Senior Home Review
Home›Browse›Texas›Denison›Avir At Memorial
Nursing homeFAID #12196

Avir At Memorial

1300 MEMORIAL DR, DENISON, TX, 75020
(903) 465-7442
136 licensed beds
★★★★★1/5CMS Five-Star overall2/5 health inspections1/5 staffing4/5 quality measuresSource: CMS Care Compare

Generate this report

Primary Report$79Advanced Report$99
Delivered within 24–48 hours

Public record summary

What we can show you for free.
Bed capacity
136
CMS facility ID
455806
Care type
Nursing home
County
Grayson
Facility name
Avir At Memorial
Street address
1300 MEMORIAL DR
City / state / ZIP
Denison, TX 75020
Phone
(903) 465-7442

About this facility — Avir At Memorial

Avir At Memorial is a Medicare/Medicaid-certified skilled nursing facility in Denison, Texas. It is licensed for 136 beds — close to the median for skilled nursing facilities in Texas (120 beds).

It is one of 13 senior care facilities in Denison and 1,178 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 Memorial 51 times across 10 inspections in the last three years, including 4 food-safety citations, and CMS has imposed $47,097 in fines. 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 August 31, 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

Parent company
Fundamental Healthcare
Ownership type
For profit - Limited Liability company

Registered owners & officers

Dallas County Hospital District
Direct owner · Operational control — 100% stake — since 2017
Bradley, Shannan
Managing employee · Director — since 2023
Castaneda, Edmundo
Managing employee · Officer — since 2022
Cerise, Frederick
Director — since 2014
Clemens, Erin
Managing employee — since 2022
Texoma Long Term Care, Llc
Operational control — since 2017

Regulatory standing

Licensed / certified since
1989-05-02
CMS overall rating
1 of 5 stars
Health deficiencies
15 at the last standard inspection
Federal fines
$47,097 total
Last standard inspection
2025-09-11
Nurse staffing
3.4 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$302 per day (≈ $9,180/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
69% Medicaid · 8% Medicare · 23% private/other
Occupancy
43% (fiscal year 2023)
Vs. state median
9% above the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds
136
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 2026-08-31. 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 4 food-safety citations on its three-year record — flagged below among the inspections.
2026-05-03Health inspectionComplaint-triggered2 citations
F-0600
D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2026-05-25
F-0880
E · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2026-05-25
2025-12-03Health inspectionComplaint-triggered3 citations
F-0558
D · No harm foundFrom a complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-12-18
F-0695
D · No harm foundFrom a complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-12-18
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 2025-12-18
7 earlier / fire-safety inspections (46 citations)
2025-09-11Health inspection10 citations
F-0553
D · No harm found
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected 2025-09-26
F-0576
E · No harm found
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected 2025-09-26
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-09-26
F-0689
E · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-09-26
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-09-26
F-0759
D · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-09-26
F-0761
D · No harm found
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 2025-09-26
F-0804
D · No harm foundFood safety
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-09-26
F-0812
E · 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 2025-09-26
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-09-26
2025-05-20Health inspectionComplaint-triggered1 citation
F-0880
E · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2025-05-22
2024-08-12Health inspectionComplaint-triggered14 citations
F-0584
K · Immediate jeopardyFrom a complaint
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 2024-08-30
F-0607
E · No harm foundFrom a complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-08-30
F-0656
E · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-08-30
F-0677
E · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-08-30
F-0679
E · No harm found
Provide activities to meet all resident's needs.
Corrected 2024-08-30
F-0685
D · No harm found
Assist a resident in gaining access to vision and hearing services.
Corrected 2024-08-30
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-08-30
F-0690
D · No harm found
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-08-30
F-0693
D · No harm found
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2024-08-30
F-0698
D · No harm found
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-08-30
F-0761
E · No harm found
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 2024-08-30
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 2024-08-30
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-08-30
F-0925
K · Immediate jeopardyFrom a complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2024-08-30
2023-06-22Health inspection7 citations
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-06-27
F-0677
E · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-06-27
F-0684
E · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-06-27
F-0755
D · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-06-27
F-0812
E · 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 2023-06-27
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2023-06-27
F-0925
E · No harm found
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2023-06-27
2025-09-11Fire-safety inspection4 citations
K-0211
C · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-09-26
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-09-26
K-0372
E · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-09-26
K-0521
C · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-09-26
2024-08-12Fire-safety inspection4 citations
K-0211
C · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-08-30
K-0324
C · No harm found
Provide properly protected cooking facilities.
Corrected 2024-08-30
K-0521
C · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-08-30
K-0741
E · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2024-08-30
2023-06-22Fire-safety inspection6 citations
K-0211
C · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-06-23
K-0321
D · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-06-27
K-0324
E · No harm found
Provide properly protected cooking facilities.
Corrected 2023-06-27
K-0372
E · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-06-27
K-0521
C · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-06-23
K-0741
D · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2023-06-27

Federal penalties

2024-08-12Fine$47,097
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 455806.

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 51 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 2026-08-31
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