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Nursing homeFAID #12251

Avir At Sweetwater

4925 Elizabeth St., SWEETWATER, TX, 79556

(325) 236-6653

79 licensed beds

CMS rates Avir At Sweetwater 4 out of 5 overall. Federal inspectors issued 23 citations across 7 inspections in the last three years, with no federal fines. Listing last updated 2026-11-06.

★★★★★4/5CMS Five-Star overall4/5 health inspections1/5 staffing5/5 quality measuresSource: CMS Care Compare

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Address

4925 Elizabeth St.

Sweetwater, TX 79556

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Public record summary

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Bed capacity

CMS facility ID

455946

Care type

Nursing home

County

Nolan

Facility name

Avir At Sweetwater

Street address

4925 Elizabeth St.

City / state / ZIP

Sweetwater, TX 79556

Phone

(325) 236-6653

About this facility — Avir At Sweetwater

Avir At Sweetwater is a Medicare/Medicaid-certified skilled nursing facility in Sweetwater, Texas. It is licensed for 79 beds — below the median for skilled nursing facilities in Texas (120 beds).

It is one of 3 senior care facilities in Sweetwater 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.

It is listed as part of Avir Health Group, a group of 118 facilities on this site.

Federal inspectors have cited Avir At Sweetwater 23 times across 7 inspections in the last three years, including 5 food-safety citations; 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

Parent company

Avir Health Group

Ownership type

For profit - Limited Liability company

Registered owners & officers

Stratford Hospital District

Direct owner — 100% stake — since 2023

1600 Josephine St Opco, Llc

Operational control — since 2025

1600 Josephine St Property Owner, Llc

Additional disclosable party — since 2025

Chumley, Richard

Director — since 2023

Dagan, Amitai

Owner of a disclosable party — since 2026

Freund, Nochum

Operational control — since 2025

Goldberger, Abraham

Owner of a disclosable party — since 2026

Goldberger, Faigy

Owner of a disclosable party — since 2026

Liedtke, Jennifer

Additional disclosable party — since 2023

Travitsky, Aaron

Operational control — since 2025

Tumlinson, Samuel

Additional disclosable party — since 2023

Welltower Inc

Additional disclosable party — since 2025

Welltower Nnn Group, Llc

Additional disclosable party — since 2025

Welltower Op Llc

Additional disclosable party — since 2025

Regulatory standing

Licensed / certified since

1991-08-29

CMS overall rating

4 of 5 stars

Health deficiencies

5 at the last standard inspection

Federal fines

None on record

Last standard inspection

2026-03-10

Nurse staffing

2.6 hours per resident per day

Cost & payer profile (FY2024 cost report)

Average billed charges

$296 per day (≈ $9,000/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

78% Medicaid · 5% Medicare · 17% private/other

Occupancy

46% (fiscal year 2024)

Vs. state median

7% above 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 5 food-safety citations on its three-year record — flagged below among the inspections.

2026-03-10Health inspection5 citations

F-0584

D · 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 2026-04-20

F-0644

E · No harm found

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

Corrected 2026-04-24

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 2026-04-20

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 2026-04-20

F-0926

E · No harm found

Have policies on smoking.

Corrected 2026-04-20

2024-12-17Health inspection6 citations

F-0565

E · No harm found

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

Corrected 2025-01-16

F-0585

F · No harm found

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Corrected 2025-01-16

F-0759

D · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-01-16

F-0804

E · No harm foundFood safety

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2025-01-16

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 2025-01-16

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-01-16

4 earlier / fire-safety inspections (12 citations)

2023-10-26Health inspection5 citations

F-0552

D · No harm found

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2023-12-10

F-0578

E · No harm found

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2023-12-10

F-0758

D · No harm found

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.

Corrected 2023-12-10

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 2023-12-10

F-0813

E · No harm foundFood safety

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Corrected 2023-12-10

2026-03-10Fire-safety inspection2 citations

K-0211

C · No harm found

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2026-04-03

K-0521

C · No harm found

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

Corrected 2026-04-03

2024-12-17Fire-safety inspection3 citations

K-0211

C · No harm found

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2025-01-16

K-0351

F · No harm found

Install an approved automatic sprinkler system.

Corrected 2025-01-16

K-0521

C · No harm found

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

Corrected 2025-01-16

2023-10-26Fire-safety inspection2 citations

K-0211

C · No harm found

Keep aisles, corridors, and exits free of obstruction in case of emergency.

K-0521

C · No harm found

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

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 455946.

Quality of care & staffing

How it compares in Texas.

Inspection citations, 3 years

More than 22% 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

2.6

Among the lowest of nursing homes in the state

State median: 3.3

Nursing staff turnover, annual

49%

Higher than 44% 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	23.1%	15.8%	13.5%	Worse than state
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	0.6%	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	1.1%	3.2%	3.2%	Better than state
Assessed and appropriately given the pneumococcal vaccine	98.9%	96.4%	93.7%	Near state average
Ability to walk independently worsened	18.1%	12.9%	12.7%	Worse than state
Received an antianxiety or hypnotic medication	8.1%	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	3.7%	3.7%	4.5%	Near state average
With new or worsened bowel or bladder incontinence	16.1%	12.5%	18.3%	Worse than state
Received an antipsychotic medication	2.5%	9.8%	15.4%	Better than state
Hospitalizations per 1000 long-stay resident days	2.51	2.05	1.81	Worse than state
Outpatient emergency department visits per 1000 long-stay resident days	1.19	1.97	1.69	Better than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	99.0%	88.7%	82.3%	Better than state
Newly received an antipsychotic medication	0.0%	1.4%	1.5%	Better 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-0812 3 inspections. Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
K-0211 3 inspections. Keep aisles, corridors, and exits free of obstruction in case of emergency.
K-0521 3 inspections. Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

What its owners also hold

Stratford Hospital District has an ownership stake on file at 29 nursing homes, averaging 2.6 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

Rolling Plains Memorial Hospital, about 1.0 miles.
Fisher County Hospital District, about 26 miles.
Cogdell Memorial Hospital, about 34 miles.

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

Nearby facilities with inspection records

Sterling Hills Rehabilitation and Healthcare Cente, Sweetwater, about 0.7 miles. CMS rating 4 of 5.
Merkel Nursing Center, Merkel, about 22 miles. CMS rating 1 of 5.
Mitchell County Nursing and Rehabilitation Center, Colorado City, about 30 miles. CMS rating 3 of 5.
Homeplace Manor Healthcare Center, Hamlin, about 32 miles. CMS rating 2 of 5.
Avir At Snyder, Snyder, about 33 miles. CMS rating 2 of 5.

Inside your report

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Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

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The 23 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

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Active civil suits

Federal dockets

CDC infection data

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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