Avir at Johnson City — nursing home in Johnson City, TX

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 60 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 32.7 CMS, MDS-derived
CMS Certification Number: 676486
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Sep 24, 2020
Ownership type: For profit - Corporation
Operator (legal business name): Hamilton County Hospital District
CMS chain: Avir Health Group 118 facilities
Phone: (830) 868-4093
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

18

latest Jul 28, 2026

Citations

34

30 health · 4 fire

Harm or worse

6

3 immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J2	K1	L·
Actual harm	G2	H1	I·
Potential harm	D16	E8	F4
Minimal	A·	B·	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffingfn 24

Quality measures

Penalties · about the last 3 years

Fines

4

$90,044

Payment denials

0

Latest

Jun 4, 2026

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 676486
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 60
First approved: Sep 24, 2020
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Texas.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Jul 28, 2026	Health	Health Complaint	1	Potential harm	—	Open →
Jul 8, 2026	Health	Health Complaint	1	Potential harm	—	Open →
Jun 4, 2026	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Jun 4, 2026	Health	Health Standard	6	Actual harm	—	Open →
Apr 11, 2026	Health	Health Complaint	1	Potential harm	—	Open →
Dec 3, 2025	Health	Health Complaint	3	Actual harm	—	Open →
Apr 2, 2025	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
Apr 2, 2025	Health	Health Standard	4	Potential harm	—	Open →
Dec 31, 2024	Health	Health Complaint	1	Immediate jeopardy	—	Open →
Oct 30, 2024	Health	Health Complaint	2	Immediate jeopardy	—	Open →
Sep 6, 2024	Health	Health Complaint	1	Potential harm	—	Open →
Jul 30, 2024	Health	Health Complaint	1	Potential harm	—	Open →
Jun 19, 2024	Health	Health Complaint	2	Potential harm	—	Open →
Mar 21, 2024	Health	Infection Control	0	No citations	—	Open →
Feb 15, 2024	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
Feb 15, 2024	Health	Health Complaint, Health Standard	6	Potential harm	—	Open →
Feb 7, 2024	Health	Infection Control	0	No citations	—	Open →
Nov 22, 2023	Health	Health Complaint	1	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

Date	Type	Amount	Payment denial	Record
Jun 4, 2026	Civil money penalty (fine)	$22,050	—	676486\|Fine\|139624
Dec 3, 2025	Civil money penalty (fine)	$12,438	—	676486\|Fine\|136587
Dec 31, 2024	Civil money penalty (fine)	$20,777	—	676486\|Fine\|113481
Oct 30, 2024	Civil money penalty (fine)	$34,779	—	676486\|Fine\|113312

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J2	K1	L·
Actual harm	G2	H1	I·
Potential harm	D16	E8	F4
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Jul 28, 2026	F-0726	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. Nursing and Physician Services Deficiencies · Staffing & supervision	D · Potential harm Isolated	Corrected Jul 29, 2026	Complaint
Jul 8, 2026	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Jul 9, 2026	Complaint
Jun 4, 2026	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	G · Actual harm Isolated	Corrected Jul 3, 2026
Jun 4, 2026	F-0730	Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · Staffing & supervision	H · Actual harm Pattern	Corrected Jul 3, 2026
Jun 4, 2026	F-0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jul 3, 2026
Jun 4, 2026	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 3, 2026
Jun 4, 2026	F-0761	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. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Aug 10, 2026
Jun 4, 2026	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Jul 3, 2026
Apr 11, 2026	F-0578	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. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Apr 14, 2026	Complaint
Dec 3, 2025	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	G · Actual harm Isolated	Corrected Feb 27, 2026	Complaint
Dec 3, 2025	F-0727	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. Nursing and Physician Services Deficiencies · Staffing & supervision	D · Potential harm Isolated	Corrected Feb 27, 2026	Complaint
Dec 3, 2025	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Jan 12, 2026	Complaint
Apr 2, 2025	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected May 16, 2025
Apr 2, 2025	K-0920	Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected May 16, 2025
Apr 2, 2025	F-0558	Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Apr 3, 2025
Apr 2, 2025	F-0644	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 3, 2025
Apr 2, 2025	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 3, 2025
Apr 2, 2025	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Apr 3, 2025
Dec 31, 2024	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	J · Immediate jeopardy Isolated	Corrected Jan 29, 2025	Complaint
Oct 30, 2024	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	J · Immediate jeopardy Isolated	Corrected Oct 31, 2024	Complaint
Oct 30, 2024	F-0697	Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care	K · Immediate jeopardy Pattern	Corrected Oct 31, 2024	Complaint
Sep 6, 2024	F-0563	Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Sep 9, 2024	Complaint
Jul 30, 2024	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Jul 31, 2024	Complaint
Jun 19, 2024	F-0565	Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Jun 25, 2024	Complaint
Jun 19, 2024	F-0800	Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Jun 25, 2024	Complaint
Feb 15, 2024	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Dec 1, 2024
Feb 15, 2024	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Dec 1, 2024
Feb 15, 2024	F-0582	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Feb 16, 2024	Complaint
Feb 15, 2024	F-0657	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Feb 16, 2024	Complaint
Feb 15, 2024	F-0727	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. Nursing and Physician Services Deficiencies · Staffing & supervision	E · Potential harm Pattern	Corrected Feb 16, 2024	Complaint
Feb 15, 2024	F-0761	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. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Feb 16, 2024	Complaint
Feb 15, 2024	F-0803	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. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Feb 16, 2024
Feb 15, 2024	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Feb 16, 2024
Nov 22, 2023	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Dec 7, 2023	Complaint

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 2.8

Health inspectionsstate 2.8

Staffingstate 1.9

Quality measuresstate 3.8

Long-stay QM

Short-stay QMNot rated

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.20

State avg 3.42US avg 3.90

Registered nurse (RN)0.22

State avg 0.44US avg 0.69

Licensed practical nurse1.19

State avg 0.94US avg 0.86

Nurse aide1.78

State avg 2.03US avg 2.35

Weekend total nurse2.84

State avg 2.99US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.35 (case-mix index 1.34).

Staff turnover

Total nursing staff turnover70.4%

State avg 50.8%US avg 45.3%

Registered nurse turnover83.3%

State avg 49.8%US avg 42.5%

Administrators who left1

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Jun 4, 2026
Cycle 1 health score: 179
Total weighted score: 227
Infection-control citations: 0

Operating entity

Hamilton County Hospital District

CMS legal business name of the certified provider. Operates 61 facilities.

VerifiedLinked by exact legal name

CMS chain

Avir Health Group

118 facilities in 1 states. CMS chain ID 719.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 2.2

Ownership disclosures

Disclosures

15

Organizations

6

Individuals

8

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Hamilton County Hospital District	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Apr 1, 2021

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Hamilton County Hospital District	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Apr 1, 2021
Amitai Dagan	Individual	Partner	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	not provided	Feb 10, 2026
Abraham Goldberger	Individual	Partner	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	not provided	Feb 10, 2026
Faigy Goldberger	Individual	Partner	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	not provided	Mar 17, 2026
206 Haley Rd Opco, LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Oct 1, 2025
Nochum Freund	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Oct 1, 2025
Aaron Travitsky	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Oct 1, 2025
Grady Hooper	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Apr 1, 2021
206 Haley Rd Opco, LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Feb 10, 2026
206 Haley Rd Property Owner LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Oct 1, 2025
Welltower Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Oct 1, 2025
Welltower Nnn Group, LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Oct 1, 2025
Welltower Op LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Oct 1, 2025
Laura Givens	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jun 1, 2023
Dawn Mauer	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2021

Other facilities operated by Hamilton County Hospital District

All 60 →

Facility	Beds	Last inspection	Citations (window)	Fines
Avir at the Lakes 424 N Tarpey Rd, Texas City, TX 77591 CCN 455490	109	Dec 4, 2025	401 IJ	$8,410
Mcallen Nursing Center 600 N Cynthia St, Mcallen, TX 78501 CCN 455560	122	Aug 5, 2026	412 IJ5 open	$17k
Sulphur Springs Health and Rehabilitation 411 Airport Rd, Sulphur Springs, TX 75482 CCN 455579	128	Jun 24, 2026	581 IJ	$44k
Riverside Oaks 3103 E. Airline Drive, Victoria, TX 77901 CCN 455726	108	Apr 16, 2026	33	—
Advanced Health & Rehab Center of Garland 1201 Colonel Dr., Garland, TX 75043 CCN 455731SFF Candidate	139	Jun 4, 2026	584 IJ	$183k
Pecan Creek Healthcare Center 910 E Pierson St, Hamilton, TX 76531 CCN 455954	76	Jun 11, 2026	192 open	—
Avir at Kaufman 3001 S Houston St, Kaufman, TX 75142 CCN 455962	115	Feb 9, 2026	491 IJ	$8,021
Clarksville Nursing Center 300 East Baker St., Clarksville, TX 75426 CCN 455985	132	Apr 14, 2026	33	—

Same chain in Texas

All 117 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Avir at Beaumont 4195 Milam Street, Beaumont, TX 77707 CCN 455001Abuse icon	214	Aug 24, 2026	582 IJ2 open	$40k
Avir at New Braunfels 821 US Hwy 81 W, New Braunfels, TX 78130 CCN 455020Abuse icon	154	Jul 10, 2026	755 IJ	$158k
Avir at Rose Trail 930 S Baxter, Tyler, TX 75701 CCN 455429SFF Candidate	172	Aug 14, 2026	639 IJ3 harm	$484k
Avir at Petal Hill 900 S Baxter Ave, Tyler, TX 75701 CCN 455485Abuse icon	120	May 13, 2026	352 IJ	$26k
Avir at Jeffrey Place 820 Jeffrey Dr, Waco, TX 76710 CCN 455489	95	Apr 9, 2026	452 IJ	$22k
Avir at Temple West 1700 Marlandwood Rd, Temple, TX 76502 CCN 455522	104	Dec 18, 2025	312 IJ1 open	$7,257
Avir at Center 280 Moffitt Dr, Center, TX 75935 CCN 455550	137	Jul 23, 2025	271 IJ	$9,113
Avir at Graham 1224 Corvadura St, Graham, TX 76450 CCN 455555	116	Aug 14, 2025	33	—

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 206 Haley Rd, Johnson City, TX 78636
ZIP: 78636
County: Blanco County FIPS 48031
State: Texas
Urban / rural (CMS): Rural

Within ~25 km

Nearby nursing homes

No nearby facilities with coordinates.

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	676486	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	676486	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 676486

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction