The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited June 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
Brazos Valley Care Home
Registered name: Avir at Knox City
KNOX CITY, TX · Medicare-certified · 66 beds
In good standing
For-profitChain member
Data as of July 1, 2026
3 of 5 overall
Brazos Valley Care Home in Knox City, TX has a 3 out of 5 star overall rating, with 3-star health inspection and staffing scores and a 4-star quality measures rating. Reported nurse staffing is 3.24 hours per resident per day, below the federal benchmark of 4.1, and there were $0 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.2388 hrs/resident/day
Quality measures
Last inspection: December 18, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2388.
Staffing detail
- Registered nurses
- 0.36
- Licensed practical nurses
- 0.73
- Nurse aides
- 2.15
- Weekend nursing
- 2.77
Hours per resident per day.
Total staff turnover: 39%
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
27.3%26.1%Improving
Residents with a fall causing major injury
9.3%2.7%Improving
Residents with pressure ulcers (bedsores)
3.7%0%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
5.3%3%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
5.1%3%Improving
Residents whose ability to walk got worse
15.6%4%Improving
Long-stay residents on antianxiety or sleep medication
17.9%15.2%Improving
Residents with a long-term catheter
2%0%Improving
Residents with new or worsening incontinence
12.9%7%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
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the pneumonia vaccine
—100%—
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 October 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 727 — 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 September 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to keep residents’ personal and medical records private and confidential. Cited December 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 583 — 42 CFR §483.10 — S/S: E
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited December 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 584 — 42 CFR §483.10 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 9 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $8,018 was recorded.
Penalties & enforcement
On record with Medicare: 1 fine · $8,018 in total fines.
- $8,018
Federal fine
Jun 26, 2024
Operator & ownership
Recent ownership change · Oct 1, 2025
Now operated by Avir at Knox City, previously Brazos Valley Care Home.
- Ownership
- For profit - Corporation
- Chain
- Part of AVIR HEALTH GROUP · 119 homes · 2.3 stars avg
- Occupancy
- 39.4 residents on an average day (60% of 66 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 22 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.