Avir At Graham
Nursing Home · 1224 Corvadura St, Graham, TX 76450 · 9405494646
Scores by dimension
| Dimension | Score | Data confidence |
|---|---|---|
| Safety & compliance | 5.0 / 5 | high |
| Staffing | 2.6 / 5 | high |
| Clinical outcomes | 3.3 / 5 | high |
| Enforcement | 5.0 / 5 | high |
| Financial stability | 4.1 / 5 | med |
Key facts
| Care type | Nursing Home |
| Beds | 116 |
| Ownership | Government - Hospital District |
| Operator | County Of Throckmorton |
| Chain size | 117 facilities |
| Certified since | 1985-10-01 |
| CMS overall star | 5 / 5 |
| Accepts Medicaid | Yes |
| Price tier | $$$$$ of 5 · ~$802/day reported charge (within TX) |
Inspection & enforcement record
- Health-inspection citations: 0 immediate jeopardy · 0 actual harm · 15 potential for harm · 1 minor
- Federal fines: $0 · payment denials: 0 · penalty actions: 0
Recent inspection findings
The 8 most recent health-inspection deficiencies on file with CMS, newest first. Severity is the CMS scope/severity scale (A–L); G and above mean actual harm or immediate jeopardy. "Corrected" shows the date the facility certified the fix.
| Date | Finding | Severity | Status |
|---|---|---|---|
| 2025-08-14 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (Nutrition and Dietary Deficiencies, tag 0804) | E | corrected 2025-09-12 |
| 2024-07-20 | Ensure each resident receives an accurate assessment. (Resident Assessment and Care Planning Deficiencies, tag 0641) | D | corrected 2024-08-09 |
| 2024-07-20 | Provide safe and appropriate respiratory care for a resident when needed. (Quality of Life and Care Deficiencies, tag 0695) | D | corrected 2024-08-20 |
| 2024-07-20 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Nutrition and Dietary Deficiencies, tag 0812) | F | corrected 2024-08-12 |
| 2024-07-20 | Provide and implement an infection prevention and control program. (Infection Control Deficiencies, tag 0880) | D | corrected 2024-08-20 |
| 2024-07-20 | Keep all essential equipment working safely. (Environmental Deficiencies, tag 0908) | F | corrected 2024-08-12 |
| 2024-03-10 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Quality of Life and Care Deficiencies, tag 0689) | D | corrected 2024-03-15 |
| 2023-08-16 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Resident Assessment and Care Planning Deficiencies, tag 0842) | D | corrected 2023-09-15 |
Staffing
Nurse hours per resident per day (CMS Payroll-Based Journal) — the strongest objective predictor of care. "Expected" is what CMS's case-mix model says this facility's resident acuity calls for.
- Total nurse staffing: 3.23 hrs/resident/day (expected 4.24 for this facility's resident acuity — below expected) (US median 3.69 · TX 3.27)
- Registered-nurse staffing: 0.51 hrs/resident/day (expected 0.74 for this facility's resident acuity — below expected) (US median 0.58)
- Breakdown: nurse aide 1.80 · LPN 0.92 hrs/resident/day
- Weekend total staffing: 3.09 hrs/resident/day (expected 3.76 for this facility's resident acuity — below expected)
- Annual nursing-staff turnover: 34.5% · RN turnover 40.0% (US median 45.3% · lower is better)
- Resident acuity (nursing case-mix index): 1.52 (1.0 ≈ national average; higher = more care-intensive residents)
Clinical outcomes — the measures behind the score
The 8 CMS MDS quality measures (2025Q1-2025Q4) driving this facility's clinical score — the same measures behind the CMS QM star. All are adverse-event rates: lower is better. Worst first. The quarterly column shows the four most recent quarters (Q1→Q4); benchmarks are the national percentile and the TX state median.
| Measure | 4-qtr avg | Quarterly (Q1→Q4) | Benchmark |
|---|---|---|---|
| Percentage of long-stay residents whose ability to walk independently worsened (long stay) | 34.5% | not reported | worse than 96% of US homes · TX median 13% |
| Percentage of long-stay residents who received an antipsychotic medication (long stay) | 32.9% | · → 30 → 30 → · | worse than 94% of US homes · TX median 8.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased (long stay) | 23.9% | 30.4 → 17.4 → 26.1 → 21.7 | worse than 86% of US homes · TX median 14.8% |
| Percentage of long-stay residents with pressure ulcers (long stay) | 2.9% | 2.2 → 4.5 → 2.3 → 2 | better than 73% of US homes · TX median 3.4% |
| Percentage of long-stay residents experiencing one or more falls with major injury (long stay) | 0.7% | 2.6 → 0 → 0 → 0 | better than 88% of US homes · TX median 3% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder (long stay) | 0% | 0 → 0 → 0 → 0 | better than 100% of US homes · TX median 0% |
| Percentage of long-stay residents with a urinary tract infection (long stay) | 0% | 0 → 0 → 0 → 0 | better than 100% of US homes · TX median 0.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication (short stay) | 0% | not reported | better than 100% of US homes · TX median 0.7% |
What this costs
- This facility's reported avg daily charge: $802/day · $$$$$ (price tier 5 of 5 among Texas nursing homes) — from its own federal cost report, FY ending 2025-08. Gross charges across all payers and services: higher than a quoted private rate, but computed identically for every facility, which makes the tier a fair within-state comparison.
- Payer mix (resident days): 60% Medicaid · 6% Medicare · 34% other/private · 28% occupancy
- Texas median (quoted rates): $185/day semi-private · $250/day private (national: $315 · $355)
- Accepts Medicaid: yes
- This facility's quoted rate: not public. This facility's quoted private rate isn't published by any federal or state source. Medicare covers short rehab stays (up to 100 days, copays after day 20); long-term stays are private pay until savings spend down to Medicaid. How to get the real number →
Market medians: CareScout Cost of Care Survey 2025 (collected July–November 2025), state-level — individual providers vary widely around a median. Facility-level prices aren't published by any government source; how to get a real quote.
Hospitals serving Young County
Hospitals in the same county — those with an emergency department first, then by CMS hospital star rating. Useful for transfers and emergencies.
| Hospital | City | ER | CMS star | Type |
|---|---|---|---|---|
| Graham Regional Medical Center | Graham | Yes | — | Critical access |
| Hamilton Hospital | Olney | Yes | — | Critical access |
Compare nearby
- B Olney Rehabilitation And Care Center · Olney
- D+ Graham Oaks Care Center · Graham
Full interactive report card → Facility's own website ↗ CMS Care Compare ↗
Source: CMS Provider Information + Health Deficiencies + Penalties (as of 2026-05). Part of our Young County nursing homes coverage. Spot an error? Tell us.