All states › Texas › Johnson City › Avir at Johnson City
206 Haley Rd Johnson City, TX 78636 · Blanco County
CMS certification number 676486 · See this home on Medicare Care Compare
Is Avir at Johnson City a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Avir at Johnson City as of October 2026.
CMS rates it 1 out of 5 stars overall, below the Texas average of 2.8.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.20 hours per resident per day at Avir at Johnson City, below the Texas median of 3.30 (US median: 3.72). About 0.22 of those hours are from registered nurses. On weekends it falls to 2.84 hours, 11% below its all-week average. 70.4% of nursing staff left within a year (Texas median 50.2%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.
About this nursing home
Paying for care at Avir at Johnson City: Medicare and Medicaid
Avir at Johnson City is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Texas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on June 4, 2026 and found 6 deficiencies, plus 6 from complaint inspections in the same period. In total, inspectors issued 30 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 30 citations at Avir at Johnson City across 13 inspection dates, 18 of them from complaint investigations. 3 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on December 31, 2024 (complaint inspection). The most common areas cited were nutrition and dietary (7) and resident rights (6). The most serious was cited under the CMS rule to "provide safe, appropriate pain management for a resident who requires such services" (tag F0697, level K, October 30, 2024).
July 28, 2026 · 1 citation · includes complaint inspection
DEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
July 8, 2026 · 1 citation · includes complaint inspection
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
June 4, 2026 · 6 citations, includes actual harm
HObserve each nurse aide's job performance and give regular training.
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DEnsure 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.
April 11, 2026 · 1 citation · includes complaint inspection
DHonor 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.
December 3, 2025 · 3 citations, includes actual harm · includes complaint inspection
GProvide appropriate treatment and care according to orders, resident’s preferences and goals.
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DHave 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.
April 2, 2025 · 4 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DReasonably accommodate the needs and preferences of each resident.
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
December 31, 2024 · 1 citation, includes immediate jeopardy · includes complaint inspection
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
October 30, 2024 · 2 citations, includes immediate jeopardy · includes complaint inspection
KProvide safe, appropriate pain management for a resident who requires such services.
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
September 6, 2024 · 1 citation · includes complaint inspection
DHonor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
July 30, 2024 · 1 citation · includes complaint inspection
DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
June 19, 2024 · 2 citations · includes complaint inspection
EHonor the resident's right to organize and participate in resident/family groups in the facility.
EProvide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
February 15, 2024 · 6 citations · includes complaint inspection
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
EHave 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.
EEnsure 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.
EEnsure 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.
DGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
November 22, 2023 · 1 citation · includes complaint inspection
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Questions to ask on a tour of Avir at Johnson City
- Inspectors cited the home at the immediate-jeopardy level on October 30, 2024 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Nursing staff turnover was 70.4% a year. How many of the staff come from agencies?
- The home averages about 54% of its beds filled. Are any units closed?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
4 penalties in the last three years, including $90,044 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Jun 4, 2026 | Fine | $22,050 |
| Dec 3, 2025 | Fine | $12,438 |
| Dec 31, 2024 | Fine | $20,777 |
| Oct 30, 2024 | Fine | $34,779 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 1/5 | 2/5 |
| August 2026 | 1/5 | 1/5 | 1/5 | 3/5 |
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Location
Hospitals near Avir at Johnson City
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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17.7 mi
Baylor Scott & White Medical Center - Marble Falls Marble FallsEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 40m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
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Other Avir Health Group nursing homes in Texas
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- Avir at Pampa · Pampa · 5 stars
- Avir at Paris · Paris · 5 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 118 Avir Health Group nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.