Nursing homeActive

Avir at Pecos

1819 Memorial Drive, Pecos, TX 79772432447218389 certified beds · 48 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
7
since 2024
Deficiencies
37
0370
Penalties · 3 yrs
none on file
Last survey
2026-05-14
Standard
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 2
Staffing 2
Quality 4
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Texas Health and Human Services Commission · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2026-05-14Standard0200CMS-2567 (Care Compare)
2026-01-06Complaint010CMS-2567 (Care Compare)
2025-12-09Complaint010CMS-2567 (Care Compare)
2025-03-28Standard060CMS-2567 (Care Compare)
2024-10-24Complaint010CMS-2567 (Care Compare)
2024-02-22Standard060CMS-2567 (Care Compare)
2024-01-26Infection control020CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Texas Health and Human Services Commission publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2026-05-14Standard survey · 20 deficienciesOfficial report
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-06-12Record 675881-20260514-F550
F574The resident has the right to receive notices in a format and a language he or she understands.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-06-12Record 675881-20260514-F574
F584Honor 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-06-12Record 675881-20260514-F584
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-12Record 675881-20260514-F609
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-12Record 675881-20260514-F610
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-12Record 675881-20260514-F655
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-06-12Record 675881-20260514-F656
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-12Record 675881-20260514-F677
F687Provide appropriate foot care.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-12Record 675881-20260514-F687
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity EStandard
Care planningFalls
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-06-12Record 675881-20260514-F689
F692Provide enough food/fluids to maintain a resident's health.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-06-12Record 675881-20260514-F692
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-06-12Record 675881-20260514-F695
F727Have 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.Scope/severity FStandard
Staffing
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-06-12Record 675881-20260514-F727
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-06-12Record 675881-20260514-F761
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-06-12Record 675881-20260514-F812
F865Have a plan that describes the process for conducting QAPI and QAA activities.Scope/severity EStandard
Records
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-06-12Record 675881-20260514-F865
F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.Scope/severity EStandard
Records
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-06-12Record 675881-20260514-F867
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-12Record 675881-20260514-F880
F943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-12Record 675881-20260514-F943
F945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-12Record 675881-20260514-F945
2026-01-06Complaint survey · 1 deficiencyOfficial report
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-28Record 675881-20260106-F558
2025-12-09Complaint survey · 1 deficiencyOfficial report
F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Scope/severity FStandard
Environment
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-12-26Record 675881-20251209-F921
2025-03-28Standard survey · 6 deficienciesOfficial report
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-21Record 675881-20250328-F600
F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-29Record 675881-20250328-F693
F727Have 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.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-29Record 675881-20250328-F727
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-03-29Record 675881-20250328-F812
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-29Record 675881-20250328-F880
F908Keep all essential equipment working safely.Scope/severity EStandard
Environment
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-03-29Record 675881-20250328-F908
2024-10-24Complaint survey · 1 deficiencyOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-26Record 675881-20241024-F689
2024-02-22Standard survey · 6 deficienciesOfficial report
F552Ensure that residents are fully informed and understand their health status, care and treatments.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-03-29Record 675881-20240222-F552
F727Have 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.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-03-29Record 675881-20240222-F727
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-03-29Record 675881-20240222-F755
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-03-29Record 675881-20240222-F761
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-03-29Record 675881-20240222-F812
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-03-29Record 675881-20240222-F880
2024-01-26Infection control survey · 2 deficienciesOfficial report
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-09Record 675881-20240126-F580
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-02-09Record 675881-20240126-F880

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.39
Facility
Texas
National
Texas 0.43 · National 0.69
Total nurse hours per resident day3.20
Facility
Texas
National
Texas 3.39 · National 3.86
Weekend total nurse hours2.93
Facility
Texas
National
Texas 2.98 · National 3.42
Total nursing staff turnover67%
Facility
Texas
National
Texas 55% · National 46%
Registered nurse turnover60%
Facility
Texas
National
Texas 55% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityTexasNational
Percentage of long-stay residents with pressure ulcers
lower is better
3.9%3.8%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
3.4%3.3%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
8.9%9.6%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
0.0%0.8%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.0%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
25.3%15.8%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
4.7%3.0%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
20.8%18.0%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Guadalupe County Hospital Board
Organization
5% OR GREATER DIRECT OWNERSHIP INTEREST100%
1819 Memorial Drive Opco, LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Cerna, Orville
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Freund, Nochum
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Travitsky, Aaron
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
1819 Memorial Drive Opco, LLC
Organization
ADP OF THE SNFNOT APPLICABLE
1819 Memorial Drive Property Owner, LLC
Organization
ADP OF THE SNFNOT APPLICABLE
1819 Memorial Drive Property Owner, LLC
Organization
5% OR GREATER SECURITY INTERESTNOT APPLICABLE
Cano, Nicolas
Individual
ADP OF THE SNFNOT APPLICABLE
Cerna, Orville
Individual
ADP OF THE SNFNOT APPLICABLE
Dagan, Amitai
Individual
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE
Gann, Kody
Individual
CORPORATE OFFICERNOT APPLICABLE
Goldberger, Abraham
Individual
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE
Welltower Inc
Organization
5% OR GREATER SECURITY INTERESTNOT APPLICABLE
Welltower Inc
Organization
ADP OF THE SNFNOT APPLICABLE
Welltower Nnn Group, LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Welltower Nnn Group, LLC
Organization
5% OR GREATER SECURITY INTERESTNOT APPLICABLE
Welltower Op, LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Welltower Op, LLC
Organization
5% OR GREATER SECURITY INTERESTNOT APPLICABLE
Part of a chain
Avir Health Group116 facilities
View chain record

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Texas.

No county cost figures on file for Reeves.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Avir At Monahans
Monahans
39.1 mi2026-05-111250
Focused Care at Fort Stockton
Fort Stockton
49.3 mi2026-04-010160
Focused Care At Crane
Crane
68.4 mi2025-06-260201
Sienna Nursing and Rehabilitation
Odessa
73.3 mi2026-04-233283
Focused Care at Odessa
Odessa
73.6 mi2026-05-270231
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01