Avir at Monahans

1200 W 15th St · Monahans, TX · 79756 · 4329432741

92 certified beds Government - Hospital district Chain: Avir Health Group

  • No federal fines or payment denials in CMS’s 3-year window.
  • Inspection results have improved across recent cycles.

The composite number cleared 72 points, but Recommended is gated: inspection record below the Recommended bar; staffing below the Recommended bar. That rule is part of the published method.

Red flags

Total nurse staffing below 3.0 hours per resident-day

2.96 reported hours vs the 3.48 minimum CMS's own staffing study recommends.

79% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 50
Serious harm & abuse 20% 100
Staffing 20% 44
Federal penalties 15% 100
Trend 10% 79
Context 5% 100

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

CMS ratings & staffing

Overall: 2 of 5 Inspections: 3 of 5 Staffing: 1 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day2.963.48 min · 4.1 strong
RN hours / resident-day0.380.55–0.75
Weekend hours / resident-day2.68≈ weekday level
Nursing turnover / year79%median 45%
Fines (3-yr window)none

Inspection citations (32 in the current record)

  • Potential for harm · D February 9, 2026 · found via complaint

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected March 10, 2026 · Resident Assessment and Care Planning

  • Potential for harm · E July 29, 2025 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected July 30, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D July 29, 2025 · found via complaint

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

    Corrected July 30, 2025 · Quality of Life and Care

  • Potential for harm · E July 29, 2025 · 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 July 30, 2025 · Pharmacy Service

  • Potential for harm · F July 29, 2025 · found via complaint

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

    Corrected July 30, 2025 · Nutrition and Dietary

  • Potential for harm · E July 29, 2025 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected July 30, 2025 · Infection Control

  • Potential for harm · D July 29, 2025 · found via complaint

    Keep all essential equipment working safely.

    Corrected July 30, 2025 · Environmental

  • Potential for harm · D February 27, 2025 · found via complaint

    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 March 3, 2025 · Resident Rights

  • Potential for harm · D February 27, 2025 · found via complaint

    Ensure each resident receives an accurate assessment.

    Corrected March 3, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E February 27, 2025 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected March 3, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D February 27, 2025 · found via complaint

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected March 3, 2025 · Pharmacy Service

  • Potential for harm · E February 27, 2025 · found via complaint

    Keep all essential equipment working safely.

    Corrected March 3, 2025 · Environmental

  • Potential for harm · E February 27, 2025 · found via complaint

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

    Corrected March 3, 2025 · Environmental

  • Potential for harm · E January 24, 2025 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected February 3, 2025 · Infection Control

  • Potential for harm · D June 13, 2024

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected June 17, 2024 · Pharmacy Service

  • Potential for harm · D June 13, 2024

    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 19, 2024 · Pharmacy Service

  • Potential for harm · E June 13, 2024 · found via complaint

    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 June 21, 2024 · Resident Rights

  • Potential for harm · E June 13, 2024 · found via complaint

    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 June 14, 2024 · Nursing and Physician Services

  • Potential for harm · E June 13, 2024 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected June 17, 2024 · Infection Control

  • Potential for harm · E December 27, 2023 · found via complaint

    Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

    Corrected January 29, 2024 · Resident Rights

  • Potential for harm · D December 27, 2023 · found via complaint

    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 January 29, 2024 · Resident Rights

  • Potential for harm · D December 27, 2023 · found via complaint

    Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.

    Corrected January 29, 2024 · Nursing and Physician Services

  • No harm found · C December 27, 2023 · found via complaint

    Post nurse staffing information every day.

    Corrected January 29, 2024 · Nursing and Physician Services

  • Potential for harm · D August 22, 2023 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected October 3, 2023 · Infection Control

  • Potential for harm · E July 17, 2023 · found via complaint

    Reasonably accommodate the needs and preferences of each resident.

    Corrected July 31, 2023 · Resident Rights

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Better-scoring options nearby

No better-scoring facility within 25 miles in the current data. See the whole state.

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 675522 · certified since June 16, 1995. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.