Avir Health Group Nursing Homes: Chain Profile, Ownership, and CMS Record

Who Is Avir Health Group?

Avir Health Group is the name under which a group of skilled nursing and rehabilitation facilities operate in Texas; the facilities are branded as "Avir at" a given location and are grouped internally into networks the company calls Legacy, Trilogy, and Vista.^[5] By number of CMS-affiliated skilled nursing facilities, the group is the eighth-largest nursing home chain in the United States.^[3]

The group's corporate founding date and headquarters are not publicly detailed, and its website describes it simply as providing skilled nursing and rehabilitation services in Texas.^[5] How the chain is owned is addressed in the next section.

What Kind of Chain Is Avir Health Group?

Avir is a skilled nursing facility (SNF) chain operating exclusively in Texas, providing nursing and rehabilitation care. Skilled nursing facilities care for patients who need 24-hour nursing care, often after a hospital stay, and are rated on the federal CMS five-star scale.^[1]

Who Owns Avir Health Group?

The ownership of the Avir-affiliated facilities is layered and is not consolidated under a single publicly named parent. In the federal CMS ownership records for these facilities, CMS does not list an entity named "Avir"; instead, the facilities list individual managers and Welltower-affiliated entities as owners, managers, or additional disclosable parties.^[4] Welltower, Inc. is a publicly traded healthcare real estate investment trust that owns healthcare real estate leased to operators.^[4]

For families, this layered structure matters: the company that brands a facility, the entity that owns the real estate, and the entity that operates and manages day-to-day care may all be different. Identifying which owning, operating, and management entities are responsible is an important early step when a resident is harmed. Within the CMS data, the Avir-affiliated facilities are operated as for-profit entities.^[1]

How Big Is the Avir Health Group Nursing Home Chain?

Avir by the Numbers

Federal CMS data describes a large, Texas-wide operation:

Facility, state, and bed counts are from the CMS Nursing Home Chain Performance Measures dataset (most recent 2026 release).^[3]

• The most recent federal CMS chain-level data affiliates 118 nursing homes in Texas with the chain (CMS chain ID 719) — ranking it #8 of the 611 chains CMS tracks by number of facilities.^[3]
• The affiliated homes hold about 12,935 certified beds.^[3]

Avir Health Group CMS Ratings and Staffing Data

The figures below are reported by CMS for the chain in the most recent CMS Nursing Home Chain Performance Measures release (118 facilities in Texas). CMS five-star ratings are relative, point-in-time measures calculated against other facilities nationally; they do not guarantee the quality of care any individual resident receives, and serious harm can occur at a facility regardless of its rating.

• The chain-average overall star rating was about 2.3 of 5 (the national chain average is 3.0). The chain-level component averages CMS publishes were 2.4 for health inspections, 1.7 for staffing, and 3.6 on the quality measure rating, which is largely self-reported.^[3]
• CMS data reports 46 of 118 facilities (39.0%) with a one-star ("much below average") overall rating — about double the 20.5% national rate — and 17 facilities (14.4%) carrying a CMS abuse icon (national rate 9.7%).^[3]
• Average total nurse staffing was about 3.2 hours per resident per day (national average about 3.9), and reported nursing-staff turnover was about 58.0% (national 45.8%).^[3]
• CMS records show 193 fines totaling about $6.76 million and 16 Medicare payment denials across the chain in the most recent three-year window.^[3][2]

Avir Health Group Nursing Home Facilities

The table below is the complete roster of the Avir-affiliated nursing facilities (CMS chain ID 719) in the federal CMS Provider Information dataset (May 2026 release), which listed 117 facilities, all in Texas. It lists each facility's name, city and state, street address, and phone number, along with any current CMS quality flag. The chain-level totals cited above reflect the most recent CMS Nursing Home Chain Performance Measures release, which affiliates 118 facilities with the chain; this per-facility roster is the May 2026 provider-level snapshot and will be refreshed when CMS posts the corresponding provider-level file. Some facilities operate under an "Avir at" name while others retain prior names.^[1]

The "CMS Flag" column marks homes that CMS has identified as a Special Focus Facility, a Special Focus Facility Candidate, behind on inspections ("Delayed inspection"), or carrying an abuse icon. Rows shaded gold indicate a current Special Focus designation or candidacy.^[1]

Source: Centers for Medicare & Medicaid Services, Provider Data Catalog, Nursing Home "Provider Information" dataset (NH_ProviderInfo_May2026.csv), filtered to Avir Health Group, chain ID 719. Inclusion on this list reflects CMS chain-affiliation data and does not by itself indicate that any particular facility committed wrongdoing.^[1]

Special Focus Facilities and SFF Candidates in Avir Health Group

The Special Focus Facility (SFF) program is run by CMS to identify nursing homes with a history of serious quality problems; CMS describes these facilities as among the poorest-performing nursing homes in the country. A "Special Focus Facility Candidate" is a home with a history of serious quality issues that has not yet been formally placed in the program.^[6]

According to the federal CMS Provider Information dataset (May 2026 release), the Avir chain included 0 Special Focus Facilities and 4 Special Focus Facility Candidates. CMS data also showed 22 facilities carrying an abuse icon, meaning they were cited for abuse or neglect at or above a defined harm level.^[1]

These designations are reassessed by CMS monthly and can change. The most recent CMS Nursing Home Chain Performance Measures release reports 0 Special Focus Facilities and 4 SFF candidates for the chain; the specific facilities named below reflect the CMS May 2026 provider-level release.^[3]

Avir Special Focus Facility Candidates (May 2026)

• Epic Nursing & Rehabilitation — Corsicana, TX
• Avir at Lubbock — Lubbock, TX
• Avir at Adams — Temple, TX
• Avir at Rose Trail — Tyler, TX

Avir Facilities With a CMS Abuse Icon (May 2026)

• Brightpointe at Lytle Lake — Abilene, TX
• Avir at Beaumont — Beaumont, TX
• Avir at Beeville — Beeville, TX
• Epic Nursing & Rehabilitation — Corsicana, TX
• Avir at Fort Worth — Fort Worth, TX
• Gainesville Convalescent Center — Gainesville, TX
• Killeen Nursing & Rehabilitation — Killeen, TX
• Avir at Lancaster — Lancaster, TX
• Avir at Lindale — Lindale, TX
• Avir at Lubbock — Lubbock, TX
• Avir at Luling — Luling, TX
• Avir at Magnolia — Luling, TX
• Avir at Mineola — Mineola, TX
• Avir at Overton — Overton, TX
• Avir at Pittsburg — Pittsburg, TX
• Avir at Schertz — Schertz, TX
• Avir at Seguin — Seguin, TX
• Avir at Adams — Temple, TX
• Avir at Temple West — Temple, TX
• Avir at Cowhorn Creek — Texarkana, TX
• Avir at Petal Hill — Tyler, TX
• Avir at Weatherford — Weatherford, TX

Avir Health Group Fines, Lawsuits, and Regulatory Record

The items below are drawn from federal CMS enforcement data and the sources reviewed for this page.

Federal Civil Money Penalties and Payment Denials

CMS enforcement records show that, across the chain, CMS imposed 193 fines totaling about $6.76 million and 16 Medicare payment denials in the most recent three-year window reflected in the data. These are regulatory penalties recorded by CMS and reflect the chain's inspection and compliance history.^[2][3]

Federal Fraud Settlements

The government records and reporting reviewed for this page do not reflect a major federal False Claims Act settlement against the Avir-affiliated group. This statement is limited to the sources cited here and is not a representation that no litigation exists; because the facilities operate through layered entities, court and agency records for the specific owning and operating companies should be checked for current matters.^[2]

It is important to be precise about what has and has not been established. The CMS ratings, fines, and Special Focus data on this page are federal regulatory records; they describe inspection findings and penalties, not court judgments of fraud.

How Michael Hill Trial Law Investigates Claims Against Avir Health Group

Michael Hill Trial Law focuses exclusively on nursing home abuse and neglect. The firm has handled more than 1,000 cases against nursing home operators and has recovered hundreds of millions of dollars for clients, including a $26 million verdict in Ohio.^[7]

Thin staffing and high staff turnover are among the conditions that can contribute to preventable harm in a nursing home, because residents depend on consistent, adequate staffing for basic care. A facility's overall CMS rating does not determine whether a particular resident was harmed. Because the Avir-affiliated facilities operate through layered ownership and management entities, one of the first things we do is identify exactly which companies owned, leased, operated, and managed the facility. When we investigate a claim against an Avir facility, we also compare the home's CMS staffing and inspection history against what happened to the resident and obtain the facility's care records and any available documentation. The kinds of injuries and claims our firm investigates include:

• Bedsores and pressure injuries
• Falls and fractures
• Malnutrition and dehydration
• Infections and sepsis
• Medication errors
• Elopement (wandering away from a facility)
• Understaffing and neglect
• Physical or sexual assault
• Wrongful death

We are investigating claims against facilities operated under the Avir Health Group name. If your loved one was injured or died in an Avir nursing home, the public record on this page may be relevant to your situation. Our firm serves families nationwide.

Frequently Asked Questions About Avir Health Group

Who owns Avir Health Group?

Avir Health Group is the name under which a group of Texas skilled nursing and rehabilitation facilities operate. Its corporate founding, headquarters, and ownership are not publicly detailed. In CMS ownership records, the individual facilities list individual managers and Welltower-affiliated entities (Welltower is a publicly traded healthcare real estate investment trust) as owners, managers, or additional disclosable parties; CMS does not list a single parent entity named “Avir.” Families should confirm the specific owning, operating, and management entities for any individual facility.

How many nursing homes does Avir Health Group operate?

The most recent CMS chain-level data affiliates about 118 nursing homes with the chain, all in Texas, ranking it the eighth-largest nursing home chain in the United States by number of facilities — #8 of the 611 chains CMS tracks.

Is Avir Health Group for-profit or nonprofit?

Within the CMS data, the Avir-affiliated facilities are operated as for-profit entities. The chain is not publicly traded under the Avir name and does not publicly report financial results.

How is Avir Health Group rated by Medicare?

According to the most recent CMS chain data, the chain's average overall star rating is about 2.3 of 5 (the national average is 3.0), with chain-average ratings of 2.4 for health inspections, 1.7 for staffing, and 3.6 on quality measures. CMS data reports 46 of 118 facilities (39.0%) with a one-star overall rating, about double the 20.5% national rate, and reported nursing-staff turnover averaged about 58.0%, above the 45.8% national figure. CMS star ratings are relative, point-in-time measures and do not guarantee the care any individual resident receives.

Has Avir Health Group been fined or sanctioned?

CMS enforcement records show 193 federal fines totaling about $6.76 million and 16 Medicare payment denials across the chain in the most recent three-year window. The sources reviewed for this page do not reflect a major federal False Claims Act settlement against the Avir-affiliated group.

What should I do if a loved one was harmed at an Avir facility?

Michael Hill Trial Law investigates abuse and neglect claims against nursing home operators nationwide, including facilities affiliated with Avir Health Group. Because the ownership and management structure behind these Texas facilities is layered, identifying the responsible entities is an important early step. You can contact the firm for a confidential review of your situation.

Sources

1. Centers for Medicare & Medicaid Services, Provider Data Catalog, Nursing Home "Provider Information" dataset (NH_ProviderInfo_May2026.csv), filtered to Avir Health Group, chain ID 719 (facility counts, addresses, phone numbers, bed counts, ownership type, star ratings, abuse icons, Special Focus status, delayed inspections). https://data.cms.gov/provider-data/dataset/4pq5-n9py
2. Centers for Medicare & Medicaid Services, Provider Data Catalog, Nursing Home "Penalties" file (May 2026 release) (fine amounts and payment denials). https://data.cms.gov/provider-data/
3. Centers for Medicare & Medicaid Services, Provider Data Catalog / data.gov, "Nursing Home Chain Performance Measures" (Affiliated Entity Performance Measures) dataset, most recent 2026 release, filtered to Avir Health Group (CMS chain ID 719): affiliated-facility count, state, bed count, chain-average star ratings, one-star share, abuse-icon share, Special Focus Facilities and candidates, fines, payment denials, staffing hours, and turnover. https://data.cms.gov/provider-data/ ; dataset listing: https://catalog.data.gov/dataset/nursing-home-chain-performance-measures
4. Centers for Medicare & Medicaid Services, Nursing Home Ownership data (owners, managers, and additional disclosable parties for the Avir-affiliated facilities, which list individual managers and Welltower-affiliated entities; no single parent entity named "Avir" is listed). Welltower, Inc. is a publicly traded healthcare real estate investment trust (NYSE: WELL). https://data.cms.gov/provider-data/
5. Avir Health Group, company website (skilled nursing and rehabilitation services in Texas; "Avir at" facilities grouped into Legacy, Trilogy, and Vista networks). https://avirhg.com/
6. Centers for Medicare & Medicaid Services, "Special Focus Facility (SFF) Program" overview and monthly candidate/participant lists. https://www.cms.gov/medicare/health-safety-standards/certification-compliance/special-focus-facility
7. Michael Hill Trial Law. https://protectseniors.com/

This page is for general informational purposes and is not legal advice. It is attorney advertising. Ratings, fines, and Special Focus data are from federal CMS records and reflect inspection findings and regulatory penalties, not court judgments. CMS star ratings are relative, point-in-time measures and do not guarantee the care any individual resident receives. Facility data and corporate ownership change over time; verify current details before relying on them. Last reviewed: October 26, 2026.