Hillcrest Assisted Living
State licensed1997 Davidson Dr., San Augustine, TX 75972
Assisted Living
Assisted livingState-licensed (Texas HHSC)24-hour personal care
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Prices not published
About Avir at San Augustine
AVIR AT SAN AUGUSTINE is a for profit - limited liability company nursing home in SAN AUGUSTINE, TX with 88 certified beds, holding a 2-star overall CMS rating.
Community at a glance
Capacity
88 residents
Medicare rating
3 of 5 stars
Location
San Augustine, TX
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
902 E MAIN ST, San Augustine, Texas 75972
Medicare inspection and quality record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of August 1, 2026. Check it on Medicare.gov
Medicare rates Avir at San Augustine 3 out of 5 stars overall, which it describes as average. The average across Texas's nursing homes is 2.6 stars.
At its most recent standard inspection, on May 13, 2026, state inspectors cited 3 health deficiencies (the Texas average is 9.3).
Nurses and nurse aides spend 3 hours 33 minutes with each resident a day, about the same as the Texas average.
Medicare fined Avir at San Augustine 3 times in the last three years, $102,752 in total.
Overall
3 of 5
average
Combines the three ratings below
Health inspections
4 of 5
above average
Results of state inspections over three years
Staffing
1 of 5
much below average
Nurse hours per resident and staff turnover
Quality of resident care
2 of 5
below average
Outcomes like falls, pressure ulcers and rehospitalization
Texas average: 2.6 stars across 1,177 nursing homes. National average: 3.0 stars.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 33 minutes |
| Registered nurse time per resident, per day | 21 minutesBelow the Texas average |
| Nursing staff who left in the past year | 82%Above the Texas average |
Inspections
20 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
May 13, 2026 · Standard inspection · 3 citations
Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Jun 12, 2026Ensure medication error rates are not 5 percent or greater.
Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Jun 12, 2026Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jun 12, 2026
March 5, 2025 · Standard inspection · 5 citations
Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Mar 31, 2025Have policies on smoking.
Risk of harm, no one hurt, a pattern (level E)EnvironmentalCorrected Mar 31, 2025Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Risk of harm, no one hurt, a pattern (level E)EnvironmentalCorrected Mar 31, 2025Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Mar 31, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Mar 31, 2025
February 14, 2025 · Complaint investigation · 1 citation+
Provide safe and appropriate respiratory care for a resident when needed.
Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintCorrected Feb 15, 2025
February 14, 2024 · Standard inspection · 11 citations+
Provide timely, quality laboratory services/tests to meet the needs of residents.
Immediate danger to residents, a few residents (level J)AdministrationFrom a complaintAlready fixed by Dec 13, 2023Ensure that residents are free from significant medication errors.
Immediate danger to residents, a few residents (level J)Pharmacy ServiceAlready fixed by Dec 13, 2023Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Mar 11, 2024Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Risk of harm, no one hurt, a pattern (level E)Freedom from Abuse, Neglect, and ExploitationCorrected Mar 11, 2024Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a pattern (level E)Infection ControlFrom a complaintCorrected Mar 11, 2024Respond appropriately to all alleged violations.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationCorrected Mar 11, 2024Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Mar 11, 2024Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationCorrected Mar 11, 2024Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Mar 11, 2024Provide care and assistance to perform activities of daily living for any resident who is unable.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Mar 11, 2024Post nurse staffing information every day.
Minimal harm or risk, widespread (level C)Nursing and Physician ServicesCorrected Mar 11, 2024
Fines and payment denials
3 fines totaling $102,752 in the last three years.
- February 14, 2025Fine: $75,498
- February 14, 2024Fine: $13,627
- February 14, 2024Fine: $13,627
About the home, per Medicare
- Ownership
- For profit - Corporation
- Legal business name
- Legal Business Name Not Available
- Medicare-certified beds
- 88
- Average residents per day
- 38
- Accepts
- Medicare and Medicaid
- First certified
- October 12, 2000
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 675846
Location
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902 E MAIN STSan Augustine, TX 75972
2 other communities within 10 miles
Senior living near San Augustine
Colonial Pines Healthcare Center
Medicare-certified1203 FM 1277, San Augustine, TX 75972
Skilled Nursing
4 of 5Medicare rating
Medicare & Medicaid certifiedSprinkler systemsBoth & family councilSkilled nursing & rehabilitation+1 more
Call for pricing
Prices not published
Pine Grove Nursing Center
Medicare-certified246 Haley Dr, Center, TX 75935
Skilled Nursing
5 of 5Medicare rating
Medicare & Medicaid certifiedSprinkler systemsResident & family councilSkilled nursing & rehabilitation+1 more
Call for pricing
Prices not published
Questions about Avir at San Augustine
What is Avir at San Augustine's Medicare star rating?+
Medicare rates Avir at San Augustine 3 out of 5 stars overall (average). Health inspections: 4 stars. Staffing: 1 stars. Quality of resident care: 2 stars. Source: CMS Care Compare, data as of August 1, 2026.
How did Avir at San Augustine do on its last inspection?+
State inspectors visited on May 13, 2026 and cited 3 health deficiencies. The Texas average is 9.3.
How much nursing care does each resident get at Avir at San Augustine?+
Nurses and aides spend 3 hours 33 minutes with each resident per day, including 21 minutes from registered nurses. 82% of nursing staff left over the past year.
Has Avir at San Augustine been fined by Medicare?+
Yes. Medicare fined Avir at San Augustine 3 times in the last three years, totaling $102,752.
Does Medicare cover skilled nursing?+
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
How much does a nursing home cost?+
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
What is the CMS star rating?+
Medicare rates nursing homes 1–5 stars on health inspections, staffing, and quality measures. We show these ratings so you can compare quality at a glance.