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Nursing HomeMedicaid Investigative

Avir at Burkburnett

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

406 E Seventh St, Burkburnett, TX 7635460 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.5/5

based on 23 Google reviews

5
4
3
2
1
Avir at Burkburnett Nursing Home in Burkburnett, TX — Street View
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5/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Low staffing rating (1/5 stars)
  • High staff turnover (67%)
  • High RN turnover (67%)

Bottom 25% in Texas · Critically understaffed (RN) · Worst in AVIR HEALTH GROUP chain · $64,646 in fines

Source: Medicare data

What this means for your family

While historical reviews suggest a warm, family-oriented environment, recent reviews from 2023 and 2024 indicate life-threatening safety and medical failures. If you consider this facility, you must investigate their current protocols for resident supervision and hygiene to ensure they have addressed the reported issues with elopement and infection control.

Google Reviews

Google Reviews

23 reviews analyzed
Families should exercise extreme caution due to recent, severe reports of a resident escaping the facility without notification and serious medical neglect leading to sepsis. While older reviews praise the staff's warmth and the small-town atmosphere, recent experiences highlight critical failures in safety and patient care.

Quality Themes

Tap a score for details
Food5.0Staff8.0Clean5.0Activities5.0MedsN/AMemoryN/AComms1.0ValueN/A

Strengths

  • Warm and caring nursing staff
  • Small, welcoming atmosphere
  • Friendly administration and management

Concerns

  • Serious safety failures regarding resident elopement/disappearance
  • Medical neglect and hygiene issues leading to severe infection

Rating Trends

Tap a year to see what changed

234'16(1)'18(1)'20(1)'22(2)'24(1)'26(1)

Distribution

5
12
4
0
3
0
2
0
1
2

How They Respond to Reviews

30%response rate
Generic

The owner uses templated responses that include standardized mission statements and phrases like 'Your review makes a difference.' While they address reviewers by name, they rarely reference the specific details mentioned in the reviews.

Questions for Your Tour

  • 1Since you have such a small and welcoming atmosphere here, how do you ensure each resident gets personalized attention during mealtimes and daily activities?
  • 2We've noticed how much the management team values interacting with families; how can we best stay in regular contact with the nursing staff regarding updates on our loved one?
  • 3What specific protocols are in place to ensure residents stay safe and secure within the facility at all times?
  • 4How does the clinical team monitor for and prevent potential hygiene or skin integrity issues for residents?
  • 5Can you walk us through the process for how medical emergencies are handled during the night or on weekends?
  • 6What kind of social activities or group outings are available to help residents stay engaged with the community here?

Personalized based on this facility's data


Key Review Excerpts

The staff - Nurses, Administration, cooks, Certified Nurses Aides, and everyone else makes the place 2nd to none. They have big hearts and truly care about our loved one.

Friend of a resident · 2021★★★★★

The building is smaller than other places but it allows the staff to provide closer care for each resident.

Long-term resident's family · 2021★★★★★

Put my dad in there care 8/7/24 because he has dementia and gets a lot of strokes and seizures, And my aunt went to see him 8/12/24 for him to be missing and the facility didn't call anyone about his disappearance.

Dementia resident's family · 2024☆☆☆☆
Source: 23 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.28hrs
37%
Registered nurses for medical care
Total Nursing
3.30hrs
80%
All nurses + aides combined
Staff Turnover
64%
Lower is better (< 30% = good)
RN Turnover
50%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
2/ 5
Better Than Avg

12

measures

Worse Than Avg

2

measures

Mixed Results

3

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility42.9%
Worse than Avg
Here
42.9%
US
19.5%
TX
18.4%
Wichita
34.9%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility6.2%
Better than Avg
Here
6.2%
US
19.4%
TX
14.2%
Wichita
14.3%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
TX
2.5%
Wichita
9.2%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility10.2%
Better than Avg
Here
10.2%
US
14.4%
TX
16.1%
Wichita
22.2%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility7.0%
Mixed vs Avgs
Here
7.0%
US
15.4%
TX
9.4%
Wichita
6.6%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
TX
96.9%
Wichita
99.7%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
79.7%
TX
88.0%
Wichita
95.7%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
81.8%
TX
89.2%
Wichita
97.2%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility3.3%
Worse than Avg
Here
3.3%
US
1.6%
TX
1.5%
Wichita
0.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

5deficiencies
2penalties
Near state avg (9.1)
14 complaint-triggered
$64,646 in fines

Families have filed multiple complaint reports against this facility, triggering investigations that revealed serious issues with medication management, care planning, and wound care. The facility shows a concerning pattern of recurring problems across medication management, heating/ventilation systems, and room size requirements spanning multiple years. While the facility has addressed most deficiencies with correction dates, the repeated nature of these issues and family complaints suggest ongoing care quality concerns that warrant careful consideration.

Jan 5, 2026Complaint
2
0656MinorCorrected

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.

0657MinorCorrected

Resident Assessment and Care Planning Deficiencies

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

Dec 12, 2024Routine
9
0341ModerateCorrected

Smoke Deficiencies

Install a fire alarm system that can be heard throughout the facility.

0712ModerateCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0759ModerateCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0324ModerateCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0923ModerateCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0929ModerateCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

0761MinorCorrected

Pharmacy Service Deficiencies

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.

0521MinorCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0912Minor

Environmental Deficiencies

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Dec 12, 2024Complaint
1
0760MinorCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Apr 11, 2024Complaint
10
0580ModerateCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0686ModerateCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0580ModerateCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0686ModerateCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0637MinorCorrected

Resident Assessment and Care Planning Deficiencies

Assess the resident when there is a significant change in condition

0657MinorCorrected

Resident Assessment and Care Planning Deficiencies

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

0842MinorCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0637MinorCorrected

Resident Assessment and Care Planning Deficiencies

Assess the resident when there is a significant change in condition

0657MinorCorrected

Resident Assessment and Care Planning Deficiencies

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

0842MinorCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Feb 21, 2024Complaint
1
0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Oct 27, 2023Routine
16
0689Severe

Quality of Life and Care Deficiencies

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

0324ModerateCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0712ModerateCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0922ModerateCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the use and maintenance of medical gas equipment.

0727ModerateCorrected

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.

0584MinorCorrected

Resident Rights Deficiencies

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.

0645MinorCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

0655MinorCorrected

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

0684MinorCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0694MinorCorrected

Quality of Life and Care Deficiencies

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

0695MinorCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0755MinorCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0761MinorCorrected

Pharmacy Service Deficiencies

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.

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0521MinorCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0912MinorCorrected

Environmental Deficiencies

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Federal Penalties

Fine

Apr 11, 2024

$52,728

Fine

Oct 27, 2023

$11,918

Ownership & Operations

Who Operates This Facility

Owner / Operator

Nocona Hospital District

Organization Type

for profit

Management Company

406 E 7TH ST OPCO LLC

Administrator

IRMA GUTIERREZ

Chain Affiliation

Chain Name

Avir Health Group

Chain Size

117 facilities nationwide

Chain avg rating: 2.3/5 · Rank 76 of 90 (Worst)

Ownership & Management

Owners

Nocona Hospital District

Owner · Organization

100%

Boswell, Darren

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Eden, James

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Whitworth, Gary

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Key personnel

Carlisle Taylor Whitworth 2020 Irrevocable Trust5% or Greater Mortgage InterestGary Scott Whitworth 2019 Irrevocable Trust5% or Greater Mortgage InterestLqcp Management, LLC5% or Greater Mortgage InterestWm 41 Evergreen Re, LLC5% or Greater Mortgage InterestWm-lqc Mm, LLC5% or Greater Mortgage Interest
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 2 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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