ElderGrade
B

73.5/100

Above average

Avir At Knox City

605 S Ave F, Knox City, TX 79529

CMS 3/5 stars #2 of 2 in Knox County (940) 658-3543
Certified beds
66
Occupancy
60%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 1 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $8,018 in federal fines

    CMS has fined this facility across 1 penalty action(s).

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

23.5/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -4 for 1 actual-harm citation(s) in the last 3 years
  • -2.5 for 24 total citations against a national median of 17

Staffing

18/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 4.23 total nurse hours per resident per day (national median 3.77)
  • 0.36 RN hours per resident per day
  • Weekend staffing drops 14% against weekdays

Staff stability

12/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 39% of nursing staff left in the last year

Resident outcomes

12/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 4 of 5 stars on the CMS quality-measure rating

Enforcement history

8/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $8,018 in federal fines across 1 action(s)

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.24 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.36 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 2.77 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 39.30%
National average 45.80% Better than average

The share of nursing staff who left over the last year.

Recent inspection findings

All 24 citations

Last standard health inspection: December 18, 2025 (8 months ago).

E Dec 18, 2025 F0583

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

No actual harm, potential for more than minimal harm

E Dec 18, 2025 F0584

Resident Rights Deficiencies

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.

No actual harm, potential for more than minimal harm

E Dec 18, 2025 F0585

Resident Rights Deficiencies

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.

No actual harm, potential for more than minimal harm

E Dec 18, 2025 F0761

Pharmacy Service Deficiencies

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...

No actual harm, potential for more than minimal harm

E Dec 18, 2025 F0803

Nutrition and Dietary Deficiencies

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.

No actual harm, potential for more than minimal harm

E Dec 18, 2025 F0812

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

No actual harm, potential for more than minimal harm

E Dec 18, 2025 F0914

Environmental Deficiencies

Provide bedrooms that don't allow residents to see each other when privacy is needed.

No actual harm, potential for more than minimal harm

D Dec 18, 2025 F0880

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of AVIR HEALTH GROUP, which operates 119 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
605 S AVENUE F HOLDINGS LLC Organization DIRECT OWNERSHIP INTEREST
ANA TX HOLDINGS, LLC Organization INDIRECT OWNERSHIP INTEREST
GRAF HOLDINGS LLC Organization INDIRECT OWNERSHIP INTEREST
TX SNF HOLDINGS II LLC Organization INDIRECT OWNERSHIP INTEREST
TX SNF HOLDINGS III LLC Organization INDIRECT OWNERSHIP INTEREST
DAGAN, AMITAI Individual INDIRECT OWNERSHIP INTEREST
FREUND, NOCHUM Individual INDIRECT OWNERSHIP INTEREST
GOLDBERGER, ABRAHAM Individual INDIRECT OWNERSHIP INTEREST
GOLDBERGER, FAIGY Individual INDIRECT OWNERSHIP INTEREST
TRAVITSKY, AARON Individual INDIRECT OWNERSHIP INTEREST
FREUND, NOCHUM Individual CORPORATE OFFICER
TRAVITSKY, AARON Individual OPERATIONAL/MANAGERIAL CONTROL

What families say

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Common questions about Avir At Knox City

What is the ElderGrade for Avir At Knox City? +

Avir At Knox City holds an ElderGrade of B (73.5 out of 100), which we describe as "above average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Avir At Knox City? +

Residents receive an average of 3.24 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Avir At Knox City been cited for harming residents? +

Yes. 1 of the 24 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Avir At Knox City accept Medicaid? +

Yes, Avir At Knox City is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.