Home›Browse›Texas›La Grange›Avir At La Grange

Nursing homeFAID #14031

Avir At La Grange

457 N. Main Street, LA GRANGE, TX, 78945

(979) 968-5865

98 licensed beds

CMS rates Avir At La Grange 2 out of 5 overall. Federal inspectors issued 32 citations across 8 inspections in the last three years, with no federal fines. Listing last updated 2026-11-06.

★★★★★2/5CMS Five-Star overall3/5 health inspections1/5 staffing4/5 quality measuresSource: CMS Care Compare

Generate this report

Primary Report$79 Advanced Report$99

Delivered within 24–48 hours

Address

457 N. Main Street

La Grange, TX 78945

Get directions

Map facilities in this area

All facilities in La Grange

Public record summary

What we can show you for free.

Bed capacity

CMS facility ID

675277

Care type

Nursing home

County

Fayette

Facility name

Avir At La Grange

Street address

457 N. Main Street

City / state / ZIP

La Grange, TX 78945

Phone

(979) 968-5865

About this facility — Avir At La Grange

Avir At La Grange is a Medicare/Medicaid-certified skilled nursing facility in La Grange, Texas. It is licensed for 98 beds — below the median for skilled nursing facilities in Texas (120 beds).

It is one of 2 senior care facilities in La Grange and 1,179 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Avir At La Grange 32 times across 8 inspections in the last three years, including 1 food-safety citation; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Ownership type

Government - Hospital district

Registered owners & officers

Oakbend Medical Center

Direct owner — 100% stake — since 2017

Freudenberger, Joseph

Officer — since 2007

Noell, Pamela

Operational control · Additional disclosable party — since 2025

Raj, Hans

Additional disclosable party — since 2024

Regulatory standing

Licensed / certified since

1994-02-14

CMS overall rating

2 of 5 stars

Health deficiencies

11 at the last standard inspection

Federal fines

None on record

Last standard inspection

2026-03-05

Nurse staffing

3.1 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$230 per day (≈ $6,990/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

56% Medicaid · 10% Medicare · 34% private/other

Occupancy

44% (fiscal year 2023)

Vs. state median

17% below the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 1 food-safety citation on its three-year record — flagged below among the inspections.

2026-05-27Health inspectionComplaint-triggered1 citation

F-0761

D · No harm foundFrom a complaint

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.

Corrected 2026-05-29

2026-03-05Health inspection7 citations

F-0565

E · No harm found

Honor the resident's right to organize and participate in resident/family groups in the facility.

Corrected 2026-03-10

F-0686

E · No harm found

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2026-03-10

F-0727

F · No harm found

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.

Corrected 2026-03-10

F-0761

D · No harm found

Corrected 2026-03-10

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2026-03-10

F-0912

C · No harm found

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Corrected 2026-03-10

F-0925

E · No harm found

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2026-03-10

6 earlier / fire-safety inspections (24 citations)

2026-01-13Health inspectionComplaint-triggered3 citations

F-0580

D · No harm foundFrom a complaint

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2026-01-15

F-0684

D · No harm foundFrom a complaint

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2026-01-15

F-0761

D · No harm foundFrom a complaint

Corrected 2026-01-15

2024-12-12Health inspection7 citations

F-0583

D · No harm found

Keep residents' personal and medical records private and confidential.

Corrected 2025-01-15

F-0644

D · No harm found

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2025-01-15

F-0699

E · No harm found

Provide care or services that was trauma informed and/or culturally competent.

Corrected 2025-01-15

F-0761

D · No harm found

Corrected 2025-01-15

F-0812

F · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-01-15

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-01-15

F-0912

C · No harm found

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Corrected 2025-01-15

2023-10-12Health inspection3 citations

F-0558

E · No harm found

Reasonably accommodate the needs and preferences of each resident.

Corrected 2023-11-17

F-0584

E · No harm found

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.

Corrected 2023-11-17

F-0912

C · No harm found

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Corrected 2023-11-17

2026-03-05Fire-safety inspection1 citation

K-0521

C · No harm found

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

2024-12-12Fire-safety inspection9 citations

E-0039

F · No harm found

Conduct testing and exercise requirements.

Corrected 2025-03-27

K-0293

D · No harm found

Have properly located and lighted "Exit" signs.

Corrected 2025-03-19

K-0324

C · No harm found

Provide properly protected cooking facilities.

Corrected 2025-03-19

K-0345

F · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-03-19

K-0355

D · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2025-03-19

K-0372

F · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2025-03-19

K-0521

C · No harm found

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2025-03-19

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2025-03-19

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-03-19

2023-10-12Fire-safety inspection1 citation

K-0371

D · No harm found

Have properly sized and located compartments to protect residents from smoke.

Corrected 2023-11-17

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 675277.

Quality of care & staffing

How it compares in Texas.

Inspection citations, 3 years

More than 45% of nursing homes in the state

State median: 33

Federal fines, 3 years

No federal fines on record

State median: $15,642

Nurse staffing, hours per resident per day

3.1

Higher than 25% of nursing homes in the state

State median: 3.3

Nursing staff turnover, annual

64%

Higher than 83% of nursing homes in the state

State median: 50%

Resident outcomes

On 19 federal quality measures, this facility does better than the Texas average on 12 and worse on 4. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	15.9%	15.8%	13.5%	Near state average
Lose too much weight	0.0%	2.9%	5.1%	Better than state
With a catheter inserted and left in their bladder	0.0%	0.3%	0.7%	Better than state
With a urinary tract infection	0.0%	0.8%	1.5%	Better than state
Have depressive symptoms	0.0%	2.3%	13.5%	Better than state
Were physically restrained	0.0%	0.0%	0.1%	Better than state
Experiencing one or more falls with major injury	4.9%	3.2%	3.2%	Worse than state
Assessed and appropriately given the pneumococcal vaccine	99.4%	96.4%	93.7%	Near state average
Ability to walk independently worsened	10.5%	12.9%	12.7%	Better than state
Received an antianxiety or hypnotic medication	15.2%	17.8%	19.5%	Better than state
Assessed and appropriately given the seasonal influenza vaccine	100.0%	97.0%	95.3%	Near state average
With pressure ulcers	4.6%	3.7%	4.5%	Worse than state
With new or worsened bowel or bladder incontinence	5.6%	12.5%	18.3%	Better than state
Received an antipsychotic medication	12.3%	9.8%	15.4%	Worse than state
Hospitalizations per 1000 long-stay resident days	1.30	2.05	1.81	Better than state
Outpatient emergency department visits per 1000 long-stay resident days	1.75	1.97	1.69	Better than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	98.0%	88.7%	82.3%	Better than state
Newly received an antipsychotic medication	2.5%	1.4%	1.5%	Worse than state
Were assessed and appropriately given the seasonal influenza vaccine	100.0%	85.4%	80.1%	Better than state

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

F-0761 4 inspections. 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.
F-0912 3 inspections. Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
F-0880 2 inspections. Provide and implement an infection prevention and control program.
K-0521 2 inspections. Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

What its owners also hold

Oakbend Medical Center has an ownership stake on file at 32 nursing homes, averaging 2.4 of 5 on CMS's overall rating.

Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.

Verify & compare

Where to check, and what's nearby.

Who to contact in Texas

Licensing: Texas Health and Human Services
File a complaint: 800-458-9858 · Online
Long-Term Care Ombudsman: 800-252-2412. A free advocate for residents and families.
Adult Protective Services: 800-252-5400. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Ascension Seton Smithville, about 17 miles.
Columbus Community Hospital, about 25 miles. CMS rating 2 of 5.
Baylor Scott & White Hospital Brenham, about 33 miles.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Monument Hill Nursing and Rehabilitation Center, La Grange, about 1.5 miles. CMS rating 2 of 5.
Schulenburg Regency Nursing Center, Schulenburg, about 15 miles. CMS rating 3 of 5.
Parkview Manor Nursing and Rehabilitation, Weimar, about 16 miles. CMS rating 2 of 5.
Paradigm At the Oak, Schulenburg, about 16 miles. CMS rating 1 of 5.
Towers Nursing Home, Smithville, about 17 miles. CMS rating 4 of 5.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 32 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

Unlock the full file

Citations, owner history, lawsuits — decoded into one PDF.

$79 $99 Advanced

Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered