AVIR AT BRADBURN

520 BRADBURN RD, GRAND SALINE, TX 75140 (903) 962-4234
For profit - Corporation 76 Beds Independent Data: November 2025
Trust Grade
45/100
#632 of 1168 in TX
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Last Inspection: May 2025

Inspected within the last 6 months. Data reflects current conditions.

Overview

Avir at Bradburn has a Trust Grade of D, indicating below-average quality and some concerns about the care provided. It ranks #632 out of 1168 nursing homes in Texas, placing it in the bottom half of facilities statewide, and it is the least favorable option in Van Zandt County, ranking #6 out of 6. The facility's performance has worsened recently, with the number of reported issues increasing from 1 in 2024 to 2 in 2025. Staffing is a relative strength, with a 46% turnover rate, which is slightly better than the state average, but the facility received concerning fines totaling $204,535, higher than 97% of Texas facilities, indicating potential compliance problems. There are specific issues regarding kitchen sanitation, as food was not properly labeled, which could pose a risk of foodborne illness, and some resident rooms did not meet the required size standards, potentially impacting residents' comfort and needs.

Trust Score
D
45/100
In Texas
#632/1168
Bottom 46%
Safety Record
High Risk
Review needed
Inspections
Getting Worse
1 → 2 violations
Staff Stability
⚠ Watch
46% turnover. Above average. Higher turnover means staff may not know residents' routines.
Penalties
✓ Good
$204,535 in fines. Lower than most Texas facilities. Relatively clean record.
Skilled Nurses
⚠ Watch
Each resident gets only 24 minutes of Registered Nurse (RN) attention daily — below average for Texas. Fewer RN minutes means fewer trained eyes watching for problems.
Violations
✓ Good
Only 4 deficiencies on record. Cleaner than most facilities. Minor issues only.
★★☆☆☆
2.0
Overall Rating
★★☆☆☆
2.0
Staff Levels
★★★★☆
4.0
Care Quality
★★☆☆☆
2.0
Inspection Score
↔
Stable
2024: 1 issues
2025: 2 issues

The Good

  • 4-Star Quality Measures · Strong clinical quality outcomes
  • Full Sprinkler Coverage · Fire safety systems throughout facility
  • No fines on record

Facility shows strength in quality measures, fire safety.

The Bad

2-Star Overall Rating

Below Texas average (2.8)

Below average - review inspection findings carefully

Staff Turnover: 46%

Near Texas avg (46%)

Higher turnover may affect care consistency

Federal Fines: $204,535

Well above median ($33,413)

Significant penalties indicating serious issues

The Ugly 4 deficiencies on record

May 2025 2 deficiencies
CONCERN (E)

Potential for Harm - no one hurt, but risky conditions existed

Food Safety (Tag F0812)

Could have caused harm · This affected multiple residents

Based on observation, interview and record review, the facility failed to store, prepare, distribute, and serve food under sanitary conditions in the facility's only kitchen observed for kitchen sanit...

Read full inspector narrative →
Based on observation, interview and record review, the facility failed to store, prepare, distribute, and serve food under sanitary conditions in the facility's only kitchen observed for kitchen sanitation. The facility failed to ensure: - items in the reach in cooler had a label and an open date. -items on the prep table had been opened and not labeled with the open date. These failures could place residents who ate food from the kitchen at risk of foodborne illness. Findings included: During observations, interviews and record reviews on 05/027/25 of the kitchen the following was noted: On 05/27/25 at 10:16 AM in the 3-door cooler 1-46 oz honey thick Orange Juice was not dated when opened. It had a truck delivery date on the container of 05/07/2025. 1-46 oz. nectar thick Orange Juice was not dated when opened. It had a truck delivery date on the container of 05/14/2025. The packaging on the container reads: After opening may be kept up to 7 days under refrigeration. 1 small white bowl of white substance plastic covering dated 05/20/25. 1 small square plastic covered container with no label or date contained a small brown square of some substance. During an observation on 05/27/2025 at 10:40 AM on the prep table opposite the dish machine the following was noted: 1-46 oz honey thick sweet tea was not dated when opened. It had a truck delivery date on the container of 5/14/25. 1-46 oz. nectar thick sweet tea was not dated when opened. It had a truck delivery date on the container of 5/21/25. The packaging on the container reads: After opening may be kept up to 7 days under refrigeration. During an interview and observation on 05/27/2025 at 10:27 AM the DM removed all four thickened liquid cartons that were open and discarded them. She said the date marked on the box was the date the truck delivered the item and was to help with product rotation. She said items were to be marked when opened. She said leftovers in the refrigerator should be used within 3 days or discarded. She said the white substance was a bowl of icing and should have been discarded. She said the item in the small square container was a piece of fudge that belonged to a resident. She discarded the icing and fudge. Record review the facility's Food Receiving and Storage policy, revised November 2022, indicated the following: .Refrigerated /Frozen Storage 1. All foods stored in the refrigerator or freezer are covered, labeled and dated (use by date) .7. Refrigerated foods are labeled, dated and monitored so they are used by their use-by date, frozen, or discarded.
MINOR (B)

Minor Issue - procedural, no safety impact

Deficiency F0912 (Tag F0912)

Minor procedural issue · This affected multiple residents

**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview and record review, the facility failed to ensure resident rooms measured at least 80 square feet...

Read full inspector narrative →
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview and record review, the facility failed to ensure resident rooms measured at least 80 square feet per resident in multiple rooms and at least 100 square feet in single resident rooms for 2 of 10 resident rooms (Resident room [ROOM NUMBER] and 311) reviewed for square footage. The facility failed to provide 80 square feet per resident for a room certified for 4 residents and provide 100 square feet for a room certified as a private room. These failures could place residents at risk of not having adequate space to meet their needs. Findings included: During an observation on initial tour on 05/27/2025 at 10:40 AM, it was observed that no residents were residing in room [ROOM NUMBER] and no residents were residing in room [ROOM NUMBER]. During an interview on 05/28/2025 at 9:45 AM, the Administrator said resident rooms [ROOM NUMBERS] still required room waivers. She said room [ROOM NUMBER] was certified for 4 residents and measured 74 square feet per resident and room [ROOM NUMBER] was certified as a private room and measured 81 feet instead of 100 square feet. She said room [ROOM NUMBER] was used as a staff break room. She said she filed for the waiver after the life safety code inspection on 05/27/2025. Record review of the bed classification form dated 05/27/2025 indicated room [ROOM NUMBER] was certified for 4 residents and room [ROOM NUMBER] was certified for 1 resident.
Apr 2024 1 deficiency
MINOR (B)

Minor Issue - procedural, no safety impact

Deficiency F0912 (Tag F0912)

Minor procedural issue · This affected multiple residents

**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview and record review, the facility failed to ensure resident rooms measured at least 80 square feet...

Read full inspector narrative →
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview and record review, the facility failed to ensure resident rooms measured at least 80 square feet per resident in multiple rooms and at least 100 square feet in single resident rooms for 2 of 10 resident rooms (Resident room [ROOM NUMBER] and 311) reviewed for square footage. The facility failed to provide 80 square feet per resident for a room certified for 4 residents and provide 100 square feet for a room certified as a private room. These failures could place residents at risk of not having adequate space to meet their needs. Findings include: During an observation on initial tour on 04/14/2024 at 10:20 AM, it was observed that 2 residents resided in room [ROOM NUMBER] and no residents were residing in room [ROOM NUMBER]. During an interview on 04/16/2024 at 2:30 PM, the Administrator said resident rooms [ROOM NUMBERS] still required room waivers. She said room [ROOM NUMBER] was certified for 4 residents and measured 74 square feet per resident and room [ROOM NUMBER] was certified as a private room and measured 81 feet instead of 100 square feet. Record review of a resident roster, dated 04/16/2024, indicated room [ROOM NUMBER] was certified for 4 residents and room [ROOM NUMBER] was certified for 1 resident.
Mar 2023 1 deficiency
MINOR (B) 📢 Someone Reported This

A family member, employee, or ombudsman was alarmed enough to file a formal complaint

Minor Issue - procedural, no safety impact

Deficiency F0912 (Tag F0912)

Minor procedural issue · This affected multiple residents

**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review the facility failed to ensure resident rooms measured at least 80 square feet per resident ...

Read full inspector narrative →
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review the facility failed to ensure resident rooms measured at least 80 square feet per resident in multiple rooms and at least 100 square feet in single resident rooms for 2 of 10 resident rooms (Resident room [ROOM NUMBER] and 311) reviewed for square footage. The facility failed to provide 80 square feet per resident for a room certified for 4 residents and provide 100 square feet for a room certified as a private room. These failures could place residents at risk of not having adequate space to meet their needs. Findings include: During an observation on initial tour on 03/13/2023 at 9:20 A.M. revealed 2 residents resided in room [ROOM NUMBER] and no residents were residing in room [ROOM NUMBER]. During an interview on 03/15/2023 at 8:30 A. M., the Administrator said resident rooms [ROOM NUMBERS] still required room waivers. She said room [ROOM NUMBER] was certified for 4 residents and measured 74 square feet per resident and room [ROOM NUMBER] was certified as a private room and measured 81 feet instead of 100 square feet. Record review of a resident roster, dated 03/13/2023, indicated room [ROOM NUMBER] was certified for 4 residents and room [ROOM NUMBER] was certified for 1 resident.
Understanding Severity Codes (click to expand)
Life-Threatening (Immediate Jeopardy)
J - Isolated K - Pattern L - Widespread
Actual Harm
G - Isolated H - Pattern I - Widespread
Potential for Harm
D - Isolated E - Pattern F - Widespread
No Harm (Minor)
A - Isolated B - Pattern C - Widespread

Questions to Ask on Your Visit

  • "Can I speak with families of current residents?"
  • "What's your RN coverage like on weekends and overnight?"

Our Honest Assessment

Strengths
  • • Only 4 deficiencies on record. Cleaner than most facilities. Minor issues only.
Concerns
  • • Multiple safety concerns identified: $204,535 in fines. Review inspection reports carefully.
  • • $204,535 in fines. Extremely high, among the most fined facilities in Texas. Major compliance failures.
  • • Grade D (45/100). Below average facility with significant concerns.
Bottom line: Trust Score of 45/100 indicates significant concerns. Thoroughly evaluate alternatives.

About This Facility

What is Avir At Bradburn's CMS Rating?

CMS assigns AVIR AT BRADBURN an overall rating of 2 out of 5 stars, which is considered below average nationally. Within Texas, this rating places the facility higher than 0% of the state's 100 nursing homes. A rating at this level reflects concerns identified through health inspections, staffing assessments, or quality measures that families should carefully consider.

How is Avir At Bradburn Staffed?

CMS rates AVIR AT BRADBURN's staffing level at 2 out of 5 stars, which is below average compared to other nursing homes. Staff turnover is 46%, compared to the Texas average of 46%. This relatively stable workforce can support continuity of care.

What Have Inspectors Found at Avir At Bradburn?

State health inspectors documented 4 deficiencies at AVIR AT BRADBURN during 2023 to 2025. These included: 1 with potential for harm and 3 minor or isolated issues.

Who Owns and Operates Avir At Bradburn?

AVIR AT BRADBURN is owned by a for-profit company. For-profit facilities operate as businesses with obligations to shareholders or private owners. The facility operates independently rather than as part of a larger chain. With 76 certified beds and approximately 38 residents (about 50% occupancy), it is a smaller facility located in GRAND SALINE, Texas.

How Does Avir At Bradburn Compare to Other Texas Nursing Homes?

Compared to the 100 nursing homes in Texas, AVIR AT BRADBURN's overall rating (2 stars) is below the state average of 2.8, staff turnover (46%) is near the state average of 46%, and health inspection rating (2 stars) is below the national benchmark.

What Should Families Ask When Visiting Avir At Bradburn?

Based on this facility's data, families visiting should ask: "Can you walk me through typical staffing levels on day, evening, and night shifts?" "Can I visit during a mealtime to observe dining assistance and food quality?" "How do you handle medical emergencies, and what is your hospital transfer rate?" "Can I speak with family members of current residents about their experience?" These questions are particularly relevant given the below-average staffing rating.

Is Avir At Bradburn Safe?

Based on CMS inspection data, AVIR AT BRADBURN has a clean safety record: no substantiated abuse findings (meaning no confirmed cases of resident harm), no Immediate Jeopardy citations (the most serious violation level indicating risk of serious injury or death), and is not on the Special Focus Facility watch list (a federal program monitoring the lowest-performing 1% of nursing homes). The facility has a 2-star overall rating and ranks #100 of 100 nursing homes in Texas. While no facility is perfect, families should still ask about staff-to-resident ratios and recent inspection results during their visit.

Do Nurses at Avir At Bradburn Stick Around?

AVIR AT BRADBURN has a staff turnover rate of 46%, which is about average for Texas nursing homes (state average: 46%). Moderate turnover is common in nursing homes, but families should still ask about staff tenure and how the facility maintains care continuity when employees leave.

Was Avir At Bradburn Ever Fined?

AVIR AT BRADBURN has been fined $204,535 across 1 penalty action. This is 5.8x the Texas average of $35,124. Fines at this level are uncommon and typically indicate a pattern of serious deficiencies, repeated violations, or failure to correct problems promptly. CMS reserves penalties of this magnitude for facilities that pose significant, documented risk to resident health or safety. Families should request specific documentation of what issues led to these fines and what systemic changes have been implemented.

Is Avir At Bradburn on Any Federal Watch List?

AVIR AT BRADBURN is not on any federal watch list. The most significant is the Special Focus Facility (SFF) program, which identifies the bottom 1% of nursing homes nationally based on persistent, serious quality problems. Not being on this list means the facility has avoided the pattern of deficiencies that triggers enhanced federal oversight. This is a positive indicator, though families should still review the facility's inspection history directly.

AVIR AT BRADBURN

520 BRADBURN RD, GRAND SALINE, TX 75140 | (903) 962-4234

D
Trust Grade (45/100)
2.0
CMS Rating
4
Deficiencies

Strengths

  • 4-star quality

Concerns

  • 2-star rating

Ask about: Rn Coverage

nursinghomedata.org | Data: CMS November 2025