| Avir at Stephenville | |
| 1670 Lingleville Rd, Stephenville, Texas 76401 | |
| (254) 968-2158 | |
| Name | Avir at Stephenville |
|---|---|
| Location | 1670 Lingleville Rd, Stephenville, Texas |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 102 |
| Occupancy Rate | 61.27% |
| Medicare ID (CCN) | 455744 |
| Legal Business Name | Stephens Memorial Hospital District |
| Ownership Type | For Profit - Corporation |
| Chain | Avir Health Group (116 nursing homes) |
| Chain Average Overall Rating | 2.3 out of 5 |
| NPI Number | 1497172514 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Stephens Memorial Hospital District |
| Doing Business As | Avir at Stephenville |
| Address | 1670 W Lingleville Rd, Stephenville, TX 76401 |
| Phone Number | 254-968-2158 |
| NPI Number | 1205973799 |
| Match | Possible same name, address or phone number |
| Organization Name | Living Centers of Texas, Inc. |
| Doing Business As | Mulberry Manor |
| Address | 1670 Lingleville Rd, Stephenville, TX 76401 |
| Phone Number | 254-968-2158 |
| NPI Number | 1295809853 |
| Match | Possible same name, address or phone number |
| Organization Name | Mulberry Manor LLC |
| Doing Business As | Mulberry Manor |
| Address | 1670 W Lingleville Rd, Stephenville, TX 76401 |
| Phone Number | 254-968-2158 |
| 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 | 3.33 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.28 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.77 | 0.86 |
| Nurse aide hours per resident per day | 2.29 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 2.9 | 3.42 |
| RN hours per resident per day on the weekend | 0.18 | 0.48 |
| Physical therapist hours per resident per day | 0.09 | 0.07 |
| Total nursing staff turnover | 82.3% | 45.8% |
| Registered nurse turnover | 90.9% | 42.9% |
| Number of administrators who have left the nursing home | 2 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 1 |
| Total Amount of Fines in Dollars | $204,614 |
| Number of Payment Denials | 1 |
| Total Number of Penalties | 2 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Jun 5, 2026 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. F0644, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Jun 30, 2026 |
| Jun 5, 2026 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Complaint inspection | Potential for harm, isolated | Corrected by Jun 30, 2026 |
| Mar 27, 2026 | Ensure that residents are fully informed and understand their health status, care and treatments. F0552, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Mar 28, 2026 |
| Jul 24, 2025 | 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, pattern | Corrected by Aug 4, 2025 |
| Jul 24, 2025 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. F0849, Administration, Standard inspection | Potential for harm, pattern | Corrected by Aug 4, 2025 |
| Apr 9, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Complaint inspection | Potential for harm, pattern | Corrected by Apr 25, 2025 |
| Jul 23, 2024 | 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, Complaint inspection | Potential for harm, pattern | Corrected by Jul 30, 2024 |
| Jul 23, 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, pattern | Past non-compliance (already corrected) |
| Jul 23, 2024 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Jul 24, 2024 |
| Jul 23, 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, Complaint inspection | Potential for harm, isolated | Corrected by Jul 24, 2024 |
| Jul 23, 2024 | Respond appropriately to all alleged violations. F0610, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Jul 24, 2024 |
| Jun 14, 2024 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. F0694, Quality of Life and Care, Standard inspection | Immediate jeopardy, pattern | Corrected by Jun 19, 2024 |
| Jun 14, 2024 | Ensure that residents are free from significant medication errors. F0760, Pharmacy Service, Standard inspection | Immediate jeopardy, pattern | Corrected by Jun 19, 2024 |
| Jun 14, 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, pattern | Corrected by Jul 3, 2024 |
| Jun 14, 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 Jun 19, 2024 |
| Jun 14, 2024 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. F0712, Nursing and Physician Services, Standard inspection | Potential for harm, pattern | Corrected by Jun 19, 2024 |
| Jun 14, 2024 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725, Nursing and Physician Services, Standard inspection | Potential for harm, pattern | Corrected by Jun 19, 2024 |
| Jun 14, 2024 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. F0761, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Jun 19, 2024 |
| Jun 14, 2024 | 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, isolated | Corrected by Jun 19, 2024 |
| Jun 14, 2024 | Keep residents' personal and medical records private and confidential. F0583, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jun 19, 2024 |
| Jun 14, 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, Standard inspection | Potential for harm, isolated | Corrected by Jun 19, 2024 |
| Jun 14, 2024 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Jun 19, 2024 |
| Apr 4, 2024 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. F0761, Pharmacy Service, Complaint inspection | Potential for harm, pattern | Corrected by May 3, 2024 |
| Apr 4, 2024 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by May 3, 2024 |
| Apr 4, 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, Complaint inspection | Potential for harm, isolated | Corrected by May 3, 2024 |
| Dec 15, 2023 | Provide activities to meet all resident's needs. F0679, Quality of Life and Care, Complaint inspection | Potential for harm, pattern | Corrected by Jan 5, 2024 |
| Dec 15, 2023 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F0921, Environmental, Complaint inspection | Potential for harm, pattern | Corrected by Jan 5, 2024 |
| Dec 15, 2023 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Dec 20, 2023 |
| Apr 28, 2023 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. F0727, Nursing and Physician Services, Standard inspection | Potential for harm, pattern | Corrected by Jun 19, 2023 |
| Apr 28, 2023 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. F0803, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Jun 12, 2023 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 17.56 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 1.53 | 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 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 2.14 | 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 | 4.42 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 90.36 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 63.16 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 4.35 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 1.84 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 30.73 | 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 | Not Available | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 3.47 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 10.08 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 9.77 | 15.38 |
Lone Star Rehabilitation & Wellness Center Location: 2601 Senator Robert J Glasgow Loop, Stephenville, Texas 76401 Phone: (254) 968-4649 |
Stephenville Nursing and Rehabilitation Location: 2311 West Washington Street, Stephenville, Texas 76401 Phone: (254) 968-3313 |