Avir at Commerce
2901 Sterling Hart Dr, Commerce, TX 75428 · (903) 886-2510
Government - Federal · 116 certified beds
Avir at Commerce has a 2-star overall rating from Medicare, out of 5. Its last standard inspection, in February 2026, found 12 citations (the Texas average is 9.4). It hasn't been fined in the last three years.
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. | ★★★★★ 2 out of 5 stars · Below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 2 out of 5 stars · 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. | ★★★★★ 2 out of 5 stars · Below average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on February 12, 2026 found 12 citations. What an inspection citation means
- 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.February 12, 2026 · F0727 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.February 12, 2026 · F0644 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.February 12, 2026 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Have policies on smoking.February 12, 2026 · F0926 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide care and assistance to perform activities of daily living for any resident who is unable.February 12, 2026 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.February 12, 2026 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.February 12, 2026 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide safe and appropriate respiratory care for a resident when needed.February 12, 2026 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.February 12, 2026 · F0806 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.February 12, 2026 · F0849 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.February 12, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.February 12, 2026 · F0921 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 8 citations.
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.July 7, 2026 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.May 28, 2026 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.May 8, 2025 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.May 8, 2025 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.May 8, 2025 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.October 30, 2024 · F0800 · Level of harm: Minimal harm or potential for 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.January 18, 2024 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide for the safe, appropriate administration of IV fluids for a resident when needed.January 18, 2024 · F0694 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Fines and payment denials
No fines or payment denials in the last three years.
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 | 3.31 | 3.39 | 3.86 |
| Registered nurses (RN) | 0.32 | 0.43 | 0.69 |
| Licensed practical nurses (LPN) | 1.41 | 0.95 | 0.86 |
| Nurse aides | 1.58 | 2.01 | 2.32 |
| Total nursing staff turnover | 69.2% | 55.3% | 45.8% |
About this home
| Ownership | Government - Federal |
| Certified beds | 116 |
| Average residents per day | 40.5 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Legend Healthcare and Rehabilitation - Greenville Greenville · ★★★★★ 4 out of 5 stars
- Greenville Gardens Greenville · ★★★★★ 3 out of 5 stars
- Seven Oaks Nursing & Rehabilitation Bonham · ★★★★★ 4 out of 5 stars
- North Star Ranch Rehabilitation and Healthcare Cen Bonham · ★★★★★ 2 out of 5 stars
- Clyde W Cosper Texas State Veterans Home Bonham · ★★★★★ 1 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Avir at Commerce on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.