55. Membership comes separately from CMS Skilled Nursing Facility Enrollments.

View official CMS source

Inspections & deficiencies

What CMS inspection records show

Scope and severity terms below are CMS classifications. They are not a TrustHub score.

Latest recorded inspection

Date: May 28, 2026
Survey type: Fire Safety Standard
Linked findings: 0
Highest linked CMS classification: No linked health-deficiency finding in the loaded record

View source details

Dataset: Inspection Dates
CMS dataset ID: svdt-c123
CMS source updated: Jul 1, 2026
CMS provider ID: 676035
Source record locator: csv-row:144607:ccn:676035

View official CMS source

May 28, 2026 — Fire Safety Standard — 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

May 28, 2026 — Health Standard — 6 linked findings

F0552 — Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 28, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
676035
Source record locator
csv-row:407523:ccn:676035
View official CMS source
F0583 — Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 28, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
676035
Source record locator
csv-row:407524:ccn:676035
View official CMS source
F0605 — Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 28, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
676035
Source record locator
csv-row:407525:ccn:676035
View official CMS source
F0727 — Nursing and Physician Services Deficiencies
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 28, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
676035
Source record locator
csv-row:407520:ccn:676035
View official CMS source
F0804 — Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 28, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
676035
Source record locator
csv-row:407521:ccn:676035
View official CMS source
F0812 — Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 28, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
676035
Source record locator
csv-row:407522:ccn:676035
View official CMS source

Apr 29, 2026 — Health Complaint — 1 linked finding

F0600 — 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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 1, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
676035
Source record locator
csv-row:407526:ccn:676035
View official CMS source

Jan 28, 2026 — Health Complaint — 4 linked findings

F0580 — Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 29, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
676035
Source record locator
csv-row:407527:ccn:676035
View official CMS source
F0656 — 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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 29, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
676035
Source record locator
csv-row:407528:ccn:676035
View official CMS source
F0808 — Nutrition and Dietary Deficiencies
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 29, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
676035
Source record locator
csv-row:407529:ccn:676035
View official CMS source
F0826 — Quality of Life and Care Deficiencies
Provide specialized rehabilitative services by qualified personnel, when ordered for a resident by a doctor.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 29, 2026)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
676035
Source record locator
csv-row:407530:ccn:676035
View official CMS source

Oct 8, 2025 — Health Complaint — 3 linked findings

F0580 — Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 10, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
676035
Source record locator
csv-row:407532:ccn:676035
View official CMS source
F0684 — Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 10, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
676035
Source record locator
csv-row:407531:ccn:676035
View official CMS source
F0761 — 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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 17, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
676035
Source record locator
csv-row:407533:ccn:676035
View official CMS source

Mar 13, 2025 — Fire Safety Standard — 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Mar 13, 2025 — Health Standard — 2 linked findings

F0759 — Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 27, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
676035
Source record locator
csv-row:407535:ccn:676035
View official CMS source
F0880 — Infection Control Deficiencies
Provide and implement an infection prevention and control program.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 27, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
676035
Source record locator
csv-row:407534:ccn:676035
View official CMS source

Jan 31, 2024 — Fire Safety Standard — 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Jan 31, 2024 — Health Standard — 4 linked findings

F0732 — Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
CMS scope/severity C: Widespread; No actual harm with potential for minimal harm.
Correction status: Deficient, Provider has date of correction (Feb 15, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
676035
Source record locator
csv-row:407539:ccn:676035
View official CMS source
F0761 — 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.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 15, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
676035
Source record locator
csv-row:407536:ccn:676035
View official CMS source
F0804 — Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 15, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
676035
Source record locator
csv-row:407537:ccn:676035
View official CMS source
F0812 — Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 15, 2024)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
676035
Source record locator
csv-row:407538:ccn:676035
View official CMS source

Tags appearing across inspections

F0580 appears in 2 linked inspections.
F0761 appears in 2 linked inspections.
F0804 appears in 2 linked inspections.
F0812 appears in 2 linked inspections.

Penalties & enforcement

CMS penalty records in the loaded three-year dataset

No penalty records were found for this provider in the currently loaded CMS Penalties dataset.

Questions to ask

Questions generated from the evidence above

CMS records show F0580 in 2 inspections in the available record. What changes has the facility made to address this issue?
CMS records show F0761 in 2 inspections in the available record. What changes has the facility made to address this issue?
CMS records show F0804 in 2 inspections in the available record. What changes has the facility made to address this issue?
CMS records show F0812 in 2 inspections in the available record. What changes has the facility made to address this issue?

Facility history

Facility History

10 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.

What changed recently?

Health inspection completed6 deficiencies were recorded.
RN staffing increasedRN staffing increased from 0.22 to 0.35 hours per resident day between 2025Q4 and 2026Q1. Staffing improved across those reported periods.

2026

May 28
Health inspection completed
6 deficiencies were recorded.
CMS · Recorded event date · View related evidence
Apr 29
Complaint inspection recorded
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
Mar 2026
RN staffing increased
RN staffing increased from 0.22 to 0.35 hours per resident day between 2025Q4 and 2026Q1. Staffing improved across those reported periods.
0.22 → 0.35
CMS · Reported in a source release · View related evidence
Jan 28
Complaint inspection recorded
4 deficiencies were recorded.
CMS · Recorded event date · View related evidence

2025

Dec 2025
Total nurse staffing decreased
Total nurse staffing decreased from 2.72 to 2.48 hours per resident day between 2025Q3 and 2025Q4. Staffing declined across those reported periods.
2.72 → 2.48
CMS · Reported in a source release · View related evidence
Oct 8
Complaint inspection recorded
3 deficiencies were recorded. That includes 1 higher-severity deficiency.
CMS · Recorded event date · View related evidence
Sep 2025
Total nurse staffing decreased
Total nurse staffing decreased from 3.02 to 2.72 hours per resident day between 2025Q2 and 2025Q3. Staffing declined across those reported periods.
3.02 → 2.72
CMS · Reported in a source release · View related evidence
Mar 13
Health inspection completed
2 deficiencies were recorded.
CMS · Recorded event date · View related evidence

2024

Jan 31
Health inspection completed
4 deficiencies were recorded.
CMS · Recorded event date · View related evidence

2020

Oct 1
Ownership change recorded
An ownership change was recorded. New organization: FANNIN COUNTY HOSPITAL AUTHORITY.
PHPM MISSION CARE CENTERS-NEW COVENANT, LP → FANNIN COUNTY HOSPITAL AUTHORITY
CMS · Recorded event date · View related evidence

Staffing

Reported nursing staffing at a glance

CMS staffing rating: 1 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).

Inspect a PBJ quarter

Total nursing: 2.67
RN categories: 0.348
LPN/LVN categories: 0.758
CNA: 1.444

Weekday and weekend calculations

2026Q1 reported hours per resident day
Measure	Monday–Friday	Saturday–Sunday
Total nursing	2.785	2.387
RN categories	0.385	0.257

Contract staff accounted for 3.1% of reported nursing hours included in this quarter calculation.

PBJ reports zero combined RN-category hours on 2 days with a positive MDS census in this quarter.

Reported RN-category hours per resident day were 0.126 higher than the prior loaded quarter.

Staffing over time

Solid bar: Total nursing · Outlined bar: RN categories

Calculated reported hours per resident day by PBJ quarter
Quarter	Total nursing	RN categories	LPN/LVN	CNA	Contract share	Days
2025Q2	3.021	0.32	1.004	1.697	0%	91
2025Q3	2.721	0.283	0.921	1.517	0%	92
2025Q4	2.48	0.222	0.811	1.377	0.8%	92
2026Q1	2.67	0.348	0.758	1.444	3.1%	90

Questions to ask

PBJ records show lower calculated RN-category hours per resident day on weekends this quarter. How does the facility plan RN coverage on Saturdays and Sundays?
PBJ records show that some reported nursing hours were contract hours. How does the facility orient and integrate contract staff?

Staffing source and calculation details

Source: Centers for Medicare & Medicaid Services (CMS)
Dataset: Payroll Based Journal Daily Nurse Staffing
CMS dataset ID: 7e0d53ba-8f02-4c66-98a5-14a1c997c50d
Quarter: 2026Q1
Coverage: Jan 1, 2026–Mar 31, 2026
Days represented: 90 (90 with positive MDS census)
CMS source updated: Jul 29, 2026
Calculation version: pbj-quarter-ratio-of-sums-v1

Hours-per-resident-day values are calculated by this platform from CMS-published daily PBJ hours and MDS census. For each displayed period, included hours are summed and divided by the summed census for days with a positive census. They are not CMS case-mix-adjusted staffing measures or a staffing rating.

View official CMS PBJ source

What we can verify today

Current Provider Information facts

These measures come from the current successfully ingested CMS Nursing Home Provider Information release.

CMS reports a 2-star overall rating.
CMS reports a 3-star health inspection rating.
CMS reports a 1-star staffing rating.
CMS reports a 3-star quality-measure rating.

Planned evidence layers

Additional public-source research

These areas require separate authoritative CMS datasets. No findings are shown until those sources are ingested and reviewed.

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Provider Information

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: 4pq5-n9py
Source updated: Jul 29, 2026
Retrieved: Aug 14, 2026
Supports: Overview, facility facts, and CMS ratings

View official CMS source

Inspection Dates

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: svdt-c123
Source updated: Jul 1, 2026
Retrieved: Aug 14, 2026
Supports: Inspections and facility history

View official CMS source

Health Deficiencies

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: r5ix-sfxw
Source updated: Jul 1, 2026
Retrieved: Aug 14, 2026
Supports: Health deficiencies and facility history

View official CMS source

Payroll Based Journal Daily Nurse Staffing

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: 7e0d53ba-8f02-4c66-98a5-14a1c997c50d
Coverage: Apr 1, 2025–Mar 31, 2026
Source updated: Jul 29, 2026
Retrieved: Aug 15, 2026
Supports: PBJ staffing cards, history, and transparent calculations

View official CMS source

Ownership

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: y2hd-n93e
Source updated: Jul 1, 2026
Retrieved: Aug 15, 2026
Supports: Ownership parties, organization connections, and ownership history

View official CMS source

Skilled Nursing Facility Enrollments

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: 5f2c306f-3b1c-42cd-b037-187b2ce22126
Source updated: Jul 27, 2026
Retrieved: Aug 15, 2026
Supports: Ownership parties, organization connections, and ownership history

View official CMS source

Skilled Nursing Facility Change of Ownership

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: f557a6ed-95b3-4a22-8433-4175db2dec1c
Source updated: Jul 27, 2026
Retrieved: Aug 15, 2026
Supports: Ownership parties, organization connections, and ownership history

View official CMS source

Nursing Home Chain Performance Measures

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: 97ecfad1-d3f1-4d42-b774-d74661d830bc
Coverage: Wed Jul
Source updated: Aug 12, 2026
Retrieved: Aug 16, 2026
Supports: CMS chain context, performance, and monthly history

View official CMS source

Verified public facility information

Source organization: Public facility listing
Dataset identifier: commercial-corroboration:public-listing
Source updated: Aug 18, 2026
Retrieved: Aug 18, 2026
Supports: Independently verified public website, phone, or publicly used name. Not a CMS rating or regulatory status.

How sources work

Directory of Nursing Facilities with an Active License

Source organization: Texas Health and Human Services Commission
Dataset identifier: state-regulator:tx
Coverage: State license 308003
Source updated: Aug 18, 2026
Retrieved: Aug 18, 2026
Supports: state license, and license type. Separate from CMS certification, ratings, and ownership.

View official state source

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CMS rating overview

CMS overall

Health inspection

Staffing

Quality-measure

Contact

State License & Oversight

What to review

Staffing

Inspections

Ownership

Chain context

Ownership & Operation

Who is behind this facility?

Related facilities

Facilities currently connected to this organization

Who CMS records show is connected to this facility

CMS-published ownership and control parties

FANNIN COUNTY HOSPITAL AUTHORITY

3727 W RANCH ROAD 1431 PROPERTY OWNER, LLC

RAMIREZ, ROBERTO

SYED, ASIF

WELLTOWER NNN GROUP, LLC

WELLTOWER OP, LLC

SANDERSON, CLARK

DAGAN, AMITAI

GOLDBERGER, ABRAHAM

GOLDBERGER, FAIGY

3727 W RANCH ROAD 1431 HOLDINGS LLC

FREUND, NOCHUM

RAMIREZ, ROBERTO

SYED, ASIF

TRAVITSKY, AARON

FANNIN COUNTY HOSPITAL AUTHORITY

Ownership changes reported in CMS enrollment records

What this means

Questions to ask

CMS groups this facility with AVIR HEALTH GROUP

CMS-published history

Questions to ask

What CMS inspection records show

Latest recorded inspection

F0552 — Resident Rights Deficiencies

F0583 — Resident Rights Deficiencies

F0605 — Freedom from Abuse, Neglect, and Exploitation Deficiencies

F0727 — Nursing and Physician Services Deficiencies

F0804 — Nutrition and Dietary Deficiencies

F0812 — Nutrition and Dietary Deficiencies

F0600 — Freedom from Abuse, Neglect, and Exploitation Deficiencies

F0580 — Resident Rights Deficiencies

F0656 — Resident Assessment and Care Planning Deficiencies

F0808 — Nutrition and Dietary Deficiencies

F0826 — Quality of Life and Care Deficiencies

F0580 — Resident Rights Deficiencies

F0684 — Quality of Life and Care Deficiencies

F0761 — Pharmacy Service Deficiencies

F0759 — Pharmacy Service Deficiencies

F0880 — Infection Control Deficiencies

F0732 — Nursing and Physician Services Deficiencies

F0761 — Pharmacy Service Deficiencies

F0804 — Nutrition and Dietary Deficiencies

F0812 — Nutrition and Dietary Deficiencies

Tags appearing across inspections

CMS penalty records in the loaded three-year dataset

Questions generated from the evidence above

Facility History

What changed recently?

2026

2025

2024

2020

Reported nursing staffing at a glance

Weekday and weekend calculations

Staffing over time

Questions to ask

Current Provider Information facts

Additional public-source research

See something that needs correction?

See where this record came from