Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Avir At San Augustine during CMS and state inspections, most recent first.
The facility failed to maintain an effective infection prevention and control program, as staff did not adhere to enhanced barrier precautions (EBP) for two residents requiring such measures. Despite training, CNAs and LVNs were observed providing care without PPE, risking infection spread. The DON confirmed the training but acknowledged the non-compliance.
The facility failed to maintain a clean and safe environment in the main dining room and a resident room. Observations showed dust-covered ceiling fans, fogged windows, unpainted sheetrock, and cracked floor tiles. Staff interviews revealed a lack of awareness and action to address these issues, despite the facility's policy to maintain a clean environment.
The facility failed to enforce proper smoking safety policies, as cigarette butts were discarded into a regular trash can in the smoking area, posing a fire hazard. Observations and staff interviews revealed that maintenance was responsible for ashtray management, but the facility's smoking policy lacked guidance on safe disposal of cigarette butts.
A resident with severely impaired cognition was exposed to the hallway during incontinent care when a CNA failed to pull the privacy curtain, and a hospice nurse entered the room without waiting for permission. Both staff members acknowledged the lapse, which could cause embarrassment to the resident.
The facility did not act on pharmacy consultant recommendations for two residents. One resident's SSRI doses were not evaluated as suggested, and another resident's medications linked to falls were not reviewed. The facility lacked policies for timely medication regimen reviews, and the DON was responsible for tracking physician responses.
A resident with a history of respiratory failure and anxiety was found unresponsive with a partially disconnected ventilator in a LTC facility. The resident's care plan did not adequately address her ventilator use or anxiety, and the ventilator alarms failed to activate, leading to a critical incident. Despite resuscitation efforts, the resident was transported to the hospital and later passed away.
Infection Control Deficiency Due to Non-Compliance with Enhanced Barrier Precautions
Penalty
Summary
The facility failed to establish and maintain an effective infection prevention and control program, as evidenced by the lack of adherence to enhanced barrier precautions (EBP) by staff members when providing care to two residents. Resident #5, a male with dementia and intact cognition, required EBP as per his care plan and physician's order. However, during an observation, CNA A and CNA B did not apply personal protective equipment (PPE) while transferring Resident #5, despite the presence of a pink dot indicating the need for EBP. Both CNAs acknowledged their training on EBP but admitted to forgetting to use PPE, which could lead to the spread of infection. Similarly, Resident #20, a female with impaired cognition and a diagnosis of aneurysm of the descending aorta, also required EBP during contact care. Despite this, LVN C and LVN D were observed assessing Resident #20's oral cavity without wearing PPE, even though a pink dot indicated the need for EBP. Both LVNs admitted to being trained on EBP but were confused about the requirements, leading to non-compliance with infection control measures. The Director of Nursing, who is also the infection prevention nurse, confirmed the training provided to staff and acknowledged the risk of infection spread due to non-compliance with EBP.
Facility Fails to Maintain Clean and Safe Environment
Penalty
Summary
The facility failed to maintain a safe, clean, and sanitary environment in the main dining room and a specific resident room. Observations revealed that the dining room ceiling fans and vents were covered with thick dust and dirt, and the windows were obstructed due to fogging between the glass panes. Additionally, there were areas of patched sheetrock on the dining room walls and ceiling that were not painted, and cracked floor tiles were present. In the resident room, there was a missing and broken floor tile in the middle of the room. These conditions were noted during observations and interviews with staff, who acknowledged the issues but had not taken action to address them. Interviews with the Dietary Manager, Housekeeper, and Maintenance Man revealed a lack of awareness and action regarding the maintenance and cleanliness issues. The Dietary Manager admitted responsibility for the dining room's cleanliness but had not noticed the dust buildup on the ceiling fans. The Housekeeper acknowledged the need to clean the red substance on the ceiling and the ceiling fans, while the Maintenance Man admitted to not having painted the repaired sheetrock and not addressing the fogged windows. The Administrator confirmed the facility's policy to maintain a clean and orderly environment but noted that no maintenance requests had been logged for the observed issues.
Improper Disposal of Cigarette Butts in Smoking Area
Penalty
Summary
The facility failed to ensure the proper formulation, adoption, and enforcement of policies regarding smoking, smoking areas, and smoking safety, particularly concerning the disposal of cigarette butts. Observations on two consecutive days revealed that cigarette butts, along with cigarette boxes, plastic bags, and other paper trash, were discarded into a regular trash can in the designated smoking area. This trash can was lined with a clear plastic liner and was not intended for the disposal of cigarette butts, which poses a potential fire hazard. Interviews with facility staff, including the Regional MDS Nurse and the Administrator, confirmed that maintenance was responsible for managing the ashtrays and trash cans in the smoking area. The Administrator acknowledged that ashtrays should be emptied into a designated red metal trash can to prevent fire hazards. However, the facility's smoking policy, dated December 2018, did not address the safe disposal of cigarette butts, contributing to the observed deficiency.
Failure to Maintain Resident Privacy During Care
Penalty
Summary
The facility failed to uphold the dignity and privacy of Resident #34 during the provision of incontinent care. On March 4, 2025, CNA A was observed providing care to Resident #34 without pulling the privacy curtain, which resulted in the resident being exposed to the hallway when a hospice nurse entered the room without waiting for permission. Resident #34, a male with severely impaired cognition and requiring assistance with all activities of daily living, was unaware of the exposure but expressed embarrassment at the thought of being seen naked by someone unnecessarily. Interviews with the hospice nurse and CNA A confirmed the lapse in maintaining privacy, with both acknowledging the potential for causing embarrassment to the resident. The Director of Nursing (DON) and the Administrator emphasized the importance of maintaining residents' rights and dignity, noting that staff are trained on these aspects. However, the incident highlighted a failure in practice, as the privacy curtain was not fully utilized, leading to the resident's exposure during personal care.
Failure to Act on Pharmacy Recommendations for Two Residents
Penalty
Summary
The facility failed to act upon the drug regimen review recommendations provided by the pharmacy consultant for two residents. For one resident, the pharmacy consultant recommended evaluating the current doses of Zoloft and Celexa, as the resident was taking two SSRIs. However, the physician's orders did not reflect any changes following this recommendation. For another resident, who had a recent fall, the pharmacy consultant suggested evaluating the medications Buspirone and Mirtazapine due to their potential to contribute to falls. Again, no changes were made to the physician's orders following the recommendation. The facility also lacked policies and procedures to address the timelines for medication regimen reviews (MRR). The Director of Nursing (DON) was responsible for sending the pharmacy consultant's recommendations to physicians and tracking their responses. However, during the period in question, the previous Assistant Director of Nursing (ADON) was responsible for this task. The pharmacy consultant noted that it is the facility's responsibility to ensure timely follow-up with physicians for responses to recommendations. The facility's policy did not specify time frames for obtaining physician responses, contributing to the oversight.
Failure to Provide Adequate Respiratory Care Leads to Resident's Death
Penalty
Summary
The facility failed to provide adequate respiratory care for a resident who required tracheostomy and ventilator support, leading to a critical incident. The resident, who had a history of acute and chronic respiratory failure, anxiety, and other medical conditions, was found in distress with a partially disconnected ventilator and no pulse. Despite efforts to resuscitate the resident, she was transported to the hospital and later passed away. The resident's care plan did not adequately address her ventilator use or anxiety, despite her known diagnoses. On the day of the incident, the resident was noted to be anxious and fidgety, but no effective intervention was documented. The ventilator alarms, which should have alerted staff to the disconnection, did not activate, and there were no relevant entries in the nurse's notes between the time the resident was last checked and when she was found unresponsive. Interviews with staff revealed that the resident had a history of anxiety and had previously pulled at her trach tubing. However, the facility's monitoring and response to her anxiety and ventilator needs were insufficient. The lack of alarm activation and the absence of timely monitoring contributed to the resident's critical condition and subsequent death.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near San Augustine
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Stonecreek Nursing & Rehabilitation | 1.6 mi | — | 6 | 0 |
| Colonial Pines Healthcare Center | 3.2 mi | — | 9 | 0 |
| Avir At Center | 18.8 mi | — | 0 | 0 |
| Pine Grove Nursing Center | 18.8 mi | — | 1 | 0 |
| Hemphill Care Center | 19.1 mi | — | 4 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.