Avir at Knox City

605 S Ave F · Knox City, TX · 79529 · 9406583543

66 certified beds For profit - Corporation Chain: Avir Health Group

Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 50
Serious harm & abuse 20% 94
Staffing 20% 51
Federal penalties 15% 77
Trend 10% 65
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 3 of 5 Inspections: 3 of 5 Staffing: 3 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day3.023.48 min · 4.1 strong
RN hours / resident-day0.310.55–0.75
Weekend hours / resident-day2.78≈ weekday level
Nursing turnover / year41%median 45%
Fines (3-yr window)1 · $8,018

Inspection citations (24 in the current record)

  • Potential for harm · E December 18, 2025

    Keep residents' personal and medical records private and confidential.

    Corrected February 1, 2026 · Resident Rights

  • Potential for harm · E December 18, 2025

    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.

    Corrected February 1, 2026 · Resident Rights

  • Potential for harm · E December 18, 2025

    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.

    Corrected February 1, 2026 · Resident Rights

  • Potential for harm · E December 18, 2025

    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.

    Corrected February 1, 2026 · Pharmacy Service

  • Potential for harm · E December 18, 2025

    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.

    Corrected February 1, 2026 · Nutrition and Dietary

  • Potential for harm · E December 18, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected February 1, 2026 · Nutrition and Dietary

  • Potential for harm · D December 18, 2025

    Provide and implement an infection prevention and control program.

    Corrected February 1, 2026 · Infection Control

  • Potential for harm · E December 18, 2025

    Provide bedrooms that don't allow residents to see each other when privacy is needed.

    Corrected February 1, 2026 · Environmental

  • Potential for harm · D December 18, 2025

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Corrected February 1, 2026 · Environmental

  • Potential for harm · D October 4, 2024

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected October 25, 2024 · Quality of Life and Care

  • Potential for harm · F October 4, 2024

    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.

    Corrected October 25, 2024 · Nursing and Physician Services

  • Potential for harm · D October 4, 2024

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected October 25, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E October 4, 2024

    Provide and implement an infection prevention and control program.

    Corrected October 25, 2024 · Infection Control

  • Potential for harm · D October 4, 2024

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Corrected October 25, 2024 · Environmental

  • Potential for harm · E September 5, 2024 · found via complaint

    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.

    Corrected September 30, 2024 · Pharmacy Service

  • Actual harm · G June 26, 2024 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected June 27, 2024 · Quality of Life and Care

  • Potential for harm · D June 26, 2024 · found via complaint

    Protect each resident from the wrongful use of the resident's belongings or money.

    Corrected June 27, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D June 26, 2024 · found via complaint

    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.

    Corrected June 27, 2024 · Pharmacy Service

  • Potential for harm · D June 26, 2024 · found via complaint

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected June 27, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E September 15, 2023

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected October 17, 2023 · Quality of Life and Care

  • Potential for harm · F September 15, 2023

    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.

    Corrected October 17, 2023 · Nursing and Physician Services

  • Potential for harm · D September 15, 2023

    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.

    Corrected October 17, 2023 · Nutrition and Dietary

  • Potential for harm · D September 15, 2023

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    Corrected October 17, 2023 · Nutrition and Dietary

  • Potential for harm · F September 15, 2023

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected October 17, 2023 · Nutrition and Dietary

Federal penalties

DateTypeAmount / length
June 26, 2024Fine$8,018

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675989 · certified since September 29, 2003. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.