Avir at Burkburnett
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 23 Google reviews

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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
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 detailsStrengths
- 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
Distribution
How They Respond to Reviews
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.”
“The building is smaller than other places but it allows the staff to provide closer care for each resident.”
“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.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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
12
measures
2
measures
3
measures
Residents on anti-anxiety or sleep medication
Residents whose bladder or bowel control got worse
Residents with depression symptoms
Residents needing more daily help over time
Residents on antipsychotic medication
Residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
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, 2026Complaint2
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.
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, 2024Routine9
Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Smoke Deficiencies
Provide properly protected cooking facilities.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
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.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
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, 2024Complaint1
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Apr 11, 2024Complaint10
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.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
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.
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.
Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
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.
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, 2024Complaint1
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Oct 27, 2023Routine16
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Smoke Deficiencies
Provide properly protected cooking facilities.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the use and maintenance of medical gas equipment.
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.
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.
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
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
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
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
Nocona Hospital District
for profit
406 E 7TH ST OPCO LLC
IRMA GUTIERREZ
Chain Affiliation
Avir Health Group
117 facilities nationwide
Chain avg rating: 2.3/5 · Rank 76 of 90 (Worst)
Ownership & Management
Owners
Nocona Hospital District
Owner · Organization
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
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
23 reviews from families & visitors
Official Website
Visit avirhg.com
Medicare data downloads
Original nursing home datasets
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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.