Avir at Commerce

Name: Avir at Commerce
Address: 2901 STERLING HART DR, Commerce, TX, 75428, US
Telephone: 9038862510

2901 Sterling Hart Dr, Commerce, TX 75428 · Hunt County · 116 certified beds · avg 41 residents/day · certified since May 24, 1999

Part of chain: AVIR HEALTH GROUP (116 facilities, chain avg rating 2.3★)

2/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.72

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (42)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
May 28, 2026	E · Potential for harm, repeated	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint
Feb 12, 2026	F · Potential for harm, facility-wide	The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing.
Feb 12, 2026	E · Potential for harm, repeated	The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need.
Feb 12, 2026	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Feb 12, 2026	E · Potential for harm, repeated	The facility did not have policies on smoking.
Feb 12, 2026	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Feb 12, 2026	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Feb 12, 2026	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Feb 12, 2026	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Feb 12, 2026	D · Potential for harm, one-off	The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives.
Feb 12, 2026	D · Potential for harm, one-off	The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life.
Feb 12, 2026	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Feb 12, 2026	D · Potential for harm, one-off	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.
May 8, 2025	F · Potential for harm, facility-wide	The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · from a complaint
May 8, 2025	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint
May 8, 2025	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint
Nov 7, 2024	E · Potential for harm, repeated	The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand.
Nov 7, 2024	E · Potential for harm, repeated	The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly.
Nov 7, 2024	E · Potential for harm, repeated	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
Nov 7, 2024	E · Potential for harm, repeated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Nov 7, 2024	E · Potential for harm, repeated	The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician.
Nov 7, 2024	E · Potential for harm, repeated	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
Nov 7, 2024	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Nov 7, 2024	E · Potential for harm, repeated	The facility did not have policies on smoking.
Nov 7, 2024	D · Potential for harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Nov 7, 2024	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Nov 7, 2024	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Nov 7, 2024	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Nov 7, 2024	D · Potential for harm, one-off	The facility did not provide care that took into account residents' past trauma or their cultural backgrounds. Care is supposed to be sensitive to what residents have lived through and where they come from.
Nov 7, 2024	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Nov 7, 2024	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Nov 7, 2024	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Nov 7, 2024	D · Potential for harm, one-off	The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life.
Nov 7, 2024	D · Potential for harm, one-off	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.
Oct 30, 2024	D · Potential for harm, one-off	The facility did not provide each resident with a nourishing, tasty, well-balanced diet that meets their daily nutritional and special dietary needs. · from a complaint
Jan 18, 2024	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint
Jan 18, 2024	D · Potential for harm, one-off	The facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them. · from a complaint
Oct 11, 2023	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Oct 11, 2023	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Oct 11, 2023	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Oct 11, 2023	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Oct 11, 2023	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (18 → 12).

Year	Citations	Worst severity that year
2023	5	F
2024	21	E
2025	3	F
2026	13	F

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Texas avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.72	3.46	3.95	top 24% in Texas; bottom 48% in the U.S.
Registered Nurse hours	0.35	0.44	0.69	bottom 42% in Texas; bottom 16% in the U.S.
Weekend total nurse staffing	3.35	3.04	3.50	top 22% in Texas; bottom 50% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.22	0.34	0.48	bottom 29% in Texas; bottom 16% in the U.S.
Total nursing staff turnover (%)	69.2	55.3	45.8	bottom 20% in Texas; bottom 6% in the U.S.
RN turnover (%)	0.0	54.6	42.9	—

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.31, RN 0.32, weekend 2.98. Staffing rating: 2/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: —/5

Who owns this facility

Government - Federal

Owner / manager	Type	Role	Stake	Since
Nocona Hospital District	Organization	5% or Greater Direct Ownership Interest	100%	02/10/2021
2901 Sterling Hart Dr Opco LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	10/01/2025
2901 Sterling Hart Dr Opco LLC	Organization	ADP of the SNF	NOT APPLICABLE	02/11/2026
2901 Sterling Hart Dr Property Owner LLC	Organization	ADP of the SNF	NOT APPLICABLE	10/01/2025
Correra, Kristy	Individual	ADP of the SNF	NOT APPLICABLE	02/19/2024
Dagan, Amitai	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	02/11/2026
Freund, Nochum	Individual	Operational/Managerial Control	NOT APPLICABLE	10/01/2025
Goldberger, Abraham	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	02/11/2026
Goldberger, Faigy	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	03/16/2026
Meekins, Greg	Individual	Corporate Officer	NOT APPLICABLE	02/10/2021
Selvaggi, Richard	Individual	ADP of the SNF	NOT APPLICABLE	02/10/2021
Travitsky, Aaron	Individual	Operational/Managerial Control	NOT APPLICABLE	10/01/2025
Welltower INC	Organization	ADP of the SNF	NOT APPLICABLE	10/01/2025
Welltower NNN Group, LLC	Organization	ADP of the SNF	NOT APPLICABLE	10/01/2025
Welltower Op, LLC	Organization	ADP of the SNF	NOT APPLICABLE	10/01/2025

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Can you show me an example care plan, and how are families included when it's created and updated?"
"How many hours a day is a registered nurse physically in the building, including weekends?"
"How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"What are your smoking rules, and how do you keep residents who smoke — and everyone around them — safe?"
"How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Legend Healthcare and Rehabilitation - Greenville	13.8 mi	Greenville, TX	★★★★☆	4/5
Greenville Gardens	14.3 mi	Greenville, TX	★★★☆☆	3/5
Briarcliff Health Center of Greenville	14.7 mi	Greenville, TX	★★★☆☆	2/5
Greenville Health & Rehabilitation Center	15.1 mi	Greenville, TX	★☆☆☆☆	1/5	abuseSFF
Birchwood Nursing and Rehabilitation	15.2 mi	Cooper, TX	★★★★☆	5/5
Sulphur Springs Health and Rehabilitation	17.8 mi	Sulphur Springs, TX	★★★☆☆	2/5
Carriage House Manor	18.3 mi	Sulphur Springs, TX	★★★★☆	4/5
Sunny Springs Nursing & Rehab	18.3 mi	Sulphur Springs, TX	★★☆☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Commerce →

Facility data as of CMS processing date 2026-08-01. CCN 675788.

The Care File

Visit checklist — Avir at Commerce

2901 Sterling Hart Dr, Commerce, TX 75428 · 9038862510

Health inspection rating 2/5 · CMS overall 2/5· Fines (3y): $0

Questions for the administrator:

☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "How many hours a day is a registered nurse physically in the building, including weekends?"
☐ "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "What are your smoking rules, and how do you keep residents who smoke — and everyone around them — safe?"
☐ "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 675788 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)