Avir at Johnson City
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 16 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)
Below average in Texas · Meets national RN staffing standard · $74,691 in fines
What this means for your family
This facility is an excellent choice for patients requiring intensive physical therapy, as evidenced by significant recovery stories. However, while recent reviews are overwhelmingly positive, you should verify current staffing stability and food quality to ensure the historical concerns regarding agency nursing have been resolved.
Google Reviews
Google Reviews
16 reviews on Google“Families can expect highly effective physical therapy services and a staff described as exceptionally kind and caring. While some recent experiences highlight excellent progress in rehabilitation, a previous critical review raised serious concerns regarding staffing ratios, food quality, and communication.”
Quality Themes
Tap a score for detailsStrengths
- Exceptional physical therapy and rehabilitation results
- Kind and compassionate nursing staff
- Clean and well-maintained facility
- Friendly and welcoming environment
Concerns
- Inadequate staffing ratios and reliance on agency nurses
Rating Trends
Tap a year to see what changed
Distribution · 18 analyzed
How They Respond to Reviews
The owner relies heavily on repetitive, templated responses that fail to acknowledge the specific details of the reviews. While they attempt to personalize some responses with names, the core messaging remains largely unchanged across different reviews.
Questions for Your Tour
- 1We've heard wonderful things about the physical therapy and rehab results here; could you tell us more about how that program works for new residents?
- 2I noticed you are very active in responding to feedback from families; how does the administration typically use resident or family suggestions to make improvements?
- 3What does a typical weekly schedule look like regarding social events and group activities for the residents?
- 4Could you describe the dining experience, specifically how meals are prepared and what the daily menu options look like?
- 5How do you ensure consistent communication between the nursing staff and family members regarding changes in a resident's health?
- 6In the event of a medical emergency during the night, what is the specific protocol for notifying the family and coordinating care?
Personalized based on this facility's data
Key Review Excerpts
“My brother was told he would never walk again, and yet, 8 months after he came here, he started walking with a walker, due to the unfailing support, encouragement, and expertise of the Physical Therapy staff here at LBJ.”
“While LBJ may be an older facility, it is ALWAYS clean.”
“The folks working here are amazing, kind and caring. We're so grateful to have a facility that takes care of our loved ones and knows them personally.”
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 · 15 measures
7
measures
7
measures
1
measures
Residents needing more daily help over time
Residents whose walking got worse
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on antipsychotic medication
Residents vaccinated for pneumonia
Residents on anti-anxiety or sleep medication
Short-stay residents vaccinated for pneumonia
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility shows concerning patterns with 18 complaint-triggered deficiencies out of 32 total, indicating families have repeatedly filed reports about care issues. The most recurring problems involve food safety and nutrition, accident prevention and safety hazards, and nursing staffing requirements. While most past issues show correction dates, recent complaints in 2024-2025 suggest ongoing challenges with basic safety supervision, pain management, and maintaining adequate nursing coverage that families should carefully evaluate.
Dec 3, 2025Complaint3
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
Apr 2, 2025Routine6
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
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.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Dec 31, 2024Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Oct 30, 2024Complaint2
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Sep 6, 2024Complaint1
Resident Rights Deficiencies
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
Jul 30, 2024Complaint1
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Federal Penalties
Fine
Dec 3, 2025
$19,135
Fine
Dec 31, 2024
$20,777
Fine
Oct 30, 2024
$34,779
Ownership & Operations
Who Operates This Facility
Hamilton County Hospital District
for profit
206 HALEY RD OPCO LLC
SUSANNE PORTER
Chain Affiliation
Avir Health Group
117 facilities nationwide
Chain avg rating: 2.3/5 · Rank 38 of 90
Ownership & Management
Owners
Hamilton County 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
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References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
16 reviews from families & visitors
Official Website
Visit avirhg.com
Medicare data downloads
Original nursing home datasets
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