Government - Hospital district · 115 certified beds · CMS number 455678

Avir at Longview, Longview, TX

CMS records 56 health deficiencies at Avir at Longview in Longview, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on May 7, 2025. The highest severity cited is K (immediate jeopardy to resident health or safety). 5 citations were at the immediate jeopardy level. CMS lists 2 fines totaling $262,731 in the last three years.

Inspections and deficiencies

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

Most recent cycle (14 deficiencies)

Standard inspection May 7, 2025. CMS counts 14 health deficiencies and 3 fire safety deficiencies in this cycle.

Jul 16, 2026 · Complaint inspection

1 deficiency, 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 Jul 17, 2026

May 7, 2026 · Complaint inspection

2 deficiencies, highest E

F694 · IV fluid administration

Requirement cited (CMS): Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date May 8, 2026

F686 · Pressure ulcer prevention and care

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

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date May 8, 2026

Mar 26, 2026 · Complaint inspection

2 deficiencies, highest E

F602 · Protecting residents' money and belongings

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

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Mar 27, 2026

F557 · Respect and personal belongings

Requirement cited (CMS): Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Mar 27, 2026

Feb 18, 2026 · Complaint inspection

1 deficiency, 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 Feb 19, 2026

Nov 26, 2025 · Complaint inspection

2 deficiencies, highest E

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
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Nov 28, 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
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Nov 28, 2025

Nov 18, 2025 · Complaint inspection

1 deficiency, highest B

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
B No actual harm, potential for minimal harm, pattern
Status
Correction date Nov 19, 2025

May 7, 2025 · Standard inspection

5 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 May 8, 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 May 8, 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 May 8, 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 May 8, 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 May 8, 2025
Previous cycle: 20 deficiencies (standard inspection Mar 29, 2024)

Standard inspection Mar 29, 2024. CMS counts 20 health deficiencies and 1 fire safety deficiency in this cycle.

Jul 29, 2025 · 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 Jul 30, 2025

Apr 10, 2025 · Complaint inspection

1 deficiency, highest E

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 Apr 14, 2025

Feb 26, 2025 · Complaint inspection

2 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 Mar 13, 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 Mar 13, 2025

Mar 29, 2024 · Standard + complaint inspection

16 deficiencies, highest K

F926 · Smoking policies

Requirement cited (CMS): Have policies on smoking.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Mar 30, 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 Mar 30, 2024

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 Mar 30, 2024

F758 · Psychotropic drug safeguards

Requirement cited (CMS): Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Mar 30, 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 Mar 30, 2024

F740 · Behavioral health care

Requirement cited (CMS): Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Severity
K Immediate jeopardy to resident health or safety, pattern
Status
Correction date Mar 30, 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 Mar 30, 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 Mar 30, 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
K Immediate jeopardy to resident health or safety, pattern
Status
Correction date Mar 30, 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 Mar 30, 2024

F676 · Maintaining daily living abilities

Requirement cited (CMS): Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Severity
G Actual harm (not immediate jeopardy), isolated
Status
Correction date Mar 30, 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 Mar 30, 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 Mar 30, 2024

F607 · Abuse prevention policies

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

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Mar 30, 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
G Actual harm (not immediate jeopardy), isolated
Status
Correction date Mar 30, 2024

F552 · Being informed about health and treatment

Requirement cited (CMS): Ensure that residents are fully informed and understand their health status, care and treatments.

Severity
G Actual harm (not immediate jeopardy), isolated
Status
Correction date Mar 30, 2024
Earlier cycle: 22 deficiencies (standard inspection Feb 15, 2023)

Standard inspection Feb 15, 2023. CMS counts 22 health deficiencies and 3 fire safety deficiencies in this cycle.

Apr 25, 2024 · Complaint inspection

1 deficiency, 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 Apr 26, 2024

Feb 27, 2024 · Complaint inspection

1 deficiency, highest E

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 Feb 28, 2024

Feb 15, 2024 · Complaint inspection

3 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
K Immediate jeopardy to resident health or safety, pattern
Status
Correction date Feb 17, 2024

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
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Feb 17, 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
K Immediate jeopardy to resident health or safety, pattern
Status
Correction date Feb 17, 2024

Oct 24, 2023 · Complaint inspection

2 deficiencies, highest E

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 25, 2023

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
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Oct 25, 2023

Feb 15, 2023 · Standard inspection

15 deficiencies, highest J

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 Feb 16, 2023

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 16, 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 Feb 16, 2023

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 Feb 16, 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 Feb 16, 2023

F740 · Behavioral health care

Requirement cited (CMS): Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Severity
J Immediate jeopardy to resident health or safety, isolated
Status
Correction date Feb 16, 2023

F732 · Daily posting of nurse staffing

Requirement cited (CMS): Post nurse staffing information every day.

Severity
B No actual harm, potential for minimal harm, pattern
Status
Correction date Feb 16, 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 Feb 16, 2023

F695 · Respiratory and oxygen care

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

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Feb 16, 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
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Feb 16, 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 Feb 16, 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 Feb 16, 2023

F635 · Doctor's orders at admission

Requirement cited (CMS): Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Feb 16, 2023

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, 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
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Feb 16, 2023

Tags cited in more than one inspection

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

TagInspectionsDates
F755 Pharmacy services and a consultant pharmacist4Feb 18, 2026; Apr 25, 2024; Mar 29, 2024; Feb 15, 2023
F677 Help with daily care3Nov 26, 2025; Feb 15, 2024; Feb 15, 2023
F689 Accident prevention and supervision3May 7, 2025; Mar 29, 2024; Feb 15, 2024
F695 Respiratory and oxygen care3May 7, 2025; Feb 26, 2025; Feb 15, 2023
F880 Infection prevention and control program3Feb 26, 2025; Oct 24, 2023; Feb 15, 2023
F584 Safe, clean, homelike surroundings2Nov 26, 2025; Apr 10, 2025
F600 Freedom from abuse and neglect2Mar 29, 2024; Feb 15, 2024
F641 Accurate resident assessments2May 7, 2025; Mar 29, 2024
F656 Comprehensive person-centered care plan2Jul 29, 2025; May 7, 2025
F684 Quality of care2Jul 16, 2026; Mar 29, 2024
F690 Bladder, bowel, and catheter care2Mar 29, 2024; Oct 24, 2023
F727 RN coverage and director of nursing2Mar 29, 2024; Feb 15, 2023
F740 Behavioral health care2Mar 29, 2024; Feb 15, 2023
F812 Food safety and sanitation2May 7, 2025; Mar 29, 2024
F842 Complete, confidential medical records2Nov 18, 2025; Feb 15, 2023

Fines and payment denials

DateTypeAmount / length
Mar 29, 2024Fine$189,633
Feb 15, 2024Fine$73,098

Staffing and CMS ratings

Total nurse staff hours per resident per day
3.56 h (above the Texas median of 3.27 h)
RN hours per resident per day
0.52 h (above the Texas median of 0.38 h)
Weekend nurse staff hours per resident per day
3.23 h
Nursing staff turnover
73.3% (Texas median 52.1%)
Administrators who left
1
CMS overall rating
1 of 5
Health inspection rating
1 of 5
Staffing rating
2 of 5
Quality measure rating
3 of 5

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

Facility details

Address
301 Hollybrook Dr., Longview, TX 75605
Phone
(903) 758-7764
County
Gregg
Accepts
Medicare and Medicaid
Ownership
Government - Hospital district
Chain (CMS)
Avir Health Group
Certified beds
115
Average residents per day
61.6
In Medicare/Medicaid since
Dec 17, 1986
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 new medication orders filled, and how quickly can urgent medications arrive? (F755, cited 4 times)
  • How often do residents who need help get assistance with bathing, grooming, and mouth care? (F677, cited 3 times)
  • How does the home assess each resident's fall risk and plan to prevent falls? (F689, cited 3 times)
  • How are oxygen equipment and breathing treatments managed and checked? (F695, cited 3 times)

Other nursing homes in Longview 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.

How we build this · Report an error