| Avir at Jefferson | |
| 1307 Martin Luther King Dr, Jefferson, Texas 75657 | |
| (903) 665-3951 | |
| Name | Avir at Jefferson |
|---|---|
| Location | 1307 Martin Luther King Dr, Jefferson, Texas |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 116 |
| Occupancy Rate | 74.05% |
| Medicare ID (CCN) | 675241 |
| Legal Business Name | Fannin County Hospital Authority |
| Ownership Type | For Profit - Limited Liability Company |
| Chain | Avir Health Group (116 nursing homes) |
| Chain Average Overall Rating | 2.3 out of 5 |
| NPI Number | 1124495486 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Fannin County Hospital Authority |
| Doing Business As | Avir at Jefferson |
| Address | 1307 Martin Luther King Dr, Jefferson, TX 75657 |
| Phone Number | 903-665-3951 |
| NPI Number | 1598910291 |
| Match | Possible same name, address or phone number |
| Organization Name | Jefferson I Enterprises, LLC |
| Doing Business As | Pine Hill Nursing and Rehabilitation |
| Address | 1307 Martin Luther King Dr, Jefferson, TX 75657 |
| Phone Number | 903-665-9351 |
| NPI Number | 1952397739 |
| Match | Possible same name, address or phone number |
| Organization Name | Pine Hill Nursing and Rehabilitation LP |
| Address | 1307 Martin Luther King Dr, Jefferson, TX 75657 |
| Phone Number | 903-665-3951 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 3.29 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.41 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.73 | 0.86 |
| Nurse aide hours per resident per day | 2.15 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 2.83 | 3.42 |
| RN hours per resident per day on the weekend | 0.25 | 0.48 |
| Physical therapist hours per resident per day | 0.05 | 0.07 |
| Total nursing staff turnover | 58.8% | 45.8% |
| Registered nurse turnover | 54.5% | 42.9% |
| Number of administrators who have left the nursing home | 1 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 2 |
| Total Amount of Fines in Dollars | $16,498 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 2 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Feb 22, 2026 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580, Resident Rights, Complaint inspection | Potential for harm, pattern | Corrected by Mar 13, 2026 |
| Feb 22, 2026 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, pattern | Corrected by Feb 13, 2026 |
| Dec 3, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Dec 7, 2025 |
| Dec 3, 2025 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Dec 7, 2025 |
| Dec 3, 2025 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. F0584, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Dec 7, 2025 |
| Dec 3, 2025 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Dec 7, 2025 |
| Dec 3, 2025 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Dec 7, 2025 |
| Dec 3, 2025 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Dec 7, 2025 |
| Dec 3, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Dec 7, 2025 |
| Dec 3, 2025 | Ensure that residents are fully informed and understand their health status, care and treatments. F0552, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Dec 8, 2025 |
| Dec 3, 2025 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Dec 7, 2025 |
| Dec 3, 2025 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Dec 7, 2025 |
| Dec 3, 2025 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Dec 7, 2025 |
| Dec 3, 2025 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. F0694, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Dec 7, 2025 |
| Dec 3, 2025 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Dec 7, 2025 |
| Dec 3, 2025 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Dec 7, 2025 |
| Sep 19, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Oct 18, 2024 |
| Sep 19, 2024 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Oct 18, 2024 |
| Sep 19, 2024 | Reasonably accommodate the needs and preferences of each resident. F0558, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Oct 18, 2024 |
| Sep 19, 2024 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Oct 18, 2024 |
| Sep 19, 2024 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Oct 18, 2024 |
| Sep 19, 2024 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Oct 18, 2024 |
| Sep 19, 2024 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Oct 18, 2024 |
| Sep 19, 2024 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Oct 18, 2024 |
| Sep 19, 2024 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Oct 18, 2024 |
| Sep 19, 2024 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. F0758, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Oct 18, 2024 |
| Sep 19, 2024 | Ensure that residents are free from significant medication errors. F0760, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Oct 18, 2024 |
| Jul 31, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Aug 30, 2024 |
| Apr 23, 2024 | Provide safe, appropriate pain management for a resident who requires such services. F0697, Quality of Life and Care, Complaint inspection | Actual harm, isolated | Corrected by Apr 30, 2024 |
| Apr 23, 2024 | Provide and implement an infection prevention and control program. F0880, Infection Control, Complaint inspection | Potential for harm, pattern | Corrected by Apr 30, 2024 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 16.8 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 9.88 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0.95 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 0.7 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 5.18 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.48 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 90.48 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 3.39 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 14.18 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 23.19 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 89.41 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 4.24 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 9.65 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 8.38 | 15.38 |