Avir at Bradburn
520 Bradburn Rd., Grand Saline, TX 75140 · Van Zandt County · 76 certified beds · avg 30 residents/day · certified since May 20, 1994
Part of chain: AVIR HEALTH GROUP (116 facilities, chain avg rating 2.3★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 1/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, repeated · Sep 25, 2025 · F-0684 · triggered by a complaint
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Sep 26, 2025 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Sep 25, 2025 · F-0755 · triggered by a complaint
The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Why it matters: Weak pharmacy services lead to medication mistakes, delays, and missed drug interactions that can seriously harm residents.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Sep 26, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (11)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| May 21, 2026 | D · Potential for harm, one-off | The facility did not let a resident help develop and carry out their own plan of care — the written roadmap of the services and support they'll receive, built around their personal goals and preferences. · from a complaint |
| May 21, 2026 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| May 21, 2026 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint |
| Dec 12, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint |
| Nov 24, 2025 | E · Potential for harm, repeated | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint |
| Sep 25, 2025 | ▲ K · Immediate jeopardy, repeated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Sep 25, 2025 | ▲ J · Immediate jeopardy, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint |
| May 29, 2025 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| May 29, 2025 | B · Minimal risk, repeated | The facility had resident rooms smaller than required — at least 80 square feet per person in shared rooms and 100 square feet in single rooms. |
| Apr 16, 2024 | B · Minimal risk, repeated | The facility had resident rooms smaller than required — at least 80 square feet per person in shared rooms and 100 square feet in single rooms. |
| Mar 15, 2023 | B · Minimal risk, repeated | The facility had resident rooms smaller than required — at least 80 square feet per person in shared rooms and 100 square feet in single rooms. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (1 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 1 | 0 | B |
| 2024 | 1 | 0 | B |
| 2025 | 6 | 2 | K ▲ |
| 2026 | 3 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $136,027.
| Date | Type | Amount / length |
|---|---|---|
| Sep 25, 2025 | Fine | $136,027 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Texas avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.74 | 3.46 | 3.95 | top 22% in Texas; bottom 49% in the U.S. |
| Registered Nurse hours | 0.56 | 0.44 | 0.69 | top 19% in Texas; bottom 47% in the U.S. |
| Weekend total nurse staffing | 3.29 | 3.04 | 3.50 | top 24% in Texas; bottom 47% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.28 | 0.34 | 0.48 | bottom 46% in Texas; bottom 27% in the U.S. |
| Total nursing staff turnover (%) | 83.8 | 55.3 | 45.8 | bottom 12% in Texas; bottom 2% in the U.S. |
| RN turnover (%) | 80.0 | 54.6 | 42.9 | bottom 21% in Texas; bottom 6% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.39, RN 0.51, weekend 2.98. Staffing rating: 1/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 3/5 · short-stay residents: 5/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| 520 Bradburn Road Holdings, LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 04/01/2025 |
| TX SNF Holdings ,LLC | Organization | 5% or Greater Indirect Ownership Interest | 100% | 04/01/2025 |
| 520 Bradburn Road Property Owner, LLC | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 04/01/2025 |
| 520 Bradburn Road Property Owner, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2025 |
| Freund, Nochum | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2025 |
| Holderread, Lynn | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2025 |
| Holderread, Lynn | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2025 |
| Travitsky, Aaron | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2025 |
| Welltower INC | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 04/01/2025 |
| Welltower INC | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2025 |
| Welltower NNN Group, LLC | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 04/01/2025 |
| Welltower NNN Group, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2025 |
| Welltower Op, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "How are residents and families included in care plan meetings, and how often do those meetings happen?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can I see the actual room my family member would live in before we decide?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Azalea Trail Nursing and Rehabilitation Center | 0.3 mi | Grand Saline, TX | ★★★★☆ | 5/5 | |
| Avir at Grand Saline | 0.8 mi | Grand Saline, TX | ★★☆☆☆ | 2/5 | |
| Van Healthcare | 11.2 mi | Van, TX | ★★★★☆ | 4/5 | |
| Avir at Mineola | 12.4 mi | Mineola, TX | ★☆☆☆☆ | 2/5 | abuse |
| Mineola Gardens Wellness & Rehabilitation | 12.9 mi | Mineola, TX | ★☆☆☆☆ | 2/5 | abuse |
| Canton Oaks | 13.5 mi | Canton, TX | ★★★★☆ | 4/5 | |
| Emory Health and Rehab | 14.7 mi | Emory, TX | ★★★☆☆ | 4/5 | |
| Crestwood Health and Rehabilitation Center | 17.1 mi | Wills Point, TX | ★★★★★ | 5/5 | |
| Quitman Wellness & Rehabilitation | 17.6 mi | Quitman, TX | ★★★☆☆ | 3/5 |
Compare this facility with the 3 closest →
All facilities in Grand Saline →
Facility data as of CMS processing date 2026-08-01. CCN 675320.