Government - Hospital district · 120 certified beds · CMS number 675424
Avir at Commons, Athens, TX
CMS records 23 health deficiencies at Avir at Commons in Athens, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Mar 26, 2026. The highest severity cited is K (immediate jeopardy to resident health or safety). 3 citations were at the immediate jeopardy level. CMS lists 2 fines totaling $162,078 in the last three years.
- 23deficiencies, 3 cycles (TX median 25)
- 11in the latest cycle (TX median 8)
- Khighest severity · Immediate jeopardy
- $162,078fines, last 3 years
- 1CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Avir at Commons as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Avir at Commons may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (11 deficiencies)
Standard inspection Mar 26, 2026. CMS counts 11 health deficiencies and 3 fire safety deficiencies in this cycle.
Jul 13, 2026 · Complaint inspection
2 deficiencies, highest E
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jul 14, 2026
F580 · Telling residents and families about changes
Requirement cited (CMS): Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 14, 2026
May 15, 2026 · Complaint inspection
2 deficiencies, highest D
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 16, 2026
F760 · No significant medication errors
Requirement cited (CMS): Ensure that residents are free from significant medication errors.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 16, 2026
Mar 26, 2026 · Standard inspection
1 deficiency, highest D
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 24, 2026
Feb 13, 2026 · Complaint inspection
4 deficiencies, highest K
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 14, 2026
F610 · Investigating and responding to allegations
Requirement cited (CMS): Respond appropriately to all alleged violations.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Feb 14, 2026
F609 · Reporting suspected abuse and crimes
Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Severity
- G Actual harm (not immediate jeopardy), isolated
- Status
- Correction date Feb 14, 2026
F600 · Freedom from abuse and neglect
Requirement cited (CMS): Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- Severity
- G Actual harm (not immediate jeopardy), isolated
- Status
- Correction date Feb 14, 2026
Nov 18, 2025 · Complaint inspection
2 deficiencies, highest D
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 15, 2025
F657 · Care plan timing and team review
Requirement cited (CMS): Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 15, 2025
Previous cycle: 10 deficiencies (standard inspection Jan 15, 2025)
Standard inspection Jan 15, 2025. CMS counts 10 health deficiencies and 2 fire safety deficiencies in this cycle.
Aug 15, 2025 · Complaint inspection
3 deficiencies, highest K
F684 · Quality of care
Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Aug 16, 2025
F580 · Telling residents and families about changes
Requirement cited (CMS): Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Aug 16, 2025
F550 · Dignity and the right to exercise rights
Requirement cited (CMS): Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Severity
- G Actual harm (not immediate jeopardy), isolated
- Status
- Correction date Aug 16, 2025
Mar 29, 2025 · Complaint inspection
1 deficiency, highest E
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 15, 2025
Jan 15, 2025 · Standard inspection
4 deficiencies, highest F
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 15, 2025
F842 · Complete, confidential medical records
Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 15, 2025
F641 · Accurate resident assessments
Requirement cited (CMS): Ensure each resident receives an accurate assessment.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 15, 2025
F585 · Grievances and how they are handled
Requirement cited (CMS): Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Feb 15, 2025
Jan 6, 2025 · Complaint inspection
2 deficiencies, highest D
F684 · Quality of care
Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 12, 2025
F600 · Freedom from abuse and neglect
Requirement cited (CMS): Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 12, 2025
Earlier cycle: 2 deficiencies (standard inspection Dec 5, 2023)
Standard inspection Dec 5, 2023. CMS counts 2 health deficiencies and 3 fire safety deficiencies in this cycle.
Dec 5, 2023 · Standard inspection
2 deficiencies, highest F
F868 · Quality committee membership and meetings
Requirement cited (CMS): Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jan 15, 2024
F851 · Reporting staffing data to CMS
Requirement cited (CMS): Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Jan 15, 2024
Tags cited in more than one inspection
6 tags cited on more than one inspection date at Avir at Commons; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F580 Telling residents and families about changes | 2 | Jul 13, 2026; Aug 15, 2025 |
| F600 Freedom from abuse and neglect | 2 | Feb 13, 2026; Jan 6, 2025 |
| F684 Quality of care | 2 | Aug 15, 2025; Jan 6, 2025 |
| F755 Pharmacy services and a consultant pharmacist | 2 | Jul 13, 2026; Nov 18, 2025 |
| F812 Food safety and sanitation | 2 | May 15, 2026; Mar 29, 2025 |
| F880 Infection prevention and control program | 2 | Mar 26, 2026; Jan 15, 2025 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Feb 13, 2026 | Fine | $90,090 |
| Aug 15, 2025 | Fine | $71,988 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.19 h (about the same as the Texas median of 3.27 h)
- RN hours per resident per day
- 0.27 h (below the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.95 h
- Nursing staff turnover
- 58.0% (Texas median 52.1%)
- Administrators who left
- 2
- CMS overall rating
- 1 of 5
- Health inspection rating
- 1 of 5
- Staffing rating
- 1 of 5
- Quality measure rating
- 4 of 5
CMS figures for Avir at Commons, copied as published; Texas medians are ours.
Facility details
- Address
- 121 Commons Drive, Athens, TX 75751
- Phone
- (903) 677-3434
- County
- Henderson
- Accepts
- Medicare and Medicaid
- Ownership
- Government - Hospital district
- Chain (CMS)
- Advanced Healthcare Solutions
- Certified beds
- 120
- Average residents per day
- 89
- In Medicare/Medicaid since
- Nov 4, 1994
- Inside a hospital
- Yes
- Continuing care retirement community
- No
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
Questions to ask on a visit
Based on the tags cited most often here.
- How quickly is the family called if a resident falls or their condition changes? (F580, cited 2 times)
- How does the home screen, train, and supervise staff to protect residents? (F600, cited 2 times)
- How does the home make sure doctor's orders are followed consistently across shifts? (F684, cited 2 times)
- How are new medication orders filled, and how quickly can urgent medications arrive? (F755, cited 2 times)
Other nursing homes in Athens and the same chain
- Avir at Athens
Athens · 21 deficiencies - Park Highlands Nursing & Rehabilitation Center
Athens · 13 deficiencies - Greenville Health & Rehabilitation Center
Greenville · 90 deficiencies - El Paso Health & Rehabilitation Center
El Paso · 55 deficiencies - Sulphur Springs Health and Rehabilitation
Sulphur Springs · 52 deficiencies - Winfield Rehab & Nursing
Crockett · 48 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.