Home / Owners / Graf Holdings LLC
Nursing homes owned by Graf Holdings LLC
The CMS ownership file lists Graf Holdings LLC with an ownership interest in 13 certified nursing homes with 1,302 beds in Texas (13).
CMS ownership and Care Compare data as of September 1, 2026
What the ownership file says
CMS lists Graf Holdings LLC as a indirect owner of 13 homes. Its earliest ownership association date on file is August 1, 2025, the latest October 1, 2025.
An indirect owner holds its stake through another company. Owners are listed by the homes themselves when they enroll in Medicare and Medicaid; the file names owners with a 5% or greater stake and the companies with control over operations.
CMS also groups these homes into the chain Avir Health Group (13).
The homes' record in brief
13 of the 13 homes have a CMS overall rating, averaging 2.5 stars against a national average of 3. 12 are for profit, 0 nonprofit, 1 government run; 13 are certified for Medicaid.
Across the inspections on file the homes carry 379 health citations; 34 citations were rated actual harm or immediate jeopardy, 29 immediate jeopardy. At their latest standard inspections they averaged 8.0 health deficiencies (national 9.2).
10 homes were fined in the last three years, $463,470 across 21 fines. Average nursing staff turnover was 50.6% (national 45.8%).
Staffing at these homes, January to March 2026
| Hours per resident per day | These homes | United States |
|---|---|---|
| All nursing staff | 3.08 | 3.75 |
| Registered nurses | 0.31 | 0.62 |
| Weekdays | 3.23 | 3.92 |
| Weekends | 2.72 | 3.33 |
| Share of nursing hours by contract staff | 0.3% | 5.3% |
Daily payroll records of 13 homes, summed. Weekends ran 16% below weekdays. Source: CMS Payroll Based Journal Daily Nurse Staffing.
Every home it owns
| Home | City | State | Role in the CMS file | Share | Overall | Citations | Fines |
|---|---|---|---|---|---|---|---|
| Avir at Carthage | Carthage | TX | Indirect owner, since October 2025 | 2 | 44 | $66,731 | |
| Avir at Elkhart | Elkhart | TX | Indirect owner, since October 2025 | 3 | 31 | $65,397 | |
| Avir at Courtyard | Houston | TX | Indirect owner, since August 2025 | 4 | 19 | ||
| Avir at Houston | Houston | TX | Indirect owner, since August 2025 | 1 | 45 | $180,218 | |
| Avir at Veterans Memorial | Houston | TX | Indirect owner, since August 2025 | 1 | 27 | $47,532 | |
| Avir at Jacksonville | Jacksonville | TX | Indirect owner, since October 2025 | 5 | 8 | ||
| Avir at Kennedale | Kennedale | TX | Indirect owner, since September 2025 | 1 | 28 | $16,437 | |
| Avir at Knox City | Knox City | TX | Indirect owner, since October 2025 | 3 | 24 | $8,018 | |
| Avir at Pasadena | Pasadena | TX | Indirect owner, since August 2025 | 4 | 13 | $8,021 | |
| Avir at San Antonio | San Antonio | TX | Indirect owner, since September 2025 | 1 | 43 | $29,494 | |
| Avir at Adams | Temple | TX | Indirect owner, since October 2025 | 1 | 49 | $19,240 | |
| Avir at Jeffrey Place | Waco | TX | Indirect owner, since October 2025 | 3 | 33 | $22,382 | |
| Avir at Keeneland | Weatherford | TX | Indirect owner, since September 2025 | 3 | 15 |
Source: CMS Ownership, data as of September 1, 2026, as the homes reported it. Name spelling follows the file; spellings that differ only in punctuation are combined. Being listed as an owner is a fact of record, not a finding about care. Something wrong? Ask for a correction.