Avir At Commerce
2901 Sterling Hart Dr, Commerce, TX 75428 · Hunt County
Government · 116 certified beds · 35% occupancy · (903) 886-2510
The U.S. government (CMS) rates Avir At Commerce 2 out of 5 stars overall, below average. Its nurse staffing is at or above the Texas median.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-08-09. Stars are CMS's own five-star ratings.
Nurse staffing
Staffing is the single strongest predictor of nursing home quality, and the number pay-to-play referral sites rarely show you.
3.31 nurse hours per resident per day. 1% above the Texas median of 3.27.
Nursing staff turnover: 69.2%
Safety & compliance flags
No CMS warning flags on record.
Recent inspection findings
The specific problems state inspectors cited, the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.
- Potential for harmTag F0727 · Feb 12, 2026Corrected Feb 16, 2026
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.
Nursing and Physician Services Deficiencies
- Potential for harmTag F0656 · May 28, 2026ComplaintCorrected Jun 1, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0644 · Feb 12, 2026Corrected Feb 16, 2026
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0812 · Feb 12, 2026Corrected Feb 16, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0926 · Feb 12, 2026Corrected Feb 16, 2026
Have policies on smoking.
Environmental Deficiencies
- Potential for harmTag F0677 · Feb 12, 2026Corrected Feb 16, 2026
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
- Potential for harmTag F0689 · Feb 12, 2026Corrected Feb 16, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
- Potential for harmTag F0690 · Feb 12, 2026Corrected Feb 16, 2026
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
- Potential for harmTag F0695 · Feb 12, 2026Corrected Feb 16, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
- Potential for harmTag F0806 · Feb 12, 2026Corrected Feb 16, 2026
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary Deficiencies
Showing the 10 most recent and serious of 42 findings. See the full inspection history on Medicare.gov.
Antipsychotic drug use
The share of long-stay residents given antipsychotic medication. These drugs are sometimes used to sedate residents with dementia, a practice CMS and resident advocates watch closely. Lower is better.
This is below the national median but above the Texas median, roughly middle of the pack for the state.
Source: CMS MDS Quality Measures, long-stay antipsychotic measure, retrieved 2026-08-09. See the Texas study
Federal fines and penalties
Money CMS has fined this home, plus other federal penalties, over roughly the last three years. Fines follow serious or repeated violations.
No federal fines are on record for this home in roughly the last three years, a good sign.
Ownership
This home is government (government - federal). It is part of the Avir Health Group chain, which operates 119 facilities, with a chain-average CMS rating of 2.3 stars.