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Nursing homeFAID #12259

Avir At Carthage

701 S MARKET ST, CARTHAGE, TX, 75633
(903) 693-6671
104 licensed beds

CMS rates Avir At Carthage 2 out of 5 overall. Federal inspectors issued 57 citations across 10 inspections in the last three years, with $66,731 in fines. Listing last updated 2026-11-06.

★★★★★2/5CMS Five-Star overall2/5 health inspections2/5 staffing3/5 quality measuresSource: CMS Care Compare

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Photo via Google · Carthage Healthcare Center
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Bed capacity
104
CMS facility ID
455963
Care type
Nursing home
County
Panola
Facility name
Avir At Carthage
Street address
701 S MARKET ST
City / state / ZIP
Carthage, TX 75633
Phone
(903) 693-6671

Avir At Carthage is a Medicare/Medicaid-certified skilled nursing facility in Carthage, Texas. It is licensed for 104 beds — close to the median for skilled nursing facilities in Texas (120 beds).

It is one of 6 senior care facilities in Carthage and 1,179 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Avir Health Group, a group of 118 facilities on this site.

Federal inspectors have cited Avir At Carthage 57 times across 10 inspections in the last three years, including 2 food-safety citations, and CMS has imposed $66,731 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

What the public record shows.

Ownership & operator

Parent company
Avir Health Group
Ownership type
For profit - Corporation

Registered owners & officers

701 S Market St Holdings Llc
Direct owner — since 2025
701 S Market St Property Owner Llc
Additional disclosable party — since 2025
Akpassa, Gerald
Additional disclosable party — since 2025
Ana Tx Holdings, Llc
Indirect owner — since 2025
Dagan, Amitai
Indirect owner — since 2025
Freund, Nochum
Indirect owner · Officer — since 2025
Goldberger, Abraham
Indirect owner — since 2025
Goldberger, Faigy
Indirect owner — since 2025
Graf Holdings Llc
Indirect owner — since 2025
Miller, Brandi
Additional disclosable party — since 2025
Travitsky, Aaron
Indirect owner · Operational control — since 2025
Tx Snf Holdings Iii Llc
Indirect owner — since 2025
Tx Snf Holdings Member, Llc
Indirect owner — since 2025
Welltower Inc
Additional disclosable party — since 2025
Welltower Nnn Group, Llc
Additional disclosable party — since 2025
Welltower Op Llc
Additional disclosable party — since 2025

Regulatory standing

Licensed / certified since
1991-12-01
CMS overall rating
2 of 5 stars
Health deficiencies
9 at the last standard inspection
Federal fines
$66,731 total
Last standard inspection
2025-09-17
Nurse staffing
3.1 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$265 per day (≈ $8,060/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
72% Medicaid · 7% Medicare · 22% private/other
Occupancy
53% (fiscal year 2023)
Vs. state median
4% below the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds
104
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Visiting hours
Daily Open 24 hours
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-11-06. Facilities can submit a correction.
Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 2 food-safety citations on its three-year record — flagged below among the inspections.
2026-01-29Health inspectionComplaint-triggered1 citation
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2026-02-20
2025-09-17Health inspection8 citations
F-0558
D · No harm found
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-10-10
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2025-10-10
F-0677
D · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-10-10
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-10-10
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-10-10
F-0761
D · No harm found
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.
Corrected 2025-10-10
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-10-10
F-0908
E · No harm found
Keep all essential equipment working safely.
Corrected 2025-10-10
8 earlier / fire-safety inspections (48 citations)
2025-07-15Health inspectionComplaint-triggered1 citation
F-0689
J · Immediate jeopardyFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-07-13
2024-08-20Health inspection14 citations
F-0558
D · No harm found
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-08-26
F-0640
D · No harm found
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2024-08-26
F-0641
E · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2024-08-26
F-0642
D · No harm found
Ensure a qualified health professional conducts resident assessments.
Corrected 2024-08-26
F-0656
E · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-08-26
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-08-26
F-0690
D · No harm found
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-08-26
F-0726
D · No harm found
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2024-08-26
F-0727
F · No harm found
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.
Corrected 2024-08-26
F-0755
D · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-08-26
F-0757
D · No harm found
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-08-26
F-0761
D · No harm found
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.
Corrected 2024-08-26
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-08-26
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-08-26
2024-08-16Health inspectionComplaint-triggered1 citation
F-0678
J · Immediate jeopardyFrom a complaint
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected 2024-08-17
2024-07-10Health inspectionComplaint-triggered3 citations
F-0600
J · Immediate jeopardyFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-12-15
F-0607
J · Immediate jeopardyFrom a complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2023-12-15
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-07-25
2023-06-29Health inspection16 citations
F-0550
E · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-07-26
F-0561
D · No harm found
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2023-07-26
F-0584
E · No harm found
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.
Corrected 2023-07-26
F-0600
D · No harm found
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-07-26
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2023-07-26
F-0655
D · No harm found
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2023-07-26
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-07-26
F-0677
D · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-07-26
F-0686
G · Actual harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-07-27
F-0689
E · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-07-26
F-0698
D · No harm found
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2023-07-26
F-0725
E · No harm found
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2023-07-26
F-0727
E · No harm found
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.
Corrected 2023-07-26
F-0759
D · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-07-26
F-0804
E · No harm foundFood safety
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2023-07-26
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2023-07-26
2025-09-17Fire-safety inspection5 citations
K-0211
C · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
K-0351
E · No harm found
Install an approved automatic sprinkler system.
Corrected 2025-10-10
K-0511
D · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2025-10-10
K-0521
C · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
K-0741
E · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2025-10-10
2024-08-20Fire-safety inspection5 citations
K-0211
C · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-09-11
K-0511
F · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2024-09-11
K-0521
C · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-09-11
2023-06-29Fire-safety inspection3 citations
K-0211
C · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
K-0321
E · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-08-09
K-0521
C · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Federal penalties

2025-07-14Fine$10,529
2024-08-16Fine$47,375
2024-07-10Fine$8,827
Total fines$66,731
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 455963.
How it compares in Texas.
Inspection citations, 3 years
57
More than 86% of nursing homes in the state
State median: 33
Federal fines, 3 years
$66,731
More than 81% of nursing homes in the state
State median: $15,642
Nurse staffing, hours per resident per day
3.1
Higher than 27% of nursing homes in the state
State median: 3.3
Nursing staff turnover, annual
13%
Among the lowest of nursing homes in the state
State median: 50%

Resident outcomes

On 18 federal quality measures, this facility does better than the Texas average on 11 and worse on 3. Differences within 10% of the average are shown as near average.

Long-stay residentsThis facilityStateUSCompared with state
Need for help with daily activities has increased33.1%15.8%13.5%Worse than state
Lose too much weight1.5%2.9%5.1%Better than state
With a catheter inserted and left in their bladder0.0%0.3%0.7%Better than state
With a urinary tract infection0.7%0.8%1.5%Better than state
Have depressive symptoms0.0%2.3%13.5%Better than state
Were physically restrained0.0%0.0%0.1%Better than state
Experiencing one or more falls with major injury5.7%3.2%3.2%Worse than state
Assessed and appropriately given the pneumococcal vaccine99.4%96.4%93.7%Near state average
Ability to walk independently worsened24.8%12.9%12.7%Worse than state
Received an antianxiety or hypnotic medication19.0%17.8%19.5%Near state average
Assessed and appropriately given the seasonal influenza vaccine100.0%97.0%95.3%Near state average
With pressure ulcers2.3%3.7%4.5%Better than state
With new or worsened bowel or bladder incontinence9.5%12.5%18.3%Better than state
Received an antipsychotic medication5.2%9.8%15.4%Better than state
Hospitalizations per 1000 long-stay resident days1.712.051.81Better than state
Outpatient emergency department visits per 1000 long-stay resident days2.081.971.69Near state average
Short-stay residentsThis facilityStateUSCompared with state
Assessed and appropriately given the pneumococcal vaccine100.0%88.7%82.3%Better than state
Newly received an antipsychotic medication0.0%1.4%1.5%Better than state
Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

  • F-0656 3 inspections. Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  • F-0641 3 inspections. Ensure each resident receives an accurate assessment.
  • F-0689 3 inspections. Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 3 inspections. Provide and implement an infection prevention and control program.
  • K-0211 3 inspections. Keep aisles, corridors, and exits free of obstruction in case of emergency.
  • K-0521 3 inspections. Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

What its owners also hold

  • Tx Snf Holdings Member, Llc has an ownership stake on file at 13 nursing homes, averaging 2.4 of 5 on CMS's overall rating.
  • Graf Holdings Llc has an ownership stake on file at 13 nursing homes, averaging 2.5 of 5 on CMS's overall rating.
  • Ana Tx Holdings, Llc has an ownership stake on file at 13 nursing homes, averaging 2.5 of 5 on CMS's overall rating.
  • Tx Snf Holdings Iii Llc has an ownership stake on file at 6 nursing homes, averaging 2.8 of 5 on CMS's overall rating.
Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.
Where to check, and what's nearby.

Who to contact in Texas

  • Licensing: Texas Health and Human Services
  • File a complaint: 800-458-9858 · Online
  • Long-Term Care Ombudsman: 800-252-2412. A free advocate for residents and families.
  • Adult Protective Services: 800-252-5400. Some states send facility cases to licensing instead. In an emergency, call 911.
  • Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

  • Ut Health East Texas Carthage Hospital, about 1.4 miles. CMS rating 5 of 5.
  • Ut Health East Texas Henderson Hospital, about 27 miles. CMS rating 5 of 5.
  • Christus Good Shepherd Medical Center, about 33 miles. CMS rating 4 of 5.
Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

What people say on Google.
4.715 ratings on Google
★★★★★Aaron Bequette · 2021-04-14 · via Google

“Having lived in Carthage for 3 decades, serving as a pastor and hospice chaplain for many of them, and having opportunity to visit in all of the nursing facilities in our community, I can honestly say that Carthage Healthcare is the one that I refer families to every time. This is the place that feels most like "home". You can feel a warm and caring atmosphere when you walk in the door. It is also…”

★★★★★nancy sirmans · 2021-08-17 · via Google

“Therapy department is amazing! They care about the residents. Nursing staff is caring and amazing also. Couldn’t have a wonderful team without good CNAs. Couldn’t run a facility without caring and compassionate leadership.”

★★★★★Kimberly Lewis · 2021-08-02 · via Google

“I appreciated the friendly and caring staff of Carthage Healthcare, while my mother was in their facility during this pandemic. Thank-you, nurses, administrators, dietitians, and aides for all you do.”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google
What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 57 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-11-06
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered