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 Magnolia runs on 2.86 nurse hours per resident day, roughly a quarter below the national average, and weekends drop further from an already thin weekday floor. That staffing gap sits behind 37 deficiencies on record, seven of them involving harm or jeopardy and three tied to abuse, plus five fines totaling $50,906, a pattern worth asking the administrator about directly. Nearly six in ten staff left over the past year, well above the 45.8% national rate, and with the last inspection in August 2025, the record is current rather than dated. The quality measure score looks better than the rest, but quality numbers reflect resident assessments, not whether enough hands are on the floor.
Avir At Texarkana runs a for-profit LLC with 110 certified beds, and the numbers pull in different directions. Nurse staffing sits at 4.56 hours per resident day, roughly 18% above the national average of 3.86, but weekend coverage drops about 7% below its own weekday level, and annual turnover hits 61.7% against a national 45.8%, so the hours are there, the consistency isn't. What drags the record down is the inspection history: 33 deficiencies, three at harm or jeopardy level and five abuse-related, with two fines totaling $146,860 and a health inspection rating of 1 out of 5. Ownership changed within the last 12 months, and the most recent inspection was June 11, 2025.
Homestead Nursing and Rehabilitation of Baird runs on thin staffing. At 2.88 nurse hours per resident per day, it sits about a quarter below the national average of 3.86, and weekends drop roughly another 13 percent below its own weekday levels, so the thinnest coverage lands when families tend to visit. Staff turnover is the bigger tell: 85.7 percent annually, nearly double the national rate, meaning most of the people caring for your relative will likely be gone within a year. The good news is real: a four-star health inspection with 14 deficiencies, none causing harm or involving abuse, five stars on quality measures, and a recent May 2025 inspection. Ask how the home holds those quality numbers with so much churn.
Avir At Seguin runs 2.88 nurse hours per resident day against a national average of 3.86, roughly a quarter less hands-on time than the typical home, with weekends even thinner than weekdays. That shortfall shows up in the staffing rating and in a 60.8% annual turnover rate, well above the 45.8% norm, meaning the aides and nurses your family member sees are cycling out faster than anywhere nearby. The record holds 46 deficiencies, including three at the level that caused actual harm or jeopardy and two tied to abuse, plus one fine of $13,877. The quality measures look good on paper, but staffing is what actually gets someone to the bathroom on time.
Garland Nursing and Rehabilitation runs on thinner staffing than most homes, 3.38 nurse hours per resident day against a national average of 3.86, and it gets even thinner on weekends, when coverage drops about 11% below the home's own weekday level. That gap shows up in the numbers that matter: a one-star health inspection rating, 43 deficiencies on the current record, seven of them serious enough to put residents at risk of harm, plus six tied to abuse. Fines total $91,343 across five penalties. Annual turnover of 50.9% means more than half the nursing staff leaves each year, well above the 45.8% national rate, so residents cycle through caregivers who are still learning the building.
Avir At Weatherford runs lean on nursing hours: 3.32 per resident day against a national average of 3.86, and weekends drop roughly another 12% below its own weekday level, so the thinnest coverage lands when families typically visit. Staff turnover sits at 70.4% 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 shows 18 deficiencies, two of them at harm or jeopardy level and three tied to abuse, with $22,356 in fines across two penalties. Ownership is a for-profit corporation, and the last inspection was in February 2026.
Avir At Enchanted Rock runs on a hospital district's budget out in Gillespie County, and the numbers show where that leaves residents. Nurses provide 3.44 hours of care per resident each day, roughly 11 percent under the national average, and weekends dip about 15 percent below the home's own weekday staffing. The bigger red flag is turnover: 78.9 percent of staff leave within a year, against a national average of 45.8, so the people providing that already-thin care are constantly new. Inspectors have cited 47 deficiencies, including 5 at the harm level and 8 tied to abuse, with $63,121 in fines. Quality scores look good on paper, but staffing and inspections tell the harder story.
Avir At Gonzales runs on 2.65 nursing hours per resident day, roughly a third below the national average of 3.86, and weekends drop about 14% below its own weekday staffing. That thin coverage shows up in the federal staffing rating: 1 out of 5. Annual turnover sits at 61.3% against a national 45.8%, meaning most of the people caring for residents weren't there a year ago. The inspection record shows 39 deficiencies, none at the harm or jeopardy level and none abuse-related, and the last survey was July 2025, so that picture is current. A for-profit corporation owns the 80-bed home. Inspection and quality scores land mid-range; the staffing numbers are where the concern sits.
Avir At Burleson runs a 120-bed for-profit building in Johnson County, and the split in its record is worth understanding before you tour. Inspectors have found this place in good shape, a 4-out-of-5 health inspection rating, 19 deficiencies on the current record with none reaching harm or jeopardy level and nothing abuse-related, and a survey as recent as November 2025.
The staffing side tells a different story. At 2.87 nurse hours per resident day, it sits roughly 26 percent under the national average of 3.86, and weekend coverage drops about 11 percent below its own weekday level. Annual turnover of 56.4 percent runs well above the 45.8 percent national figure. Good inspections, thin coverage, ask how they staff weekends.
Avir At Heritage Oaks runs 159 certified beds under for-profit LLC ownership, and the staffing numbers are where your attention should go first. At 3.21 nurse hours per resident day, it sits about 17% under the national average of 3.86, and weekends drop roughly 11% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 67.2% against a national 45.8% means many of the people caring for residents are still learning the building. The current record carries 28 deficiencies, two tied to abuse, though none reached harm or jeopardy level, and the last inspection was in May 2026.
Avir At Adams runs 3.14 nurse hours per resident day, roughly 19% under the national average, and weekends drop about 12% below its own weekday coverage. That thin margin shows up in the numbers that matter most: a 66.2% annual turnover rate against a 45.8% national figure, meaning most of the people caring for your relative are new to the building. The current record carries 46 deficiencies, five at harm or jeopardy level and three tied to abuse, plus $24,819 in fines. The most recent inspection was June 19, 2025. For-profit corporate ownership, 118 certified beds, and a staffing rating that matches what those hours suggest.
Avir At Veterans Memorial runs 120 certified beds in Houston under for-profit LLC ownership, and its nurse staffing sits at 3.12 hours per resident day, roughly 19% under the national average, with weekends about 10% leaner than weekdays. Annual turnover is 52.8% against a national rate of 45.8%, so aides and nurses are cycling out faster than usual. The inspection record is where the real weight sits: 27 deficiencies, five at harm or jeopardy level, two tied to abuse, and $22,840 in fines, with the most recent inspection dated April 2026. Quality measure scores look strong, but staffing and inspection results pull hard in the other direction.
Avir At Kaufman runs about 3.07 nurse hours per resident day, roughly a fifth under the national average, and weekends dip another 16% below its own weekday staffing. That thin coverage shows up in the numbers: 59.5% annual turnover against a national 45.8%, and a staffing star rating of just 1 out of 5. The inspection record carries 41 deficiencies, including one at the harm level and three tied to abuse, with a single fine of $8,021. A recent January 2026 inspection and a 4/5 quality measure score suggest some clinical care is tracked, but the for-profit limited liability ownership has not bought enough hands on the floor.
Avir At Sealy runs on 2.91 nurse hours per resident per day, roughly a quarter below the national average, and weekends dip about 16% below its own weekday levels. Staff turnover sits at 78.9% against a national figure near 46%, which means many of the people caring for residents are still learning the building. The inspection record is thinner than those numbers might suggest: 18 deficiencies on file, none at harm or jeopardy level and none abuse-related, with the most recent inspection in March 2025. CMS rates the quality measures 5 out of 5 and inspections 4 out of 5, but staffing 1 out of 5. A for-profit corporation owns the 90-bed home.
Avir At Petal Hill runs 3.50 nurse hours per resident day, about 9% under the national average, and weekend coverage drops roughly 14% below what the home staffs on weekdays. Its record shows 33 deficiencies, four of them at the harm or jeopardy level and two tied to abuse, with $31,256 in fines across two penalties. Staff turnover sits at 43.9%, a touch better than the 45.8% national figure. All three CMS ratings, health inspection, quality measures, staffing, land at 2 out of 5, and the most recent inspection was March 5, 2026. For a 120-bed for-profit corporate home, the pattern is thin staffing, repeated serious findings, and middle-to-low marks across the board.
Avir At Jefferson runs 116 certified beds under for-profit LLC ownership, and the staffing numbers are where the trouble starts. At 3.29 nurse hours per resident day, it sits roughly 15% under the national average of 3.86, and weekends drop about 14% below its own weekday level, meaning the thinnest coverage lands when families are most likely to visit.
Turnover tells a similar story: 58.8% annually against a national 45.8%, so more than half the nursing staff left within a year. Behind that churn sits an inspection record with 44 deficiencies, including two at the harm level and one tied to abuse, plus $16,498 in fines. The most recent inspection was December 2025. Three 2-out-of-5 stars across health, quality, and staffing round it out.
Avir At Stephenville runs 102 certified beds and leans on a nursing staff that logs 3.33 hours per resident day, roughly 14% under the national average, with weekends about 13% thinner than its own weekdays. That shortfall shows up in the numbers: 82.3% annual turnover against a national 45.8%, a one-star staffing rating, and 31 deficiencies on the current record, including two at harm or jeopardy level and four tied to abuse. A single fine of $204,614 sits on the books, and the most recent inspection, in July 2025, produced a two-star health inspection result. Ownership is corporate and for-profit, which may help explain the staffing math.
Avir At Western Hills runs on lean nurse staffing: 3.16 hours per resident day against a national average of 3.86, with weekends about 13% thinner than weekdays. That gap shows up in the payroll, 75% of staff turned over in a year, well above the 45.8% national figure, and it's a big reason the staffing rating sits at 1 out of 5 even though quality measures score 4. The inspection record carries 31 deficiencies, including three at harm or jeopardy level and two tied to abuse, plus $16,562 in fines. The most recent inspection was May 2025, so the picture is current, and this corporate-owned home is licensed for 120 beds.
Avir At Houston runs 148 certified beds as a for-profit corporation, and the numbers that matter most here are thin. Nurse staffing sits at 2.79 hours per resident day against a national average of 3.86, roughly 28% below, and weekends drop about 19% below the home's own weekday coverage, so the thinnest shifts are when families tend to visit. The inspection record carries 35 deficiencies, six of them serious enough to involve harm or jeopardy, plus four fines totaling $178,352. The most recent inspection was May 8, 2026. Federal quality measures score well, but that sits against a 1/5 staffing rating and a 1/5 inspection rating. If you're weighing this one, ask specifically how weekend coverage is handled.
Avir At Sherman runs on 3.06 nurse hours per resident per day, roughly a fifth below the national figure, and weekends drop about 9% below what the home staffs on weekdays. That shortfall shows up in the numbers that matter: the federal staffing rating sits at 1 out of 5, with annual turnover at 87.1% against a national rate near 46%. Thirty-three deficiencies appear on the current record, three tied to abuse, though none reached harm or jeopardy. The last inspection was June 2025, and quality measures actually score well. A for-profit LLC runs the 132-bed home, so ask directly how they hold onto aides and who covers weekends.
Avir At Dallas runs 136 beds under for-profit LLC ownership, and its inspection record is the first thing to notice: 29 deficiencies on file, two of them serious enough to cause harm or jeopardy, plus one abuse-related finding and an $8,018 fine. Staffing is the other trouble spot, 3.28 nurse hours per resident day sits about 15% under the national average, weekends run roughly 14% lighter than weekdays, and turnover hits 75.7% against a national 45.8%, so the people caring for your family member are likely new and often stretched thin. The most recent inspection was July 2025, so the picture is current.
Avir At Schertz runs on 2.93 nurse staffing hours per resident day, roughly a quarter below the national average of 3.86, and weekend coverage dips about 12% below its own weekday level. Staff turnover sits at 79.4% against a national average of 45.8%, so the people caring for residents change constantly. The inspection record shows 65 deficiencies, including three at the harm or jeopardy level and five tied to abuse, with $39,676 in fines and a most recent inspection dated February 27, 2026. Ownership is a for-profit limited liability company. The quality measure score looks strong on paper, but that number rests on a staffing and inspection picture that is far weaker.
Avir At River Valley is run by the hospital district, and its recent inspection history is the strongest part of the picture, a four-out-of-five health inspection rating with 25 deficiencies on record, none of them rising to actual harm or jeopardy. But staffing is where the numbers get thin. At 3.08 nurse hours per resident day, it sits roughly 20% under the national average of 3.86, weekend coverage drops about 8% below its own weekday level, and annual turnover runs 76% against a national 45.8%. Two abuse-related deficiencies also appear on the current record. The quality measure rating lands mid-range. If you're weighing this one, ask how they hold a shift together on a Sunday.
Gainesville Convalescent Center runs on thin nurse staffing, 3.08 hours per resident day against a national average near 3.86, and weekends are roughly 11% leaner than weekdays, so coverage thins exactly when families tend to visit. The county hospital district owns the 112-bed home, and its inspection record shows 50 deficiencies, four at harm or jeopardy level and four tied to abuse; two fines total $99,075. Staff turnover of 73.8% sits well above the 45.8% norm, meaning many caregivers are new. Quality measures score well, but surveys and staffing don't, which is where the trouble actually lives.
Riverview runs lean on nursing hours, 3.17 per resident day against a national average of 3.86, and weekends dip even further, about 9% below its own weekday coverage. That thinness shows up in the workforce itself: 67.7% annual turnover, well above the 45.8% norm, meaning roughly two of every three caregivers are new to the building each year. Inspectors have logged 38 deficiencies, eight serious enough to put residents in harm's way and seven tied to abuse, with $156,748 in fines across four actions. The last survey was March 2025, so the record is current. A for-profit limited liability company owns the place, and the inspection history is where the trouble concentrates.
Avir At Meadow Creek runs on thin staffing: 3.11 nurse hours per resident day against a national average of 3.86, with weekends about 11% leaner than weekdays. Turnover sits at 45.9%, essentially identical to the national rate, so retention isn't the outlier here, the raw hours are. The inspection record is the bigger problem. Twenty-two deficiencies, six of them serious enough to involve harm or jeopardy, two tied to abuse, and $119,203 in fines across two events. The most recent inspection was April 2025, so the picture is current, not stale. Families should ask directly how those harm-level findings were corrected and who is on duty on Saturday and Sunday.
Avir At Fort Worth runs on 3.06 nurse hours per resident day, roughly a fifth below the national average, and weekend coverage drops another 11% below what it manages on weekdays. Staff turnover sits at 71.6%, well above the 45.8% national figure, so the people providing most of the hands-on care are frequently new to the building. The inspection record is where the real weight sits: 42 deficiencies, nine serious enough to put residents in harm's way, six tied to abuse, and six fines totaling $272,419, with the most recent inspection in April 2025. High marks on quality measures don't offset a staffing and compliance picture like that.
Avir At Johnson City runs 60 beds under corporate ownership, and the numbers tell a fairly consistent story. Nurse staffing sits at 3.44 hours per resident day, about 11% under the national average, and weekend coverage drops another 11% below its own weekday levels, so care is thinnest exactly when families tend to visit. Staff turnover of 65.5% is well above the 45.8% national figure, which matters because residents see a rotating cast rather than familiar faces.
The inspection record is the harder part: 28 deficiencies, six of them serious enough to reach harm or jeopardy level, and $74,691 in fines across three penalties. The most recent inspection was June 4, 2026. Quality measures score mid-range, but staffing and health inspections both sit at one star out of five.
Avir At Azalea Heights runs 120 certified beds in Tyler under for-profit LLC ownership, and its nurse staffing sits at 2.60 hours per resident day, roughly a third below the national average of 3.86. Weekends dip about 11% below its own weekday levels, so coverage thins out exactly when families tend to visit. The inspection record shows 25 deficiencies, three of them serious enough to put residents at harm or jeopardy, with two fines totaling $27,550 and a December 2025 inspection. Staff turnover of 43.8% is close to the national 45.8%, so the problem isn't retention so much as how few hands are scheduled per resident.
Avir At Winnsboro runs a 112-bed for-profit home, and its nurse staffing sits at 2.71 hours per resident day, roughly 30 percent under the national average. Weekends drop another 14 percent below its own weekday levels, and staff turnover hits 59.4 percent against a national figure of 45.8. That combination matters more than any single number here, because thin coverage and constant turnover tend to reinforce each other. The current inspection record carries 50 deficiencies, including two at the harm or jeopardy level and four tied to abuse, with $21,554 in fines. The most recent inspection was June 25, 2025. If you're considering this one, ask directly how they cover weekends and what they've changed since that inspection.