Government - Hospital district · 110 certified beds · CMS number 455989

Avir at Borger, Borger, TX

CMS records 32 health deficiencies at Avir at Borger in Borger, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Sep 12, 2025. The highest severity cited is J (immediate jeopardy to resident health or safety). 1 citation was at the immediate jeopardy level. CMS lists 2 fines totaling $40,307 and 2 payment denials in the last three years.

Inspections and deficiencies

CMS findings for Avir at Borger as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Avir at Borger may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare

Most recent cycle (12 deficiencies)

Standard inspection Sep 12, 2025. CMS counts 12 health deficiencies and 1 fire safety deficiency in this cycle.

Sep 12, 2025 · Standard + complaint inspection

12 deficiencies, highest H

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 Oct 9, 2025

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
F No actual harm, potential for more than minimal harm, widespread
Status
Correction date Oct 9, 2025

F805 · Food prepared for individual needs

Requirement cited (CMS): Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Oct 9, 2025

F791 · Dental services in Medicaid nursing facilities

Requirement cited (CMS): Provide or obtain dental services for each resident.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Oct 9, 2025

F697 · Pain management

Requirement cited (CMS): Provide safe, appropriate pain management for a resident who requires such services.

Severity
H Actual harm (not immediate jeopardy), pattern
Status
Correction date Oct 9, 2025

F695 · Respiratory and oxygen care

Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Oct 9, 2025

F656 · Comprehensive person-centered care plan

Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Oct 9, 2025

F641 · Accurate resident assessments

Requirement cited (CMS): Ensure each resident receives an accurate assessment.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Oct 9, 2025

F637 · Reassessment after a significant change

Requirement cited (CMS): Assess the resident when there is a significant change in condition

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Oct 9, 2025

F584 · Safe, clean, homelike surroundings

Requirement cited (CMS): Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Oct 9, 2025

F578 · Refusing treatment and advance directives

Requirement cited (CMS): Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Oct 9, 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
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Oct 9, 2025
Previous cycle: 4 deficiencies (standard inspection Jul 24, 2024)

Standard inspection Jul 24, 2024. CMS counts 4 health deficiencies and 1 fire safety deficiency in this cycle.

Jan 29, 2025 · Complaint inspection

1 deficiency, highest D

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 28, 2025

Jul 24, 2024 · Standard inspection

3 deficiencies, 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 Aug 27, 2024

F679 · Activities program

Requirement cited (CMS): Provide activities to meet all resident's needs.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Aug 27, 2024

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
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Aug 27, 2024
Earlier cycle: 16 deficiencies (standard inspection Jun 7, 2023)

Standard inspection Jun 7, 2023. CMS counts 16 health deficiencies and 1 fire safety deficiency in this cycle.

Jun 25, 2024 · Complaint inspection

1 deficiency, highest D

F761 · Drug labeling and secure storage

Requirement cited (CMS): Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jul 23, 2024

Jun 22, 2024 · Complaint inspection

3 deficiencies, 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 Jul 22, 2024

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 Jul 22, 2024

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 Jul 22, 2024

Apr 29, 2024 · Complaint inspection

3 deficiencies, highest D

F761 · Drug labeling and secure storage

Requirement cited (CMS): Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date May 29, 2024

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
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date May 29, 2024

F602 · Protecting residents' money and belongings

Requirement cited (CMS): Protect each resident from the wrongful use of the resident's belongings or money.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date May 29, 2024

Mar 13, 2024 · Complaint inspection

1 deficiency, highest D

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
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Apr 15, 2024

Jan 17, 2024 · Complaint inspection

1 deficiency, highest E

F583 · Personal privacy and confidential records

Requirement cited (CMS): Keep residents' personal and medical records private and confidential.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Feb 19, 2024

Nov 8, 2023 · Complaint inspection

2 deficiencies, highest J

F726 · Competent nurses and nurse aides

Requirement cited (CMS): Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Dec 12, 2023

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
J Immediate jeopardy to resident health or safety, isolated
Status
Correction date Dec 12, 2023

Jun 7, 2023 · Standard inspection

5 deficiencies, highest F

F880 · Infection prevention and control program

Requirement cited (CMS): Provide and implement an infection prevention and control program.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jul 6, 2023

F761 · Drug labeling and secure storage

Requirement cited (CMS): Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jul 6, 2023

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 Jul 6, 2023

F727 · RN coverage and director of nursing

Requirement cited (CMS): Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Severity
F No actual harm, potential for more than minimal harm, widespread
Status
Correction date Jul 6, 2023

F656 · Comprehensive person-centered care plan

Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jul 6, 2023

Tags cited in more than one inspection

8 tags cited on more than one inspection date at Avir at Borger; each date counts once and does not mean the same incident. PNC = past non-compliance.

TagInspectionsDates
F761 Drug labeling and secure storage3Jun 25, 2024; Apr 29, 2024; Jun 7, 2023
F880 Infection prevention and control program3Sep 12, 2025; Jun 22, 2024; Jun 7, 2023
F550 Dignity and the right to exercise rights2Sep 12, 2025; Jul 24, 2024
F609 Reporting suspected abuse and crimes2Apr 29, 2024; Mar 13, 2024
F656 Comprehensive person-centered care plan2Sep 12, 2025; Jun 7, 2023
F689 Accident prevention and supervision2Jan 29, 2025; Nov 8, 2023
F755 Pharmacy services and a consultant pharmacist2Jun 22, 2024; Jun 7, 2023
F812 Food safety and sanitation2Sep 12, 2025; Jul 24, 2024

Fines and payment denials

DateTypeAmount / length
Aug 27, 2025Fine$26,910
Aug 27, 2025Payment Denial1 days from Oct 8, 2025
Nov 8, 2023Fine$13,397
Nov 8, 2023Payment Denial6 days from Dec 6, 2023

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
0.55 h (above the Texas median of 0.38 h)
Weekend nurse staff hours per resident per day
2.93 h
Nursing staff turnover
60.7% (Texas median 52.1%)
Administrators who left
0
CMS overall rating
2 of 5
Health inspection rating
2 of 5
Staffing rating
4 of 5
Quality measure rating
4 of 5

CMS figures for Avir at Borger, copied as published; Texas medians are ours.

Facility details

Address
1316 S Florida, Borger, TX 79007
Phone
(806) 273-3785
County
Hutchinson
Accepts
Medicare and Medicaid
Ownership
Government - Hospital district
Chain (CMS)
Avir Health Group
Certified beds
110
Average residents per day
25.4
In Medicare/Medicaid since
Feb 3, 1992
Inside a hospital
No
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 are medications stored and secured on each unit? (F761, cited 3 times)
  • How do staff track and report infections among residents? (F880, cited 3 times)
  • How do staff learn about and respect each resident's personal routines and choices? (F550, cited 2 times)
  • Who at the home is responsible for reporting incidents to the state? (F609, cited 2 times)

Other nursing homes in Borger and the same chain

Source

CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.

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