AVIR HEALTH GROUP
Ownership rollup across 118 nursing homes in 1 state: Texas. The "follow the money" view of an operator’s whole portfolio — the pattern a single facility page can’t show.
The chain’s homes average 2.3 of 5 stars on the CMS overall rating — about 0.4 stars below the ~2.7 average of its state. A whole portfolio rating below its own states’ norm is a pattern worth researching, not a single-home fluke. It is improving: across the same 118 homes rated throughout, the average rose 0.19 stars between 2025-02 and 2026-06. We benchmark against its own states because CMS ranks the health-inspection star within each state, so a national comparison (national average ~3.0) partly measures where a chain operates rather than how it operates.
Where the rating comes from
The CMS overall star blends three different things. Split apart across the whole portfolio, they say different things about an operator: thin staffing is a budget decision made above the building, while a weak inspection score is what surveyors actually found inside it.
| Component | Chain average | Basis | |
|---|---|---|---|
| Health inspection | 2.4 of 5 | 118 rated homes | state surveyors’ findings, ranked within each state |
| Staffing | 1.7 of 5 | 118 rated homes | from payroll (PBJ) hours |
| Quality measures | 3.6 of 5 | 118 rated homes | largely self-reported clinical data |
Averaged across this chain’s rated homes. Health-inspection stars are assigned within each state’s own distribution, so for a chain spanning several states this component mixes distributions and is best read alongside each home’s actual citations.
Portfolio red flags
How many of this chain’s homes carry the most serious CMS markers. One flagged home can be local; a pattern across the portfolio is an operator-level signal worth researching.
1 of this chain’s 118 home is tied to a real-estate investment trust (REIT) in CMS ownership records. Private-equity and REIT operators are the focus of most research into how money is moved out of nursing homes — often through the related-party payments shown below. CMS under-reports these ties, so read this as a floor.
Follow the money — chain finances
Aggregated from each home’s CMS Medicare cost report (HCRIS). Related-party payments are dollars a home sends to landlords or management companies under common ownership — the main channel through which private-equity and REIT owners can pull money out of a home while its own books still show a thin margin.
Only homes with a cost report on file are included, so the related-party total is a floor. Cost reports are self-filed, unaudited, and a year or two behind.
Weighted by each home’s average daily census, across the 117 of 118 homes that report both a usable payer mix and a census. Homes whose cost report fails the same validity check the facility pages apply are left out of this figure entirely rather than counted as zero.
Every home in this chain
Lowest-rated first, so the homes most worth a closer look sit at the top. Each links to its full inspection, staffing, fines, and ownership record.
| Home | CMS rating | Flags |
|---|---|---|
| Avir At BanderaBandera, TX | 1 of 5 | 1 immediate-jeopardy $100,293 fined |
| Avir At DallasDallas, TX | 1 of 5 | 1 immediate-jeopardy $8,018 fined |
| Avir At StephenvilleStephenville, TX | 1 of 5 | 2 immediate-jeopardy $204,614 fined |
| Avir at AbileneAbilene, TX | 1 of 5 | 2 immediate-jeopardy $23,733 fined |
| Avir at AdamsTemple, TX | 1 of 5 | 4 immediate-jeopardy Abuse flag $19,240 fined |
| Avir at Arbor TerraceSan Angelo, TX | 1 of 5 | 2 immediate-jeopardy $121,840 fined |
| Avir at BeaumontBeaumont, TX | 1 of 5 | 1 immediate-jeopardy Abuse flag $39,563 fined |
| Avir at BoerneBoerne, TX | 1 of 5 | 7 immediate-jeopardy $92,137 fined |
| Avir at BradburnGrand Saline, TX | 1 of 5 | 2 immediate-jeopardy $136,027 fined REIT-owned |
| Avir at CaldwellCaldwell, TX | 1 of 5 | 3 immediate-jeopardy $85,195 fined |
| Avir at Camp WoodCamp Wood, TX | 1 of 5 | 1 immediate-jeopardy $86,254 fined |
| Avir at Citizens TrailTexarkana, TX | 1 of 5 | 4 immediate-jeopardy $120,751 fined |
| Avir at ConverseConverse, TX | 1 of 5 | 4 immediate-jeopardy $43,845 fined |
| Avir at CoronadoAbilene, TX | 1 of 5 | 2 immediate-jeopardy $184,619 fined |
| Avir at Cowhorn CreekTexarkana, TX | 1 of 5 | 2 immediate-jeopardy $30,545 fined |
| Avir at GainesvilleGainesville, TX | 1 of 5 | 4 immediate-jeopardy $99,075 fined |
| Avir at GarlandGarland, TX | 1 of 5 | 5 immediate-jeopardy $91,641 fined |
| Avir at GiddingsGiddings, TX | 1 of 5 | 2 immediate-jeopardy $39,701 fined |
| Avir at HeritageSan Antonio, TX | 1 of 5 | — |
| Avir at Heritage OaksLubbock, TX | 1 of 5 | $22,205 fined |
| Avir at HillsboroHillsboro, TX | 1 of 5 | 3 immediate-jeopardy $106,866 fined |
| Avir at HoustonHouston, TX | 1 of 5 | 6 immediate-jeopardy $180,218 fined |
| Avir at Johnson CityJohnson City, TX | 1 of 5 | 3 immediate-jeopardy $70,724 fined |
| Avir at KennedaleKennedale, TX | 1 of 5 | 1 immediate-jeopardy $16,437 fined |
| Avir at KerrvilleKerrville, TX | 1 of 5 | 3 immediate-jeopardy $20,467 fined |
| Avir at KilleenKilleen, TX | 1 of 5 | 6 immediate-jeopardy $65,560 fined |
| Avir at LancasterLancaster, TX | 1 of 5 | 2 immediate-jeopardy $42,851 fined |
| Avir at LindaleLindale, TX | 1 of 5 | 6 immediate-jeopardy $754,567 fined |
| Avir at LongviewLongview, TX | 1 of 5 | 5 immediate-jeopardy Abuse flag $262,731 fined |
| Avir at LubbockLubbock, TX | 1 of 5 | 6 immediate-jeopardy SFF candidate Abuse flag $69,307 fined |
| Avir at Meadow CreekSan Angelo, TX | 1 of 5 | 6 immediate-jeopardy $135,553 fined |
| Avir at MineolaMineola, TX | 1 of 5 | 2 immediate-jeopardy Abuse flag $24,850 fined |
| Avir at New BraunfelsNew Braunfels, TX | 1 of 5 | 4 immediate-jeopardy Abuse flag $158,095 fined |
| Avir at PatriotEl Paso, TX | 1 of 5 | 1 immediate-jeopardy $108,786 fined |
| Avir at PortlandPortland, TX | 1 of 5 | 2 immediate-jeopardy $119,462 fined |
| Avir at Rose TrailTyler, TX | 1 of 5 | 6 immediate-jeopardy SFF candidate $482,145 fined |
| Avir at San AngeloSan Angelo, TX | 1 of 5 | 1 immediate-jeopardy $78,860 fined |
| Avir at San AntonioSan Antonio, TX | 1 of 5 | 1 immediate-jeopardy $29,494 fined |
| Avir at SeguinSeguin, TX | 1 of 5 | 1 immediate-jeopardy Abuse flag $13,877 fined |
| Avir at TexarkanaTexarkana, TX | 1 of 5 | 2 immediate-jeopardy Abuse flag $95,459 fined |
| Avir at Tierra EsteEl Paso, TX | 1 of 5 | 1 immediate-jeopardy $53,957 fined |
| Avir at Veterans MemorialHouston, TX | 1 of 5 | 2 immediate-jeopardy Abuse flag $47,532 fined |
| Avir at WestonTemple, TX | 1 of 5 | 4 immediate-jeopardy $154,589 fined |
| Avir at WinnsboroWinnsboro, TX | 1 of 5 | $21,554 fined |
| Avir at WoodlandsEastland, TX | 1 of 5 | 3 immediate-jeopardy $85,613 fined |
| Epic Nursing & RehabilitationCorsicana, TX | 1 of 5 | 3 immediate-jeopardy SFF candidate Abuse flag $31,686 fined |
| Avir At Bay CityBay City, TX | 2 of 5 | 1 immediate-jeopardy $13,627 fined |
| Avir At CarthageCarthage, TX | 2 of 5 | 1 immediate-jeopardy $66,731 fined |
| Avir At ChildressChildress, TX | 2 of 5 | — |
| Avir At GonzalesGonzales, TX | 2 of 5 | — |
| Avir At JeffersonJefferson, TX | 2 of 5 | $16,498 fined |
| Avir at Arden WoodHouston, TX | 2 of 5 | 9 immediate-jeopardy SFF candidate $130,388 fined |
| Avir at Azalea HeightsTyler, TX | 2 of 5 | 2 immediate-jeopardy $27,550 fined |
| Avir at BeltonBelton, TX | 2 of 5 | 2 immediate-jeopardy $43,777 fined |
| Avir at BorgerBorger, TX | 2 of 5 | 1 immediate-jeopardy $40,307 fined |
| Avir at BurkburnettBurkburnett, TX | 2 of 5 | $64,646 fined |
| Avir at CommerceCommerce, TX | 2 of 5 | — |
| Avir at El PasoEl Paso, TX | 2 of 5 | 3 immediate-jeopardy $192,681 fined |
| Avir at Emerald HillsNorth Richland Hills, TX | 2 of 5 | 2 immediate-jeopardy $195,946 fined |
| Avir at Enchanted RockFredericksburg, TX | 2 of 5 | 5 immediate-jeopardy $63,121 fined |
| Avir at Fort WorthFort Worth, TX | 2 of 5 | 1 immediate-jeopardy Abuse flag $180,340 fined |
| Avir at GolfcrestHouston, TX | 2 of 5 | 1 immediate-jeopardy $34,217 fined |
| Avir at Grand SalineGrand Saline, TX | 2 of 5 | $8,410 fined |
| Avir at GrapevineGrapevine, TX | 2 of 5 | 4 immediate-jeopardy $29,614 fined |
| Avir at KaufmanKaufman, TX | 2 of 5 | $8,021 fined |
| Avir at KingslandKingsland, TX | 2 of 5 | — |
| Avir at LulingLuling, TX | 2 of 5 | 2 immediate-jeopardy $35,559 fined |
| Avir at MagnoliaLuling, TX | 2 of 5 | 1 immediate-jeopardy Abuse flag $51,320 fined |
| Avir at OvertonOverton, TX | 2 of 5 | 9 immediate-jeopardy Abuse flag $340,621 fined |
| Avir at Park BendAustin, TX | 2 of 5 | Abuse flag |
| Avir at PecosPecos, TX | 2 of 5 | — |
| Avir at Petal HillTyler, TX | 2 of 5 | Abuse flag $25,532 fined |
| Avir at SchertzSchertz, TX | 2 of 5 | 1 immediate-jeopardy Abuse flag $34,769 fined |
| Avir at ShermanSherman, TX | 2 of 5 | — |
| Avir at SnyderSnyder, TX | 2 of 5 | 2 immediate-jeopardy $15,631 fined |
| Avir at WeatherfordWeatherford, TX | 2 of 5 | Abuse flag $22,356 fined |
| Avir at Western HillsTemple, TX | 2 of 5 | $16,562 fined |
| Avir At BurnetBurnet, TX | 3 of 5 | — |
| Avir At KeenelandWeatherford, TX | 3 of 5 | — |
| Avir At MonahansMonahans, TX | 3 of 5 | — |
| Avir at ElkhartElkhart, TX | 3 of 5 | $65,397 fined |
| Avir at FredericksburgFredericksburg, TX | 3 of 5 | 1 immediate-jeopardy $15,288 fined |
| Avir at Jeffrey PlaceWaco, TX | 3 of 5 | 1 immediate-jeopardy $22,382 fined |
| Avir at Knox CityKnox City, TX | 3 of 5 | $8,018 fined |
| Avir at Richland HillsRichland Hills, TX | 3 of 5 | 1 immediate-jeopardy $14,506 fined |
| Avir at River RidgeCorpus Christi, TX | 3 of 5 | 3 immediate-jeopardy $22,932 fined |
| Avir at River ValleyGainesville, TX | 3 of 5 | — |
| Avir at SweetwaterTexarkana, TX | 3 of 5 | — |
| Avir at Temple WestTemple, TX | 3 of 5 | 2 immediate-jeopardy $7,257 fined |
| Avir at Town CreekPalestine, TX | 3 of 5 | $49,065 fined |
| Burleson Nursing and Rehabilitation CenterBurleson, TX | 3 of 5 | — |
| Avir At Corpus ChristiCorpus Christi, TX | 4 of 5 | $14,069 fined |
| Avir At Dripping SpringsDripping Springs, TX | 4 of 5 | — |
| Avir At JacksboroJacksboro, TX | 4 of 5 | — |
| Avir at BairdBaird, TX | 4 of 5 | — |
| Avir at BeevilleBeeville, TX | 4 of 5 | 1 immediate-jeopardy $38,687 fined |
| Avir at BellvilleBellville, TX | 4 of 5 | — |
| Avir at CenterCenter, TX | 4 of 5 | $9,113 fined |
| Avir at CotullaCotulla, TX | 4 of 5 | — |
| Avir at CourtyardHouston, TX | 4 of 5 | 1 immediate-jeopardy |
| Avir at ItascaItasca, TX | 4 of 5 | — |
| Avir at MansfieldMansfield, TX | 4 of 5 | — |
| Avir at OremHouston, TX | 4 of 5 | 1 immediate-jeopardy $34,418 fined |
| Avir at PasadenaPasadena, TX | 4 of 5 | 3 immediate-jeopardy $8,021 fined |
| Avir at Pilot PointPilot Point, TX | 4 of 5 | — |
| Avir at SealySealy, TX | 4 of 5 | — |
| Avir at WacoWaco, TX | 4 of 5 | — |
| Avir at Walnut SpringsSeguin, TX | 4 of 5 | — |
| Avir at CiscoCisco, TX | 5 of 5 | — |
| Avir at ComfortComfort, TX | 5 of 5 | — |
| Avir at GrahamGraham, TX | 5 of 5 | — |
| Avir at HaskellHaskell, TX | 5 of 5 | — |
| Avir at IrvingIrving, TX | 5 of 5 | — |
| Avir at JacksonvilleJacksonville, TX | 5 of 5 | — |
| Avir at PampaPampa, TX | 5 of 5 | — |
| Avir at ParisParis, TX | 5 of 5 | 4 immediate-jeopardy |
| Avir at PittsburgPittsburg, TX | 5 of 5 | $15,119 fined |
| Avir at Temple EastTemple, TX | 5 of 5 | — |
Source: CMS Provider Data Catalog (nursing-home ratings, deficiencies, penalties, and ownership) and the CMS Medicare cost report (HCRIS) for finances. Chain membership is as reported to CMS. CMS extracts retrieved 11 October 2026; CMS refreshes them monthly, so counts here are as of that date. Verify with the facility and your state regulator.