D70

Avir at Johnson City

Grade D 70/100 composite score

For profit - Limited Liability company

CMS Star Ratings

Overall
2/5
Health Insp.
2/5
Quality
4/5
Staffing
4/5
RN Staffing
Not rated

Certified Beds

60

Ownership

For profit - Limited Liability company

Total Fines

$55,556

Last Survey

N/A

206 HALEY RD., JOHNSON CITY, TX 78636
8308684093

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.87h
LPN
0.88h
CNA
1.75h
Total
3.50h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

HAMILTON COUNTY HOSPITAL DISTRICT

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Apr 2021

100%

SLP JOHNSON CITY LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Apr 2021

LEONARD, JOSHUA

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Apr 2021

HOOPER, GRADY

IndividualCORPORATE DIRECTORSince Apr 2021

CARLISLE TAYLOR WHITWORTH 2020 IRREVOCABLE TRUST

Organization5% OR GREATER MORTGAGE INTERESTSince Apr 2021

GARY SCOTT WHITWORTH 2019 IRREVOCABLE TRUST

Organization5% OR GREATER MORTGAGE INTERESTSince Apr 2021

LQCP MANAGEMENT, LLC

Organization5% OR GREATER MORTGAGE INTERESTSince Apr 2021

WM 41 JOHNSON CITY RE, LLC

Organization5% OR GREATER MORTGAGE INTERESTSince Jun 2023

WM-LQC MM, LLC

Organization5% OR GREATER MORTGAGE INTERESTSince Apr 2021

WT HOLDINGS, LP

Organization5% OR GREATER MORTGAGE INTERESTSince Apr 2021

Penalties & Fines (2)

$55,556total fines
DateTypeDescriptionAmount
Dec 31, 2024Fine$20,777
Oct 30, 2024Fine$34,779

Health Inspection Deficiencies (25)

April 2, 2025Health4 deficiencies
0558DMinimal harm, Isolated

Reasonably accommodate the needs and preferences of each resident.

Resident Rights Deficiencies

Corrected Apr 3, 2025
0644DMinimal harm, Isolated

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Resident Assessment and Care Planning Deficiencies

Corrected Apr 3, 2025
0656DMinimal harm, Isolated

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies

Corrected Apr 3, 2025
0812FMinimal harm, Widespread

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

Nutrition and Dietary Deficiencies

Corrected Apr 3, 2025
December 31, 2024Health1 deficiency1 severe
0689JImmediate jeopardy, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Jan 29, 2025
October 30, 2024Health2 deficiencies2 severe
0689JImmediate jeopardy, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Oct 31, 2024
0697KImmediate jeopardy, Pattern

Provide safe, appropriate pain management for a resident who requires such services.

Quality of Life and Care Deficiencies

Corrected Oct 31, 2024
September 6, 2024Health1 deficiency
0563DMinimal harm, Isolated

Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.

Resident Rights Deficiencies

Corrected Sep 9, 2024
July 30, 2024Health1 deficiency
0812DMinimal harm, Isolated

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

Nutrition and Dietary Deficiencies

Corrected Jul 31, 2024
June 19, 2024Health2 deficiencies
0565EMinimal harm, Pattern

Honor the resident's right to organize and participate in resident/family groups in the facility.

Resident Rights Deficiencies

Corrected Jun 25, 2024
0800EMinimal harm, Pattern

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

Nutrition and Dietary Deficiencies

Corrected Jun 25, 2024
February 15, 2024Health6 deficiencies
0582DMinimal harm, Isolated

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Resident Rights Deficiencies

Corrected Feb 16, 2024
0657EMinimal harm, Pattern

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Resident Assessment and Care Planning Deficiencies

Corrected Feb 16, 2024
0727EMinimal harm, Pattern

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

Corrected Feb 16, 2024
0761EMinimal harm, Pattern

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

Corrected Feb 16, 2024
0803EMinimal harm, Pattern

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

Corrected Feb 16, 2024
0812FMinimal harm, Widespread

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

Nutrition and Dietary Deficiencies

Corrected Feb 16, 2024
November 22, 2023Health1 deficiency
0812FMinimal harm, Widespread

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

Nutrition and Dietary Deficiencies

Corrected Dec 7, 2023
June 19, 2023Health2 deficiencies
0565EMinimal harm, Pattern

Honor the resident's right to organize and participate in resident/family groups in the facility.

Resident Rights Deficiencies

Corrected Aug 7, 2023
0577CNo harm, Widespread

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Resident Rights Deficiencies

Corrected Aug 7, 2023
May 9, 2023Health1 deficiency
0609DMinimal harm, Isolated

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected May 11, 2023
January 13, 2023Health4 deficiencies1 severe
0550EMinimal harm, Pattern

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Resident Rights Deficiencies

Corrected Feb 6, 2023
0565EMinimal harm, Pattern

Honor the resident's right to organize and participate in resident/family groups in the facility.

Resident Rights Deficiencies

Corrected Feb 6, 2023
0600KImmediate jeopardy, Pattern

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Feb 6, 2023
0689DMinimal harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Feb 6, 2023

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Frequently Asked Questions

What is the CareGrader rating for Avir at Johnson City?

Avir at Johnson City in JOHNSON CITY, Texas has a CareGrader grade of D (Below Average), with a composite score of 69.8 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for Avir at Johnson City?

Avir at Johnson City has an overall CMS star rating of 2 out of 5, a health inspection rating of 2/5, and a staffing rating of 4/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does Avir at Johnson City have?

Avir at Johnson City has 25 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

Has Avir at Johnson City been fined?

Yes. Avir at Johnson City has $55,556 in total fines from CMS enforcement actions across 2 penalties.

How many beds does Avir at Johnson City have?

Avir at Johnson City has 60 certified beds with approximately 31 current residents (52% occupancy). The facility is located at 206 HALEY RD., JOHNSON CITY, Texas 78636. It is a for profit - limited liability company facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.