Avir at The Lakes: Staffing, Turnover, and Inspection Record
Avir at The Lakes is a 109-bed for-profit nursing home in Texas City, Texas, part of Hamilton County Hospital District. In the CMS September 2026 release it reported 1.84 nurse aide hours per resident per day, 9% below the Texas average of 2.01, and 62.0% nursing staff turnover (Texas average 55.3%).
Avir at The Lakes
424 N Tarpey RdTexas City, TX 77591
Galveston County
CMS Care Compare, September 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Avir at The Lakes, nurse aides logged 1.84 hours per resident per day, 9% below the Texas average. With about 70 residents a day, that works out to roughly 128 aide hours a day, or about 16 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 12% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.84 | 2.01 | 2.32 |
| Licensed practical nurses | 0.63 | 0.95 | 0.86 |
| Registered nurses | 0.40 | 0.43 | 0.69 |
| All nursing staff | 2.86 | 3.39 | 3.86 |
| All nursing staff, weekends | 2.50 | 2.98 | 3.42 |
CMS Care Compare, September 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
62.0% of nursing staff at Avir at The Lakes left over the year CMS measured, against a Texas average of 55.3% and a US average of 45.8%. Registered nurse turnover was 58.3%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Dec 4, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 9 health deficiencies (Texas average 9.4). CMS lists 1 fine totaling $8,410 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Nov 24, 2025 | Fine | $8,410 |
CMS Penalties file, September 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Avir at The Lakes holds 2 of 5 overall; the Texas average is 2.7.
About Avir at The Lakes
- Ownership: For profit - Corporation
- Chain: Hamilton County Hospital District, 10 homes
- Legal name: Hamilton County Hospital District
- Medicare and Medicaid certified since: Sep 12, 1984
- Councils: resident council
- Area: urban
Nursing homes near Avir at The Lakes
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Bayou Pines Care Center La Marque | 0.8 | 120 | 1.88 | 3.03 | 68.1% | 2 | $14,315 |
| The Shoal Texas City | 1.1 | 134 | 2.23 | 3.68 | 52.3% | 5 | $26,810 |
| Seabreeze Nursing and Rehabilitation Texas City · abuse citation | 1.3 | 107 | 1.89 | 2.99 | 51.0% | 1 | $146,420 |
| Harbor Point Skilled Nursing Texas City | 4.6 | 129 | 1.87 | 3.15 | 59.3% | 4 | None |
| The Phoenix Post-Acute Texas City | 6.3 | 134 | 2.31 | 3.65 | 34.4% | 3 | $90,049 |
| The Heights of League City League City | 8.3 | 194 | 2.29 | 3.38 | 69.7% | 1 | $129,645 |
| Baywind Village Skilled Nursing & Rehab League City | 10.4 | 107 | 2.58 | 4.80 | 63.3% | 5 | $4,139 |
| MRC the Crossings League City | 10.4 | 48 | 2.63 | 4.35 | 39.1% | 5 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, September 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.