Quick answers
- Where is Avir at Longview?
- 301 Hollybrook Dr., Longview, TX 75605, in Gregg County, Texas.
- What is the phone number of Avir at Longview?
- (903) 758-7764, as listed by Medicare (CMS).
- What is the Medicare star rating of Avir at Longview?
- Medicare overall rating: 1 out of 5 stars (CMS data updated 2026-10-01).
- Has Avir at Longview been fined?
- Medicare lists 2 fines totaling $262,731.
- What did inspectors find at Avir at Longview?
- In its last three inspection cycles (October 24, 2023 to August 13, 2026), Medicare lists 58 health citations; the most serious was level K. 7 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 (October 24, 2023 to August 13, 2026), Avir at Longview had 58 health citations; the most serious was level K (immediate jeopardy to resident health or safety). 7 of them were level G or higher (actual harm or immediate jeopardy). It was fined $262,731 in total (2 fines, the latest on March 29, 2024). Nurse staffing is 3.59 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: July 16, 2026 — 26 health citations
Inspections in this cycle: November 18, 2025 (complaint investigation); November 26, 2025 (complaint investigation); February 18, 2026 (complaint investigation); March 26, 2026 (complaint investigation); May 7, 2026 (complaint investigation); July 16, 2026 (complaint investigation); July 16, 2026 (standard health inspection); August 13, 2026 (complaint investigation).
Show 26 citations (levels A to F, no actual harm)
F0656 Level E
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0677 Level E
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0688 Level E
“Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.”
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.”
F0698 Level E
“Provide safe, appropriate dialysis care/services for a resident who requires such services.”
F0755 Level E
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0807 Level E
“Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.”
F0840 Level E
“Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.”
F0686 Level E
“Provide appropriate pressure ulcer care and prevent new ulcers from developing.”
F0602 Level E
“Protect each resident from the wrongful use of the resident's belongings or money.”
F0584 Level E
“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.”
F0677 Level E
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
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.”
F0641 Level D
“Ensure each resident receives an accurate assessment.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0558 Level D
“Reasonably accommodate the needs and preferences of each resident.”
F0584 Level D
“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.”
F0679 Level D
“Provide activities to meet all resident's needs.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0695 Level D
“Provide safe and appropriate respiratory care for a resident when needed.”
F0770 Level D
“Provide timely, quality laboratory services/tests to meet the needs of residents.”
F0694 Level D
“Provide for the safe, appropriate administration of IV fluids for a resident when needed.”
F0557 Level D
“Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.”
F0755 Level D
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0842 Level B
“Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.”
Previous cycle: May 7, 2025 — 9 health citations
Inspections in this cycle: February 26, 2025 (complaint investigation); April 10, 2025 (complaint investigation); May 7, 2025 (standard health inspection); July 29, 2025 (complaint investigation).
Show 9 citations (levels A to F, no actual harm)
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0584 Level E
“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.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0641 Level D
“Ensure each resident receives an accurate assessment.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0695 Level D
“Provide safe and appropriate respiratory care for a resident when needed.”
F0695 Level D
“Provide safe and appropriate respiratory care for a resident when needed.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
Earlier cycle: March 29, 2024 — 23 health citations
Inspections in this cycle: October 24, 2023 (complaint investigation); February 15, 2024 (complaint investigation); February 27, 2024 (complaint investigation); March 29, 2024 (complaint investigation); March 29, 2024 (standard health inspection); April 25, 2024 (complaint investigation).
F0689 Level K
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
immediate jeopardy to resident health or safety; pattern (some residents) · Quality of Life and Care Deficiencies
F0740 Level K
“Ensure each resident must receive and the facility must provide necessary behavioral health care and services.”
immediate jeopardy to resident health or safety; pattern (some residents) · Quality of Life and Care Deficiencies
F0600 Level K
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
immediate jeopardy to resident health or safety; pattern (some residents) · Freedom from Abuse, Neglect, and Exploitation Deficiencies
F0689 Level K
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
immediate jeopardy to resident health or safety; pattern (some residents) · Quality of Life and Care Deficiencies
F0552 Level G
“Ensure that residents are fully informed and understand their health status, care and treatments.”
actual harm to residents; isolated (a few residents) · Resident Rights 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
F0676 Level G
“Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 16 less serious citations (levels A to F)
F0727 Level F
“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.”
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with 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.”
F0758 Level E
“Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.”
F0725 Level E
“Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.”
F0677 Level E
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
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.”
F0607 Level D
“Develop and implement policies and procedures to prevent abuse, neglect, and theft.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0641 Level D
“Ensure each resident receives an accurate assessment.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0690 Level D
“Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.”
F0755 Level D
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0759 Level D
“Ensure medication error rates are not 5 percent or greater.”
F0926 Level D
“Have policies on smoking.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
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 (7)
E0006 Level F
“Conduct risk assessment and an All-Hazards approach.”
K0345 Level E
“Have approved installation, maintenance and testing program for fire alarm systems.”
K0324 Level D
“Provide properly protected cooking facilities.”
K0222 Level E
“Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.”
K0321 Level E
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
K0344 Level E
“Have an alternate power supply for its alarm system.”
K0353 Level E
“Inspect, test, and maintain automatic sprinkler systems.”
Fines and payment denials
Total fines over about the last three years: $262,731 (2 fines). A payment denial means Medicare stopped paying for new admissions for a time.
| Date | Penalty | Amount or length |
|---|---|---|
| March 29, 2024 | Fine | $189,633 |
| February 15, 2024 | Fine | $73,098 |
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 | 0.31 | 0.44 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.25 | 0.94 | 0.86 |
| Nurse aide hours per resident per day | 2.03 | 2.03 | 2.35 |
| Total nurse staff hours per resident per day | 3.59 | 3.42 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 3.33 | 2.99 | 3.43 |
| RN hours per resident per day on the weekend | 0.24 | 0.35 | 0.48 |
| Nursing staff turnover (per year) | 78.6% | 50.8% | 45.3% |
| RN turnover (per year) | 90.9% | 49.8% | 42.5% |
| Administrators who left in the last year | 1.0 | 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 118 nursing homes: Avir Health Group.
Legal business name: Guadalupe County Hospital Board.
Owners and managers Medicare lists (2)
| Name | Role | Share | Since |
|---|---|---|---|
| Guadalupe County Hospital Board | Direct owner | 100% | September 1, 2025 |
| 301 Hollybrook Drive Opco LLC | Management company (operational or managerial control) | NOT APPLICABLE | September 1, 2025 |
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 | 115 |
| Average residents per day | 65.1 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – limited liability company |
| Group or chain (affiliated entity) | Avir Health Group |
| Legal business name | Guadalupe County Hospital Board |
| First approved by Medicare/Medicaid | 1986-12-17 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 301 Hollybrook Dr., Longview, TX 75605 |
| County | Gregg County |
| State | Texas |
| Phone | (903) 758‑7764 |
| CMS Certification Number | 455678 |
| 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).
- Heritage at Longview Healthcare Center0.2 mi · Longview, TX · 2 of 5 stars
- The Oaks at Longview0.2 mi · Longview, TX · 3 of 5 stars
- Buckner Westminster Place0.6 mi · Longview, TX · 4 of 5 stars
- Longview Hill Nursing and Rehabilitation Center0.6 mi · Longview, TX · 1 of 5 stars
- Treviso Transitional Care1.6 mi · Longview, TX · 1 of 5 stars
Nearest hospital emergency rooms
- Longview Regional Medical Center0.6 mi · Longview, TX · Acute Care Hospital
- CHRISTUS Good Shepherd Medical Center2.2 mi · Longview, TX · Acute Care Hospital
- UT Health East Texas Henderson Hospital26 mi · Henderson, 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