Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

AVIR AT JACKSBORO

JACKSBORO, TX · 104 certified beds · Last Life Safety survey January 15, 2026

CMS Certification Number 455808 · first certified April 1989

Ownership

Operated by AVIR HEALTH GROUP · For profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

19
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
6
Tags cited more than once
Across separate surveys
10
Inspection & testing records
Of the citations on file

Position within TX

19 citations — more than 93% of the 1,177 certified nursing homes in TX. Compared within TX rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 8 citations; the earlier surveys in the window averaged 5.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens February 2027 — about 5 months from now. This facility’s last Life Safety survey was January 2026. Facilities in TX are typically surveyed 13–14 months after the last one (median 14), measured over 1,905 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

3 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

2 of the 19 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

3 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 19 Life Safety citations above. The Physical Environment Index

  • F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in TX, and nationally. Surveyors differ markedly between states, so the TX figure is the meaningful one.

This facility19TX median7National median11
Citations on file over three years, compared
MeasureCitations
This facility19
Median facility in TX7
Median facility nationally11

Survey history

Citations at each Life Safety survey
52023-0862024-1082026-01
Citations at each Life Safety survey
Survey dateCitations
August 26, 20235
October 4, 20246
January 15, 20268

Most-cited tags

Most-cited tags at this facility
K-02113K-05213K-09162K-07122E-00412K-03532K-03451K-03211
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.32026-01-15
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.32026-01-15
K-0916Have a battery powered remote alarm panel in a location accessible by operating personnel.22026-01-15
K-0712Have simulated fire drills held at unexpected times.22024-10-04
E-0041Implement emergency and standby power systems.22026-01-15
K-0353Inspect, test, and maintain automatic sprinkler systems.22026-01-15
K-0345Have approved installation, maintenance and testing program for fire alarm systems.12024-10-04
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.12026-01-15

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 7
  • Egress Deficiencies 3
  • Services Deficiencies 3
  • Gas, Vacuum, and Electrical Systems Deficiencies 2
  • Other 4
Citations by CMS category
CategoryCitations
Smoke Deficiencies7
Egress Deficiencies3
Services Deficiencies3
Gas, Vacuum, and Electrical Systems Deficiencies2
Emergency Preparedness Deficiencies2
Miscellaneous Deficiencies2

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

January 15, 2026 — 8 citations

Citations issued on January 15, 2026
TagWhat the surveyor checksStatus
E-0041Implement emergency and standby power systems.Deficient, Provider has date of correction (May 1, 2026)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (May 1, 2026)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (May 1, 2026)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (May 1, 2026)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (May 1, 2026)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (May 1, 2026)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (May 1, 2026)
K-0916Have a battery powered remote alarm panel in a location accessible by operating personnel.Deficient, Provider has date of correction (May 1, 2026)

October 4, 2024 — 6 citations

Citations issued on October 4, 2024
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (October 17, 2024)
K-0341Install a fire alarm system that can be heard throughout the facility.Deficient, Provider has date of correction (October 17, 2024)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (October 17, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (October 17, 2024)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (October 17, 2024)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (October 17, 2024)

August 26, 2023 — 5 citations

Citations issued on August 26, 2023
TagWhat the surveyor checksStatus
E-0041Implement emergency and standby power systems.Deficient, Provider has date of correction (August 25, 2023)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (August 25, 2023)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (August 25, 2023)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (August 25, 2023)
K-0916Have a battery powered remote alarm panel in a location accessible by operating personnel.Deficient, Provider has date of correction (August 25, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.