The home failed to provide safe, appropriate pain management for a resident who needed it. Cited October 2024 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 697 — 42 CFR §483.25(k) — S/S: K
Nursing home report
Avir at Johnson City
Johnson City, TX · Medicare-certified · 60 beds
Needs attention
For-profitChain member
1 of 5 overall
Avir at Johnson City has a 1-star overall rating, with 1-star staffing and 2-star health inspections; reported nurse staffing is 2.66 hours per resident per day versus the 4.1-hour federal benchmark. It has $74,691 in fines in the last 24 months and a recent federal penalty, with recent inspection citations involving pain management, abuse/neglect protection, and accident hazards.
Facility ratings
Health inspections
Staffing
2.6628 hrs/resident/day
Quality measures
Last inspection: December 3, 2025Penalties, last 24 months: $74,691recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.6628.
Staffing detail
- Registered nurses
- 0.57
- Licensed practical nurses
- 0.74
- Nurse aides
- 1.36
- Weekend nursing
- 2.49
Hours per resident per day.
Total staff turnover: 31%
Registered nurse turnover: 25%
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
—20%—
Residents with a fall causing major injury
0%6.7%Worsening
Residents with pressure ulcers (bedsores)
6.1%2.8%Improving
Residents with a urinary tract infection
0%3.6%Worsening
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
40.9%33.3%Improving
Residents whose ability to walk got worse
—27.2%—
Long-stay residents on antianxiety or sleep medication
26.1%22.7%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
13.4%3.8%Improving
Residents with depressive symptoms
0%0%No change
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
—94.3%—
Long-stay residents given the pneumonia vaccine
100%56.7%Worsening
Short-stay residents given the pneumonia vaccine
—95.2%—
What the inspectors found
The nursing home failed to protect residents from abuse and neglect by others. Cited January 2023 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: K
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited December 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited December 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited April 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- PENALTY
A federal fine of $19,135 was recorded.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $20,777 was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $34,779 was recorded.
Penalties & enforcement
On record with Medicare: 3 fines · $74,691 in total fines.
- $19,135
Federal fine
Dec 3, 2025
- $20,777
Federal fine
Dec 31, 2024
- $34,779
Federal fine
Oct 30, 2024
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of AVIR HEALTH GROUP · 117 homes · 2.2 stars avg
- Occupancy
- 31 residents on an average day (52% of 60 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 5 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.