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

AVIR AT MONAHANS

MONAHANS, TX · 92 certified beds · Last Life Safety survey July 29, 2025

CMS Certification Number 675522 · first certified June 1995

Ownership

Operated by AVIR HEALTH GROUP · Government - Hospital district

  • Ownership changed April 1, 2017 (change of ownership)from MONAHANS NURSING OPERATIONS, LLC
12
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
3
Tags cited more than once
Across separate surveys
7
Inspection & testing records
Of the citations on file

Position within TX

12 citations — more than 74% 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 5 citations; the earlier surveys in the window averaged 3.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window is open now: September 2026 to October 2026. This facility’s last Life Safety survey was July 2025. 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

2 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

1 of the 12 citations on file is 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)

12 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 12 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 Provide and implement an infection prevention and control program.
  • F-0908 Keep all essential equipment working safely.
  • F-0584 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.
  • F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

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 facility12TX median7National median11
Citations on file over three years, compared
MeasureCitations
This facility12
Median facility in TX7
Median facility nationally11

Survey history

Citations at each Life Safety survey
32023-0442024-0652025-07
Citations at each Life Safety survey
Survey dateCitations
April 20, 20233
June 13, 20244
July 29, 20255

Most-cited tags

Most-cited tags at this facility
K-03723K-05213K-03212K-09181K-09161K-03441E-00411
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.32025-07-29
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.32025-07-29
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.22025-07-29
K-0918Have generator or other power source capable of supplying service within 10 seconds.12024-06-13
K-0916Have a battery powered remote alarm panel in a location accessible by operating personnel.12025-07-29
K-0344Have an alternate power supply for its alarm system.12024-06-13
E-0041Implement emergency and standby power systems.12025-07-29

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 6
  • Services Deficiencies 3
  • Gas, Vacuum, and Electrical Systems Deficiencies 2
  • Emergency Preparedness Deficiencies 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies6
Services Deficiencies3
Gas, Vacuum, and Electrical Systems Deficiencies2
Emergency Preparedness Deficiencies1

Every citation on file

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

July 29, 2025 — 5 citations

Citations issued on July 29, 2025
TagWhat the surveyor checksStatus
E-0041Implement emergency and standby power systems.Deficient, Provider has date of correction (September 17, 2025)
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 (September 17, 2025)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (September 17, 2025)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (September 17, 2025)
K-0916Have a battery powered remote alarm panel in a location accessible by operating personnel.Deficient, Provider has date of correction (September 17, 2025)

June 13, 2024 — 4 citations

Citations issued on June 13, 2024
TagWhat the surveyor checksStatus
K-0344Have an alternate power supply for its alarm system.Deficient, Provider has date of correction (July 11, 2024)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (July 11, 2024)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (July 11, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (July 11, 2024)

April 20, 2023 — 3 citations

Citations issued on April 20, 2023
TagWhat the surveyor checksStatus
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 (June 16, 2023)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (June 16, 2023)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (June 16, 2023)

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