Avir at Commons
121 Commons Drive, Athens, TX 75751 · (903) 677-3434
Government - Hospital district · 120 certified beds
Abuse icon Medicare's Care Compare says: “This nursing home has been cited for abuse.” Medicare marks homes recently cited for harm or potential harm from abuse or neglect, and caps their health inspection rating at 2 stars.
Avir at Commons has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in March 2026, found 1 citation (the Texas average is 9.4). It was fined 2 times in the last three years, $162,078 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 1 out of 5 stars · Much below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 1 out of 5 stars · Much below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 4 out of 5 stars · Above average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 1 out of 5 stars · Much below average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on March 26, 2026 found 1 citation. What an inspection citation means
- Provide and implement an infection prevention and control program.March 26, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 16 citations.
- Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.July 13, 2026 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.July 13, 2026 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure that residents are free from significant medication errors.May 15, 2026 · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.May 15, 2026 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.February 13, 2026 · F0600 · Level of harm: Actual harm · Residents affected: Few
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.February 13, 2026 · F0609 · Level of harm: Actual harm · Residents affected: Few
- Respond appropriately to all alleged violations.February 13, 2026 · F0610 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.February 13, 2026 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.November 18, 2025 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.November 18, 2025 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.August 15, 2025 · F0550 · Level of harm: Actual harm · Residents affected: Few
- Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.August 15, 2025 · F0580 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.August 15, 2025 · F0684 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.March 29, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.January 6, 2025 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.January 6, 2025 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Fines and payment denials
- Fine of $90,090February 13, 2026
- Fine of $71,988August 15, 2025
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Texas average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 3.19 | 3.39 | 3.86 |
| Registered nurses (RN) | 0.27 | 0.43 | 0.69 |
| Licensed practical nurses (LPN) | 0.74 | 0.95 | 0.86 |
| Nurse aides | 2.18 | 2.01 | 2.32 |
| Total nursing staff turnover | 58% | 55.3% | 45.8% |
About this home
| Ownership | Government - Hospital district |
| Certified beds | 120 |
| Average residents per day | 89 |
| Inside a hospital | Yes |
| Continuing care retirement community | No |
Nursing homes nearby
- Park Highlands Nursing & Rehabilitation Center Athens · ★★★★★ 3 out of 5 stars
- Avir at Athens Athens · ★★★★★ 1 out of 5 stars
- Chandler Nursing Center Chandler · ★★★★★ 4 out of 5 stars
- Cedar Lake Nursing Center Malakoff · ★★★★★ 3 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Avir at Commons on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.