Texas › Knox County › Knox City
Avir At Knox City
605 S Ave F, Knox City, TX 79529
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.
Certified for 66 beds, Avir At Knox City serves Knox City in Knox County, Texas and has taken Medicare and Medicaid residents since 2003.
CMS gives it 3 of 5 stars overall, equal to the Texas median; the health inspection rating is 3, staffing 3 and quality measures 4.
Inspectors recorded 24 health deficiencies across the three most recent survey cycles (9, 6, 9 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 36.4 per 100 beds, more than the state median of 22.5.
CMS lists 1 penalty in the period covered: fines totalling $8K.
Reported nurse staffing is 3.2 hours per resident per day (0.4 RN), close to the Texas median of 3.3; nursing staff turnover is 39.3%.
CMS flags that the facility changed ownership in the last 12 months.
Compared with county, state and nation
| Measure | This facility | Knox Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 24 | 24 | 25 | 28.7 |
| Citations per 100 beds | 36.4 | 36.4 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.2 | 3.4 | 3.3 | 3.9 |
| RN hours per resident day | 0.4 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 39.3% | 39.3% | 52.1% | 45.8% |
| Fines listed | $8,018 | $8,018 | $16,801 | — |
County and state figures are medians across facilities (2 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: 18 Dec 2025, 4 Oct 2024.
Severity mix: G ×1 D ×10 E ×10 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 |
|---|---|---|---|---|---|
| 18 Dec 2025 | F0583 | Keep residents' personal and medical records private and confidential. | E | Standard survey | 1 Feb 2026 |
| 18 Dec 2025 | F0584 | 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. | E | Standard survey | 1 Feb 2026 |
| 18 Dec 2025 | F0585 | 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. | E | Standard survey | 1 Feb 2026 |
| 18 Dec 2025 | 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 | Standard survey | 1 Feb 2026 |
| 18 Dec 2025 | 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 | 1 Feb 2026 |
| 18 Dec 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 1 Feb 2026 |
| 18 Dec 2025 | F0914 | Provide bedrooms that don't allow residents to see each other when privacy is needed. | E | Standard survey | 1 Feb 2026 |
| 18 Dec 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 1 Feb 2026 |
| 18 Dec 2025 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | Standard survey | 1 Feb 2026 |
| 4 Oct 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. | F | Standard survey | 25 Oct 2024 |
| 4 Oct 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 25 Oct 2024 |
| 4 Oct 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 25 Oct 2024 |
| 4 Oct 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 25 Oct 2024 |
| 4 Oct 2024 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Standard survey | 25 Oct 2024 |
| 5 Sep 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 | 30 Sep 2024 |
| 26 Jun 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 27 Jun 2024 |
| 26 Jun 2024 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 27 Jun 2024 |
| 26 Jun 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. | D | Complaint investigation | 27 Jun 2024 |
| 26 Jun 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 27 Jun 2024 |
| 15 Sep 2023 | 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. | F | Standard survey | 17 Oct 2023 |
| 15 Sep 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 17 Oct 2023 |
| 15 Sep 2023 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E | Standard survey | 17 Oct 2023 |
| 15 Sep 2023 | 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. | D | Standard survey | 17 Oct 2023 |
| 15 Sep 2023 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Standard survey | 17 Oct 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 26 Jun 2024 | Fine | $8,018 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 39.3%, RNs —; 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 | 3.5% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.6% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.8% | 3.0% | 2.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 4.8% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.1% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 26.7% | 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: 605 S Avenue F Opco Llc. Chain: Avir Health Group (116 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| 605 S Avenue F Holdings LLC | Direct ownership interest | NOT APPLICABLE | 10/01/2025 |
| Ana Tx Holdings, LLC | Indirect ownership interest | NOT APPLICABLE | 10/01/2025 |
| Graf Holdings LLC | Indirect ownership interest | NOT APPLICABLE | 10/01/2025 |
| 605 S Avenue F 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.
Other nursing homes in Knox County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Munday Nursing Center | Munday | 61 | 4 | 4 | 2 | 12 | 19.7 | — | 26 Jun 2025 |
All 2 facilities in Knox County
Questions and answers
How many deficiencies has Avir At Knox City been cited for?
24 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Avir At Knox City been fined?
Yes. CMS lists fines totalling $8K in the period covered.
How does staffing at Avir At Knox City compare?
Reported total nurse staffing is 3.2 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Avir At Knox City?
It is part of the Avir Health Group chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include 605 S Avenue F Holdings LLC, Ana Tx Holdings, LLC and Graf Holdings LLC. Individual owners and managers are not listed on this site.
When was Avir At Knox City last inspected?
The most recent survey or investigation in the CMS record is dated 18 Dec 2025; the most recent standard health survey was 18 Dec 2025.
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.