For profit - Corporation · 104 certified beds · CMS number 455963

Avir at Carthage, Carthage, TX

CMS records 44 health deficiencies at Avir at Carthage in Carthage, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Sep 17, 2025. The highest severity cited is J (immediate jeopardy to resident health or safety). 4 citations were at the immediate jeopardy level, 3 of them recorded as past non-compliance (fixed before the inspection). CMS lists 3 fines totaling $66,731 in the last three years.

Inspections and deficiencies

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

Most recent cycle (9 deficiencies)

Standard inspection Sep 17, 2025. CMS counts 9 health deficiencies and 5 fire safety deficiencies in this cycle.

Jan 29, 2026 · Complaint inspection

1 deficiency, highest D

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 Feb 20, 2026

Sep 17, 2025 · Standard inspection

8 deficiencies, highest E

F908 · Equipment kept in safe working order

Requirement cited (CMS): Keep all essential equipment working safely.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Oct 10, 2025

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 10, 2025

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 Oct 10, 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 10, 2025

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 Oct 10, 2025

F677 · Help with daily care

Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Oct 10, 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 Oct 10, 2025

F558 · Accommodating individual needs and preferences

Requirement cited (CMS): Reasonably accommodate the needs and preferences of each resident.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Oct 10, 2025
Previous cycle: 15 deficiencies (standard inspection Aug 20, 2024)

Standard inspection Aug 20, 2024. CMS counts 15 health deficiencies and 5 fire safety deficiencies in this cycle.

Jul 15, 2025 · Complaint inspection

1 deficiency, highest J

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
Past non-compliance (fixed before the inspection), Jul 13, 2025

Aug 20, 2024 · Standard inspection

14 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 Aug 26, 2024

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 26, 2024

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 Aug 26, 2024

F757 · Avoiding unnecessary drugs

Requirement cited (CMS): Ensure each resident’s drug regimen must be free from unnecessary drugs.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Aug 26, 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 Aug 26, 2024

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 Aug 26, 2024

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 Aug 26, 2024

F690 · Bladder, bowel, and catheter care

Requirement cited (CMS): Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Aug 26, 2024

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 Aug 26, 2024

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 Aug 26, 2024

F642 · Qualified staff conduct assessments

Requirement cited (CMS): Ensure a qualified health professional conducts resident assessments.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Aug 26, 2024

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 Aug 26, 2024

F640 · Submitting assessment data on time

Requirement cited (CMS): Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Aug 26, 2024

F558 · Accommodating individual needs and preferences

Requirement cited (CMS): Reasonably accommodate the needs and preferences of each resident.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Aug 26, 2024
Earlier cycle: 20 deficiencies (standard inspection Jun 29, 2023)

Standard inspection Jun 29, 2023. CMS counts 20 health deficiencies and 3 fire safety deficiencies in this cycle.

Aug 16, 2024 · Complaint inspection

1 deficiency, highest J

F678 · CPR and basic life support

Requirement cited (CMS): Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Severity
J Immediate jeopardy to resident health or safety, isolated
Status
Correction date Aug 17, 2024

Jul 10, 2024 · Complaint inspection

3 deficiencies, highest J

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 Jul 25, 2024

F607 · Abuse prevention policies

Requirement cited (CMS): Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Severity
J Immediate jeopardy to resident health or safety, isolated
Status
Past non-compliance (fixed before the inspection), Dec 15, 2023

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
J Immediate jeopardy to resident health or safety, isolated
Status
Past non-compliance (fixed before the inspection), Dec 15, 2023

Jun 29, 2023 · Standard inspection

16 deficiencies, highest G

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 26, 2023

F804 · Palatable, attractive food at safe temperatures

Requirement cited (CMS): Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jul 26, 2023

F759 · Medication error rate under 5 percent

Requirement cited (CMS): Ensure medication error rates are not 5 percent or greater.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jul 26, 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
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jul 26, 2023

F725 · Enough nursing staff every shift

Requirement cited (CMS): Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jul 26, 2023

F698 · Dialysis care

Requirement cited (CMS): Provide safe, appropriate dialysis care/services for a resident who requires such services.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jul 26, 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
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jul 26, 2023

F686 · Pressure ulcer prevention and care

Requirement cited (CMS): Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Severity
G Actual harm (not immediate jeopardy), isolated
Status
Correction date Jul 27, 2023

F677 · Help with daily care

Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jul 26, 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
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jul 26, 2023

F655 · Baseline care plan within 48 hours

Requirement cited (CMS): Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jul 26, 2023

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 Jul 26, 2023

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 26, 2023

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
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jul 26, 2023

F561 · Making everyday choices

Requirement cited (CMS): Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jul 26, 2023

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 Jul 26, 2023

Tags cited in more than one inspection

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

TagInspectionsDates
F641 Accurate resident assessments3Sep 17, 2025; Aug 20, 2024; Jun 29, 2023
F656 Comprehensive person-centered care plan3Jan 29, 2026; Aug 20, 2024; Jun 29, 2023
F689 Accident prevention and supervision3Sep 17, 2025; Jul 15, 2025 (PNC); Jun 29, 2023
F880 Infection prevention and control program3Sep 17, 2025; Aug 20, 2024; Jun 29, 2023
F558 Accommodating individual needs and preferences2Sep 17, 2025; Aug 20, 2024
F600 Freedom from abuse and neglect2Jul 10, 2024 (PNC); Jun 29, 2023
F677 Help with daily care2Sep 17, 2025; Jun 29, 2023
F727 RN coverage and director of nursing2Aug 20, 2024; Jun 29, 2023
F761 Drug labeling and secure storage2Sep 17, 2025; Aug 20, 2024

Fines and payment denials

DateTypeAmount / length
Jul 14, 2025Fine$10,529
Aug 16, 2024Fine$47,375
Jul 10, 2024Fine$8,827

Staffing and CMS ratings

Total nurse staff hours per resident per day
3.24 h (about the same as the Texas median of 3.27 h)
RN hours per resident per day
0.31 h (below the Texas median of 0.38 h)
Weekend nurse staff hours per resident per day
2.85 h
Nursing staff turnover
12.9% (Texas median 52.1%)
Administrators who left
0
CMS overall rating
2 of 5
Health inspection rating
2 of 5
Staffing rating
2 of 5
Quality measure rating
2 of 5

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

Facility details

Address
701 S Market St, Carthage, TX 75633
Phone
(903) 693-6671
County
Panola
Accepts
Medicare and Medicaid
Ownership
For profit - Corporation
Chain (CMS)
Avir Health Group
Certified beds
104
Average residents per day
43.5
In Medicare/Medicaid since
Dec 1, 1991
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 does the home check that resident assessments match what staff actually observe? (F641, cited 3 times)
  • How are a resident's goals and preferences written into the care plan? (F656, cited 3 times)
  • How does the home assess each resident's fall risk and plan to prevent falls? (F689, cited 3 times)
  • How do staff track and report infections among residents? (F880, cited 3 times)

Other nursing homes in Carthage 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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