Ellery Care
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Avir At Knox City

605 S Ave F, Knox City, TX 79529 · Knox County

For-profit · 66 certified beds · 60% occupancy · (940) 658-3543

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Avir At Knox City reviews: what the government record shows

The U.S. government (CMS) rates Avir At Knox City 3 out of 5 stars overall, average. Its nurse staffing is 1% below the Texas median.

Updated September 2026 from the latest CMS data release. Ellery Care shows the government's own inspection and safety record, not consumer reviews.

At a glance

CMS overall rating
3 of 5 stars
Nurse staffing
3.24 hrs/resident/day (-1% vs TX median)
Antipsychotic drug use
26.7% of long-stay residents (TX median 8.3%)
Falls with major injury
5.8% of long-stay residents (TX median 3%)
Federal fines (3 yrs)
$8,018
Inspection findings
24 cited
Federal abuse-warning flag
No

Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05.

What this means for your family

A mixed record. The strengths and concerns below are worth weighing against a visit.

Concerns

  • !Nurse staffing of 3.24 hrs/resident/day is below the Texas median of 3.27.
  • !Gives antipsychotic drugs to 26.7% of long-stay residents, well above the norm.

Questions to ask on your visit

  • ·How many residents does each nurse and aide care for on the day, evening, and overnight shifts?
  • ·For any resident on an antipsychotic, is there a documented diagnosis and a plan to reduce it?

Touring in person? Our free nursing-home tour checklist has 30 questions to ask and the red flags to watch for, printable to take with you.

A plain-English read of this home's public record. Not advice — always visit in person.

Common questions about Avir At Knox City

Is Avir At Knox City a good nursing home?

Avir At Knox City in Knox City, Texas holds a 3 of 5 star CMS overall rating. A mixed record. The strengths and concerns below are worth weighing against a visit.

How is Avir At Knox City staffed?

Avir At Knox City reports 3.24 nurse hours per resident per day, below the Texas median of 3.27 hours per resident per day.

Has Avir At Knox City been fined or flagged for abuse?

Avir At Knox City has paid approximately $8,018 in federal fines in roughly the last three years, and does not currently carry a federal abuse-warning flag.

CMS quality ratings

Overall★★★★★
Health inspections★★★★★
Staffing★★★★★
Quality of resident care★★★★★

Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. Stars are CMS's own five-star ratings.

Nurse staffing

Staffing is the single strongest predictor of nursing home quality, and the number pay-to-play referral sites rarely show you.

TX median 3.27

3.24 nurse hours per resident per day. 1% below the Texas median of 3.27.

Total nurse
3.24 hrs
RN
0.36 hrs
LPN
0.73 hrs
Aide
2.15 hrs

Nursing staff turnover: 39.3%

Safety & compliance flags

  • Changed ownership in last 12 months

Recent inspection findings

The specific problems state inspectors cited, the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.

24
total findings
0
immediate jeopardy
1
caused actual harm
5
from complaints
  • Potential for harmTag F0583 · Dec 18, 2025Corrected Feb 1, 2026

    Keep residents' personal and medical records private and confidential.

    Resident Rights Deficiencies

  • Potential for harmTag F0584 · Dec 18, 2025Corrected Feb 1, 2026

    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.

    Resident Rights Deficiencies

  • Potential for harmTag F0585 · Dec 18, 2025Corrected Feb 1, 2026

    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.

    Resident Rights Deficiencies

  • Potential for harmTag F0761 · Dec 18, 2025Corrected Feb 1, 2026

    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

  • Potential for harmTag F0803 · Dec 18, 2025Corrected Feb 1, 2026

    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

  • Potential for harmTag F0812 · Dec 18, 2025Corrected Feb 1, 2026

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Nutrition and Dietary Deficiencies

  • Potential for harmTag F0914 · Dec 18, 2025Corrected Feb 1, 2026

    Provide bedrooms that don't allow residents to see each other when privacy is needed.

    Environmental Deficiencies

  • Potential for harmTag F0880 · Dec 18, 2025Corrected Feb 1, 2026

    Provide and implement an infection prevention and control program.

    Infection Control Deficiencies

  • Potential for harmTag F0925 · Dec 18, 2025Corrected Feb 1, 2026

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Environmental Deficiencies

  • Potential for harmTag F0727 · Oct 4, 2024Corrected Oct 25, 2024

    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

Showing the 10 most recent and serious of 24 findings. See the full inspection history on Medicare.gov.

Antipsychotic drug use

The share of long-stay residents given antipsychotic medication. These drugs are sometimes used to sedate residents with dementia, a practice CMS and resident advocates watch closely. Lower is better.

26.7%
of long-stay residents
Texas median 8.3%
National median 13.4%

This is far above both the Texas and national norm. It is worth asking the staff directly why, and whether every prescription has a documented medical reason and a plan to reduce it.

Source: CMS MDS Quality Measures, long-stay antipsychotic measure, retrieved 2026-09-05. See the Texas study

Preventable harm

Two injuries that good staffing and attentive care are meant to prevent: serious falls and pressure ulcers (bedsores). These are the outcomes families fear most, and they rarely appear on referral sites. Lower is better on both.

Falls with major injury
5.8%
of long-stay residents
Texas median 3% · National median 2.8%
Pressure ulcers (bedsores)
2.1%
of long-stay residents
Texas median 3.3% · National median 4.2%

The serious-fall rate here is above the national median. It is worth asking how the home prevents falls and whether recent injuries prompted any changes.

Source: CMS MDS Quality Measures, long-stay falls and pressure-ulcer measures, period 2025Q2-2026Q1, retrieved 2026-09-05. Texas falls study · bedsore study

Federal fines and penalties

Money CMS has fined this home, plus other federal penalties, over roughly the last three years. Fines follow serious or repeated violations.

Total fines
$8,018
Number of fines
1
Payment denials
0

Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. See the most-fined homes in Texas

Ownership

This home is for-profit (for profit - corporation). It is part of the Avir Health Group chain, which operates 116 facilities, with a chain-average CMS rating of 2.3 stars.

Ownership changed within the last 12 months, which can disrupt staffing and care during the transition.