Avir at Commerce
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 45 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 (2/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (21 vs median 8.0)
- High staff turnover (61%)
Below average in Texas · Critically understaffed (RN) · No penalties on record
What this means for your family
This facility has a proven history of excellent rehabilitative care and compassionate staff. However, recent feedback indicates significant issues with food quality and staffing levels, so families should specifically inquire about current meal standards and staffing stability during recent shifts.
Google Reviews
Google Reviews
45 reviews analyzed“Families should be aware of a recent decline in service quality, as recent reviews highlight significant issues with maintenance, staffing shortages, and poor food quality. While older reviews highly praise the rehabilitative care and the kindness of specific staff members, more recent feedback suggests a lack of engagement in activities and a less approachable staff attitude.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate rehabilitation and physical therapy team
- Kind and supportive nursing staff
- Community engagement and holiday celebrations
- Strong focus on patient safety and hygiene protocols
Concerns
- Declining food quality and menu variety (mentioned by 2 reviewers)
- Staffing shortages and unapproachable attitudes (mentioned by 2 reviewers)
- Poor facility maintenance and supply shortages
Rating Trends
Tap a year to see what changed
Distribution
How They Respond to Reviews
The owner uses highly templated, repetitive responses that rely on pre-written scripts. While they acknowledge the feedback, they rarely address the specific details of the complaints or praise.
Questions for Your Tour
- 1I noticed the management is very active in responding to feedback; how does the facility currently use resident and family input to improve the dining menu and food variety?
- 2With the focus on patient safety and hygiene mentioned by many, what specific protocols are in place to ensure residents are well-monitored during the night?
- 3Could you tell me more about the rehabilitation and physical therapy programs and how the team works with residents to meet their mobility goals?
- 4What kind of daily activities or holiday celebrations do you have planned to keep the community engaged and social?
- 5How does the nursing team manage resident care and medical needs during periods of high census or when the facility is particularly busy?
- 6Are there any upcoming plans or improvements scheduled for the facility's maintenance or common area upgrades?
Personalized based on this facility's data
Key Review Excerpts
“The physical therapy team is amazing. All of the staff are knowledgeable and helpful. They are friendly and kind.”
“The staff is phenomenal, and the care and love they show to their patients is genuine and heartfelt.”
“A great place for rehabilitation. The staff are very kind and supportive. Always trying to help people out.”
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 · 16 measures
10
measures
3
measures
3
measures
Residents whose bladder or bowel control got worse
Residents whose walking got worse
Residents with depression symptoms
Residents needing more daily help over time
Residents vaccinated for pneumonia
Residents on anti-anxiety or sleep medication
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
This facility has concerning patterns with 49 deficiencies across six surveys, including six complaint-triggered issues where families filed reports about care problems. The most recurring problems involve medication management (with medication error issues), nutrition and food safety (appearing in multiple surveys), and fire safety deficiencies that persist across inspections. While all deficiencies show correction dates, the repeated issues with medications and food safety, combined with recent family complaints about nursing staffing and resident dignity, warrant careful consideration when evaluating this facility.
Feb 12, 2026Routine18
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 Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Environmental Deficiencies
Have policies on smoking.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Administration Deficiencies
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Smoke Deficiencies
Provide properly protected cooking facilities.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
May 8, 2025Complaint3
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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.
Nov 7, 2024Routine23
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Environmental Deficiencies
Have policies on smoking.
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Nutrition and Dietary Deficiencies
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
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Administration Deficiencies
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
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.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Provide care or services that was trauma informed and/or culturally competent.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
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.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Oct 30, 2024Complaint1
Nutrition and Dietary Deficiencies
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Jan 18, 2024Complaint2
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 for the safe, appropriate administration of IV fluids for a resident when needed.
Oct 11, 2023Routine8
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
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
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Ownership & Operations
Who Operates This Facility
Nocona Hospital District
for profit
2901 STERLING HART DR OPCO LLC
KISSY MILLER
Chain Affiliation
Avir Health Group
117 facilities nationwide
Chain avg rating: 2.3/5 · Rank 10 of 21
Ownership & Management
Owners
Nocona Hospital District
Owner · Organization
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
45 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 1 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.