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Skilled nursing facility · CMS certification number 676343

Avir at Waco

WACO, Texas · Medicare and Medicaid · 120 certified beds in Care Compare

Download Avir at Waco’s record (CSV, each figure with its worksheet, line and column)

Avir at Waco: its citable report, full history — $295 · an email when it changes — $99/month

What stands out

  • Its latest cost report on file is for fiscal year 2025, covering September 1, 2024 to August 31, 2025 (364 days), and CMS processed it on August 4, 2026.
  • Net patient revenue fell from $6.2M in fiscal year 2024 to $5.6M in fiscal year 2025.
  • Its result from service to patients: −$334K (2023), −$442K (2024), −$965K (2025).
  • Its cost reports on file run from fiscal year 2014 to fiscal year 2025.
  • Its net patient revenue of $5.6M ranks 313th of the 484 nursing facilities in Texas whose latest cost report on file is fiscal year 2025.
  • 4 of the 5 nursing facilities in Texas closest in size to it, whose latest cost report on file is fiscal year 2025, also report a loss on service to patients.

Avir at Waco: Medicare cost reports

Form CMS-2540-10: every report is settled.

Cost reports on form CMS-2540-10, fiscal years 2014 to 2025
Form CMS-2540-102025 · report 14512862024 · report 14464332023 · report 13736602022 · report 13727452021 · report 13497322020 · report 13169242019 · report 12541872018 · report 12424042017 · report 12110392016 · report 11709132015 · report 11397232014 · report 1105975
Period beganSeptember 1, 2024September 1, 2023September 1, 2022September 1, 2021September 1, 2020September 1, 2019December 1, 2018January 1, 2018January 1, 2017January 1, 2016January 1, 2015January 1, 2014
Period endedAugust 31, 2025August 31, 2024August 31, 2023August 31, 2022August 31, 2021August 31, 2020August 31, 2019November 30, 2018December 31, 2017December 31, 2016December 31, 2015December 31, 2014
Days, where not a full year——————273—————
Processed by CMSAugust 4, 2026January 12, 2026February 21, 2024January 30, 2024June 5, 2023May 24, 2022April 16, 2020August 26, 2019August 29, 2018July 27, 2017August 4, 2016July 29, 2015
Total patient revenue$6,230,438$6,119,346$4,948,231$5,860,997$5,550,904$6,374,507—$2,859,940$2,797,315$2,731,870$1,962,537$1,181,720
Contractual allowances and discounts$675,144−$60,158−$596,865−$544,100−$214,736$195,061—$161,801—$1$1—
Net patient revenue$5,555,294$6,179,504$5,545,096$6,405,097$5,765,640$6,179,446—$2,698,139$2,797,315$2,731,869$1,962,536$1,181,720
Total operating expenses$6,520,528$6,621,446$5,879,462$5,638,272$6,193,890$5,527,766$2,027,872$3,034,629$2,509,681$3,078,337$2,657,640$1,937,870
Net income from service to patients−$965,234−$441,942−$334,366$766,825−$428,250$651,680−$2,027,872−$336,490$287,634−$346,468−$695,104−$756,150
Total other income$353,397$386,037$397,517$824,374$1,268,930$694,653—$3,253,655$28,933———
Net income after other income−$611,837−$55,905$63,151$1,591,199$840,680$1,346,333−$2,027,872$2,917,165$316,567−$346,468−$695,104−$756,150
Net income−$611,837−$55,905−$57,676$1,508,469$841,200$1,328,919−$2,027,872$2,917,165$316,567−$346,468−$695,104−$756,150
Total facility beds, all components120120120120120120120120120120120120
Bed days available, all components43,800———————————
Medicare (Title XVIII) patient days2,317———————————
Medicaid (Title XIX) patient days16,166———————————
Other-payer patient days8,198———————————
Total patient days, all components26,68124,26921,68123,50123,61726,8219,99812,1809,07220,49214,9978,843
Medicare discharges30———————————
Medicaid discharges60———————————
Other-payer discharges62———————————
Total discharges, all components15211411012323113212212423434644
Average length of stay, Medicare, in days77.2359.4265.7438.8822.951.2825.9827.12152.5118.79147.2760.04
Average length of stay, Medicaid, in days269.43457.86350.02410.53268.87313.92110.75145.96728.57——663
Average length of stay, all patients, in days175.53212.89197.1191.07102.24203.1981.9598.23394.43476.56326.02200.98

Net income, fiscal years 2025, 2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014. Checked against the form’s own arithmetic: what that check shows.

Avir at Waco: nurse staffing hours by quarter →

Who owns Avir at Waco, as filed with CMS

Care Compare

  • ADP OF THE SNF: JOHNSON, BENJAMIN (individual), since 10/14/2024; SCHWEDOCK, NICHOLAS (individual), since 10/01/2024
  • CORPORATE DIRECTOR: JONES, TIMOTHY (individual), since 12/01/2018
  • MANAGING CONTROL - GOVERNING BODY: JONES, TIMOTHY (individual), since 12/01/2018
  • OPERATIONAL/MANAGERIAL CONTROL: JOHNSON, BENJAMIN (individual), since 10/14/2024; SCHWEDOCK, NICHOLAS (individual), since 10/01/2024

Ownership percentage for each: NOT APPLICABLE.

Medicare enrollment

As filed in the CMS file dated October 1, 2026 (Medicare enrollment ownership), under the enrollment of MCCULLOCH COUNTY HOSPITAL DISTRICT (enrollment ID O20181214000015).

  • 5% OR GREATER DIRECT OWNERSHIP INTEREST: MCCULLOCH COUNTY HOSPITAL DISTRICT (organization), 100.00%, since 12/01/2018
  • ADP OF THE SNF: BENJAMIN JOHNSON (individual), since 10/14/2024; NICHOLAS SCHWEDOCK (individual), since 10/01/2024
  • CORPORATE DIRECTOR: TIMOTHY S JONES (individual), since 12/01/2018
  • MANAGING CONTROL - GOVERNING BODY: TIMOTHY S JONES (individual), since 12/01/2018
  • OPERATIONAL/MANAGERIAL CONTROL: BENJAMIN JOHNSON (individual), since 10/14/2024; NICHOLAS SCHWEDOCK (individual), since 10/01/2024

Paused by CMS: Form CMS-855A, December 11, 2025.

Private equity company, real estate investment trust and holding company: No: MCCULLOCH COUNTY HOSPITAL DISTRICT.

Private equity company, real estate investment trust and holding company: Paused by CMS: BENJAMIN JOHNSON; NICHOLAS SCHWEDOCK; TIMOTHY S JONES; TIMOTHY S JONES; BENJAMIN JOHNSON; NICHOLAS SCHWEDOCK.

Changes in ownership

  • April 1, 2026, enrollment ownership file; no longer listed: JACK COOK (DIRECT OWNERSHIP INTEREST); JACK COOK (ADP OF THE SNF); JACK COOK (OPERATIONAL/MANAGERIAL CONTROL); JACK COOK (5% OR GREATER DIRECT OWNERSHIP INTEREST); TERRY KELTZ (CORPORATE DIRECTOR); MCCULLOCH COUNTY HOSPITAL DISTRICT (ADP OF THE SNF); MCCULLOCH COUNTY HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL); MCCULLOCH COUNTY HOSPITAL DISTRICT (5% OR GREATER INDIRECT OWNERSHIP INTEREST); MICHELE DERRICK (CORPORATE DIRECTOR); ROYAL EAST SENIOR CARE LLC (DIRECT OWNERSHIP INTEREST); ROYAL EAST SENIOR CARE LLC (ADP OF THE SNF); ROYAL EAST SENIOR CARE LLC (OPERATIONAL/MANAGERIAL CONTROL); ROYAL EAST SENIOR CARE LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST); MICHAEL SCHAFFNER (CORPORATE DIRECTOR); CATHERINE COOK (DIRECT OWNERSHIP INTEREST); CATHERINE COOK (5% OR GREATER DIRECT OWNERSHIP INTEREST); first listed: MCCULLOCH COUNTY HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST), associated since December 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
  • May 1, 2025, enrollment ownership file; no longer listed: CURTIS OWENS (CORPORATE DIRECTOR); MCCULLOCH COUNTY HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST); CLAY JONES (CORPORATE DIRECTOR); ARTHUR MOSELEY (CORPORATE DIRECTOR); SUSAN D JOLIFF (CORPORATE DIRECTOR); ROD YOUNG (CORPORATE DIRECTOR); first listed: TIMOTHY S JONES (MANAGING CONTROL - GOVERNING BODY), associated since December 1, 2018; JACK COOK (DIRECT OWNERSHIP INTEREST), associated since December 1, 2018; JACK COOK (ADP OF THE SNF), associated since December 1, 2018; JACK COOK (5% OR GREATER DIRECT OWNERSHIP INTEREST), associated since December 1, 2018; MCCULLOCH COUNTY HOSPITAL DISTRICT (ADP OF THE SNF), associated since December 1, 2018; MCCULLOCH COUNTY HOSPITAL DISTRICT (OPERATIONAL/MANAGERIAL CONTROL), associated since December 1, 2018; MCCULLOCH COUNTY HOSPITAL DISTRICT (5% OR GREATER INDIRECT OWNERSHIP INTEREST), associated since December 1, 2018; BENJAMIN JOHNSON (ADP OF THE SNF), associated since October 14, 2024; BENJAMIN JOHNSON (OPERATIONAL/MANAGERIAL CONTROL), associated since October 14, 2024; ROYAL EAST SENIOR CARE LLC (DIRECT OWNERSHIP INTEREST), associated since December 1, 2018; ROYAL EAST SENIOR CARE LLC (ADP OF THE SNF), associated since January 13, 2025; ROYAL EAST SENIOR CARE LLC (OPERATIONAL/MANAGERIAL CONTROL), associated since January 13, 2025; ROYAL EAST SENIOR CARE LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST), associated since December 1, 2018; MICHAEL SCHAFFNER (CORPORATE DIRECTOR), associated since August 1, 2024; CATHERINE COOK (DIRECT OWNERSHIP INTEREST), associated since December 1, 2018; CATHERINE COOK (5% OR GREATER DIRECT OWNERSHIP INTEREST), associated since December 1, 2018; NICHOLAS SCHWEDOCK (ADP OF THE SNF), associated since October 1, 2024; NICHOLAS SCHWEDOCK (OPERATIONAL/MANAGERIAL CONTROL), associated since October 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv

Inspections of Avir at Waco

  • Cycle 1: health February 6, 2026 (7 deficiencies), fire safety February 6, 2026 (0)
  • Cycle 2: health December 31, 2024 (6 deficiencies), fire safety December 31, 2024 (9)
  • Cycle 3: health November 2, 2023 (7 deficiencies), fire safety November 2, 2023 (0)

Deficiencies cited at Avir at Waco

20 deficiencies on file, by tag, newest citation first

every one from a health inspection; every one marked “Deficient, Provider has date of correction”; 4 cited from a complaint, marked below. Letter after a date: scope and severity grade.

  • F 0880, infection control: April 6, 2026 (D, from a complaint, corrected April 7, 2026); February 6, 2026 (D, corrected February 7, 2026); December 31, 2024 (D, corrected January 20, 2025).
  • F 0689, quality of life and care: March 13, 2026 (D, from a complaint, corrected March 14, 2026).
  • F 0695, quality of life and care: March 13, 2026 (D, from a complaint, corrected March 14, 2026).
  • F 0656, resident assessment and care planning: February 6, 2026 (D, corrected February 7, 2026); November 2, 2023 (D, corrected November 3, 2023).
  • F 0755, pharmacy service: February 6, 2026 (E, corrected February 7, 2026); December 31, 2024 (D, corrected January 20, 2025).
  • F 0812, nutrition and dietary: February 6, 2026 (E, corrected February 7, 2026); December 31, 2024 (F, corrected January 20, 2025); November 2, 2023 (F, corrected November 3, 2023).
  • F 0693, quality of life and care: December 31, 2024 (D, corrected January 20, 2025).
  • F 0803, nutrition and dietary: December 31, 2024 (E, corrected January 20, 2025).
  • F 0804, nutrition and dietary: December 31, 2024 (E, corrected January 20, 2025).
  • F 0600, freedom from abuse, neglect, and exploitation: July 16, 2024 (D, from a complaint, corrected August 8, 2024).
  • F 0558, resident rights: November 2, 2023 (E, corrected November 3, 2023).
  • F 0645, resident assessment and care planning: November 2, 2023 (E, corrected November 3, 2023).
  • F 0732, nursing and physician services: November 2, 2023 (C, corrected November 3, 2023).
  • F 0761, pharmacy service: November 2, 2023 (E, corrected November 3, 2023).

Avir at Waco in Care Compare

  • Ownership Type: For profit - Limited Liability company
  • Legal Business Name: MCCULLOCH COUNTY HOSPITAL DISTRICT
  • Date First Approved to Provide Medicare and Medicaid Services: 2013-09-26
  • Provider Resides in Hospital: N
  • Continuing Care Retirement Community: N
  • Urban: Y
  • County/Parish: Mc Lennan
  • Telephone Number: 2545379200
  • Chain Name: AVIR HEALTH GROUP
  • Chain ID: 719
  • Provider Changed Ownership in Last 12 Months: N
  • With a Resident and Family Council: Resident
  • Automatic Sprinkler Systems in All Required Areas: Yes
  • Average Number of Residents per Day: 72.6
  • Overall Rating: 3
  • Health Inspection Rating: 4
  • QM Rating: 3
  • Long-Stay QM Rating: 4
  • Short-Stay QM Rating: 2

Care Compare, October 1, 2026: provider information NH_ProviderInfo_Oct2026.csv · inspections NH_SurveySummary_Oct2026.csv · citations NH_HealthCitations_Oct2026.csv · ownership NH_Ownership_Oct2026.csv.

Nothing on file for Avir at Waco: no penalty in Care Compare.

Other nursing facilities in WACO

Report a figure on Avir at Waco’s record that differs from its CMS file, quoting 676343.