Avir At Johnson City
206 HALEY RD, Johnson City, TX, 78636
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: Avir Health Group
- Certified beds
- 60 · avg 31 residents/day
- Total nursing staff turnover
- 40.6% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 28.6% — lower than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 3 fines · $74,691 total
State licensing & capacity
- License number
- 308140
- Service type
- Medicare/medicaid
- Licensed capacity
- 60 beds
- Bed type breakdown
- 8 Medicare-only · 52 Medicaid/Medicare
- Current license effective
- April 1, 2024
- Current license expires
- April 1, 2027
- Initial license date
- January 10, 1972
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Hamilton County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- 206 Haley Rd Opco Llc
- Administrator
- Susanne Porter
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Avir Health Group chain — 90 facilities. Chain-wide average overall rating 2.3 / 5.
Parent entity
wm 41 Johnson City Re, Llc
Disclosed owners (12 on record)
- Laura Givens
Adp of The Snf · since 2023
- wm 41 Johnson City Re, LlcParent
5% or Greater Mortgage Interest · 100% · since 2023
- Carlisle Taylor Whitworth 2020 Irrevocable Trust
5% or Greater Mortgage Interest · 24% · since 2021
- Dawn Mauer
Adp of The Snf · since 2021
- Gary Scott Whitworth 2019 Irrevocable Trust
5% or Greater Mortgage Interest · 30% · since 2021
- Grady Hooper
Corporate Director · since 2021
+ 6 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 28)
- E0755·Dec 3, 2025Complaint
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D0727·Dec 3, 2025Complaint
Nursing and Physician Services Deficiencies
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.
- G0684·Dec 3, 2025Complaint
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- F0812·Apr 2, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0656·Apr 2, 2025
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D0644·Apr 2, 2025
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D0558·Apr 2, 2025
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
- J0689·Dec 31, 2024Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Federal penalties
By year
- 20251 fine · $19K
- 20242 fines · $56K
Most recent events
- Dec 3, 2025Fine · $19K
- Dec 31, 2024Fine · $21K
- Oct 30, 2024Fine · $35K
Largest single fine on record: $35K.
Fire-safety citations
4 Life-Safety-Code citations on file. Most recent: Apr 2, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Avir At Johnson City is a 60-bed nursing home in Johnson City, TX, operated under the Avir Health Group chain and licensed through April 2027. CMS rates it 2 stars overall, with a 2-star health inspection rating — though staffing and quality-measure ratings each reach 4 stars. Three CMS fines totaling $74,691 have been assessed, and the facility is currently running at about 52% occupancy.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates this facility 2 stars overall, driven by a 2-star health inspection score. The health inspection rating reflects the pattern of deficiencies found during state surveys — separate from staffing levels or resident outcome measures, both of which score higher.
Staffing rates 4 stars — roughly the top 9% of Texas nursing homes on staffing. Each resident receives about 193 minutes of nursing care per day. Residents here need more hands-on care than at a typical facility — less mobile or more dependent on average — so those 193 minutes stretch thinner than the raw number suggests when compared to a facility with a lighter resident load.
About 4 in 10 nursing staff left in the past year. That figure falls below Texas's 25th-percentile cutoff — better than roughly three-quarters of nursing homes in the state. RN turnover follows a similar pattern, also in the low tier. A long-stay resident is less likely to cycle through multiple primary caregivers here than at most Texas facilities.
Three CMS fines totaling $74,691 have been assessed. The state median for fined facilities in Texas is about $20,699; this facility's total runs roughly 3.6 times that median. About 30% of Texas nursing homes have no fines at all.
The facility is operating at approximately 52% of its licensed 60 beds — about 31 residents on an average day. That level of vacancy, paired with a 2-star overall rating and the fine history, is a combination worth understanding before placement.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Health inspection findings explained
The facility carries a 2-star health inspection rating despite 4-star staffing — ask what specific deficiencies drove that gap and what has changed since.
Three fines totaling $74,691
CMS recorded three separate fines; ask what each citation involved and whether the underlying issues have been corrected through a plan of care.
Low occupancy at 52 percent
Only about 31 of 60 beds are filled on a typical day — ask whether that reflects a recent change in admissions, staffing cuts, or something else.
Heavier resident care needs
Residents here require more hands-on daily care than at a typical facility — ask how staffing schedules are adjusted on days when resident needs are highest.
Management company vs. licensee
The licensed owner is Hamilton County Hospital District, but day-to-day operations run through 206 Haley Rd Opco LLC — ask how decisions about staffing and care standards are divided between the two.
Resident Council involvement
The facility has a Resident Council but no Family Council — ask how family members are expected to raise concerns and how frequently the Resident Council meets.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.