Avir at Commerce
Avir at Commerce, in COMMERCE, Texas, holds 116 certified beds and has been certified for Medicare and Medicaid since 1999-05-24, averaging 40.5 residents a day.
Has Avir at Commerce been cited for violations?
CMS lists 42 health-inspection deficiencies for Avir at Commerce, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is F; the most recent health inspection was 2026-05-28.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-05-28 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E |
| 2026-02-12 | F0727 | 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 |
| 2026-02-12 | F0644, F0812, F0926 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Have policies on smoking. | E |
| 2026-02-12 | F0677, F0689, F0690, F0695, F0806, F0849, F0880, F0921 | Provide care and assistance to perform activities of daily living for any resident who is unable. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide safe and appropriate respiratory care for a resident when needed. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. / 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. / Provide and implement an infection prevention and control program. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D |
| 2025-05-08 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F |
| 2025-05-08 | F0550, F0761 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / 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. | D |
| 2024-11-07 | F0552, F0585, F0698, F0755, F0803, F0804, F0880, F0926 | Ensure that residents are fully informed and understand their health status, care and treatments. / 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. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Provide and implement an infection prevention and control program. / Have policies on smoking. | E |
| 2024-11-07 | F0578, F0584, F0690, F0695, F0699, F0759, F0760, F0761, F0849, F0921 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. / 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. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide safe and appropriate respiratory care for a resident when needed. / Provide care or services that was trauma informed and/or culturally competent. / Ensure medication error rates are not 5 percent or greater. / Ensure that residents are free from significant medication errors. / 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. / 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. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D |
| 2024-10-30 | F0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | D |
| 2024-01-18 | F0580, F0694 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D |
| 2023-10-11 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2023-10-11 | F0641, F0695, F0755, F0758 | Ensure each resident receives an accurate assessment. / Provide safe and appropriate respiratory care for a resident when needed. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D |
How is Avir at Commerce staffed relative to the TX average?
| Measure | This facility | TX average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.30689 | 3.38539 |
| Total nursing staff turnover (%) | 69.2 | 55.3 |
| Average number of residents per day | 40.5 | 75.8 |
Who owns Avir at Commerce, and what chain is it in?
Avir at Commerce is registered with CMS as Government - Federal, operates under the legal business name NOCONA HOSPITAL DISTRICT and belongs to the AVIR HEALTH GROUP chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | NOCONA HOSPITAL DISTRICT | since 02/10/2021 |
| CORPORATE OFFICER | MEEKINS, GREG | since 02/10/2021 |
| OPERATIONAL/MANAGERIAL CONTROL | 2901 STERLING HART DR OPCO LLC, FREUND, NOCHUM, TRAVITSKY, AARON | since 10/01/2025 |
| INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | DAGAN, AMITAI, GOLDBERGER, ABRAHAM, GOLDBERGER, FAIGY | since 02/11/2026 |
| ADP OF THE SNF | 2901 STERLING HART DR OPCO LLC, 2901 STERLING HART DR PROPERTY OWNER LLC, WELLTOWER INC, WELLTOWER NNN GROUP, LLC, WELLTOWER OP, LLC, CORRERA, KRISTY, SELVAGGI, RICHARD | since 02/10/2021 |