Avir at San Augustine
902 E Main St, San Augustine, TX 75972 · 88 beds · For profit - Corporation
The records flag: 3 citations at the most serious level; $102,752 in fines over three years.
These are drawn straight from Medicare's records. We report what the record says — we don't rate facilities or judge the care given in them.
Who's actually on the floor
Staffing is the thing most closely tied to day-to-day quality of care, and it's the number families most often never see. This is registered nurses only — a smaller figure than the all-staff total above, because it counts the most highly qualified staff on their own — per resident, per day, comparing an average weekday against an average weekend.
Registered nurses only — hours per resident per day. Longer is better.
Nurse coverage is actually about 26% higher at weekends.
Staff turnover: 82%
High turnover matters because continuity does — a nurse who knows your mother notices when something is different about her. Someone on their second shift doesn't have that baseline.
What inspectors found
State inspectors visit at least once a year and after complaints. Over the last three years this facility received 20 citations. Raw counts mislead, though — a paperwork slip and a resident being harmed both count as one. Here they are by how serious inspectors judged them.
| Severity | Citations |
|---|---|
| Immediate jeopardy | 3 |
| Potential for harm | 16 |
| No harm | 1 |
3 of these came from someone filing a complaint rather than a routine visit — worth weighing differently, because it means a person picked up the phone. All findings are recorded as corrected.
Medicare has issued $102,752 in fines here over the past three years.
Disclosed affiliations
Medicare has not published ownership or affiliation information for this facility. That is a gap in the federal record, not a finding about the facility — the great majority of facilities do have entries, so it is a reasonable thing to ask about on a visit.
Other options nearby
Most families are choosing between whatever is close enough to visit often — and visiting often is itself one of the better protections a resident has. These are the closest 8 facilities.
| Facility | Miles | Rating | Nurse hrs | Weekend |
|---|---|---|---|---|
| Stonecreek Nursing & Rehabilitation | 1.6 | 3 | 0.27 | −29% |
| Colonial Pines Healthcare Center | 3.2 | 4 | 0.39 | −37% |
| Avir at Center | 18.9 | 4 | 0.29 | −21% |
| Pine Grove Nursing Center | 18.9 | 4 | 0.48 | −21% |
| Hemphill Care Center | 19.1 | 1 | 0.26 | +14% |
| Focused Care of Center | 19.5 | 3 | 0.33 | −32% |
| Legacies Nursing and Rehabilitation | 19.8 | 5 | 0.21 | +1% |
| Garrison Nursing Home & Rehabilitation Center | 31.7 | 3 | 0.24 | +33% |
Worth asking on a visit
Records only tell you so much. These are the questions this facility's particular numbers suggest you ask — go on a weekend if you possibly can.
- Turnover here is about 82%. How long has the director of nursing been in post?
- Medicare's records show a citation at the most serious level. What happened, and what changed afterwards?
- Who will actually be caring for my relative at 3am on a Saturday — an agency nurse or someone on staff?