Every nursing home CMS records under this group, and how the portfolio performs as a whole. Consistency
across a group says more about an operator than any single building.
Homes
118
States
1
Beds
12,935
Avg score
64.7
Avg turnover
58%
Federal fines
$6,763,032
Flags across this group
17 of the group's homes carry a CMS abuse icon.
4 homes are in or a candidate for the Special Focus Facility programme.
Avir At Bellville runs on 2.92 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekends dip about 15% below its own weekday coverage. That thin margin is the main story behind its staffing rating of 1 out of 5, and with turnover at 47.5%, slightly above the national 45.8%, the home is regularly refilling positions. The good news is real: a 4/5 inspection rating, a clean record with no harm-level or abuse deficiencies among the 31 cited, and a recent May 2026 inspection. But a corporation-owned home with this few hands on deck asks families to watch the evening and weekend shifts closely.
Avir At Childress runs 120 certified beds under corporate ownership, and its nurse staffing sits at 3.25 hours per resident day, roughly 16% under the national average of 3.86. Weekend coverage dips about 11% below what the home manages on weekdays, and annual turnover hits 65.6% against a national 45.8%, meaning most of the aides and nurses your family member sees are likely newer than they should be. The current inspection record carries 31 deficiencies, one tied to abuse, though none at the harm or jeopardy level, and the most recent survey came in May 2025. Quality measures score well; staffing and inspections do not.
Avir At Giddings runs lean on nursing hours, 3.00 per resident day against a national average of 3.86, and weekends are roughly 12% thinner than weekdays, which is when families tend to visit and notice. The inspection record is the bigger concern: 39 deficiencies, three serious enough to put residents in harm's way, two tied to abuse, and $39,527 in fines. Staff turnover of 30.3% is actually better than the 45.8% national figure, so the problem looks less like retention and more like how few hands are on deck. With a 1-out-of-5 rating on both inspections and staffing, the recent survey date hasn't erased what's accumulated.
Avir At Bay City runs on thin staffing: 3.39 nurse hours per resident day against a national average of 3.86, with weekends about 8% leaner than weekdays already are. Annual turnover of 54.2% sits well above the 45.8% national figure, so the people providing that care keep changing. The current record shows 28 deficiencies, two serious enough to involve harm or jeopardy, plus two fines totaling $23,689; the most recent inspection was February 26, 2026. Hospital district ownership is a steadying factor, and the 3/5 inspection and quality ratings are middling rather than alarming. The staffing number is the one to press on when you visit.
Avir At Kingsland runs on thin nursing coverage: 2.67 hours per resident day against a national average of 3.86, and weekends drop roughly 11% below what the home manages on weekdays. That staffing level is the main reason the federal staffing rating lands at 1 out of 5, even though turnover at 42.5% is slightly better than the 45.8% national figure. The inspection record shows 20 deficiencies, including one at the harm or jeopardy level and two tied to abuse, with the most recent inspection dated May 2026. It's a hospital-district home with 122 certified beds, and its health inspection and quality measure ratings both sit at 3 out of 5.
Avir At El Paso runs on 3.18 nurse hours per resident day, about 18% under the national average, and weekend coverage drops roughly 13% below its own weekday level. The inspection record is the real problem: 98 deficiencies, including 5 at harm or jeopardy level and 8 abuse-related, plus three fines totaling $192,681. Staff turnover sits at 46.8%, slightly above the national figure. Resident outcome measures score well, but a 1-out-of-5 inspection rating and 2-out-of-5 for staffing tell you where the trouble lives. It's a for-profit limited liability company, and the last inspection was March 2025.
Avir At Carthage runs a lean nursing floor: 3.24 nurse hours per resident day against a national average of 3.86, and weekends drop about 12% below what the home staffs on weekdays, so the thinnest coverage lands when families tend to visit. The 12.9% turnover rate is genuinely low next to the 45.8% national figure, which suggests a stable core of caregivers even if there aren't enough of them. What weighs heaviest is the inspection record, 45 deficiencies, five at harm or jeopardy level and four tied to abuse, with $66,731 in fines across three penalties. The most recent inspection was September 17, 2025.
Avir At Courtyard runs 3.45 nurse hours per resident day, roughly 11% under the national average, and weekend coverage dips about 6% below its own weekday level. Staff turnover sits at 59% against a national 45.8%, so the people caring for residents keep changing. The inspection history is mixed: a five-star health inspection rating, but 18 deficiencies on record, including one at harm level and two abuse-related, with the most recent inspection in September 2025. Ownership changed within the past year, and the one-star staffing rating tells you the hours and retention problems are the real story here.
Avir At Cisco gets top marks on health inspections, a 5 out of 5, and its last survey was recent, in August 2025. But that inspection record still carries 18 deficiencies, including one tied to abuse, though none rose to the level of actual harm or jeopardy. The bigger concern is staffing: a 1 out of 5 star rating, with 58.5% annual turnover against a national average of 45.8%. Quality measures land in the middle at 3 out of 5. This is a for-profit limited liability company with 80 certified beds. Strong surveys, thin and churning staff, that combination is worth asking about directly before you decide.
Avir At Commerce runs on thinner nursing coverage than most homes, about 3.31 nurse hours per resident each day against a national figure near 3.86, with weekends dipping roughly another 10% below its own weekday level. Staff turnover sits at 69.2%, well above the 45.8% national average, so the people around your family member change often. The inspection record shows 42 deficiencies, none flagged at the harm or jeopardy level and none abuse-related, and the most recent look came in February 2026. Quality measures score well here, but staffing and inspections are where the gaps show. It's a federal-government-operated home, which is unusual, and worth asking about directly when you visit.
Avir At Pecos runs on 3.20 nurse hours per resident day, roughly 17 percent below the national average of 3.86, and weekend coverage dips about 8 percent below its own weekday level. Staff turnover sits at 66.7 percent against a national 45.8 percent, two-thirds of the nursing staff leaving in a year is a lot of new faces for residents to adjust to. The current record shows 22 deficiencies, none at the harm level, though one is abuse-related. Inspectors last visited in March 2025. Quality measures score well; staffing is where the numbers fall short, and ownership is a for-profit corporation.
Avir At Grapevine runs on about 3.10 nurse hours per resident per day, roughly a fifth below the national average, and weekends drop another 8% below its own weekday staffing. That thin coverage shows up in a 1-out-of-5 staffing rating and a 51.9% annual turnover rate, meaning more than half the nursing staff leaves each year. The inspection record is heavy: 40 deficiencies, four serious enough to cause harm or jeopardy, five tied to abuse, and two fines totaling $29,614. Its quality measure score is perfect, but that reflects charted care, not hands on the floor. The last inspection was November 2025, so the record is current.
Avir at North Richland Hills runs lean on nursing staff, 3.40 hours per resident per day against a national average of 3.86, with weekends about 10% thinner than weekdays, so the gap shows up most when families tend to visit. Staff turnover sits at 56.3%, well above the 45.8% national figure, and the current inspection record carries 24 deficiencies, three of them serious enough to put a resident in harm's way, plus two tied to abuse. A $195,946 fine is on file.
The quality measure rating of 4/5 looks better than the staffing picture, which the federal government scores at 2/5. The most recent inspection was April 2025, so the record is current.
Brightpointe At Lytle Lake runs on 2.98 nurse hours per resident day, roughly a quarter below the national average, and weekends dip about 13% below its own weekday numbers. That shows up in the federal staffing rating, which sits at the bottom. The inspection record is heavier still: 27 deficiencies, including 2 at the harm or jeopardy level and 4 tied to abuse, with one fine of $23,733. Turnover at 44.9% is essentially the national rate, so the for-profit operator isn't losing staff faster than average, but it isn't keeping them either. The last full inspection was April 9, 2026, so the findings are recent.
Avir At Jeffrey Place runs thinner on nursing hours than most homes, about 3.31 per resident day against a national average near 3.86, and weekends drop roughly 11% below what the home staffs on weekdays. Annual turnover sits at 62.1%, well above the 45.8% national figure, so the people caring for residents change often. The inspection record shows 33 deficiencies, including two at the harm or jeopardy level and two tied to abuse, with $22,301 in fines across two penalties; the last inspection was April 9, 2026. A for-profit LLC operates the 95-bed building. Quality measures score well, but staffing and the deficiency history are where the concerns sit.
Avir At Center runs 3.53 nurse hours per resident day, about 9% under the national average, and weekends drop roughly 13% below its own weekday staffing. That thin coverage adds up over time: 56.8% annual turnover means more than half the nursing staff leaves each year, against a national rate of 45.8%. The inspection history shows 17 deficiencies on record, including one at the harm level and one tied to abuse, plus a $9,113 fine. The health inspection rating of 4 out of 5 is genuinely good, and the most recent survey was July 2025. But staffing and quality measure ratings both sit at 2 out of 5, and that gap between a clean-looking inspection and weak day-to-day numbers is the part worth asking about directly.
Avir At Borger runs on 3.19 nursing hours per resident per day, about 17% under the national average of 3.86, and weekends dip roughly 8% below its own weekday levels. That thin coverage matters more given 60.7% annual turnover, well above the 45.8% national figure, so the people providing care are often new to the building. The record shows 34 deficiencies, including two at harm or jeopardy level and four tied to abuse, plus $40,307 in fines across two penalties. The most recent inspection was September 12, 2025. Hospital district ownership doesn't erase any of that; it just means the accountability runs to a public board rather than a private chain.
Avir At Woodlands runs on thin nursing coverage: 3.44 hours per resident day, roughly 11% under the national average, and weekends dip about 7% below its own weekday level. Turnover sits at 65.9% against a national 45.8%, meaning most of the people caring for residents this year likely won't be there next year. The inspection record is the heavier concern, a 1-out-of-5 health inspection rating, 34 deficiencies including three at harm or jeopardy level and one tied to abuse, plus an $85,613 fine. A recent August 2025 inspection keeps the record current, and the 4/5 quality measure score shows some clinical targets are being met, but staffing instability and that deficiency history are what a family should weigh most.
Avir At Fredericksburg runs 90 certified beds under corporate ownership, and its nurse staffing sits at 2.86 hours per resident day, roughly a quarter below the national average of 3.86. Weekends dip about 10% below its own weekday coverage. The bigger red flag is turnover: 87.8% annually, nearly double the national 45.8%. On the quality measures the home scores well, but its health inspection rating is 2 out of 5 with 47 deficiencies on record, including 2 at harm or jeopardy level and 2 tied to abuse. One fine totaling $23,520 has been levied. The last inspection was June 20, 2025. Staffing consistency and inspection history are where the concerns live.
Avir At Heritage runs on thin nursing coverage: 3.26 nurse hours per resident each day, roughly 16 percent under the national figure, and weekends drop about 14 percent below its own weekday levels. That staffing picture is the main reason its CMS staffing rating sits at just one star out of five, even though its last inspection in April 2025 produced no deficiencies at the harm or jeopardy level and nothing abuse-related. Staff turnover of 54.3 percent tops the national average of 45.8 percent, which matters for a 150-bed for-profit home because residents see more unfamiliar faces. The inspection record looks clean on paper, but consistently low hours and high churn are what a family should weigh when deciding.
Avir At Temple West runs on thin staffing, and the numbers show it: 3.26 nurse hours per resident day against a national average of 3.86, with weekends about 12% lighter than weekdays. That shortfall sits alongside a 66.7% annual turnover rate, far above the 45.8% national figure, so the aides and nurses caring for your relative are likely to keep changing. The 19 deficiencies on record include 2 at the harm or jeopardy level and 4 tied to abuse; one fine totaling $7,257 has been levied. The quality measures look strong and the last inspection was recent, but a for-profit LLC arrangement with those staffing and turnover figures deserves hard questions before you decide.
Avir At Graham runs on 3.11 nurse hours per resident per day, roughly 19% under the national average of 3.86, and weekend coverage drops another 10% below its own weekday levels. Turnover sits at 38.9%, better than the 45.8% national figure, so the people who stay tend to stay. The inspection record is the strongest part of the picture: a 5/5 health inspection rating with 15 deficiencies on file, none at the harm level and none abuse-related, and the most recent visit was in August 2025. What pulls the overall picture down is the staffing rating of 2/5 and a quality measure rating of 2/5, which sit alongside that clean inspection history and government hospital district ownership.
Avir At Golfcrest runs 200 certified beds in Houston under for-profit LLC ownership, and its nurse staffing sits at 3.06 hours per resident day, roughly 21% under the national average of 3.86. Weekends dip about 13% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Staff turnover is 42.9%, slightly better than the 45.8% national figure, but the inspection record is the harder read: 21 deficiencies, five at harm or jeopardy level, one abuse-related, and $43,799 in fines across three penalties. The last inspection was April 2025. Federal stars put quality measures at 4 out of 5 but staffing and health inspections at 2, a split that says the care processes may look fine on paper while the hands-on coverage and survey history raise real questions.
Avir At Luling runs on 2.82 nurse hours per resident per day, roughly 27% under the national average, and weekend coverage drops another 13% below its own weekday level. Staff turnover sits at 76.1% against a national 45.8%, so the people providing most of the hands-on care are constantly changing. The inspection record shows 41 deficiencies, including three at harm or jeopardy level and four tied to abuse, with $35,559 in fines across three penalties; the most recent inspection was November 2025. Corporate-owned and certified for 56 beds, the home's quality measure scores look good, but that's the part of the record least dependent on having enough consistent staff on hand.
Avir At Beaumont runs 214 certified beds under hospital district ownership, and the numbers show a building under real strain. Nurse staffing sits at 3.33 hours per resident day, roughly 14 percent under the national average, and weekends run about 9 percent thinner than weekdays, so coverage gaps tend to land when families visit most. Staff turnover of 49.5 percent tops the national rate, which means the people caring for residents are often new to the job.
The current inspection record carries 41 deficiencies, including two at the harm or jeopardy level and three tied to abuse, with $39,563 in fines across three penalties. The most recent inspection was June 20, 2025.
Avir At Overton runs 100 certified beds under for-profit LLC ownership, and the staffing numbers tell a mixed story: 3.77 nurse hours per resident day sits just under the national average of 3.86, but weekends dip about 4% below weekdays, and annual turnover hits 58.3% against a national 45.8%. More concerning is the inspection record, 41 deficiencies, 13 of them at harm or jeopardy level, 10 abuse-related, and six fines totaling $363,446, with the most recent inspection dated April 2026. The quality measure rating is strong, but that reflects resident health metrics, not the safety and oversight record a family should weigh most heavily when choosing care.
Avir At Monahans runs on a government-hospital-district license and 92 certified beds, and its nursing hours come in at 2.74 per resident day, roughly 29% under the national average of 3.86. That thin coverage thins further on weekends, when staffing drops about 9% below its own weekday level, and the aide and nurse turnover rate sits at 74% against a national 45.8%. The record shows 35 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection in July 2025. Quality measures score well, but the staffing picture is what shapes daily life here.
Avir At Mineola runs on 3.45 nurse hours per resident day, roughly 11 percent under the national average, and weekends dip another 8 percent below its own weekday numbers, so the thinnest coverage lands when families tend to visit. The inspection record is heavier than that staffing gap alone would suggest: 54 deficiencies, including 8 tied to abuse and 3 serious enough to put residents in harm's way, plus three fines totaling $55,247. Ownership changed within the past year, which can mean new management or just a new name on the license. The most recent inspection was in December 2025. If you're considering this one, ask directly what changed after that inspection and who's actually on the floor on Saturdays.
Avir At Park Bend runs on thinner nursing coverage than most homes, 3.18 nurse hours per resident day against a national average of 3.86, and weekends drop another 12% below its own weekday levels. That's the kind of gap families feel on a Saturday afternoon when call lights take longer to answer. Turnover sits at 46.1%, essentially matching the national rate, so staffing instability here isn't an outlier problem. The inspection record is more concerning: 28 deficiencies, including 3 at harm or jeopardy level and 4 tied to abuse, with $38,155 in fines. A June 2025 inspection is recent, and the 3/5 health inspection rating reflects real citations. Government hospital district ownership doesn't erase any of this.
Avir At Dripping Springs runs 60 certified beds under corporate ownership, and the staffing numbers are the part that should get your attention. At 2.80 nurse hours per resident day, it sits about 27% under the national average of 3.86, and weekend coverage dips roughly 9% below its own weekday level. Annual turnover hits 68.6% against a national 45.8%, so the people caring for residents are cycling through fast. The inspection record is genuinely strong, a 5/5 star rating and a clean December 2025 survey, with no deficiencies at the harm level. But 13 deficiencies on file, one abuse-related, plus a 1/5 staffing star, means the day-to-day coverage is where the risk lives.