Avir at Commerce
2901 Sterling Hart Dr · Commerce, TX · 75428 · 9038862510
116 certified beds Government - Federal Chain: Avir Health Group
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
The composite number cleared 71 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
RN staffing in the bottom 10% nationally
0.26 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
68% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 3 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.35 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.26 | 0.55–0.75 |
| Weekend hours / resident-day | 3.13 | ≈ weekday level |
| Nursing turnover / year | 68% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (41 in the current record)
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Potential for harm · E February 12, 2026
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected February 16, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 12, 2026
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected February 16, 2026 · Quality of Life and Care
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Potential for harm · D February 12, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 16, 2026 · Quality of Life and Care
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Potential for harm · D February 12, 2026
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected February 16, 2026 · Quality of Life and Care
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Potential for harm · D February 12, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Corrected February 16, 2026 · Quality of Life and Care
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Potential for harm · F February 12, 2026
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected February 16, 2026 · Nursing and Physician Services
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Potential for harm · D February 12, 2026
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected February 16, 2026 · Nutrition and Dietary
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Potential for harm · E February 12, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 16, 2026 · Nutrition and Dietary
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Potential for harm · D February 12, 2026
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected February 16, 2026 · Administration
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Potential for harm · D February 12, 2026
Provide and implement an infection prevention and control program.
Corrected February 16, 2026 · Infection Control
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Potential for harm · D February 12, 2026
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected February 16, 2026 · Environmental
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Potential for harm · E February 12, 2026
Have policies on smoking.
Corrected February 16, 2026 · Environmental
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Potential for harm · D May 8, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected May 30, 2025 · Resident Rights
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Potential for harm · F May 8, 2025 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected May 30, 2025 · Nursing and Physician Services
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Potential for harm · D May 8, 2025 · found via complaint
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 May 30, 2025 · Pharmacy Service
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Potential for harm · E November 7, 2024
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected December 2, 2024 · Resident Rights
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Potential for harm · D November 7, 2024
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 December 2, 2024 · Resident Rights
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Potential for harm · D November 7, 2024
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 December 2, 2024 · Resident Rights
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Potential for harm · E November 7, 2024
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 December 2, 2024 · Resident Rights
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Potential for harm · D November 7, 2024
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected December 2, 2024 · Quality of Life and Care
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Potential for harm · D November 7, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected December 2, 2024 · Quality of Life and Care
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Potential for harm · E November 7, 2024
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected December 2, 2024 · Quality of Life and Care
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Potential for harm · D November 7, 2024
Provide care or services that was trauma informed and/or culturally competent.
Corrected December 2, 2024 · Quality of Life and Care
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Potential for harm · E November 7, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected December 2, 2024 · Pharmacy Service
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Potential for harm · D November 7, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected December 2, 2024 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675788 · certified since May 24, 1999. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.