Avir at Monahans
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 7 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 staffing rating (2/5 stars)
- High staff turnover (74%)
- High RN turnover (67%)
Above average in Texas · Critically understaffed (RN) · Above average staffing · Very high staff turnover · Chain outperformer · No penalties on record
What this means for your family
While there are mentions of positive changes under new management, the presence of highly specific allegations regarding staff verbal abuse and poor sanitation is a significant red flag. If you consider this facility, you must conduct an unannounced visit to personally verify the cleanliness of the halls and the temperament of the staff.
Google Reviews
Google Reviews
7 reviews analyzed“Families should exercise extreme caution, as recent reviews highlight severe concerns regarding staff professionalism and facility hygiene, including reports of offensive language toward residents and unpleasant odors. While some recent feedback mentions improved care under new management, the most detailed recent criticism points to a lack of respect for residents and poor sanitary conditions.”
Quality Themes
Tap a score for detailsStrengths
- New management perceived as an improvement by some
- Occasional positive feedback regarding staff care
Concerns
- Unprofessional and disrespectful staff behavior
- Poor facility cleanliness and unpleasant odors
Rating Trends
Tap a year to see what changed
Distribution
How They Respond to Reviews
The owner uses identical template responses for positive reviews and a standard, non-specific template for negative reviews. There is no attempt to address specific allegations or provide personalized engagement.
Questions for Your Tour
- 1I noticed some recent feedback mentions improvements under the new management; what specific changes have been implemented lately to enhance the resident experience?
- 2How does the team approach daily cleaning and maintenance routines to ensure the facility stays fresh and comfortable for everyone?
- 3What steps are being taken to increase staffing levels and ensure consistent, professional interactions between the caregivers and residents?
- 4Could you walk me through the protocol for handling medical emergencies or sudden changes in a resident's health during the night?
- 5What kind of daily activities or social programs are available to keep residents engaged and connected with one another?
- 6How do you ensure that the care provided remains consistent and respectful across all shifts?
Personalized based on this facility's data
Key Review Excerpts
“Great caring staff under new management”
“Worst training ever provided by norela. Very rude staff & they do not care about the residents. Agency even called a resident “crazy”. The halls are putrid and smell of urine and feces. Another employee told a resident to “shut up”.”
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
11
measures
4
measures
Residents whose bladder or bowel control got worse
Residents with depression symptoms
Residents on antipsychotic medication
Residents needing more daily help over time
Residents vaccinated for pneumonia
Residents who lost too much weight
Short-stay residents vaccinated for pneumonia
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has serious recurring problems with 31 of 45 deficiencies triggered by family complaints. The most problematic areas are infection control (cited 6 times), care planning (cited 5 times), and medication management (cited 4 times). Families have repeatedly filed reports about unsafe conditions, inadequate nursing coverage, and poor infection prevention. While the facility corrects violations when cited, the pattern of complaints across multiple surveys suggests ongoing quality issues that families should carefully consider.
Feb 9, 2026Complaint1
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Jul 29, 2025Complaint6
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 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.
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.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Environmental Deficiencies
Keep all essential equipment working safely.
Jul 29, 2025Routine5
Emergency Preparedness Deficiencies
Implement emergency and standby power systems.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Gas, Vacuum, and Electrical Systems Deficiencies
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Feb 27, 2025Complaint6
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.
Environmental Deficiencies
Keep all essential equipment working safely.
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 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
Ensure each resident receives an accurate assessment.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Jan 24, 2025Complaint1
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Jun 13, 2024Routine6
Smoke Deficiencies
Have an alternate power supply for its alarm system.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
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.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Ownership & Operations
Who Operates This Facility
Midland County Hospital District
for profit
1200 W 15TH STREET OPCO LLC
CATARINA GARCIA
Chain Affiliation
Avir Health Group
117 facilities nationwide
Chain avg rating: 2.3/5 · Rank 30 of 90
Ownership & Management
Owners
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
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
7 reviews from families & visitors
Official Website
Visit avirhg.com
Medicare data downloads
Original nursing home datasets
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