Quick answers
- Where is Avir at Commons?
- 121 Commons Drive, Athens, TX 75751, in Henderson County, Texas.
- What is the phone number of Avir at Commons?
- (903) 677-3434, as listed by Medicare (CMS).
- What is the Medicare star rating of Avir at Commons?
- Medicare overall rating: 1 out of 5 stars (CMS data updated 2026-10-01).
- Has Avir at Commons been fined?
- Medicare lists 2 fines totaling $162,078.
- What did inspectors find at Avir at Commons?
- In its last three inspection cycles (December 5, 2023 to August 19, 2026), Medicare lists 28 health citations; the most serious was level K. 6 were level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (December 5, 2023 to August 19, 2026), Avir at Commons had 28 health citations; the most serious was level K (immediate jeopardy to resident health or safety). 6 of them were level G or higher (actual harm or immediate jeopardy). It was fined $162,078 in total (2 fines, the latest on February 13, 2026). Nurse staffing is 3.61 hours per resident per day; the Texas average is 3.42 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: March 26, 2026 — 16 health citations
Inspections in this cycle: November 18, 2025 (complaint investigation); February 13, 2026 (complaint investigation); March 26, 2026 (standard health inspection); May 15, 2026 (complaint investigation); July 13, 2026 (complaint investigation); August 13, 2026 (complaint investigation); August 19, 2026 (complaint investigation).
F0610 Level K
“Respond appropriately to all alleged violations.”
immediate jeopardy to resident health or safety; pattern (some residents) · Freedom from Abuse, Neglect, and Exploitation Deficiencies
F0600 Level G
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
actual harm to residents; isolated (a few residents) · Freedom from Abuse, Neglect, and Exploitation Deficiencies
F0609 Level G
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
actual harm to residents; isolated (a few residents) · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Show 13 less serious citations (levels A to F)
F0690 Level E
“Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.”
F0842 Level E
“Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.”
F0755 Level E
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
F0561 Level D
“Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0580 Level D
“Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.”
F0760 Level D
“Ensure that residents are free from significant medication errors.”
F0812 Level D
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0657 Level D
“Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”
F0755 Level D
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
Previous cycle: January 15, 2025 — 10 health citations
Inspections in this cycle: January 6, 2025 (complaint investigation); January 15, 2025 (standard health inspection); March 29, 2025 (complaint investigation); August 15, 2025 (complaint investigation).
F0580 Level K
“Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.”
immediate jeopardy to resident health or safety; pattern (some residents) · Resident Rights Deficiencies
F0684 Level K
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
immediate jeopardy to resident health or safety; pattern (some residents) · Quality of Life and Care Deficiencies
F0550 Level G
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
actual harm to residents; isolated (a few residents) · Resident Rights Deficiencies
Show 7 less serious citations (levels A to F)
F0585 Level F
“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.”
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0641 Level D
“Ensure each resident receives an accurate assessment.”
F0842 Level D
“Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
F0600 Level D
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
Earlier cycle: December 5, 2023 — 2 health citations
Inspections in this cycle: December 5, 2023 (standard health inspection).
Show 2 citations (levels A to F, no actual harm)
F0851 Level F
“Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.”
F0868 Level E
“Have the Quality Assessment and Assurance group have the required members and meet at least quarterly”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (8)
K0353 Level F
“Inspect, test, and maintain automatic sprinkler systems.”
K0918 Level F
“Have generator or other power source capable of supplying service within 10 seconds.”
K0374 Level D
“Install smoke barrier doors that can resist smoke for at least 20 minutes.”
K0324 Level E
“Provide properly protected cooking facilities.”
K0353 Level E
“Inspect, test, and maintain automatic sprinkler systems.”
K0374 Level D
“Install smoke barrier doors that can resist smoke for at least 20 minutes.”
K0712 Level C
“Have simulated fire drills held at unexpected times.”
K0918 Level C
“Have generator or other power source capable of supplying service within 10 seconds.”
Fines and payment denials
Total fines over about the last three years: $162,078 (2 fines). A payment denial means Medicare stopped paying for new admissions for a time.
| Date | Penalty | Amount or length |
|---|---|---|
| February 13, 2026 | Fine | $90,090 |
| August 15, 2025 | Fine | $71,988 |
Source: Medicare (CMS) Penalties file, data updated October 1, 2026.
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | Texas | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.43 | 0.44 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.72 | 0.94 | 0.86 |
| Nurse aide hours per resident per day | 2.46 | 2.03 | 2.35 |
| Total nurse staff hours per resident per day | 3.61 | 3.42 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 3.02 | 2.99 | 3.43 |
| RN hours per resident per day on the weekend | 0.29 | 0.35 | 0.48 |
| Nursing staff turnover (per year) | 62.6% | 50.8% | 45.3% |
| RN turnover (per year) | 66.7% | 49.8% | 42.5% |
| Administrators who left in the last year | 2.0 | 0.6 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Part of a group of 28 nursing homes: Advanced Healthcare Solutions.
Legal business name: Coryell County Memorial Hospital Authority.
Owners and managers Medicare lists (2)
| Name | Role | Share | Since |
|---|---|---|---|
| Coryell County Memorial Hospital Authority | Indirect owner | — | April 1, 2017 |
| Advanced HCS LLC | Management company (operational or managerial control) | NOT APPLICABLE | April 1, 2017 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 120 |
| Average residents per day | 85.1 |
| Takes part in | Medicare and Medicaid |
| Ownership | Government – hospital district |
| Group or chain (affiliated entity) | Advanced Healthcare Solutions |
| Legal business name | Coryell County Memorial Hospital Authority |
| First approved by Medicare/Medicaid | 1994-11-04 |
| Located inside a hospital | Yes |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 121 Commons Drive, Athens, TX 75751 |
| County | Henderson County |
| State | Texas |
| Phone | (903) 677‑3434 |
| CMS Certification Number | 675424 |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Avir at Athens1.7 mi · Athens, TX · 1 of 5 stars
- Park Highlands Nursing & Rehabilitation Center2.5 mi · Athens, TX · 4 of 5 stars
- Cedar Lake Nursing Center10 mi · Malakoff, TX · 5 of 5 stars
- Chandler Nursing Center22 mi · Chandler, TX · 4 of 5 stars
- Mabank Nursing Center23 mi · Mabank, TX · 3 of 5 stars
Nearest hospital emergency rooms
- UT Health East Texas Athens Hospital1.4 mi · Athens, TX · Acute Care Hospital
- Palestine Regional Medical Center32 mi · Palestine, TX · Acute Care Hospital
- Baylor Scott & White Texas Spine & Joint Hospital33 mi · Tyler, TX · Acute Care Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13