Avir At Johnson City has received an F grade based on CMS data, with a score of 32/100 — placing it among the lowest-rated nursing facilities in Texas. Families considering this Johnson City facility should carefully review its inspection history and quality metrics.
With 3.22 total nurse hours per resident per day, Avir At Johnson City falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.
Recent CMS inspections identified 28 deficiencies at Avir At Johnson City, including 4 classified as serious — among the most concerning citation levels. The most notable finding involved: provide appropriate treatment and care according to orders, resident’s preferences and goals..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.22 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.80 | 0.7 | Above Average |
| Licensed Practical Nurses (LPN) | 0.81 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 1.61 | 2.4 | Below Average |
| Weekend Total Nursing | 2.90 | 3.8 | Below Average |
| Weekend RN Hours | 0.60 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0684 Severity GProvide appropriate treatment and care according to orders, resident’s preferences and goals.Dec 2, 2025 · Quality of Life and Care Deficiencies
- Tag 0755 Severity EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Dec 2, 2025 · Pharmacy Service Deficiencies
- Tag 0727 Severity DHave 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.Dec 2, 2025 · Nursing and Physician Services Deficiencies
- Tag 0812 Severity FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Apr 1, 2025 · Nutrition and Dietary Deficiencies
- Tag 0558 Severity DReasonably accommodate the needs and preferences of each resident.Apr 1, 2025 · Resident Rights Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 4.6% | 4.5% | Average |
| Falls with major injury | 1.6% | 3.0% | Better |
| On antipsychotic medication | 20.3% | 14.5% | Worse |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 30.3% | 14.0% | Worse |
| Excessive weight loss | 0.0% | 7.5% | Better |
| New/worsened incontinence | 24.0% | 45.0% | Better |
⚠️ Penalties & Fines
3 penalties recorded by CMS
Total fines: $74,691
How This Grade Was Calculated
This facility's grade of F is based on a score of 32 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 4★ → 16 pts (max 20)
- Quality Measures Rating: 4★ → 12 pts (max 15)
- Penalty deductions: -15 pts
- Fine deductions: -7 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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