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Nursing HomeMedicaid Top Rated

Avir at Graham

Strong Medicare quality ratings; families often praise compassionate and attentive nursing staff. Still worth an in-person visit.

1224 Corvadura St, Graham, TX 76450116 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
4.4/5

based on 13 Google reviews

5
4
3
2
1

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What this means for your family

This facility is an excellent choice for families seeking a deeply caring and attentive staff that treats residents like family. However, you should establish a secondary way to communicate with the facility, as past issues with phone connectivity have been noted.

Google Reviews

Google Reviews

13 reviews analyzed
Families can expect a highly compassionate environment where staff members, including non-clinical personnel, prioritize resident comfort and dignity. While the care quality is praised as exceptional, there have been documented difficulties reaching the facility by phone for urgent inquiries.

Quality Themes

Tap a score for details
FoodN/AStaff10.0CleanN/AActivitiesN/AMedsN/AMemoryN/AComms3.0ValueN/A

Strengths

  • Compassionate and attentive nursing staff
  • Holistic care approach including maintenance staff
  • Pleasant and harmonious living environment

Concerns

  • Difficulty reaching the facility via telephone

Rating Trends

Tap a year to see what changed

2343.0'17(1)5.04.5'20(4)5.05.0'22(1)5.05.0'25(2)1.0'26(1)

Distribution

5
7
4
0
3
1
2
0
1
0

How They Respond to Reviews

54%response rate
Generic

The owner uses templated, professional language that focuses on the facility's mission statement rather than engaging deeply with the specific details of the reviews. While they acknowledge the reviewer by name, the core of the response is a repetitive commitment to care standards.

Questions for Your Tour

  • 1We've heard wonderful things about the compassionate and attentive nursing staff here; how do you ensure that level of care remains consistent throughout every shift?
  • 2Since we value staying connected, what is the best way for our family to reach the nursing team or administration if we have a quick question or update?
  • 3We are looking for a holistic approach to care, so could you tell us how the maintenance and support staff interact with residents to help maintain a harmonious environment?
  • 4How does the facility manage medical emergencies or sudden changes in a resident's health during the overnight hours?
  • 5What kind of daily activities or social programs are available to help residents stay engaged and part of the community life here?
  • 6We noticed the facility has a very high health inspection rating, which is reassuring; how do you maintain such high clinical standards while managing the needs of 116 residents?

Personalized based on this facility's data


Key Review Excerpts

They went ABOVE and beyond in caring for my grandmother. They cared about what she needed, wanted, and what would make her comfortable. I can’t say enough great things about them.

Long-term resident's family · 2024★★★★★

Amazing nursing staff; a lot of caring folks and harmony that promotes a pleasant environment for the Residents to thrive.

Resident advocate · 2021★★★★★

They have been kind, courteous and they are taking very good care of our family member.

Family member · 2025☆☆☆☆
Source: 13 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.51hrs
68%
Registered nurses for medical care
Total Nursing
3.23hrs
79%
All nurses + aides combined
Staff Turnover
35%
Lower is better (< 30% = good)
RN Turnover
40%
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

5

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility32.9%
Worse than Avg
Here
32.9%
US
15.4%
TX
9.4%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility34.5%
Worse than Avg
Here
34.5%
US
15.3%
TX
14.9%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility32.3%
Worse than Avg
Here
32.3%
US
19.5%
TX
18.4%
😔

Residents with depression symptoms

↓ Lower is better
This Facility2.2%
Better than Avg
Here
2.2%
US
12.1%
TX
2.5%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility23.9%
Worse than Avg
Here
23.9%
US
14.4%
TX
16.1%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
TX
96.9%
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%
💉

Short-stay residents vaccinated for pneumonia

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

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
TX
1.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

1deficiencies
Well below state avg (9.1)
3 complaint-triggered

This facility shows recurring problems with building safety systems and care planning that persist across multiple inspections. The most frequent issues involve fire safety systems, building maintenance, and resident assessments, with sprinkler systems, heating/ventilation, and exit safety cited repeatedly from 2023 through 2025. While all deficiencies have correction dates, families have filed complaints resulting in citations for accident prevention, medical records handling, and resident care.

Aug 14, 2025Routine
8
0211ModerateCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0804ModerateCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0321ModerateCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0353ModerateCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0511ModerateCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0929ModerateCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0351MinorCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0521MinorCorrected

Services Deficiencies

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

Jul 20, 2024Routine
12
0812ModerateCorrected

Nutrition and Dietary Deficiencies

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

0908ModerateCorrected

Environmental Deficiencies

Keep all essential equipment working safely.

0712ModerateCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0293ModerateCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0353ModerateCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0641MinorCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0695MinorCorrected

Quality of Life and Care Deficiencies

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

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0351MinorCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0511MinorCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0211MinorCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0521MinorCorrected

Services Deficiencies

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

Mar 10, 2024Complaint
1
0689MinorCorrected

Quality of Life and Care Deficiencies

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

Aug 16, 2023Complaint
1
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.

Jun 7, 2023Routine
12
0812ModerateCorrected

Nutrition and Dietary Deficiencies

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

0755ModerateCorrected

Pharmacy Service Deficiencies

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

0761ModerateCorrected

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.

0223ModerateCorrected

Egress Deficiencies

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

0321ModerateCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0641MinorCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0644MinorCorrected

Resident Assessment and Care Planning Deficiencies

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

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.

0727MinorCorrected

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.

0039MinorCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0211MinorCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0521MinorCorrected

Services Deficiencies

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

May 23, 2023Complaint
1
0690MinorCorrected

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.

Ownership & Operations

Who Operates This Facility

Owner / Operator

County of Throckmorton

Organization Type

government

Management Company

1224 CORVADURA ST OPCO LLC

Administrator

SHIRL MANUEL

Chain Affiliation

Chain Name

Avir Health Group

Chain Size

117 facilities nationwide

Chain avg rating: 2.3/5 · Rank 8 of 90 (Best)

Ownership & Management

Owners

County of Throckmorton

Owner · Organization

100%

Dagan, Amitai

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

Goldberger, Abraham

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

Goldberger, Faigy

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

Key personnel

Gober, KirbyOfficer / Director1224 Corvadura St Opco LLCManagerFreund, NochumManagerTravitsky, AaronManager1224 Corvadura St Opco LLCAdp of the Snf
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

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