Nursing homeFAID #14324

Avir At Pecos

1819 Memorial Drive, PECOS, TX, 79772

(432) 447-2183

89 licensed beds

CMS rates Avir At Pecos 1 out of 5 overall. Federal inspectors issued 60 citations across 13 inspections in the last three years, with no federal fines. Listing last updated 2026-11-06.

★★★★★1/5CMS Five-Star overall2/5 health inspections1/5 staffing4/5 quality measuresSource: CMS Care Compare

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Address

1819 Memorial Drive

Pecos, TX 79772

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Public record summary

What we can show you for free.

Bed capacity

CMS facility ID

675881

Care type

Nursing home

County

Reeves

Facility name

Avir At Pecos

Street address

1819 Memorial Drive

City / state / ZIP

Pecos, TX 79772

Phone

(432) 447-2183

About this facility — Avir At Pecos

Avir At Pecos is a Medicare/Medicaid-certified skilled nursing facility in Pecos, Texas. It is licensed for 89 beds — below the median for skilled nursing facilities in Texas (120 beds).

It is one of 2 senior care facilities in Pecos 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 Pecos 60 times across 13 inspections in the last three years, including 3 food-safety citations; no federal fines are on record. 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

Avir Health Group

Ownership type

For profit - Corporation

Registered owners & officers

Guadalupe County Hospital Board

Direct owner — 100% stake — since 2025

1819 Memorial Drive Opco, Llc

Operational control · Additional disclosable party — since 2025

1819 Memorial Drive Property Owner, Llc

Security-interest holder · Additional disclosable party — since 2025

Cano, Nicolas

Additional disclosable party — since 2025

Cerna, Orville

Operational control · Additional disclosable party — since 2025

Dagan, Amitai

Owner of a disclosable party — since 2025

Freund, Nochum

Operational control — since 2025

Gann, Kody

Officer — since 2022

Goldberger, Abraham

Owner of a disclosable party — since 2025

Travitsky, Aaron

Operational control — since 2025

Welltower Inc

Security-interest holder · Additional disclosable party — since 2025

Welltower Nnn Group, Llc

Security-interest holder · Additional disclosable party — since 2025

Welltower Op Llc

Security-interest holder · Additional disclosable party — since 2025

Regulatory standing

Licensed / certified since

2001-08-01

CMS overall rating

1 of 5 stars

Health deficiencies

24 at the last standard inspection

Federal fines

None on record

Last standard inspection

2026-05-14

Nurse staffing

3.0 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$301 per day (≈ $9,150/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

72% Medicaid · 24% Medicare · 4% private/other

Occupancy

53% (fiscal year 2023)

Vs. state median

9% above the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds

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 3 food-safety citations on its three-year record — flagged below among the inspections.

2026-07-21Health inspectionComplaint-triggered2 citations

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 2026-09-01

F-0867

D · No harm foundFrom a complaint

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2026-09-01

2026-05-14Health inspection20 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 2026-06-12

F-0574

E · No harm found

The resident has the right to receive notices in a format and a language he or she understands.

Corrected 2026-06-12

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 2026-06-12

F-0609

D · No harm found

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2026-06-12

F-0610

D · No harm found

Respond appropriately to all alleged violations.

Corrected 2026-06-12

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 2026-06-12

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 2026-06-12

F-0677

D · No harm found

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2026-06-12

F-0687

D · No harm found

Provide appropriate foot care.

Corrected 2026-06-12

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 2026-06-12

F-0692

E · No harm found

Provide enough food/fluids to maintain a resident's health.

Corrected 2026-06-12

F-0695

E · No harm found

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2026-06-12

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 2026-06-12

F-0761

E · 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 2026-06-12

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 2026-06-12

F-0865

E · No harm found

Have a plan that describes the process for conducting QAPI and QAA activities.

Corrected 2026-06-12

F-0867

E · No harm found

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2026-06-12

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2026-06-12

F-0943

D · No harm found

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

Corrected 2026-06-12

F-0945

D · No harm found

Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

Corrected 2026-06-12

9 earlier / fire-safety inspections (38 citations)

2026-01-06Health inspectionComplaint-triggered1 citation

F-0558

D · No harm foundFrom a complaint

Reasonably accommodate the needs and preferences of each resident.

Corrected 2026-01-28

2025-12-09Health inspectionComplaint-triggered1 citation

F-0921

F · No harm foundFrom a complaint

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2025-12-26

2025-03-28Health inspectionComplaint-triggered6 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 2025-03-21

F-0693

D · No harm foundFrom a complaint

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2025-03-29

F-0727

D · No harm foundFrom a complaint

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 2025-03-29

F-0812

F · 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 2025-03-29

F-0880

D · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2025-03-29

F-0908

E · No harm found

Keep all essential equipment working safely.

Corrected 2025-03-29

2024-10-24Health inspectionComplaint-triggered1 citation

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 2024-10-26

2024-02-22Health inspection6 citations

F-0552

E · No harm found

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2024-03-29

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 2024-03-29

F-0755

E · No harm found

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-03-29

F-0761

E · No harm found

Corrected 2024-03-29

F-0812

F · 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 2024-03-29

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2024-03-29

2024-01-26Health inspectionComplaint-triggeredInfection control2 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 2024-02-09

F-0880

E · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2024-02-09

2026-05-14Fire-safety inspection10 citations

E-0004

F · No harm found

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2026-06-12

K-0211

E · No harm found

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2026-06-12

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2026-06-12

K-0354

F · No harm found

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Corrected 2026-06-12

K-0372

E · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2026-06-12

K-0374

E · No harm found

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2026-06-12

K-0521

C · No harm found

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2026-06-12

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 2026-06-12

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2026-06-12

K-0922

E · No harm found

Meet requirements for the use and maintenance of medical gas equipment.

Corrected 2026-06-12

2025-03-28Fire-safety inspection7 citations

E-0004

F · No harm found

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2025-03-29

E-0041

F · No harm found

Implement emergency and standby power systems.

Corrected 2025-03-29

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 2025-03-29

K-0374

E · No harm found

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2025-04-15

K-0521

C · No harm found

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2025-03-29

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2025-03-29

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-04-15

2024-02-22Fire-safety inspection4 citations

K-0321

D · 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 2024-03-29

K-0324

F · No harm found

Provide properly protected cooking facilities.

Corrected 2024-03-29

K-0374

F · No harm found

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2024-03-29

K-0521

C · No harm found

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2024-03-29

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 675881.

Quality of care & staffing

How it compares in Texas.

Inspection citations, 3 years

More than 89% of nursing homes in the state

State median: 33

Federal fines, 3 years

No federal fines on record

State median: $15,642

Nurse staffing, hours per resident per day

3.0

Higher than 19% of nursing homes in the state

State median: 3.3

Nursing staff turnover, annual

54%

Higher than 60% of nursing homes in the state

State median: 50%

Resident outcomes

On 17 federal quality measures, this facility does better than the Texas average on 8 and worse on 4. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	23.2%	15.8%	13.5%	Worse than state
Lose too much weight	2.4%	2.9%	5.1%	Better than state
With a catheter inserted and left in their bladder	0.0%	0.3%	0.7%	Better than state
With a urinary tract infection	0.0%	0.8%	1.5%	Better than state
Have depressive symptoms	0.6%	2.3%	13.5%	Better than state
Were physically restrained	0.0%	0.0%	0.1%	Better than state
Experiencing one or more falls with major injury	1.7%	3.2%	3.2%	Better than state
Assessed and appropriately given the pneumococcal vaccine	100.0%	96.4%	93.7%	Near state average
Ability to walk independently worsened	15.1%	12.9%	12.7%	Worse than state
Received an antianxiety or hypnotic medication	21.6%	17.8%	19.5%	Worse than state
Assessed and appropriately given the seasonal influenza vaccine	100.0%	97.0%	95.3%	Near state average
With pressure ulcers	2.7%	3.7%	4.5%	Better than state
With new or worsened bowel or bladder incontinence	8.6%	12.5%	18.3%	Better than state
Received an antipsychotic medication	10.8%	9.8%	15.4%	Near state average
Hospitalizations per 1000 long-stay resident days	1.92	2.05	1.81	Near state average
Outpatient emergency department visits per 1000 long-stay resident days	3.78	1.97	1.69	Worse than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	92.6%	88.7%	82.3%	Near state average

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 4 inspections. Provide and implement an infection prevention and control program.
F-0727 3 inspections. 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.
F-0812 3 inspections. Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
K-0374 3 inspections. Install smoke barrier doors that can resist smoke for at least 20 minutes.
K-0521 3 inspections. Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
F-0656 2 inspections. Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

What its owners also hold

Guadalupe County Hospital Board has an ownership stake on file at 27 nursing homes, averaging 2.2 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

Reeves Regional Health, about 1.9 miles. CMS rating 2 of 5.
Ward Memorial Hospital, about 40 miles.
Winkler County Memorial Hospital, about 41 miles.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Avir At Monahans, Monahans, about 39 miles. CMS rating 4 of 5.
Focused Care At Fort Stockton, Fort Stockton, about 49 miles. CMS rating 3 of 5.
Focused Care At Crane, Crane, about 68 miles. CMS rating 2 of 5.
Sienna Nursing and Rehabilitation, Odessa, about 73 miles. CMS rating 1 of 5.
Focused Care At Odessa, Odessa, about 74 miles. CMS rating 2 of 5.

Inside your report

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 60 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.

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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