PlainNursing
CMS Nursing Home Compare · August 2026

Avir at Knox City

605 S Ave F, Knox City, TX 79529

Avir at Knox City, a 66-bed for profit - corporation nursing facility in Knox City, TX, holds a 3-star CMS overall rating - right around the 3.0-star national average, ranking #356 of 1,165 rated homes in TX on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 9406583543

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3 / 5
Average · CMS overall · nat'l 3.0
#356 of 1,165
In-state rank among rated TX homes
3.24
Well below average · nurse hrs/day · nat'l 3.86
24
Inspection findings · 1 serious

The verdict

Avir at Knox City, a 66-bed for profit - corporation nursing facility in Knox City, TX, holds a 3-star CMS overall rating - right around the 3.0-star national average, ranking #356 of 1,165 rated homes in TX on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

3 / 5
CMS overall · national 3.0
#356 of 1,165
In-state rank among rated TX homes
3.24
Nurse hrs/resident-day · national 3.86
24
Inspection findings · 1 serious

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 1,177 TX nursing homes split by ownership sector

This facility is recorded as For profit - Corporation. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

3/5

Staffing

3/5

Quality Measures

4/5

Long-Stay Quality

4/5

Facility Information

Provider Number
675989
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
66
Residents
39
In Hospital
No
County
Knox
Last Inspection
Dec 18, 2025

Staffing Data

How the 3.24 total nursing hours per resident-day are staffed:

RN Hours
0.36 (nat'l avg: 0.69)
LPN Hours
0.73
CNA Hours
2.15
Total Nursing Hours
3.24 (nat'l avg: 3.86)
PT Hours
0.03
Nursing Turnover
39.3%

What the CMS Record Reveals About Avir at Knox City

According to CMS Nursing Home Compare, Avir at Knox City ranks #356 of 1,165 rated nursing homes in TX on overall stars (tie-broken by health+staffing+quality, then fewer fines). Avir at Knox City operates 66 certified beds in Knox City, TX with approximately 39 residents currently in care, and carries a CMS overall rating of 3 out of 5 stars (health inspection 3★ · staffing 3★ · quality 4★).

The inspection file contains 24 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. This provider has been fined 1 time by CMS, for a combined $8K. Staffing is reported at 3.24 total nursing hours per resident day (national average 3.86), with RN coverage at 0.36 per resident day.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Avir at Knox City falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 39.3% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (24 most recent)

D - Isolated - Minimal harm Dec 18, 2025 Tag: 0925

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

Category: Environmental Deficiencies

Corrected: Feb 1, 2026

D - Isolated - Minimal harm Dec 18, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Feb 1, 2026

E - Pattern - Minimal harm Dec 18, 2025 Tag: 0914

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

Category: Environmental Deficiencies

Corrected: Feb 1, 2026

E - Pattern - Minimal harm Dec 18, 2025 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Feb 1, 2026

E - Pattern - Minimal harm Dec 18, 2025 Tag: 0803

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.

Category: Nutrition and Dietary Deficiencies

Corrected: Feb 1, 2026

E - Pattern - Minimal harm Dec 18, 2025 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Feb 1, 2026

E - Pattern - Minimal harm Dec 18, 2025 Tag: 0585

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.

Category: Resident Rights Deficiencies

Corrected: Feb 1, 2026

E - Pattern - Minimal harm Dec 18, 2025 Tag: 0584

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.

Category: Resident Rights Deficiencies

Corrected: Feb 1, 2026

E - Pattern - Minimal harm Dec 18, 2025 Tag: 0583

Keep residents' personal and medical records private and confidential.

Category: Resident Rights Deficiencies

Corrected: Feb 1, 2026

D - Isolated - Minimal harm Oct 4, 2024 Tag: 0921

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

Category: Environmental Deficiencies

Corrected: Oct 25, 2024

D - Isolated - Minimal harm Oct 4, 2024 Tag: 0842

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 25, 2024

D - Isolated - Minimal harm Oct 4, 2024 Tag: 0695

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

Category: Quality of Life and Care Deficiencies

Corrected: Oct 25, 2024

E - Pattern - Minimal harm Oct 4, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Oct 25, 2024

F - Widespread - Minimal harm Oct 4, 2024 Tag: 0727

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.

Category: Nursing and Physician Services Deficiencies

Corrected: Oct 25, 2024

E - Pattern - Minimal harm Sep 5, 2024 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Sep 30, 2024

D - Isolated - Minimal harm Jun 26, 2024 Tag: 0842

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 27, 2024

D - Isolated - Minimal harm Jun 26, 2024 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Jun 27, 2024

D - Isolated - Minimal harm Jun 26, 2024 Tag: 0602

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jun 27, 2024

G - Isolated - Actual harm Jun 26, 2024 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Jun 27, 2024

D - Isolated - Minimal harm Sep 15, 2023 Tag: 0805

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

Category: Nutrition and Dietary Deficiencies

Corrected: Oct 17, 2023

D - Isolated - Minimal harm Sep 15, 2023 Tag: 0803

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.

Category: Nutrition and Dietary Deficiencies

Corrected: Oct 17, 2023

E - Pattern - Minimal harm Sep 15, 2023 Tag: 0690

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

Category: Quality of Life and Care Deficiencies

Corrected: Oct 17, 2023

F - Widespread - Minimal harm Sep 15, 2023 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Oct 17, 2023

F - Widespread - Minimal harm Sep 15, 2023 Tag: 0727

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.

Category: Nursing and Physician Services Deficiencies

Corrected: Oct 17, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 3.5% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.6% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.0% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 5.8% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 4.8% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 2.1% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 26.7% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay N/A Yes
Percentage of long-stay residents who lose too much weight Long Stay 3.6% No
Percentage of long-stay residents who have depressive symptoms Long Stay 0.0% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 100.0% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 15.3% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 11.8% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 100.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay N/A No

Penalty History 1 penalties totaling $8K

Date Type Amount
Jun 26, 2024 Fine $8K

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Avir at Knox City, both outside TX so the neighborhoods are not the same-state geography list below.

What the CMS records show for Avir at Knox City

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The TX registry aggregates state averages and the highest-rated homes in this cohort. View TX registry
  • Peer homes near 66 beds show how CMS stars vary at a similar scale in TX. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Avir at Knox City?
Avir at Knox City has an overall CMS rating of 3 out of 5 stars. This rating combines health inspection results (3★), staffing levels (3★), and quality measures (4★).
Where does Avir at Knox City rank among nursing homes in TX?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Avir at Knox City ranks 356th among 1,165 rated nursing homes in TX (#356 of 1,165). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Avir at Knox City?
Avir at Knox City reports 3.24 total nursing hours per resident day (national average: 3.86). RN hours are 0.36 per resident day (national average: 0.69). Nursing staff turnover is 39.3%.
How many beds does Avir at Knox City have?
Avir at Knox City has 66 certified beds with approximately 39 residents. The facility is located at 605 S Ave F, Knox City, TX 79529.
Does Avir at Knox City have any deficiencies on record?
Yes, Avir at Knox City has 24 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has Avir at Knox City received any fines or penalties?
Yes, Avir at Knox City has received 1 penalties totaling $8K.
Who owns Avir at Knox City?
Avir at Knox City is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was Avir at Knox City last inspected?
The most recent health inspection for Avir at Knox City was on Dec 18, 2025. The facility received a health inspection rating of 3 out of 5 stars.
What quality measures are tracked for Avir at Knox City?
Avir at Knox City is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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