Texas ›Knox City

Avir at Knox City

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605 S Ave F, Knox City, TX 79529 (opens Google Maps) · Knox County · (940) 658-3543· 66 certified beds · avg 39 residents/day · certified since Sep 29, 2003 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

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

3/5
Health inspection rating (on-site)
inspected Dec 18, 2025
1
Serious findings on record
most recent Jun 26, 2024
$8,018
Fines, last 3 years
4.23
Nurse hours/resident/day (adjusted)

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

New to these records? How to read an inspection report →

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5 · how star ratings work →

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 quality measures from resident assessments and claims.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, isolated · Jun 26, 2024 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Jun 27, 2024 (Deficient, Provider has date of correction)

Inspection findings in the public record

Showing the latest 3 of 24 inspection findings. Open the full record below to read every finding.

  1. E · Potential for more than minimal harm, pattern

    The facility did not keep residents' personal and medical information private and confidential. F-0583

  2. E · Potential for more than minimal harm, pattern

    The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. F-0584

  3. E · Potential for more than minimal harm, pattern

    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. F-0585

View all 24 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

DateSeverityWhat the facility was cited for
Dec 18, 2025E · Potential for more than minimal harm, patternThe facility did not keep residents' personal and medical information private and confidential. · F-0583
Dec 18, 2025E · Potential for more than minimal harm, patternThe facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584
Dec 18, 2025E · Potential for more than minimal harm, patternThe 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. · F-0585
Dec 18, 2025E · Potential for more than minimal harm, patternThe 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. · F-0761
Dec 18, 2025E · Potential for more than minimal harm, patternThe 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. · F-0803
Dec 18, 2025E · Potential for more than minimal harm, patternThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Dec 18, 2025E · Potential for more than minimal harm, patternThe facility's bedrooms did not give residents visual privacy — such as curtains or dividers — when privacy is needed. · F-0914
Dec 18, 2025D · Potential for more than minimal harm, isolatedThe 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. · F-0880
Dec 18, 2025D · Potential for more than minimal harm, isolatedThe facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. · F-0925
Oct 4, 2024F · Potential for more than minimal harm, widespreadThe 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. · F-0727
Oct 4, 2024E · Potential for more than minimal harm, patternThe 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. · F-0880
Oct 4, 2024D · Potential for more than minimal harm, isolatedThe 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. · F-0695
Oct 4, 2024D · Potential for more than minimal harm, isolatedThe facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842
Oct 4, 2024D · Potential for more than minimal harm, isolatedThe facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · F-0921
Sep 5, 2024E · Potential for more than minimal harm, patternThe 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 · F-0761
Jun 26, 2024▲ G · Actual harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Jun 26, 2024D · Potential for more than minimal harm, isolatedThe facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint · F-0602
Jun 26, 2024D · Potential for more than minimal harm, isolatedThe 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 · F-0761
Jun 26, 2024D · Potential for more than minimal harm, isolatedThe facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint · F-0842
Sep 15, 2023F · Potential for more than minimal harm, widespreadThe 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. · F-0727
Sep 15, 2023F · Potential for more than minimal harm, widespreadThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Sep 15, 2023E · Potential for more than minimal harm, patternThe 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. · F-0690
Sep 15, 2023D · Potential for more than minimal harm, isolatedThe 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. · F-0803
Sep 15, 2023D · Potential for more than minimal harm, isolatedThe facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems. · F-0805

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (5 → 9).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2023
All citations: 5
Serious citations (G–L): 0
2024
All citations: 10
Serious citations (G–L): 1
2025
All citations: 9
Serious citations (G–L): 0

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
202350F
2024101G ▲
202590E

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)

How to file a complaint about care →

1 fine totaling $8,018.

Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.

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

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

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityTexas averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 4.23
Texas average: 3.46
U.S. average: 3.95
Registered Nurse hours
This facility: 0.47
Texas average: 0.44
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.62
Texas average: 3.04
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityTexas avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)4.233.463.95top 11% in Texas; top 31% in the U.S.
Registered Nurse hours0.470.440.69top 31% in Texas; bottom 33% in the U.S.
Weekend total nurse staffing3.623.043.50top 13% in Texas; top 37% in the U.S.
Weekend RN hours (not acuity-adjusted)0.300.340.48top 48% in Texas; bottom 32% in the U.S.
Total nursing staff turnover (%)39.355.345.8top 19% in Texas; top 35% in the U.S.
RN turnover (%)—54.642.9—

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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 3.24, RN 0.36, weekend 2.77.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.24 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

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

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Avir at Knox City. CMS inspection and staffing records do not tell us what this home will charge you.

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Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

For profit - Corporation · changed ownership in the last 12 months

Owner / managerTypeRoleStakeSince
605 S Avenue F Holdings LLCOrganizationDirect Ownership InterestNOT APPLICABLE10/01/2025
Ana TX Holdings, LLCOrganizationIndirect Ownership InterestNOT APPLICABLE10/01/2025
Dagan, AmitaiIndividualIndirect Ownership InterestNOT APPLICABLE10/01/2025
Freund, NochumIndividualIndirect Ownership InterestNOT APPLICABLE10/01/2025
Goldberger, AbrahamIndividualIndirect Ownership InterestNOT APPLICABLE10/01/2025
Goldberger, FaigyIndividualIndirect Ownership InterestNOT APPLICABLE10/01/2025
Graf Holdings LLCOrganizationIndirect Ownership InterestNOT APPLICABLE10/01/2025
Travitsky, AaronIndividualIndirect Ownership InterestNOT APPLICABLE10/01/2025
TX SNF Holdings II LLCOrganizationIndirect Ownership InterestNOT APPLICABLE10/01/2025
TX SNF Holdings III LLCOrganizationIndirect Ownership InterestNOT APPLICABLE10/01/2025
605 S Avenue F Property Owner LLCOrganizationADP of the SNFNOT APPLICABLE10/01/2025
Freund, NochumIndividualCorporate OfficerNOT APPLICABLE10/01/2025
Grimsley, ChristyIndividualADP of the SNFNOT APPLICABLE10/01/2025
Martinez Irizarry, AxelIndividualADP of the SNFNOT APPLICABLE10/01/2025
Travitsky, AaronIndividualOperational/Managerial ControlNOT APPLICABLE10/01/2025
Welltower INCOrganizationADP of the SNFNOT APPLICABLE10/01/2025
Welltower NNN Group, LLCOrganizationADP of the SNFNOT APPLICABLE10/01/2025
Welltower Op, LLCOrganizationADP of the SNFNOT APPLICABLE10/01/2025

All 18 owning or managing parties CMS has on file are shown — none excluded.

Other facilities in the same chain

CMS lists this facility under the chain Avir Health Group — 116 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

Listed by state, then facility name — not a ranking. Showing 8 of the 115 others, continuing from this facility's own place in that list.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

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

  • "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
  • "How do you protect residents' privacy, both in their medical records and in day-to-day care?"
  • "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
  • "Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
  • "Can you show me how medications are stored and secured on the units, including controlled drugs?"
  • "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
  • "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
  • "How do you ensure privacy for residents in shared rooms during dressing and personal care?"

Also worth asking anywhere

  • "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 39% total nursing staff turnover here — who on the care team has been with you longest?"
  • "CMS records an ownership change here in the last 12 months — what changed for residents and staff?"
  • "The ownership record on file lists 18 owning or managing parties — who makes the decisions about staffing levels?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Munday Nursing Center11.1 miMunday, TX★★★★☆4/5
Avir at Haskell18.0 miHaskell, TX★★★★★4/5

Compare this facility with the 2 closest →

All facilities in Knox City →

Facility data as of CMS processing date 2026-08-01. CCN 675989.

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