Avir at la Grange

Name: Avir at la Grange
Address: 457 N. Main Street, La Grange, TX, 78945, US
Telephone: 9799685865

457 N. Main Street, La Grange, TX 78945 · Fayette County · 98 certified beds · avg 47 residents/day · certified since Feb 14, 1994

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.39

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5

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.

All citations in the current public record (21)

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 27, 2026	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint
Mar 5, 2026	F · Potential for harm, facility-wide	The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing.
Mar 5, 2026	E · Potential for harm, repeated	The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council.
Mar 5, 2026	E · Potential for harm, repeated	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Mar 5, 2026	E · Potential for harm, repeated	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.
Mar 5, 2026	E · Potential for harm, repeated	The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests.
Mar 5, 2026	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Mar 5, 2026	C · Minimal risk, facility-wide	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.
Jan 13, 2026	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint
Jan 13, 2026	D · Potential for harm, one-off	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
Jan 13, 2026	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint
Dec 12, 2024	F · Potential for harm, facility-wide	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.
Dec 12, 2024	E · Potential for harm, repeated	The facility did not provide care that took into account residents' past trauma or their cultural backgrounds. Care is supposed to be sensitive to what residents have lived through and where they come from.
Dec 12, 2024	D · Potential for harm, one-off	The facility did not keep residents' personal and medical information private and confidential.
Dec 12, 2024	D · Potential for harm, one-off	The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need.
Dec 12, 2024	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Dec 12, 2024	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.
Dec 12, 2024	C · Minimal risk, facility-wide	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.
Oct 12, 2023	E · Potential for harm, repeated	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups.
Oct 12, 2023	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Oct 12, 2023	C · Minimal risk, facility-wide	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 stayed about the same across the last two inspection cycles (7 → 7).

Year	Citations	Worst severity that year
2023	3	E
2024	7	F
2026	11	F

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)

No fines or payment denials in the published 3-year window.

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)	3.39	3.46	3.95	top 43% in Texas; bottom 31% in the U.S.
Registered Nurse hours	0.30	0.44	0.69	bottom 28% in Texas; bottom 9% in the U.S.
Weekend total nurse staffing	2.98	3.04	3.50	top 43% in Texas; bottom 30% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.13	0.34	0.48	bottom 6% in Texas; bottom 3% in the U.S.
Total nursing staff turnover (%)	70.0	55.3	45.8	bottom 19% in Texas; bottom 6% in the U.S.
RN turnover (%)	0.0	54.6	42.9	—

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 3.23, RN 0.28, weekend 2.84. 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: 5/5 · long-stay residents: 5/5 · short-stay residents: —/5

Who owns this facility

Government - Hospital district

Owner / manager	Type	Role	Stake	Since
Oakbend Medical Center	Organization	5% or Greater Direct Ownership Interest	100%	03/31/2017
Freudenberger, Joseph	Individual	Corporate Officer	NOT APPLICABLE	06/19/2007
Noell, Pamela	Individual	Operational/Managerial Control	NOT APPLICABLE	03/10/2025
Noell, Pamela	Individual	ADP of the SNF	NOT APPLICABLE	03/10/2025
Raj, Hans	Individual	ADP of the SNF	NOT APPLICABLE	10/01/2024

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"How many hours a day is a registered nurse physically in the building, including weekends?"
"Does your facility have an active resident council, and how does management respond to its concerns?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"How is pest control handled here, and when was the last treatment or inspection?"
"Can I see the actual room my family member would live in before we decide?"
"If my family member falls or their condition changes, exactly when and how will I be notified?"
"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
Monument Rehabilitation and Nursing Center	1.5 mi	La Grange, TX	★★★★☆	4/5
Schulenburg Regency Nursing Center	15.5 mi	Schulenburg, TX	★★★★☆	4/5
Parkview Manor Nursing and Rehabilitation	15.6 mi	Weimar, TX	★☆☆☆☆	2/5	abuse
Paradigm at the Oak	15.7 mi	Schulenburg, TX	★☆☆☆☆	1/5	abuse
Towers Nursing Home	16.6 mi	Smithville, TX	★★★★☆	4/5

Compare this facility with the 3 closest →

All facilities in La Grange →

Facility data as of CMS processing date 2026-08-01. CCN 675277.

The Care File

Visit checklist — Avir at la Grange

457 N. Main Street, La Grange, TX 78945 · 9799685865

Health inspection rating 3/5 · CMS overall 3/5· Fines (3y): $0

Questions for the administrator:

☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "How many hours a day is a registered nurse physically in the building, including weekends?"
☐ "Does your facility have an active resident council, and how does management respond to its concerns?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "How is pest control handled here, and when was the last treatment or inspection?"
☐ "Can I see the actual room my family member would live in before we decide?"
☐ "If my family member falls or their condition changes, exactly when and how will I be notified?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 675277 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)