For profit - Corporation · 60 certified beds · CMS number 676486
Avir at Johnson City, Johnson City, TX
CMS records 29 health deficiencies at Avir at Johnson City in Johnson City, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Jun 4, 2026. The highest severity cited is K (immediate jeopardy to resident health or safety). 3 citations were at the immediate jeopardy level. CMS lists 4 fines totaling $70,724 in the last three years.
- 29deficiencies, 3 cycles (TX median 25)
- 11in the latest cycle (TX median 8)
- Khighest severity · Immediate jeopardy
- $70,724fines, last 3 years
- 1CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Avir at Johnson City as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Avir at Johnson City may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (11 deficiencies)
Standard inspection Jun 4, 2026. CMS counts 11 health deficiencies and 0 fire safety deficiencies in this cycle.
Jul 28, 2026 · Complaint inspection
1 deficiency, highest D
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
- No plan of correction on file
Jun 4, 2026 · Standard inspection
6 deficiencies, highest H
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 Jul 3, 2026
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 10, 2026
F730 · Nurse aide reviews and in-service training
Requirement cited (CMS): Observe each nurse aide's job performance and give regular training.
- Severity
- H Actual harm (not immediate jeopardy), pattern
- Status
- Correction date Jul 3, 2026
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
- G Actual harm (not immediate jeopardy), isolated
- Status
- Correction date Jul 3, 2026
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 3, 2026
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 Jul 3, 2026
Apr 11, 2026 · Complaint inspection
1 deficiency, highest D
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 Apr 14, 2026
Dec 3, 2025 · Complaint inspection
3 deficiencies, highest G
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 Jan 12, 2026
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
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 27, 2026
F684 · Quality of care
Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Severity
- G Actual harm (not immediate jeopardy), isolated
- Status
- Correction date Feb 27, 2026
Previous cycle: 8 deficiencies (standard inspection Apr 2, 2025)
Standard inspection Apr 2, 2025. CMS counts 8 health deficiencies and 2 fire safety deficiencies in this cycle.
Apr 2, 2025 · Standard inspection
4 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 Apr 3, 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 Apr 3, 2025
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 Apr 3, 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 Apr 3, 2025
Dec 31, 2024 · 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
- Correction date Jan 29, 2025
Oct 30, 2024 · Complaint inspection
2 deficiencies, highest K
F697 · Pain management
Requirement cited (CMS): Provide safe, appropriate pain management for a resident who requires such services.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Oct 31, 2024
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 Oct 31, 2024
Sep 6, 2024 · Complaint inspection
1 deficiency, highest D
F563 · Receiving visitors
Requirement cited (CMS): Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 9, 2024
Earlier cycle: 10 deficiencies (standard inspection Feb 15, 2024)
Standard inspection Feb 15, 2024. CMS counts 10 health deficiencies and 2 fire safety deficiencies in this cycle.
Jul 30, 2024 · Complaint inspection
1 deficiency, 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 Jul 31, 2024
Jun 19, 2024 · Complaint inspection
2 deficiencies, highest E
F800 · Nourishing, well-balanced diet
Requirement cited (CMS): Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 25, 2024
F565 · Resident and family councils
Requirement cited (CMS): Honor the resident's right to organize and participate in resident/family groups in the facility.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 25, 2024
Feb 15, 2024 · Standard + complaint inspection
6 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 Feb 16, 2024
F803 · Menus that meet nutritional needs
Requirement cited (CMS): Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 16, 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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 16, 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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 16, 2024
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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 16, 2024
F582 · Notice of covered and extra charges
Requirement cited (CMS): Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 16, 2024
Nov 22, 2023 · Complaint inspection
1 deficiency, 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 Dec 7, 2023
Tags cited in more than one inspection
5 tags cited on more than one inspection date at Avir at Johnson City; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F812 Food safety and sanitation | 5 | Jun 4, 2026; Apr 2, 2025; Jul 30, 2024; Feb 15, 2024; Nov 22, 2023 |
| F689 Accident prevention and supervision | 3 | Jun 4, 2026; Dec 31, 2024; Oct 30, 2024 |
| F656 Comprehensive person-centered care plan | 2 | Jun 4, 2026; Apr 2, 2025 |
| F727 RN coverage and director of nursing | 2 | Dec 3, 2025; Feb 15, 2024 |
| F761 Drug labeling and secure storage | 2 | Jun 4, 2026; Feb 15, 2024 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Jun 4, 2026 | Fine | $2,730 |
| Dec 3, 2025 | Fine | $12,438 |
| Dec 31, 2024 | Fine | $20,777 |
| Oct 30, 2024 | Fine | $34,779 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.44 h (above the Texas median of 3.27 h)
- RN hours per resident per day
- 0.53 h (above the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 3.07 h
- Nursing staff turnover
- 65.5% (Texas median 52.1%)
- Administrators who left
- 1
- CMS overall rating
- 1 of 5
- Health inspection rating
- 1 of 5
- Staffing rating
- 1 of 5
- Quality measure rating
- 3 of 5
CMS figures for Avir at Johnson City, copied as published; Texas medians are ours.
Facility details
- Address
- 206 Haley Rd, Johnson City, TX 78636
- Phone
- (830) 868-4093
- County
- Blanco
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Chain (CMS)
- Avir Health Group
- Certified beds
- 60
- Average residents per day
- 29.2
- In Medicare/Medicaid since
- Sep 24, 2020
- 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.
- When was the kitchen last inspected, and how are food temperatures checked? (F812, cited 5 times)
- How does the home assess each resident's fall risk and plan to prevent falls? (F689, cited 3 times)
- How are a resident's goals and preferences written into the care plan? (F656, cited 2 times)
- When is a registered nurse in the building, and how long has the director of nursing been here? (F727, cited 2 times)
Other nursing homes in Johnson City and the same chain
- 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.