Government - Hospital district · 116 certified beds · CMS number 455555
Avir at Graham, Graham, TX
CMS records 14 health deficiencies at Avir at Graham in Graham, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Aug 14, 2025. The highest severity cited is F (no actual harm, potential for more than minimal harm). CMS lists no fines or payment denials in the last three years.
- 14deficiencies, 3 cycles (TX median 25)
- 1in the latest cycle (TX median 8)
- Fhighest severity · Potential for harm
- $0fines, last 3 years
- 5CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Avir at Graham as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Avir at Graham may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (1 deficiency)
Standard inspection Aug 14, 2025. CMS counts 1 health deficiency and 7 fire safety deficiencies in this cycle.
Aug 14, 2025 · Standard inspection
1 deficiency, highest E
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 Sep 12, 2025
Previous cycle: 5 deficiencies (standard inspection Jul 20, 2024)
Standard inspection Jul 20, 2024. CMS counts 5 health deficiencies and 7 fire safety deficiencies in this cycle.
Jul 20, 2024 · Standard inspection
5 deficiencies, highest F
F908 · Equipment kept in safe working order
Requirement cited (CMS): Keep all essential equipment working safely.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Aug 12, 2024
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 Aug 20, 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
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Aug 12, 2024
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 Aug 20, 2024
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 Aug 9, 2024
Earlier cycle: 8 deficiencies (standard inspection Jun 7, 2023)
Standard inspection Jun 7, 2023. CMS counts 8 health deficiencies and 5 fire safety deficiencies in this cycle.
Mar 10, 2024 · 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 Mar 15, 2024
Jun 7, 2023 · Standard inspection
7 deficiencies, highest F
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 Jul 14, 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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jul 14, 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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jul 14, 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
- C No actual harm, potential for minimal harm, widespread
- Status
- Correction date Jul 14, 2023
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 Jul 14, 2023
F644 · Coordinating with PASARR screening
Requirement cited (CMS): Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 14, 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 14, 2023
Tags cited in more than one inspection
2 tags cited on more than one inspection date at Avir at Graham; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F641 Accurate resident assessments | 2 | Jul 20, 2024; Jun 7, 2023 |
| F812 Food safety and sanitation | 2 | Jul 20, 2024; Jun 7, 2023 |
Fines and payment denials
CMS lists no fines or payment denials for this nursing home in the last three years.
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.11 h (about the same as the Texas median of 3.27 h)
- RN hours per resident per day
- 0.47 h (above the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.79 h
- Nursing staff turnover
- 38.9% (Texas median 52.1%)
- Administrators who left
- 0
- CMS overall rating
- 5 of 5
- Health inspection rating
- 5 of 5
- Staffing rating
- 2 of 5
- Quality measure rating
- 2 of 5
CMS figures for Avir at Graham, copied as published; Texas medians are ours.
Facility details
- Address
- 1224 Corvadura St, Graham, TX 76450
- Phone
- (940) 549-4646
- County
- Young
- Accepts
- Medicare and Medicaid
- Ownership
- Government - Hospital district
- Chain (CMS)
- Avir Health Group
- Certified beds
- 116
- Average residents per day
- 40.2
- In Medicare/Medicaid since
- Oct 1, 1985
- 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 2 times)
- When was the kitchen last inspected, and how are food temperatures checked? (F812, cited 2 times)
- If a resident has a mental health condition or intellectual disability, how are PASARR recommendations included in their care? (F644, cited 1 time)
- Who sits on the care planning team, and how are family members invited? (F657, cited 1 time)
Other nursing homes in Graham and the same chain
- Graham Oaks Care Center
Graham · 15 deficiencies - Avir at El Paso
El Paso · 93 deficiencies - Avir at Patriot
El Paso · 78 deficiencies - Avir at Cowhorn Creek
Texarkana · 68 deficiencies - Avir at Kerrville
Kerrville · 67 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.