nursing home in Athens, TX
Avir at Commons
121 Commons Drive, Athens, TX 75751 · (903) 677-3434
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★1
- Quality measures★★★★★4
- Abuse citation
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Avir at Commons at a glance
Avir at Commons is a 120-bed government nursing home in Athens, Texas (Henderson County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Texas average of 2.7.
Residents receive about 3.2 hours of nursing care per day (0.3 of them from registered nurses), worse than the state average of 3.4 hours.
Its most recent standard health inspection (March 26, 2026) found 11 health citations. The Texas average is 9.4.
Federal regulators fined it 2 times in the past three years, totaling $162,078.
Nursing staff turnover is 58% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- Government - Hospital District
- Beds
- 120
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Advanced Healthcare Solutions
- Medicare-certified since
- November 4, 1994
- Resident/family council
- Resident
- County
- Henderson County
- CMS Certification Number
- 675424
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 2.7 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 1.9 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 3.7 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 5 / 5 | 4 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 3 / 5 | 3.2 / 5 | 3.3 / 5 | Average |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.19 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.27 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.18 hrs | 2.01 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.95 hrs | 2.98 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 58% | 55.3% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 70% | 54.6% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 2 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 11 | 9 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 10 | 4 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 223 | 102 | 80.6 | Worse |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $162,078 | $44,141 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 2 | 2 | 1 | Worse |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 120 | 113 | 107 | |
| Average residents per day | 89 | 76 | 86 | |
| Occupancy | 74.2% | 67.6% | 80.9% |
Long-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 1.3% | 3.3% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 3.8% | 3.8% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 8.8% | 9.6% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0% | 0.8% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.3% | 0.3% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 19.5% | 15.8% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 15.6% | 14% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 5.3% | 3% | 5.2% | Average |
| Long-stay residents with depressive symptoms (lower is better) | 7.7% | 2.4% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 22.5% | 18% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 7.5% | 13.4% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 97.9% | 98% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 98% | 96.6% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 1% | 1.5% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 94.4% | 88% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 94.8% | 88.9% | 82% | Better |
Inspection citations
State inspectors cited this home for 23 health deficiencies and 8 fire safety deficiencies in the inspection records CMS currently publishes. 6 citations involved actual harm, including 3 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| July 13, 2026 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | E Potential harm, pattern | Corrected July 14, 2026 |
| July 13, 2026 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected July 14, 2026 |
| May 15, 2026 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected May 16, 2026 |
| May 15, 2026 Complaint | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | D Potential harm, isolated | Corrected May 16, 2026 |
| March 26, 2026 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected May 8, 2026 |
| March 26, 2026 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected May 8, 2026 |
| March 26, 2026 Fire safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Tag K0374 | D Potential harm, isolated | Corrected May 8, 2026 |
| March 26, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected April 24, 2026 |
| February 13, 2026 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | K Immediate jeopardy, pattern | Corrected February 14, 2026 |
| February 13, 2026 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | G Actual harm, isolated | Corrected February 14, 2026 |
| February 13, 2026 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | G Actual harm, isolated | Corrected February 14, 2026 |
| February 13, 2026 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected February 14, 2026 |
| November 18, 2025 Complaint | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected December 15, 2025 |
| November 18, 2025 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected December 15, 2025 |
| August 15, 2025 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | K Immediate jeopardy, pattern | Corrected August 16, 2025 |
| August 15, 2025 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | K Immediate jeopardy, pattern | Corrected August 16, 2025 |
| August 15, 2025 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | G Actual harm, isolated | Corrected August 16, 2025 |
| March 29, 2025 Complaint | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected April 15, 2025 |
| January 15, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected February 15, 2025 |
| January 15, 2025 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | E Potential harm, pattern | Corrected February 15, 2025 |
| January 15, 2025 Standard | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Tag F0585 | F Potential harm, widespread | Corrected February 15, 2025 |
| January 15, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected February 15, 2025 |
| January 15, 2025 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected February 15, 2025 |
| January 15, 2025 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected February 15, 2025 |
| January 6, 2025 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected January 12, 2025 |
| January 6, 2025 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected January 12, 2025 |
| December 5, 2023 Fire safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Tag K0374 | D Potential harm, isolated | Corrected January 4, 2024 |
| December 5, 2023 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | C No harm, widespread | Corrected January 4, 2024 |
| December 5, 2023 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | C No harm, widespread | Corrected January 4, 2024 |
| December 5, 2023 Standard | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Administration Deficiencies · Tag F0851 | F Potential harm, widespread | Corrected January 15, 2024 |
| December 5, 2023 Standard | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration Deficiencies · Tag F0868 | E Potential harm, pattern | Corrected January 15, 2024 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 2 federal penalties in the past three years, including $162,078 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| February 13, 2026 | Fine | $90,090 |
| August 15, 2025 | Fine | $71,988 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY Organization | 5% or greater indirect ownership interest | — | 04/01/2017 |
| BYROM, DAVID Individual | corporate director | NOT APPLICABLE | 04/01/2017 |
| SCHEINER, ELIEZER Individual | corporate director | NOT APPLICABLE | 07/01/2021 |
| BYROM, DAVID Individual | corporate officer | NOT APPLICABLE | 04/01/2017 |
| ADVANCED HCS LLC Organization | operational/managerial control | NOT APPLICABLE | 04/01/2017 |
| LICHTSCHEIN, TEDDY Individual | operational/managerial control | NOT APPLICABLE | 07/01/2021 |
| MEISNER, ROBERT Individual | operational/managerial control | NOT APPLICABLE | 07/01/2021 |
| SCHEINER, ELIEZER Individual | operational/managerial control | NOT APPLICABLE | 07/01/2021 |
| BYROM, DAVID Individual | w-2 managing employee | NOT APPLICABLE | 04/01/2017 |
Other nursing homes near Avir at Commons
- ★★★★★1Much below average
Park Highlands Nursing & Rehabilitation Center
711 Lucas Drive, Athens, TX 75751 · 2.5 mi
Government · 132 beds · Part of Creative Solutions in Healthcare
★★★★★3AverageCedar Lake Nursing Center
1611 W Royall Blvd., Malakoff, TX 75148 · 10.5 mi
For-profit · 90 beds · Part of Fannin County Hospital District
★★★★★3Average- ★★★★★4Above average
Mabank Nursing Center
18957 US Hwy 175 W., Mabank, TX 75147 · 22.5 mi
Government · 90 beds · Part of Priority Management
★★★★★3AverageKerens Care Center
809 Northeast 4th Street, Kerens, TX 75144 · 23.8 mi
For-profit · 70 beds · Part of Creative Solutions in Healthcare
★★★★★2Below average
Frequently asked questions
What is Avir at Commons's rating?
Avir at Commons has 1 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.
How many inspection citations did Avir at Commons receive?
Its most recent standard health inspection found 11 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Avir at Commons accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Avir at Commons?
It is government - hospital district and part of Advanced Healthcare Solutions. The ownership section on this page lists the owners and managers reported to CMS.
Where is Avir at Commons and how do I contact it?
Avir at Commons is at 121 Commons Drive, Athens, TX 75751. Phone: (903) 677-3434.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.