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Avir at Borger

1316 S Florida, Borger, TX 79007 · Hutchinson County · (806) 273-3785

110 certified beds, about 25 residents a day · Government - Hospital district · Medicare and Medicaid since 1992

Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 455989 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on September 12, 2025, inspectors cited 12 health deficiencies (the Texas average is 9.4, the national average 9.2).

Of 32 health citations since June 2023, 2 were rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).

CMS lists 2 fines totaling $40,307 in the last three years; the largest was $26,910, and the latest is dated August 27, 2025.

Nurses and nurse aides worked 3.19 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.55 of those hours.

60.7% of nursing staff left within the year CMS measured (Texas average 55.3%).

CMS links it to Avir Health Group, an affiliated group of 118 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 32 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
0G
1H
0I
Potential for more than minimal harm
21D
7E
2F
Potential for minimal harm
0A
0B
0C
September 12, 2025Standard inspection, Complaint inspection · 12 citations
  1. H
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · Quality of Life and Care · Actual harm, pattern · Corrected (the home has a date of correction) October 9, 2025
    Inspectors wroteBased on observations, interviews, and record reviews the facility failed to ensure that pain management is provided to residents who require such services, consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences for 1 (Resident #14) of 12 residents reviewed for pain management. The facility failed to ensure Resident #14 did not have mouth pain from at least March of 2025 to August of 2025. This failure could place residents at risk of living for extended periods of time with unaddressed pain.
  2. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) October 9, 2025
    Inspectors wroteBased on observation, interview, and record review the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed for food service safety. The facility failed to ensure stored food was properly labelled and dated. The facility failed to ensure dented cans were placed in the specified area to be returned. The facility failed to discard leftover food by use by date on the label. The facility failed to ensure the floor, walls, trashcan, and bathroom of the kitchen were clean and sanitized. The facility failed to ensure food was stored at least 6 inches off the floor. These failures could place residents at risk of food borne illness.
  3. E
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 9, 2025
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure the assessment accurately reflected the resident's status for 3 (Resident #2, Resident #8, and Resident #14) of 12 residents reviewed for accuracy of assessment.1. The facility failed to accurately code Resident #2's oxygen therapy status.2. The facility failed to accurately code Resident #8's tobacco use status.3. The facility failed to accurately code Resident #14's dental status. These failures could place residents at risk of not receiving necessary care and/or consideration. Findings Included:1. [...]
  4. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 9, 2025
    Inspectors wroteBased on observation, interview, and record review the facility failed to treat each resident with respect and dignity and care for each resident in a manner and in an environment that promotes maintenance or enhancement of his or her quality of life for 1 (Resident #29) of 12 residents reviewed for resident rights. Resident #29 was observed with her catheter bag not in a privacy bag. This failure could place resident at risk for feeling uncomfortable, disrespected, and embarrassed leading to isolation.
  5. D
    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.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 9, 2025
    Inspectors wroteBased on interview, and record review, the facility failed to ensure all residents had the right to formulate an advanced directive for 1 (Resident #10) of 12 residents reviewed for advanced directives. Resident #10 had a DNR in her record that was missing the date when the physician signed the form. The facility's failure could place residents a risk for not receiving healthcare as per their or their legal representatives wishes.
  6. D
    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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 9, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide a safe and clean environment for 1 (Resident #9) of 12 residents reviewed for environment. -Resident #9 had a dining tray left in his room for 18 hours. This failure could place residents at risk for diminished quality of life due to the lack of a well-kept environment.
  7. D
    Assess the resident when there is a significant change in condition
    F637 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 9, 2025
    Inspectors wroteBased on interview and record review the facility failed to complete a significant change assessment within 14 days after the facility determines, or should have determined, that there has been a significant change in the resident's physical or mental condition for 1 (Resident #7) of 12 residents reviewed for timing of assessments. The facility failed to complete Resident #7's significant change MDS within 14 days of his admission to hospice care on 03/01/25. This failure could place residents at risk of not receiving necessary care/coordination of care. [...]
  8. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 9, 2025
    Inspectors wroteBased on interview and record review the facility failed to develop and implement a comprehensive person-centered care plan for each resident, consistent with resident rights and that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the comprehensive assessment for 1 (Resident #14) of 12 residents reviewed for comprehensive care plans.1. The facility failed to include Resident #14's mouth pain and need for oral surgery in her care plan. This failure could lead to residents not receiving needed care and/or receiving improper care/treatment. [...]
  9. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 9, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that residents who need respiratory care were provided such care consistent with professional standards of practice for 2 (Resident #2 and #15) of 12 residents reviewed for respiratory care. -Resident #2 did not have orders for her oxygen therapy. -Resident #15 was not receiving oxygen at the correct dose. These failures could affect residents by placing them at risk for respiratory compromise and associated complications such as shortness of breath, confusion, respiratory failure, infection, and exacerbation of their condition.
  10. D
    Provide or obtain dental services for each resident.
    F791 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 9, 2025
    Inspectors wroteBased on observations, interviews, and record reviews the facility failed to provide or obtain from an outside resource, the following dental services to meet the needs of each resident: (i) Routine dental services (to the extent covered under the State plan); and (ii) Emergency dental services for 1 (Resident #14) of 12 residents reviewed for dental issues. The facility failed to obtain oral surgery for Resident #14 timely. This failure could place residents at risk of exacerbated dental issues and/or pain. [...]
  11. D
    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
    F805 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 9, 2025
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure each resident received food prepared in a form designed to meet individual needs for 1 (Resident #13) of 12 residents reviewed for dietary needs. The facility failed to prepare Resident #13's pureed diet appropriately. This failure could place residents at risk of aspiration, choking, and/or weight loss. [...]
  12. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 9, 2025
    Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 1 (Resident #5) of 3 residents observed for infection control practices. The DON did not wear a gown when performing wound care for Resident #5. This failure could place residents at risk of cross-contamination and infections.
January 29, 2025Complaint inspection · 1 citation
  1. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 28, 2025
    Inspectors wroteBased on observations, interviews, and record reviews the facility failed to ensure that the resident's environment remained as free of accident hazards as possible, and that the resident received adequate supervision and assistive devices to prevent accidents for 1 of 5 residents (Resident #1) reviewed for accident hazards. CNA A failed to use a transfer belt while attempting to transfer Resident #1 from the bed to the wheelchair. This failure could place residents at risk of unsafe transfers, resulting in falls, injuries, and a decreased quality of life.
July 24, 2024Standard inspection · 3 citations
  1. E
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 27, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to treat each resident with respect and dignity and care for each resident in a manner and in an environment that promotes maintenance or enhancement of his or her quality of life for 2 (Resident #19 and #89) of 2 residents reviewed for catheter care in that: Resident #19 was observed several times with his catheter bag not in a privacy bag. Resident #89 was observed several times with his catheter bag not in a privacy bag. This failure could cause residents to feel uncomfortable and disrespected leading to feeling of isolation and deterioration in general health conditions.
  2. E
    Provide activities to meet all resident's needs.
    F679 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 27, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide, based on the comprehensive assessment and care plan and the preferences of each resident, an ongoing program to support residents in their choice of activities, both facility-sponsored group and individual activities and independent activities, designed to meet the interests of and support the physical, mental, and psychosocial well-being of for 4 of 9 anonymous residents observed for 3 of 3 days and reviewed for quality of life. The facility failed to ensure activities provided met residents' needs or desires. These failures could place residents at risk of boredom and a decline in their quality of life.
  3. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 27, 2024
    Inspectors wroteThe facility failed to ensure stored food was properly labeled and dated. This failure could put place Residents at risk for foodborne illness. Findings Included: Observation of pantry #1 on 7/22/24 at 9:17 am revealed 1 bag of ground cinnamon with no date. Observation of pantry #1 on 7/22/24 at 9:18 am revealed 1 large container of food thickener with a date of 10/25/22. Observation of pantry #1 on 7/22/24 at 11:08 am revealed 1 box of chili mix with no date. Observation of pantry #1 on 7/22/24 at 11:08 am revealed 2 bags of turkey gravy with no date. Observation of kitchen counter on 7/22/24 at 9:30 am revealed 3 containers of cereal with no label or date. Observation of refrigerator #2 on 7/22/24 at 9:23 am revealed 1 bag of sliced watermelon with no label or date. [...]
June 25, 2024Complaint inspection · 1 citation
  1. D
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 23, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to store all drugs and biologicals in accordance with State and Federal laws in locked compartments for 1 (600 hall cart) of 1 medication carts reviewed for medication storage. The facility failed to lock the medication cart on hall 600. This failure could place residents at risk for obtaining medications not prescribed to them and experiencing adverse reactions.
June 22, 2024Complaint inspection · 3 citations
  1. D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 22, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure residents the right to be free from abuse and/or neglect for 1 (Resident #1) of 8 residents reviewed for abuse and/or neglect. Observation revealed Resident #1's bed was saturated with urine. This failure could affect residents resulting in physical or emotional harm resulting in in deterioration in their health condition, need for medical treatment, physical impairment, exacerbation of their condition, serious bodily harm, emotional distress, and feelings of isolation.
  2. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 22, 2024
    Inspectors wroteBased on observation and record review, the facility failed to provide pharmaceutical services (including procedures that assure the accurate acquiring, receiving, dispensing, administering, and documentation of all drugs and biologicals) to meet the needs of 1 out of 8 residents (Residents #2) whose medical records were reviewed for medication administration, in that: LVN C administered medication to Resident #2 via nebulizer and left Resident #2 unattended. These deficient practices can affect residents that receive medications resulting in adverse reactions to medication, deterioration in their health, exacerbation of their disease process, and/or hospitalization.
  3. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 22, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment to help prevent the development and transmission of communication diseases and infections for 2 of 8 (Resident #1 and Resident #3) Residents reviewed for infection control, in that: -CNA A and CNA B failed to use proper hand hygiene during incontinent care of Resident #1. -CNA B failed to use proper hand hygiene during toileting of Resident #3. These failures had the potential to affect residents in the facility by placing them at risk of contracting, spreading, and/or exposing them to bacterial or viral infections that could lead to the spread of communicable diseases.
April 29, 2024Complaint inspection · 3 citations
  1. D
    Protect each resident from the wrongful use of the resident's belongings or money.
    F602 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 29, 2024
    Inspectors wroteBased on interviews and record reviews the facility failed to ensure each resident was free from abuse, neglect, misappropriation of resident property and exploitation for 1 (Resident #1) of 5 residents reviewed for abuse, neglect, misappropriation of resident property and exploitation. The facility failed to ensure a 15 ml bottle of morphine prescribed to Resident #1 was not misappropriated. This failure could lead to residents not receiving their medication as prescribed and/or experiencing discomfort due to symptoms not being treated as ordered by a physician. Findings Included: [...]
  2. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 29, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure that all alleged violations involving abuse, neglect, exploitation or mistreatment including injuries of unknown source and misappropriation of resident property are reported immediately, but not later than 24 hours if the events that cause the allegation do not involved abuse and do not result in serious bodily injury to the administrator of the facility and to other officials (including to the State Survey Agency and adult protective services where state law provides for jurisdiction in long-term care facilities) in accordance with State law through established procedures for 1 (Resident #2) of 5 residents reviewed for abuse/neglect. The facility failed to report an injury of unknown origin (bruising to Resident #2's chest) to the administrator and to the state within 24 hours. [...]
  3. D
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 29, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to store all drugs and biologicals in accordance with State and Federal laws in locked compartments for 1 (200 hall cart) of 3 medication carts reviewed for medication storage. The facility failed to lock the medication cart in hall 200. This failure could place residents at risk for obtaining medications not prescribed to them and experiencing adverse reactions. Findings Included: During an observation on 04/24/24 at 08:49 PM the medication cart in hall 200 was unlocked. All three drawers were easily opened and full of medications. The double locked drawers to the right of the medication cart were unlocked on the first lock but the second lock of each drawer was still locked. A resident was awake and seated in his recliner in his room in line of sight of the medication cart. No staff members were in sight. [...]
March 13, 2024Complaint inspection · 1 citation
  1. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 15, 2024
    Inspectors wroteBased on interviews and record review, the facility failed to develop and implement written policies and procedures that ensure all alleged violations involving abuse, neglect, exploitation or mistreatment, including injuries of unknown source are reported immediately, but not later than 2 hours after the allegation is made for 1 of 5 residents (Resident #1) reviewed for reportable incidents. On 3/2/2024, Resident #1 had an unwitnessed fall with a laceration on the head requiring staples and the facility failed to report it to State Agency. This failure can result in physical or mental harm, physical or mental decline, and continued patient neglect.
January 17, 2024Complaint inspection · 1 citation
  1. E
    Keep residents' personal and medical records private and confidential.
    F583 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) February 19, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure residents have the right to personal privacy and confidentiality of his or her personal and medical records for 7 (Residents #1, #2, #3, #4, #5, #6, #7) of 40 residents observed for personal privacy and confidentiality in that: RN A did not lock the nurse's station computer that contained sensitive resident information such as medication administered, name, room numbers, and advance directives for Residents #1, #2, #3, #4, #5,#6 and #7. This failure could place residents at risk for having their personal and medical information exposed. Findings Included: An observation on 1/17/24 at 1:18 PM revealed a medication cart at the nurse's station with the computer on and unlocked. On the screen was Resident #1's personal information including name, date of birth , medication administered, and code status. [...]
November 8, 2023Complaint inspection · 2 citations
  1. J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 12, 2023
    Inspectors wroteBased on interviews, observations, and record reviews, the facility failed to ensure that the residents are free from accidents and hazards for 1 (Resident #1) of 5 residents reviewed for mechanical lift transfers. LVN A failed to prevent accidents and hazards with Resident #1 from injury and harm by not following mechanical lift standards of a two person assist resulting in severe injuries of a 10+ centimeter laceration on the head revealing skull, a laceration on the hand, and a fractured C1 vertebrae. This failure could affect residents at the facility by placing them at risk for accidents that lead to injuries such as bruising, skin tears, fractures, subdural hematomas, and death. An Immediate Jeopardy (IJ) was identified on 11/07/2023 at 2:43 PM. [...]
  2. D
    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.
    F726 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 12, 2023
    Inspectors wroteBased on interviews and record reviews, the facility failed to ensure to employ sufficient staff with the appropriate competencies and skill sets to provide quality care to 1 of 5 residents (Resident #1) who were reviewed for mechanical lifts. The facility failed to provide or confirm training for LVN A on proper use of mechanical lifts. This failure can place residents at risk of physical or psychosocial harm, severe injury, or death while receiving care at the facility.
June 7, 2023Standard inspection · 5 citations
  1. F
    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.
    F727 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) July 6, 2023
    Inspectors wroteBased on interview, and record review, the facility failed to use the services of a registered nurse for at least 8 consecutive hours a day, 7 days a week for 21 (4-2-2023, 4-9-2023, 4-16-2023, 4-23-2023, 4-30-2023, 5-7-2023, 5-14-2023, 5-15-2023, 5-16-2023, 5-17-2023, 5-18-2023, 5-19-2023, 5-21-2023, 5-22-2023, 5-23-2023, 5-26-2023, 5-28-2023, 5-29-2023, 6-1-2023, 6-2-2023, and 6-4-2023) of the last 90 days reviewed. The facility did not have an RN working in the facility for 21 (4-2-2023, 4-9-2023, 4-16-2023, 4-23-2023, 4-30-2023, 5-7-2023, 5-14-2023, 5-15-2023, 5-16-2023, 5-17-2023, 5-18-2023, 5-19-2023, 5-21-2023, 5-22-2023, 5-23-2023, 5-26-2023, 5-28-2023, 5-29-2023, 6-1-2023, 6-2-2023, and 6-4-2023) of the last 90 days reviewed. [...]
  2. E
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 6, 2023
    Inspectors wroteBased on observation, interview and record review, the facility failed to implement a comprehensive care plan for each resident that includes measurable objectives and timeframes to meet a resident's medical, nursing, mental, and psychosocial needs that are identified in the comprehensive assessment and describes the services that are to be furnished to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being for 3 (Resident #2, #14, and #18) of 12 Residents reviewed for comprehensive care plans. -The facility failed to include care plans for Resident #2's correct code status (Advanced Directive) and for her hospice care. -The facility failed to include care plans for Resident #14's correct code status (Advanced Directive). -The facility failed to include care plans for Resident #18's hospice care. [...]
  3. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 6, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment to help prevent the development and transmission of communication diseases and infections for 4 (#13, #11, #29, and #21) of 25 Residents. LVN A failed to use proper hand hygiene techniques when preparing and administering medications to Residents. These failures had the potential to affect all residents in the facility by placing them at risk of contracting, spreading, and/or exposing them to bacterial or viral infections that could lead to the spread of communicable diseases.
  4. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 6, 2023
    Inspectors wroteBased on observation and record review; it was determined the facility failed to ensure drugs and biologicals were stored and labeled in accordance with currently accepted professional principles to include the appropriate accessory and cautionary instructions, and the expiration date when applicable on 1 of 1 medication cart. 1 bottle of expired medication was found in medication cart. The facility's failure to ensure drugs and biologicals were stored and labeled in accordance with currently accepted professional principles, and include the appropriate accessory and cautionary instructions, and the expiration date when applicable could place all residents receiving medication at risk for drug diversion, drug overdose, and accidental or intentional administration to the wrong resident.
  5. D
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 6, 2023
    Inspectors wroteBased on observation, interview and record review; it was determined the facility failed to ensure drugs and biologicals were stored and labeled in accordance with currently accepted professional principles to include the appropriate accessory and cautionary instructions, and the expiration date when applicable on 1 of 1 medication cart. 1 loose pill (small round white pill with TV on one side and 2204 on the other side of pill) was found in the medication cart and 1 loose pill (large white pill no identifiable markings on either side of pill) was found on the floor outside of room [ROOM NUMBER] of the facility. [...]

Fire safety inspections

3 fire safety citations on file: 1 on September 12, 2025, 1 on July 24, 2024, 1 on June 7, 2023.

Every fire safety citation3 citations
  1. C
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · September 12, 2025 · Not yet corrected
  2. C
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · July 24, 2024 · Waiver
  3. C
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · June 7, 2023 · Waiver

Fines and payment denials

DatePenaltyAmount or length
August 27, 2025Fine $26,910
August 27, 2025Payment Denial 1 days from October 8, 2025
November 8, 2023Fine $13,397
November 8, 2023Payment Denial 6 days from December 6, 2023

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeTexasUnited States
All nursing staff (RN, LPN and aides)3.193.393.86
Registered nurses0.550.430.69
All nursing staff on weekends2.932.983.42
Nurse aides1.86
Licensed practical nurses0.78
Nursing staff turnover (share who left in a year)60.7%55.3%45.8%
Registered nurse turnovernot reported54.6%42.9%
Administrators who left0

CMS expects 2.94 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.29 on weekdays and 2.93 on weekends, 11% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 14.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.17 in April to June 2025 to 3.19 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.190.553.292.93 14.5%0 of 9025
Oct to Dec 20253.060.353.122.89 9.2%3 of 9225
Jul to Sep 20253.130.503.272.77 0.6%0 of 9224
Apr to Jun 20253.170.443.362.69 0.0%1 of 9128
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Texas, Jan to Mar 20263.330.403.502.932.2%0.7% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.

Official wage estimates for Texas

JobMedianMiddle halfEmployed
Texas, all employers
CNAs (nursing assistants)$18.03$16.97 to $20.7188,680
LPNs and LVNs$29.92$27.46 to $32.8957,560
Registered nurses$46.14$38.06 to $50.53271,380
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

Work here? Share your pay anonymously

For Avir at Borger. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

Your job
Employed by
Usual shift
Do you get a shift differential?
Optional questions
Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeTexasUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
1.215.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.30.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.00.81.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
0.03.33.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.01.51.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
7.714.014.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
9.53.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
20.49.615.4
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.62.21.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
3.22.11.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Avir at Borger's Medicare short-stay residents. How to read these, and what Medicare pays for.

Went home or back to the community

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

US median of homes 51.5% · Texas: 116 better, 50 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 18 eligible stays.

Potentially preventable readmissions

10.2% this home

No different from the national rate

US median of homes 10.7% · Texas: 0 better, 9 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 30 eligible stays.

Infections that led to a hospital stay

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

US median of homes 7.1% · Texas: 4 better, 11 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 17 eligible stays.

Self-care and mobility at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Texas57.3% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 16 residents counted.

Falls with major injury

0.0% this home

Median of homes: Texas0.0% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 20 residents counted.

New or worsened pressure ulcers

0.0% this home

Median of homes: Texas1.3% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 20 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Texas98.5% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 6 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: STRATFORD HOSPITAL DISTRICT. CMS links this home to Avir Health Group, a group of 118 nursing homes averaging 2.3 stars overall.

NameRoleTypeShareSince
Stratford Hospital District5% or greater direct ownership interestOrganization100%06/01/2023
Chumley, RichardCorporate directorIndividual06/01/2023
1316 S Florida St. Opco LLCOperational/managerial controlOrganization10/01/2025
Freund, NochumOperational/managerial controlIndividual10/01/2025
Travitsky, AaronOperational/managerial controlIndividual10/01/2025
Dagan, AmitaiIndividual is an owner, partner or trustee of any ADP of the SNFIndividual01/29/2026
Goldberger, AbrahamIndividual is an owner, partner or trustee of any ADP of the SNFIndividual01/29/2026
Goldberger, FaigyIndividual is an owner, partner or trustee of any ADP of the SNFIndividual01/29/2026
1316 S Florida St. Opco LLCAdp of the SNFOrganization01/28/2026
Welltower IncAdp of the SNFOrganization10/01/2025
Welltower Nnn Group, LLCAdp of the SNFOrganization10/01/2025
Welltower Op, LLCAdp of the SNFOrganization10/01/2025
Akins, JamelynAdp of the SNFIndividual06/01/2023
Rankin, RonAdp of the SNFIndividual06/01/2023

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 6 problems in this area, most recently on September 12, 2025: "Provide safe, appropriate pain management for a resident who requires such services."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 5 problems in this area, most recently on September 12, 2025: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
  3. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 5 problems in this area, most recently on June 25, 2024: "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."
  4. When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on September 12, 2025: "Ensure each resident receives an accurate assessment."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.93 hours per resident per day, below the Texas average of 2.98.

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Common questions

What is Avir at Borger's Medicare star rating?
CMS rates Avir at Borger 2 out of 5 stars overall, with 2 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Avir at Borger get at its last inspection?
12 health deficiencies at the standard inspection on September 12, 2025. The Texas average is 9.4.
Has Avir at Borger been fined?
Yes. CMS lists 2 fines totaling $40,307 in the last three years.
Does Avir at Borger accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Avir at Borger?
CMS lists 14 owners and managers, and links the home to Avir Health Group. Legal business name: STRATFORD HOSPITAL DISTRICT.

Sources

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