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 Patriot runs 3.18 nurse hours per resident day, roughly 18% under the national average, and weekends dip about 8% below its own weekday staffing. That thin coverage shows up in the numbers: a 52.7% annual turnover rate, more than 45.8% nationally, and a one-star CMS staffing rating. The inspection record carries 77 deficiencies, four of them at harm or jeopardy level and four abuse-related, with $153,192 in fines across three penalties. The most recent inspection was August 2025. Quality measures score better, but the staffing and inspection picture is what a family should weigh.
Avir At Camp Wood runs 86 certified beds under corporate for-profit ownership, and its nurse staffing sits at 2.77 hours per resident day, roughly 28% under the national average of 3.86. That thin coverage gets thinner on weekends, when staffing drops about 9% below its own weekday level, which matters most when families are visiting and aides are stretched.
The inspection record shows 25 deficiencies, including one at the harm or jeopardy level and one abuse-related citation. CMS has fined the home twice, totaling $86,254, and the most recent inspection was July 31, 2025. Its health inspection rating lands at 3 out of 5, quality measures at 2, and staffing at 1, the numbers point to a home where care is being delivered, but with real strain.
Avir At Killeen runs on 3.18 nursing hours per resident day, about 18 percent under the national average, and weekend coverage drops roughly 15 percent below its own weekday level. Staff turnover sits at 52.1 percent against a national 45.8 percent, so the people caring for residents keep changing. The inspection record shows 60 deficiencies, ten of them at the harm or jeopardy level and six tied to abuse, with six fines totaling $137,749. The last inspection was April 17, 2025. Ownership is a for-profit corporation, and 120 beds are certified. The quality measure score looks better than the rest, but it's the staffing and inspection numbers a family should weigh.
Avir At New Braunfels runs 154 certified beds under for-profit LLC ownership that changed hands within the last year. Nurse staffing sits at 3.36 hours per resident day, roughly 13% below the national average, and weekends dip about 10% below its own weekday levels, meaning coverage is thinnest exactly when families tend to visit. The bigger concern is the inspection record: 53 deficiencies, including 5 at the harm or jeopardy level and 3 tied to abuse, with five fines totaling $163,819. Staff turnover of 73.7% is well above the 45.8% national average, so the people caring for residents are constantly changing.
Avir At Hillsboro runs on 3.24 nurse hours per resident per day, roughly 16% under the national average of 3.86, and weekends dip about 8% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Staff turnover is 90.4% a year against a national 45.8%, meaning most of the people caring for residents are new to the building. The inspection record carries 39 deficiencies, four at harm or jeopardy level and five tied to abuse, with two fines totaling $106,866; the most recent inspection was December 2025. Ownership is a for-profit corporation, and the quality measure score sits high while inspections and staffing sit at the bottom of the scale.
Avir At Bradburn runs 3.39 nurse hours per resident per day, about 12% under the national average, and weekend coverage drops roughly 12% below its own weekday level, a pattern families often notice on Saturdays and Sundays. Staff turnover sits at 83.8% against a national average of 45.8%, so the aides and nurses caring for your relative are far more likely than average to be new or on their way out. Inspectors last visited in May 2025 and left 11 deficiencies, including two at the harm or jeopardy level and one tied to abuse, along with a $136,027 fine. Quality measures score well, but the corporation's own inspection and staffing ratings don't.
Avir At Portland runs 97 certified beds under corporate ownership, and the staffing numbers are the first thing a family should sit with. Nurses provide 3.25 hours of care per resident each day, roughly 16 percent under the national average, and weekend coverage drops about another 10 percent below the home's own weekday level. Annual turnover hits 63.9 percent, well above the 45.8 percent national figure, which means the people caring for your relative are likely to change often.
The inspection record shows 29 deficiencies, including three at the harm or jeopardy level and one tied to abuse, with $119,462 in fines across two penalties. The most recent inspection was September 2025.
Avir At Cowhorn Creek runs 76 certified beds under hospital-district ownership, and the staffing numbers are where the trouble starts: 3.26 nurse hours per resident day against a national average of 3.86, with weekends running about 10 percent thinner than weekdays. Turnover sits at 68.2 percent, well above the 45.8 percent national figure, so residents see a lot of new faces. The inspection record shows 65 deficiencies, including two at the harm or jeopardy level and five tied to abuse, with one $30,105 fine and a survey date of February 2026. Quality measures score mid-range, but staffing and inspections both land at one star, and that combination is what drives the grade down.
Avir At Citizens Trail runs 114 certified beds under for-profit LLC ownership in Texarkana, and the numbers behind its record are worth a close look. Nurse staffing sits at 3.53 hours per resident day, roughly 9% under the national average, and weekends drop about 14% below the home's own weekday level, meaning coverage thins out exactly when families tend to visit. Annual turnover of 66.7% is well above the national 45.8%, so the people caring for residents keep changing. The current inspection record shows 52 deficiencies, including 7 at the harm or jeopardy level and 5 abuse-related, with two fines totaling $120,751 and the most recent inspection dated November 2025.
Avir At Bandera runs on about 2.40 nurse staffing hours per resident day, roughly 38 percent under the national average of 3.86, and weekend coverage drops about 10 percent below its own weekday level. That thin staffing shows up in a 56.7 percent annual turnover rate, well above the 45.8 percent national figure, and in CMS's staffing rating of one star out of five even as its quality measure score sits at four. The inspection record is the harder problem: 20 deficiencies, two at harm or jeopardy level, one abuse-related, plus $100,293 in fines across two penalties. A for-profit corporation operates the 118-bed home. Two stars on health inspections, and that May 2026 inspection is recent.
Avir At Orem runs lean on nursing staff, 2.97 hours per resident day against a national average of 3.86, with weekends about 11% thinner than weekdays. That gap shows up in the numbers: 61% annual turnover, well above the 45.8% national figure, and a staffing rating of 2 out of 5. The inspection record isn't clean either, with 21 deficiencies including one at the harm level and one abuse-related, and a $34,418 fine. The 4/5 health inspection rating and recent April 2025 survey suggest the home was in decent shape at its last look, and ownership changed within the past year, worth asking what that transition has meant for day-to-day care.
Avir At Tierra Este runs on 3.05 nurse hours per resident per day, about 21% under the national average, and weekends drop roughly 7% below its own weekday staffing. That thin coverage shows up in a 56.9% annual turnover rate, well above the 45.8% national figure, and in a one-star CMS staffing rating. Inspectors have cited 65 deficiencies, three at harm or jeopardy level and two tied to abuse, with eight fines totaling $53,957; the last inspection was September 2025. This for-profit LLC home holds 120 certified beds, and its one-star health inspection rating sits against a three-star quality measure score.
Avir At Keeneland runs on thin staffing. At 2.59 nurse hours per resident day, it sits about a third below the national average of 3.86, and weekends dip roughly 4% under its own weekday level, so the thinnest coverage lands when families tend to visit. Annual turnover of 78.1% means most of the people caring for residents weren't there a year ago, against a national rate near 46%. Inspections look strong on paper: a 5/5 health inspection rating, 13 deficiencies, none at harm or jeopardy level, none abuse-related, and the most recent visit was December 2024. But quality measures score 2/5 and staffing 1/5, and that gap between a clean inspection record and day-to-day coverage is what holds the overall picture down.
Avir At Arbor Terrace runs 126 certified beds in San Angelo, and the staffing numbers are where I'd start. At 3.05 nurse hours per resident day, it sits about 21% under the national average of 3.86, weekends dip roughly 7% below its own weekdays, and turnover hits 75.3% against a national 45.8%, that's a lot of churn on top of thin coverage. The inspection record backs it up: 38 deficiencies, three at harm or jeopardy level, one abuse-related, and $121,840 in fines across three events. A 2/5 inspection rating and 3/5 on quality measures don't offset a 1/5 staffing score. Ask about weekend coverage and how they hold staff before you tour.
Avir At Kerrville runs 130 certified beds under for-profit corporate ownership, and the staffing numbers are the first thing I'd flag: 3.37 nurse hours per resident day against a national average of 3.86, with weekends dropping another 13% below its own weekday level. That shortfall shows up in turnover too, 64.4% annually, well above the 45.8% national figure, meaning the aides and nurses your family gets to know are likely to change often. The inspection record carries 62 deficiencies, four at harm or jeopardy level and five abuse-related, plus $20,293 in fines across two penalties. CMS rated its health inspection, staffing, and quality measures at 1, 2, and 1 stars respectively, with the most recent inspection dated June 2025.
Avir At Kennedale runs 58 certified beds and reports 2.92 total nurse hours per resident per day, about a quarter below the national average of 3.86, with weekends dropping roughly 16% below its own weekday staffing. That thin coverage shows up in the numbers: staff turnover is 72.2% against a national average of 45.8%, so the people caring for residents change constantly, and CMS gives staffing a single star. The inspection record is heavier than most: 28 deficiencies, three at harm or jeopardy level, three abuse-related, and one fine of $16,437. Its last inspection was September 2025. For-profit corporate ownership. The quality measure score is middling, but that's self-reported data. The staffing and inspection record is what families should weigh.
Avir At Lindale runs on thinner nursing coverage than most homes nationally, 3.60 nurse hours per resident day against a 3.86 average, and weekends dip about 8% below its own weekday level, so the thinnest shifts come when families often visit. Staff turnover sits at 60%, well above the 45.8% national figure, meaning many of the people caring for residents are still new to the building. The inspection record is the sharper concern: 34 deficiencies, 8 of them at harm or jeopardy level and 3 abuse-related, with five fines totaling $754,374 and a February 2026 inspection. Government hospital-district ownership hasn't shielded it from any of that.
Avir At Longview runs on a hospital district's license with 115 certified beds, and the staffing numbers are the first thing to notice: 3.56 nurse hours per resident day, roughly 8% under the national average, with weekends dropping about 9% below its own weekday level. Staff turnover sits at 73.3% against a national 45.8%, which means the people caring for residents are, more often than not, new to the building. The inspection record backs that up, 55 deficiencies, 8 of them at harm or jeopardy level, 5 tied to abuse, and two fines totaling $262,731. The most recent inspection was May 2025. If you're considering this one, ask hard questions about who's actually on the floor on a Sunday.
Avir At Lubbock runs on 3.39 nursing hours per resident per day, about 12% under the national average, and weekends dip another 6% below its own weekdays, so the thinnest coverage lands when families visit most. Annual turnover sits at 70% 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 where it gets serious: 63 deficiencies, 7 at harm or jeopardy level, 10 abuse-related, four fines totaling $69,307, and CMS has placed the home in its Special Focus Facility program. A 4/5 quality measure score can't offset a 1/5 inspection rating and staffing this thin.
Avir At Arden Wood runs 174 certified beds in Houston under corporate for-profit ownership, and its nurse staffing sits at 3.05 hours per resident day, roughly 21% under the national average, with weekends about 12% thinner than its own weekdays. That thin coverage shows up in the inspection record: 32 deficiencies, 12 of them at harm or jeopardy level, 2 abuse-related, and $130,388 in fines across two events, with the most recent inspection dated May 2026. The one clear strength is retention, where 25.6% turnover beats the 45.8% national figure, so the staff who are there tend to stay. Whether that offsets the survey history is the question a family has to weigh.
Avir At Caldwell runs on thin coverage. At 3.12 nurse hours per resident day, it sits roughly 19 percent under the national average of 3.86, and weekend staffing drops about 9 percent below its own weekday level, so the thinnest shifts get even thinner. The bigger red flag is turnover: 94.3 percent annually against a national average of 45.8 percent means the staff caring for your family member is, statistically, mostly new. Inspections tell a similar story, 30 deficiencies on record, two serious enough to involve harm or jeopardy, a one-star health inspection rating, and one fine of $10,036. The last inspection was January 8, 2026. Corporate-owned, 112 beds. Worth asking hard questions before you sign anything.
If you're considering Epic Nursing & Rehabilitation in Corsicana, the numbers are hard to get around. Nurse staffing sits at 2.89 hours per resident per day, roughly a quarter below the national average, and it thins out further on weekends, not what you want at a 119-bed home. The record shows 45 deficiencies, five of them serious enough to involve harm or jeopardy, eight tied to abuse. Staff turnover runs 54.5%, well above the national figure, which means the people caring for residents are often new. CMS has placed this home in its Special Focus Facility program, reserved for the poorest performers. Two fines totaling $31,233 are on file, with the most recent inspection in February 2025.
Avir At Burkburnett runs a 60-bed for-profit home where the nurse staffing line sits at 3.30 hours per resident day, roughly 14% under the national average of 3.86, and it thins out further on weekends, dropping about 14% below its own weekday level. That thin coverage shows up in the staffing star rating, and the 64.9% annual turnover means aides and nurses are cycling through faster than the 45.8% national rate, so the people at the bedside keep changing. The inspection record carries 28 deficiencies, three of them serious enough to put a resident in harm's way, plus two fines totaling $64,646, with the most recent inspection in December 2024.
Avir At San Angelo runs on 2.99 nursing hours per resident day, roughly a quarter below the national average, and weekends drop about 9% below what it manages on weekdays. The inspection record shows 36 deficiencies, seven of them at the level where residents were actually harmed or put in jeopardy, and five tied to abuse. Four fines total $217,215, and the last inspection was March 6, 2025. This is an individually owned for-profit home, and the federal star ratings sit at 1 for health inspections, 1 for staffing, and 2 for quality measures. When staffing is thin, harm-level findings stack up, and fines reach six figures, the pattern is worth taking seriously before you visit.
Avir At San Antonio runs on 2.63 nurse staffing hours per resident per day, roughly a third below the national average, and weekends drop about 9% below its own weekday level, so coverage is thinnest when families tend to visit. Staff turnover sits at 60.7%, well above the 45.8% national figure, which means the people caring for your relative are often new to the building. The inspection record shows 43 deficiencies, including three at the harm or jeopardy level and four tied to abuse, with $29,494 in fines across three penalties. Its most recent inspection was August 30, 2025, and the corporation that owns it holds a for-profit license.
Avir At Weston runs 120 certified beds in Temple under individual for-profit ownership, and the staffing numbers are where the trouble starts. At 3.03 nurse hours per resident day, it sits roughly 21% below the national average of 3.86, and weekend coverage drops about 12% below its own weekday level, so the thinnest shifts get even thinner. Staff turnover hits 83.3% against a national average of 45.8%, meaning most of the people caring for residents are new to the building. The inspection record backs that up: 29 deficiencies, six at harm or jeopardy level, one abuse-related, and four fines totaling $154,589. The most recent inspection was June 13, 2025.
Avir At Rose Trail carries a record that should give any family pause. The Tyler home runs 3.04 nurse staffing hours per resident day against a national average of 3.86, and weekends drop about 16% below its own weekday level, so the thinnest coverage lands exactly when families tend to visit. Staff turnover sits at 69.6% against a national 45.8%, meaning most of the people caring for your relative will likely be gone within the year.
The inspection record is worse: 59 deficiencies, 10 of them at the harm or jeopardy level and 10 tied to abuse, with $442,321 in federal fines. CMS has placed it in the Special Focus Facility program, reserved for the country's most troubled homes.
Avir At Converse runs on 3.00 nurse hours per resident day, roughly 22% under the national average, and weekends drop about 17% below its own weekday level, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 67.2% against a 45.8% national figure, which means caregivers are cycling out faster than residents can get used to them. The inspection record shows 50 deficiencies, four serious enough to put residents at harm or jeopardy, plus one tied to abuse, and $43,845 in fines. State inspectors were last on site in June 2026.