01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-01-15 | 13 | 2026-01-15 | 5 |
| Cycle 2 | 2024-10-31 | 9 | 2024-10-31 | 4 |
| Cycle 3 | 2023-09-20 | 7 | 2023-09-20 | 3 |
CMS CCN 6758092026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Avir At Lancaster
1241 Westridge Ave · Lancaster, TX 75146 · Dallas County
Certified beds110CMS provider file
Recent citation rows41current CMS citation release
Penalty rows3current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
41 rows in the current release
4 rows carry G–L scope/severity codes; 3 carry J–L. 6 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-06-30 · HEALTHF0655Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Correction field: Deficient, Provider has date of correction · 2026-07-01 · complaint2026-06-30 · HEALTHF0761Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2026-07-01 · complaint2026-06-12 · HEALTHF0584Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2026-06-30 · complaint2026-05-04 · HEALTHF0583Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Correction field: Deficient, Provider has date of correction · 2026-05-05 · complaint2026-04-11 · HEALTHF0689Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2026-04-12 · complaint2026-04-11 · HEALTHF0776Severity J · isolated immediate jeopardy
Administration Deficiencies
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Correction field: Deficient, Provider has date of correction · 2026-04-12 · complaint2026-01-15 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2026-02-152026-01-15 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2026-02-152026-01-15 · HEALTHF0688Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Correction field: Deficient, Provider has date of correction · 2026-02-152026-01-15 · HEALTHF0755Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2026-02-152026-01-15 · HEALTHF0812Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2026-02-152026-01-15 · FIREK0293Severity D · isolated; potential for more than minimal harm
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Correction field: Deficient, Provider has date of correction · 2026-01-262026-01-15 · FIREK0324Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2026-01-262026-01-15 · FIREK0372Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Correction field: Deficient, Provider has date of correction · 2026-01-262026-01-15 · FIREK0521Severity C · widespread; potential for minimal harm
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Correction field: Deficient, Provider has date of correction · 2026-01-262026-01-15 · FIREK0741Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Correction field: Deficient, Provider has date of correction · 2026-01-262025-11-24 · HEALTHF0567Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to manage his or her financial affairs.
Correction field: Deficient, Provider has date of correction · 2025-11-25 · complaint2025-11-05 · HEALTHF0568Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Correction field: Deficient, Provider has date of correction · 2025-11-06 · complaint2025-06-19 · HEALTHF0600Severity J · isolated immediate jeopardy
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction field: Deficient, Provider has date of correction · 2025-06-20 · complaint2024-10-31 · HEALTHF0576Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Ensure residents have reasonable access to and privacy in their use of communication methods.
Correction field: Deficient, Provider has date of correction · 2024-11-15 · complaint2024-10-31 · HEALTHF0584Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2024-11-15 · complaint2024-10-31 · HEALTHF0812Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2024-11-15 · complaint2024-10-31 · HEALTHF0925Severity E · pattern; potential for more than minimal harm
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Correction field: Deficient, Provider has date of correction · 2024-11-15 · complaint2024-10-31 · FIREK0321Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2024-12-1303 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2026-04-11 | Fine | $11,942 | 0 |
| 2025-06-19 | Fine | $17,282 | 0 |
| 2024-09-18 | Fine | $13,627 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- HAMILTON COUNTY HOSPITAL DISTRICTOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 02/10/2021
- HOOPER, GRADYIndividual · CORPORATE OFFICERNOT APPLICABLE · since 02/10/2021
- 1241 WESTRIDGE AVE OPCO, LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/01/2025
- FREUND, NOCHUMIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/01/2025
- TRAVITSKY, AARONIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/01/2025
- DAGAN, AMITAIIndividual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE · since 03/25/2026
- GOLDBERGER, ABRAHAMIndividual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE · since 03/25/2026
- GOLDBERGER, FAIGYIndividual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE · since 03/25/2026
- 1241 WESTRIDGE AVE OPCO, LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 03/11/2026
- 1241 WESTRIDGE AVE PROPERTY OWNER, LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 10/01/2025
- WELLTOWER INCOrganization · ADP OF THE SNFNOT APPLICABLE · since 10/01/2025
- WELLTOWER NNN GROUP, LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 10/01/2025
- WELLTOWER OP, LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 10/01/2025
- MELTON, NAQUITAIndividual · ADP OF THE SNFNOT APPLICABLE · since 10/28/2024
- SHARMA, NEERAJIndividual · ADP OF THE SNFNOT APPLICABLE · since 02/10/2021
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.36per resident day
RN hours0.77per resident day
Weekend nurse hours2.87per resident day
Staff turnover63.2%CMS reported field