Avir at Johnson City
206 Haley Rd. · Johnson City, TX · 78636 · 8308684093
60 certified beds For profit - Limited Liability company Chain: Avir Health Group
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $74,691 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
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
4 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$74,691 in federal fines in the last 24 months
3 fines — CMS fines are reserved for verified, serious non-compliance.
Total nurse staffing below 3.0 hours per resident-day
2.66 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 2.66 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.57 | 0.55–0.75 |
| Weekend hours / resident-day | 2.49 | ≈ weekday level |
| Nursing turnover / year | 31% | median 45% |
| Fines (3-yr window) | 3 · $74,691 |
Inspection citations (28 in the current record)
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Potential for harm · D April 11, 2026 · found via complaint
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 April 14, 2026 · Resident Rights
-
Actual harm · G December 3, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 27, 2026 · Quality of Life and Care
-
Potential for harm · D December 3, 2025 · found via complaint
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 27, 2026 · Nursing and Physician Services
-
Potential for harm · E December 3, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected January 12, 2026 · Pharmacy Service
-
Potential for harm · D April 2, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected April 3, 2025 · Resident Rights
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Potential for harm · D April 2, 2025
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected April 3, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 2, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 3, 2025 · Resident Assessment and Care Planning
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Potential for harm · F April 2, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 3, 2025 · Nutrition and Dietary
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Immediate jeopardy · J December 31, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 29, 2025 · Quality of Life and Care
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Immediate jeopardy · J October 30, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 31, 2024 · Quality of Life and Care
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Immediate jeopardy · K October 30, 2024 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected October 31, 2024 · Quality of Life and Care
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Potential for harm · D September 6, 2024 · found via complaint
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
Corrected September 9, 2024 · Resident Rights
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Potential for harm · D July 30, 2024 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 31, 2024 · Nutrition and Dietary
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Potential for harm · E June 19, 2024 · found via complaint
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected June 25, 2024 · Resident Rights
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Potential for harm · E June 19, 2024 · found via complaint
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Corrected June 25, 2024 · Nutrition and Dietary
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Potential for harm · E February 15, 2024
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected February 16, 2024 · Nutrition and Dietary
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Potential for harm · F February 15, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 16, 2024 · Nutrition and Dietary
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Potential for harm · D February 15, 2024 · found via complaint
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected February 16, 2024 · Resident Rights
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Potential for harm · E February 15, 2024 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected February 16, 2024 · Resident Assessment and Care Planning
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Potential for harm · E February 15, 2024 · found via complaint
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, 2024 · Nursing and Physician Services
-
Potential for harm · E February 15, 2024 · 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 February 16, 2024 · Pharmacy Service
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Potential for harm · F November 22, 2023 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 7, 2023 · Nutrition and Dietary
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Potential for harm · E June 19, 2023 · found via complaint
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected August 7, 2023 · Resident Rights
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No harm found · C June 19, 2023 · found via complaint
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected August 7, 2023 · Resident Rights
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Immediate jeopardy · K January 13, 2023
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected February 6, 2023 · Freedom from Abuse, Neglect, and Exploitation
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| December 3, 2025 | Fine | $19,135 |
| December 31, 2024 | Fine | $20,777 |
| October 30, 2024 | Fine | $34,779 |
Better-scoring options nearby
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 676486 · certified since September 24, 2020. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.