Nursing HomeInspections

Avir at Commons

Nursing home in Athens, TX

Medicare & Medicaid certified1★ overall (CMS)CMS abuse icon

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Public-record details

Address
121 Commons Drive, Athens, TX 75751
Phone
(903) 677-3434
Listed under
Government-owned
Medicare CCN
675424
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
1 of 5
Quality measures rating
4 of 5
Certified beds
120
Average residents per day
85
Ownership
Government, hospital district
Legal business name
Coryell County Memorial Hospital Authority
Chain
Advanced Healthcare Solutions (28 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Nov 4, 1994
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
Yes
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 675424. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Mar 26, 2026. CMS lists 28 health citations for this facility across its last three standard inspection cycles and complaint inspections (Dec 5, 2023 to Aug 19, 2026): 21 from complaint inspections, 6 at the “actual harm” level or higher, including 3 at “immediate jeopardy”. CMS shows its abuse icon for this facility, which it uses for nursing homes cited for abuse at the harm level recently or at the potential-harm level in each of the last two years.

InspectionCitationSeverity
Aug 19, 2026Provide and implement an infection prevention and control program.
Infection Control · complaint inspection
D
Potential for more than minimal harm, isolated
Aug 13, 2026Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights · complaint inspection
D
Potential for more than minimal harm, isolated
Aug 13, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Aug 13, 2026Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care · complaint inspection
E
Potential for more than minimal harm, pattern
Aug 13, 2026Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning · complaint inspection
E
Potential for more than minimal harm, pattern
Jul 13, 2026Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights · complaint inspection
D
Potential for more than minimal harm, isolated
Jul 13, 2026Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · complaint inspection
E
Potential for more than minimal harm, pattern
May 15, 2026Ensure that residents are free from significant medication errors.
Pharmacy Service · complaint inspection
D
Potential for more than minimal harm, isolated
May 15, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · complaint inspection
D
Potential for more than minimal harm, isolated
Mar 26, 2026Provide and implement an infection prevention and control program.
Infection Control
D
Potential for more than minimal harm, isolated
Feb 13, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Feb 13, 2026Protect 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 · complaint inspection
G
Actual harm, isolated

Showing the 12 most recent of 28. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Oct 1, 2026.

Fines and payment denials

CMS records 2 fines totalling $162,078 in the last three years.

Feb 13, 2026Fine: $90,090
Aug 15, 2025Fine: $71,988

Source: CMS Penalties file, processed Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.61 hours
Registered nurse (RN) time per resident per day
0.43 hours
Nurse aide time per resident per day
2.46 hours
Total nurse staffing on weekends
3.02 hours
Nursing staff turnover (yearly)
63%
RN turnover (yearly)
67%
Administrators who left in the past year
2

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Athens

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