Elder Care Record

Texas › Gregg County › Longview

Avir At Longview

301 Hollybrook Dr., Longview, TX 75605

CCN 455678 · Government, hospital district · 115 certified beds · chain Avir Health Group

CMS abuse iconOwnership changed in last 12 months
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

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 Longview, in Longview, Texas, is certified for 115 beds under government, hospital district 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 2 and quality measures 3.

Inspectors recorded 55 health deficiencies across the three most recent survey cycles (13, 20, 22 by cycle, most recent first), 8 of them at the actual-harm or immediate-jeopardy level. That is 47.8 per 100 beds, more than the state median of 22.5.

CMS lists 2 penalties in the period covered: fines totalling $263K.

Reported nurse staffing is 3.6 hours per resident per day (0.5 RN), close to the Texas median of 3.3; nursing staff turnover is 73.3%.

CMS flags that the facility carries the CMS abuse icon and changed ownership in the last 12 months.

55health deficiencies, 3 survey cycles8 at actual harm or worse
$263Kfines listed by CMS2 penalties in period
3.6nurse hours per resident per daystate median 3.3
54%occupancy (residents ÷ beds)62 residents a day

Compared with county, state and nation

MeasureThis facilityGregg Co. medianTexas medianUS average
Overall star rating1133.0
Health citations, 3 cycles55442528.7
Citations per 100 beds47.837.922.526.8
Total nurse hours per resident day3.63.43.33.9
RN hours per resident day0.50.40.40.7
Nursing staff turnover73.3%48.5%52.1%45.8%
Fines listed$262,731$150,705$16,801—

County and state figures are medians across facilities (12 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)13
Cycle 220
Cycle 322

Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 7 May 2025, 29 Mar 2024.

Severity mix: J ×1 K ×4 G ×3 D ×26 E ×16 F ×3 B ×2

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)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
7 May 2026F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.EComplaint investigation8 May 2026
7 May 2026F0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.DComplaint investigation8 May 2026
26 Mar 2026F0602Protect each resident from the wrongful use of the resident's belongings or money.EComplaint investigation27 Mar 2026
26 Mar 2026F0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.DComplaint investigation27 Mar 2026
18 Feb 2026F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation19 Feb 2026
26 Nov 2025F0584Honor 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.EComplaint investigation28 Nov 2025
26 Nov 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint investigation28 Nov 2025
18 Nov 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.BComplaint investigation19 Nov 2025
29 Jul 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation30 Jul 2025
7 May 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey8 May 2025
7 May 2025F0641Ensure each resident receives an accurate assessment.DStandard survey8 May 2025
7 May 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey8 May 2025
7 May 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey8 May 2025
7 May 2025F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey8 May 2025
10 Apr 2025F0584Honor 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.EComplaint investigation14 Apr 2025
26 Feb 2025F0695Provide safe and appropriate respiratory care for a resident when needed.DComplaint investigation13 Mar 2025
26 Feb 2025F0880Provide and implement an infection prevention and control program.DComplaint investigation13 Mar 2025
25 Apr 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint investigation26 Apr 2024
29 Mar 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.KStandard survey30 Mar 2024
29 Mar 2024F0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.KStandard survey30 Mar 2024
29 Mar 2024F0552Ensure that residents are fully informed and understand their health status, care and treatments.GStandard survey30 Mar 2024
29 Mar 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GStandard survey30 Mar 2024
29 Mar 2024F0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.GStandard survey30 Mar 2024
29 Mar 2024F0727Have 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.FStandard survey30 Mar 2024
29 Mar 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey30 Mar 2024
29 Mar 2024F0758Implement 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.EStandard survey30 Mar 2024
29 Mar 2024F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DStandard survey30 Mar 2024
29 Mar 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard survey30 Mar 2024
29 Mar 2024F0641Ensure each resident receives an accurate assessment.DStandard survey30 Mar 2024
29 Mar 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation30 Mar 2024
29 Mar 2024F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey30 Mar 2024
29 Mar 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey30 Mar 2024
29 Mar 2024F0759Ensure medication error rates are not 5 percent or greater.DStandard survey30 Mar 2024
29 Mar 2024F0926Have policies on smoking.DStandard survey30 Mar 2024
27 Feb 2024F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint investigation28 Feb 2024
15 Feb 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.KComplaint investigation17 Feb 2024
15 Feb 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.KComplaint investigation17 Feb 2024
15 Feb 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint investigation17 Feb 2024
24 Oct 2023F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.EComplaint investigation25 Oct 2023
24 Oct 2023F0880Provide and implement an infection prevention and control program.DComplaint investigation25 Oct 2023
15 Feb 2023F0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.JStandard survey16 Feb 2023
15 Feb 2023F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard survey16 Feb 2023
15 Feb 2023F0695Provide safe and appropriate respiratory care for a resident when needed.EStandard survey16 Feb 2023
15 Feb 2023F0727Have 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.EStandard survey16 Feb 2023
15 Feb 2023F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard survey16 Feb 2023
15 Feb 2023F0761Ensure 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.EStandard survey16 Feb 2023
15 Feb 2023F0880Provide and implement an infection prevention and control program.EStandard survey16 Feb 2023
15 Feb 2023F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey16 Feb 2023
15 Feb 2023F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard survey16 Feb 2023
15 Feb 2023F0635Provide doctor's orders for the resident's immediate care at the time the resident was admitted.DStandard survey16 Feb 2023
15 Feb 2023F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard survey16 Feb 2023
15 Feb 2023F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey16 Feb 2023
15 Feb 2023F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard survey16 Feb 2023
15 Feb 2023F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey16 Feb 2023
15 Feb 2023F0732Post nurse staffing information every day.BStandard survey16 Feb 2023

Penalties

DateTypeAmountDetail
29 Mar 2024Fine$189,633
15 Feb 2024Fine$73,098

Staffing

Total nursing3.56 h
Nurse aides2.05 h
LPN0.98 h
RN0.52 h
Weekend total3.23 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 73.3%, RNs 66.7%; 1 administrator left in the reporting year.

Quality measures

MeasureResidentsThis facilityTexas medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay29.3%14.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.0%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.5%0.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay3.5%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.5%0.7%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay20.9%12.4%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay10.5%3.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay15.8%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: government, hospital district. Legal business name: Guadalupe County Hospital Board. Chain: Avir Health Group (116 facilities).

OrganisationRole in the CMS recordInterestSince
Guadalupe County Hospital Board5% or greater direct ownership interest100%09/01/2025
301 Hollybrook Drive Opco LLCOperational/managerial controlNOT APPLICABLE09/01/2025
301 Hollybrook Drive Property Owner LLCAdp of the snfNOT APPLICABLE09/01/2025
Welltower IncAdp of the snfNOT APPLICABLE09/01/2025
Welltower Nnn Group, LLCAdp of the snfNOT APPLICABLE09/01/2025
Welltower Op, LLCAdp of the snfNOT APPLICABLE09/01/2025

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 Gregg County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Truman W Smith Children'S Care CenterGladewater1205521310.8—17 Mar 2026
Buckner Westminster PlaceLongview204351575.0$30K4 Jun 2025
The Oaks At LongviewLongview1083413330.6—11 Dec 2025
Willow Rehab & NursingKilgore1183223328.0$219K1 Apr 2026
Legend Oaks Healthcare and Rehabilitation Center GGladewater1002223939.0$125K23 May 2026
Heritage At Longview Healthcare CenterLongview1401213222.9$82K28 Apr 2026
Highland Pines Nursing HomeLongview1711214828.1$18K14 Jan 2026
Longview Hill Nursing and Rehabilitation CenterLongview1981116030.3$225K18 Mar 2026

All 12 facilities in Gregg County

Questions and answers

How many deficiencies has Avir At Longview been cited for?

55 health deficiencies across the three most recent survey cycles, 8 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.

Has Avir At Longview been fined?

Yes. CMS lists fines totalling $263K in the period covered.

How does staffing at Avir At Longview compare?

Reported total nurse staffing is 3.6 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.

Who operates Avir At Longview?

It is part of the Avir Health Group chain. Ownership type is government, hospital district. Organisations in the CMS ownership record include Guadalupe County Hospital Board and 301 Hollybrook Drive Opco LLC. Individual owners and managers are not listed on this site.

When was Avir At Longview last inspected?

The most recent survey or investigation in the CMS record is dated 7 May 2026; the most recent standard health survey was 7 May 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.