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Nursing home report

Avir at Commerce

COMMERCE, TX · Medicare-certified · 116 beds

Needs attention
Government-runChain member
1 of 5 overall

Avir at Commerce has an overall rating of 1 out of 5 stars, with the lowest overall rating flag and 1-star staffing; reported nurse staffing is 3.35 hours per resident per day, below the federal benchmark of 4.1. Its health inspection rating is 2 stars, quality measures are 4 stars, and there were no fines in the last 24 months.

Facility ratings

Health inspections

Staffing

3.3455 hrs/resident/day

Quality measures

Last inspection: February 12, 2026Penalties, last 24 months: $0lowest overall rating

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3455.

Staffing detail

Registered nurses
0.26
Licensed practical nurses
1.37
Nurse aides
1.71
Weekend nursing
3.13

Hours per resident per day.

Total staff turnover: 68%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

6.9%19.2%Worsening

Residents with a fall causing major injury

6.4%2.6%Improving

Residents with pressure ulcers (bedsores)

6.3%9%Worsening

Residents with a urinary tract infection

0%0%No change

Residents who lost too much weight

0%0%No change

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

6.8%8.3%Worsening

Residents whose ability to walk got worse

0%9.8%Worsening

Long-stay residents on antianxiety or sleep medication

22.2%23.7%Worsening

Short-stay residents newly given an antipsychotic

5.1%

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

4.4%6%Worsening

Residents with depressive symptoms

0%3%Worsening

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

100%

Long-stay residents given the pneumonia vaccine

100%100%No change

Short-stay residents given the pneumonia vaccine

89.8%

What the inspectors found

The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited February 2026 — widespread issue, potential for harm.

View the original federal record

F-Tag 727 — 42 CFR §483.35 — S/S: F

The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited May 2025 — widespread issue, potential for harm.

View the original federal record

F-Tag 725 — 42 CFR §483.35 — S/S: F

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited October 2023 — widespread issue, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: F

The nursing home failed to coordinate resident assessments with required screening and make needed service referrals. Cited February 2026 — limited pattern, potential for harm.

View the original federal record

F-Tag 644 — 42 CFR §483.20 — S/S: E

The nursing home failed to have policies to keep smoking safe and properly managed. Cited February 2026 — limited pattern, potential for harm.

View the original federal record

F-Tag 926 — 42 CFR §483.90 — S/S: E

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 12 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 18 health deficiencies.

    See what inspectors found

Operator & ownership

Ownership
Government - Federal
Chain
Part of AVIR HEALTH GROUP · 117 homes · 2.2 stars avg
Occupancy
39.6 residents on an average day (34% of 116 beds)
Resident voice
Resident council
Medicare history
Certified for 27 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.