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Nursing HomeMedicaid Investigative

Avir at Monahans

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

1200 W 15th St, Monahans, TX 7975692 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
3.1/5

based on 7 Google reviews

5
4
3
2
1
Avir at Monahans Nursing Home in Monahans, TX — Street View
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3/ 10
moderate Risk

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

Source: Medicare data

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 details
FoodN/AStaff2.0Clean1.0ActivitiesN/AMedsN/AMemoryN/ACommsN/AValueN/A

Strengths

  • 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

2345.02019(2)5.02020(1)1.02023(2)3.32025(3)

Distribution

5
3
4
1
3
0
2
0
1
3

How They Respond to Reviews

43%response rate
Generic

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

Resident/Family member · 2025★★★★★

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”.

Staff/Agency perspective · 2025☆☆☆☆
Source: 7 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.38hrs
51%
Registered nurses for medical care
Total Nursing
2.96hrs
72%
All nurses + aides combined
Staff Turnover
79%
Lower is better (< 30% = good)
RN Turnover
83%
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 · 15 measures

Medicare Rating
3/ 5
Better Than Avg

11

measures

Worse Than Avg

4

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility5.4%
Better than Avg
Here
5.4%
US
19.4%
TX
14.2%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
TX
2.5%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility17.6%
Worse than Avg
Here
17.6%
US
15.4%
TX
9.4%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility21.9%
Worse than Avg
Here
21.9%
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%
⚖️

Residents who lost too much weight

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
5.3%
TX
3.2%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility90.9%
Better than Avg
Here
90.9%
US
81.8%
TX
89.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

7deficiencies
Near state avg (9.1)
32 complaint-triggered

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, 2026Complaint
1
0658MinorCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

Jul 29, 2025Complaint
6
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.

0656ModerateCorrected

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.

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.

0880ModerateCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

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.

0908MinorCorrected

Environmental Deficiencies

Keep all essential equipment working safely.

Jul 29, 2025Routine
5
0041ModerateCorrected

Emergency Preparedness Deficiencies

Implement emergency and standby power systems.

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.

0916ModerateCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have a battery powered remote alarm panel in a location accessible by operating personnel.

0372ModerateCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0521MinorCorrected

Services Deficiencies

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

Feb 27, 2025Complaint
6
0656ModerateCorrected

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.

0908ModerateCorrected

Environmental Deficiencies

Keep all essential equipment working safely.

0921ModerateCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

0584MinorCorrected

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.

0641MinorCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0755MinorCorrected

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, 2025Complaint
1
0880ModerateCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Jun 13, 2024Routine
6
0344ModerateCorrected

Smoke Deficiencies

Have an alternate power supply for its alarm system.

0372ModerateCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0918ModerateCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0755MinorCorrected

Pharmacy Service Deficiencies

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

0761MinorCorrected

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.

0521MinorCorrected

Services Deficiencies

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

Ownership & Operations

Who Operates This Facility

Owner / Operator

Midland County Hospital District

Organization Type

for profit

Management Company

1200 W 15TH STREET OPCO LLC

Administrator

CATARINA GARCIA

Chain Affiliation

Chain Name

Avir Health Group

Chain Size

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

11490 Gateway North Boulevard Property Owner, LLC5% or Greater Security InterestHccf Management Group Xi LLC5% or Greater Security InterestWelltower INC5% or Greater Security InterestWelltower Nnn Group, LLC5% or Greater Security InterestBowerman, StephenOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

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