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Nursing homeFAID #14099

Avir At Commons

121 COMMONS DRIVE, ATHENS, TX, 75751
(903) 677-3434
120 licensed beds

CMS rates Avir At Commons 1 out of 5 overall. Federal inspectors issued 36 citations across 15 inspections in the last three years, with $162,078 in fines. Listing last updated 2026-11-06.

★★★★★1/5CMS Five-Star overall1/5 health inspections1/5 staffing4/5 quality measuresSource: CMS Care Compare

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Public record summary

What we can show you for free.
Bed capacity
120
CMS facility ID
675424
Care type
Nursing home
County
Henderson
Facility name
Avir At Commons
Street address
121 COMMONS DRIVE
City / state / ZIP
Athens, TX 75751
Phone
(903) 677-3434

About this facility — Avir At Commons

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

It is one of 7 senior care facilities in Athens 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 Advanced Healthcare Solutions, a group of 28 facilities on this site.

Federal inspectors have cited Avir At Commons 36 times across 15 inspections in the last three years, including 2 food-safety citations, and CMS has imposed $162,078 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.

Facility background

What the public record shows.

Ownership & operator

Parent company
Advanced Healthcare Solutions
Ownership type
Government - Hospital district

Registered owners & officers

Advanced Hcs Llc
Operational control — since 2017
Byrom, David
Managing employee · Director · Officer — since 2017
Coryell County Memorial Hospital Authority
Indirect owner — since 2017
Lichtschein, Teddy
Operational control — since 2021
Meisner, Robert
Operational control — since 2021
Scheiner, Eliezer
Director · Operational control — since 2021

Regulatory standing

Federal court records
5 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1994-11-04
CMS overall rating
1 of 5 stars
Health deficiencies
16 at the last standard inspection
Federal fines
$162,078 total
Last standard inspection
2026-03-26
Nurse staffing
3.6 hours per resident per day

Cost & payer profile (FY2024 cost report)

Average billed charges
$383 per day (≈ $11,640/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
67% Medicaid · 11% Medicare · 22% private/other
Occupancy
76% (fiscal year 2024)
Vs. state median
38% above the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds
120
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

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.
2026-08-19Health inspectionComplaint-triggered1 citation
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2026-08-20
2026-08-13Health inspectionComplaint-triggered4 citations
F-0561
D · No harm foundFrom a complaint
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2026-08-14
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-08-14
F-0690
E · No harm foundFrom a complaint
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 2026-08-14
F-0842
E · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2026-08-14
13 earlier / fire-safety inspections (31 citations)
2026-07-13Health inspectionComplaint-triggered2 citations
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2026-07-14
F-0755
E · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2026-07-14
2026-05-15Health inspectionComplaint-triggered2 citations
F-0760
D · No harm foundFrom a complaint
Ensure that residents are free from significant medication errors.
Corrected 2026-05-16
F-0812
D · No harm foundFood safetyFrom a complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2026-05-16
2026-03-26Health inspection1 citation
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2026-04-24
2026-02-13Health inspectionComplaint-triggered4 citations
F-0600
G · Actual harmFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2026-02-14
F-0609
G · Actual harmFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2026-02-14
F-0610
K · Immediate jeopardyFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2026-02-14
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-02-14
2025-11-18Health inspectionComplaint-triggered2 citations
F-0657
D · No harm foundFrom a complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-12-15
F-0755
D · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-12-15
2025-08-15Health inspectionComplaint-triggered3 citations
F-0550
G · Actual harmFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-08-16
F-0580
K · Immediate jeopardyFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-08-16
F-0684
K · Immediate jeopardyFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-08-16
2025-03-29Health inspectionComplaint-triggered1 citation
F-0812
E · No harm foundFood safetyFrom a complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-04-15
2025-01-15Health inspection4 citations
F-0585
F · No harm found
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2025-02-15
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2025-02-15
F-0842
D · No harm found
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-02-15
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-02-15
2025-01-06Health inspectionComplaint-triggered2 citations
F-0600
D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-01-12
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-01-12
2023-12-05Health inspection2 citations
F-0851
F · No harm found
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected 2024-01-15
F-0868
E · No harm found
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2024-01-15
2026-03-26Fire-safety inspection3 citations
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2026-05-08
K-0374
D · No harm found
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2026-05-08
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2026-05-08
2025-01-15Fire-safety inspection2 citations
K-0324
E · No harm found
Provide properly protected cooking facilities.
Corrected 2025-02-15
K-0353
E · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-02-15
2023-12-05Fire-safety inspection3 citations
K-0374
D · No harm found
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-01-04
K-0712
C · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2024-01-04
K-0918
C · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-01-04

Federal penalties

2026-02-13Fine$90,090
2025-08-15Fine$71,988
Total fines$162,078
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 675424.

Quality of care & staffing

How it compares in Texas.
Inspection citations, 3 years
36
More than 54% of nursing homes in the state
State median: 33
Federal fines, 3 years
$162,078
More than 93% of nursing homes in the state
State median: $15,642
Nurse staffing, hours per resident per day
3.6
Higher than 77% of nursing homes in the state
State median: 3.3
Nursing staff turnover, annual
63%
Higher than 80% of nursing homes in the state
State median: 50%

Resident outcomes

On 21 federal quality measures, this facility does better than the Texas average on 7 and worse on 9. Differences within 10% of the average are shown as near average.

Long-stay residentsThis facilityStateUSCompared with state
Need for help with daily activities has increased20.2%15.8%13.5%Worse than state
Lose too much weight5.4%2.9%5.1%Worse than state
With a catheter inserted and left in their bladder0.3%0.3%0.7%Worse than state
With a urinary tract infection0.0%0.8%1.5%Better than state
Have depressive symptoms8.8%2.3%13.5%Worse than state
Were physically restrained0.0%0.0%0.1%Better than state
Experiencing one or more falls with major injury2.0%3.2%3.2%Better than state
Assessed and appropriately given the pneumococcal vaccine97.6%96.4%93.7%Near state average
Ability to walk independently worsened14.4%12.9%12.7%Worse than state
Received an antianxiety or hypnotic medication24.6%17.8%19.5%Worse than state
Assessed and appropriately given the seasonal influenza vaccine100.0%97.0%95.3%Near state average
With pressure ulcers3.7%3.7%4.5%Near state average
With new or worsened bowel or bladder incontinence9.3%12.5%18.3%Better than state
Received an antipsychotic medication9.8%9.8%15.4%Near state average
Hospitalizations per 1000 long-stay resident days1.532.051.81Better than state
Outpatient emergency department visits per 1000 long-stay resident days2.651.971.69Worse than state
Short-stay residentsThis facilityStateUSCompared with state
Assessed and appropriately given the pneumococcal vaccine96.3%88.7%82.3%Near state average
Newly received an antipsychotic medication0.5%1.4%1.5%Better than state
Were assessed and appropriately given the seasonal influenza vaccine96.2%85.4%80.1%Better than state
Were rehospitalized after a nursing home admission29.4%25.5%23.4%Worse than state
Had an outpatient emergency department visit14.5%12.2%11.8%Worse 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-0880 3 inspections. Provide and implement an infection prevention and control program.
  • F-0689 2 inspections. Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0842 2 inspections. Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  • F-0580 2 inspections. Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  • F-0755 2 inspections. Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  • F-0812 2 inspections. Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

What its owners also hold

  • Coryell County Memorial Hospital Authority has an ownership stake on file at 31 nursing homes, averaging 2.5 of 5 on CMS's overall rating.
Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.

Verify & compare

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 Athens Hospital, about 1.4 miles. CMS rating 2 of 5.
  • Baylor Scott & White Texas Spine & Joint Hospital, about 33 miles. CMS rating 5 of 5.
  • Ut Health East Texas Tyler Regional Hospital, about 33 miles. CMS rating 2 of 5.
Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Inside your report

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Ownership & corporate history

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

Inspection citations — last 5 years

Locked
The 36 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
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Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-11-06
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