Texas › Blanco County › Johnson City
Avir At Johnson City
206 Haley Rd, Johnson City, TX 78636
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Avir At Johnson City, in Johnson City, Texas, is certified for 60 beds under for-profit, corporation ownership and belongs to the Avir Health Group chain.
CMS gives it 1 of 5 stars overall, below the Texas median of 3; the health inspection rating is 1, staffing 1 and quality measures 3.
Inspectors recorded 28 health deficiencies across the three most recent survey cycles (10, 8, 10 by cycle, most recent first), 6 of them at the actual-harm or immediate-jeopardy level. That is 46.7 per 100 beds, more than the state median of 22.5.
CMS lists 3 penalties in the period covered: fines totalling $68K.
Reported nurse staffing is 3.4 hours per resident per day (0.5 RN), close to the Texas median of 3.3; nursing staff turnover is 65.5%.
Compared with county, state and nation
| Measure | This facility | Blanco Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 1 | 3 | 3.0 |
| Health citations, 3 cycles | 28 | 28 | 25 | 28.7 |
| Citations per 100 beds | 46.7 | 46.7 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.4 | 3.4 | 3.3 | 3.9 |
| RN hours per resident day | 0.5 | 0.5 | 0.4 | 0.7 |
| Nursing staff turnover | 65.5% | 65.5% | 52.1% | 45.8% |
| Fines listed | $67,994 | $67,994 | $16,801 | — |
County and state figures are medians across facilities (1 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 4 Jun 2026, 2 Apr 2025.
Severity mix: J ×2 K ×1 G ×2 H ×1 D ×11 E ×8 F ×3
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 4 Jun 2026 | F0730 | Observe each nurse aide's job performance and give regular training. | H | Standard survey | 3 Jul 2026 |
| 4 Jun 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard survey | 3 Jul 2026 |
| 4 Jun 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 3 Jul 2026 |
| 4 Jun 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 3 Jul 2026 |
| 4 Jun 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 3 Jul 2026 |
| 4 Jun 2026 | F0761 | 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. | D | Standard survey | Deficient, Provider has plan of correction |
| 11 Apr 2026 | F0578 | 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. | D | Complaint investigation | 14 Apr 2026 |
| 3 Dec 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 27 Feb 2026 |
| 3 Dec 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 12 Jan 2026 |
| 3 Dec 2025 | F0727 | 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. | D | Complaint investigation | 27 Feb 2026 |
| 2 Apr 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 3 Apr 2025 |
| 2 Apr 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 3 Apr 2025 |
| 2 Apr 2025 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 3 Apr 2025 |
| 2 Apr 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 3 Apr 2025 |
| 31 Dec 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 29 Jan 2025 |
| 30 Oct 2024 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | K | Complaint investigation | 31 Oct 2024 |
| 30 Oct 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 31 Oct 2024 |
| 6 Sep 2024 | F0563 | Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | D | Complaint investigation | 9 Sep 2024 |
| 30 Jul 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Complaint investigation | 31 Jul 2024 |
| 19 Jun 2024 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Complaint investigation | 25 Jun 2024 |
| 19 Jun 2024 | F0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | E | Complaint investigation | 25 Jun 2024 |
| 15 Feb 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 16 Feb 2024 |
| 15 Feb 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Complaint investigation | 16 Feb 2024 |
| 15 Feb 2024 | F0727 | 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. | E | Complaint investigation | 16 Feb 2024 |
| 15 Feb 2024 | F0761 | 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. | E | Complaint investigation | 16 Feb 2024 |
| 15 Feb 2024 | F0803 | 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. | E | Standard survey | 16 Feb 2024 |
| 15 Feb 2024 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Complaint investigation | 16 Feb 2024 |
| 22 Nov 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 7 Dec 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 3 Dec 2025 | Fine | $12,438 | |
| 31 Dec 2024 | Fine | $20,777 | |
| 30 Oct 2024 | Fine | $34,779 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 65.5%, RNs 83.3%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 26.5% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.9% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.0% | 3.0% | 2.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 31.9% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.2% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 18.8% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: Hamilton County Hospital District. Chain: Avir Health Group (116 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Hamilton County Hospital District | 5% or greater direct ownership interest | 100% | 04/01/2021 |
| 206 Haley Rd Opco, LLC | Operational/managerial control | NOT APPLICABLE | 10/01/2025 |
| 206 Haley Rd Opco, LLC | Adp of the snf | NOT APPLICABLE | 02/10/2026 |
| 206 Haley Rd Property Owner LLC | Adp of the snf | NOT APPLICABLE | 10/01/2025 |
| Welltower Inc | Adp of the snf | NOT APPLICABLE | 10/01/2025 |
| Welltower Nnn Group, LLC | Adp of the snf | NOT APPLICABLE | 10/01/2025 |
| Welltower Op, LLC | Adp of the snf | NOT APPLICABLE | 10/01/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Questions and answers
How many deficiencies has Avir At Johnson City been cited for?
28 health deficiencies across the three most recent survey cycles, 6 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Avir At Johnson City been fined?
Yes. CMS lists fines totalling $68K in the period covered.
How does staffing at Avir At Johnson City compare?
Reported total nurse staffing is 3.4 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Avir At Johnson City?
It is part of the Avir Health Group chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Hamilton County Hospital District and 206 Haley Rd Opco, LLC. Individual owners and managers are not listed on this site.
When was Avir At Johnson City last inspected?
The most recent survey or investigation in the CMS record is dated 4 Jun 2026; the most recent standard health survey was 4 Jun 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.