Avir At Commerce
2901 STERLING HART DR, Commerce, TX, 75428
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 - Corporation · Chain: Slp Operations
- Certified beds
- 116 · avg 43 residents/day
- Total nursing staff turnover
- 61.1% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
State licensing & capacity
- License number
- 308134
- Service type
- Medicare/medicaid
- Licensed capacity
- 116 beds
- Bed type breakdown
- 49 Medicare-only · 67 Medicaid/Medicare
- Current license effective
- October 1, 2025
- Current license expires
- February 10, 2027
- Initial license date
- September 1, 1971
Texas HHS licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Nocona Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- 2901 Sterling Hart Dr Opco Llc
- Administrator
- Kissy Miller
Texas HHS licensing registry · as of April 16, 2026
About this community
Avir At Commerce is a 116-bed nursing home in Commerce, TX, licensed since 1971 and currently active through February 2027. CMS rates it 2 stars overall, with a 1-star staffing rating — the lowest tier. Quality-of-care measures rate 5 stars. The facility is operating at roughly 37% of licensed capacity, with 42 residents in a building certified for 116. Managed by 2901 Sterling Hart Opco LLC under a Nocona Hospital District license.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 1 star — the bottom tier, shared by about 38% of Texas nursing homes. Each resident receives roughly 177 minutes of nursing care per day, about 64 minutes less than at a 4-star-staffing facility in Texas. Residents here require more hands-on care than at a typical facility — sicker, or less mobile on average — so those 177 minutes stretch thinner than the raw number suggests. RN coverage runs to about 18 minutes per resident per day, against a 37-minute threshold for 4-star staffing in Texas.
About 6 in 10 nursing staff left in the past year. That figure sits just above Texas's 75th-percentile cutoff of 60%, placing turnover in the high tier. A long-stay resident will likely cycle through two or three primary caregivers over the course of a year.
One administrator has turned over in the past year — an elevated level of leadership change that can affect how consistently care policies are followed.
The facility is operating at roughly 37% of its 116 licensed beds, with about 42 residents on a given day. Paired with the staffing and turnover signals above, that low census is a concrete data point about current utilization.
Quality measures — tracking outcomes like pressure wounds, falls, and pain management — rate 5 stars, the top tier, for long-stay residents. That is the highest possible rating on that dimension, sitting alongside the 1-star staffing and high turnover figures.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing levels on nights and weekends
With 177 daily nursing minutes per resident on average — and weekend hours reported even lower at about 167 minutes — ask how many nurses and aides are scheduled on overnight and weekend shifts specifically.
Why turnover is this high
Six in 10 nursing staff left in the past year; ask what the facility has done since then to stabilize the team and how long current aides have been on the floor.
Administrator transition and continuity
One administrator turned over in the past year; ask who currently holds the role, how long they have been in place, and whether they plan to stay.
Current census and admission plans
With roughly 42 residents in a 116-bed building, ask whether the facility is actively admitting and what the expected occupancy looks like over the next six months.
How 5-star quality scores are maintained
Quality measures rate 5 stars despite 1-star staffing; ask which specific protocols drive those outcomes and how care plans are monitored given the staffing levels.
Management company's role day to day
The facility is licensed under Nocona Hospital District but managed by 2901 Sterling Hart Dr Opco LLC; ask which entity sets staffing budgets and handles resident concerns.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHS 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.