Deficiency Index

Avir at Pampa

Pampa, Texas · CCN 675049

32 surveys since 2010, 1 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
111
Surveys
32
Harm or worse
1
Immediate jeopardy
0
The record, 2010–2026
’10’15’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worse1

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file27/32

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
120
Ownership
For profit - Limited Liability company
Chain
AVIR HEALTH GROUP
County
Gray · rural
Medicare-certified since
1992

CMS ratings

Overall
5
Health inspection
4
Staffing
3
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded fewer weighted findings than most of its peer group.

Weighted by harm level, against 377 for-profit facilities of 100–127 beds in Texas.

Last survey on record

Jan 28, 2026

285 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.273.25
Registered-nurse hours per resident day0.38—
Annual nurse turnover30.8%54.0%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD743.8%E956.3%F—
No harm, potential for minimalA—B—C—
CMS’s current file: 16 of the 111 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8122×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F8802×

    Provide and implement an infection prevention and control program.

  • F5581×

    Reasonably accommodate the needs and preferences of each resident.

  • F5651×

    Honor the resident's right to organize and participate in resident/family groups in the facility.

  • F6051×

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

In the surveyor’s words

From the most serious findings on record at Avir at Pampa, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF812Apr 4, 2023

    Based on observation, interview, and record review the facility failed to store, prepare, and serve food in accordance with professional standards for food service safety in the facility's kitchen, reviewed for kitchen sanitation. 1. The facility failed to ensure refrigerated foods were properly labeled and dated. 2. The facility failed to ensure pantry foods were properly labeled and dated. 3. The facility failed to ensure expired foods were not in the pantry and refrigerator. 4. […]

  • No harm, potential for more than minimal, widespreadF812Aug 9, 2022

    Based on observation, interview and record review, the facility failed to store, prepare, and serve food under sanitary conditions in 1 of 1 kitchen reviewed for kitchen sanitation when they failed to: A. Ensure stored food was properly labeled, dated, and sealed. B. Ensure general cleanliness was maintained in the kitchen area C. Ensure kitchen staff had access to proper handwashing facilities D. Ensure frozen food was thawed correctly E. Ensure the sanitizer dispenser for the 3-compartment sink was functional These failures placed residents at risk of cross contamination and food-borne illness. Findings included: During an observation on [DATE] at 9:41 AM the handwashing sink had a gallon bottle of cleaning liquid sitting in the sink basin. […]

  • No harm, potential for more than minimal, widespreadF812Jun 16, 2021

    Based on observation, interview, and record review, the facility failed to store food under sanitary conditions in 1of 1 kitchens when they failed to: A. Ensure stored food was properly labeled and dated. B. Ensure dented cans were not placed in the general use food storage area. C. Ensure refrigerated items were properly sealed. These failures could place residents who ate food served by the kitchen at risk of cross contamination and food-borne illness. Findings included: Observations on 06-14-21 at 9:26 AM of the pantry revealed: 1 dented can of green bean dated 6-21 1 bag of bread open to air, undated 1 bag of bread dated 5-24 with a quarter of visible bread covered in a green and brown tinge that appeared to be mold Observations on 06-14-21 at 9:34 AM of the fridge revealed: 1… […]

  • No harm, potential for more than minimal, patternF761Jan 28, 2026

    Based on observation, interview, and record review the facility failed to ensure drugs and biologicals were stored and labeled in accordance with currently accepted professional principles to include the appropriate accessory and cautionary instructions, and the expiration date when applicable on 1 (Hall 100 and Hall 200) of 2 medication carts, and 1 of 1 OTC closet. -two bottles of Calcium Supplement with expiration dates that were not legible in the OTC closet.-one loose pill was in the bottom of Medication cart #1. These failures could place residents at risk for not receiving the intended therapeutic action of the medication.Findings Included:During an observation on 01/26/2026 at 9:59 AM one loose pill (unidentified) was discovered in the bottom of medication cart #1's drawer. […]

  • No harm, potential for more than minimal, patternF812Jan 28, 2026

    Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with the professional standards for food service safety for 1 of 1 kitchen reviewed for kitchen sanitation. The facility failed to ensure refrigerated, freezer, pantry and kitchen items were properly stored, labeled, and dated.This failure could place residents at risk of food-borne illnesses.Findings Included:During an observation of the pantry on 01/26/26 at 9:39 a.m. revealed the following:1. (1) clear container that contained what looked like rice, no lid on container, no label or date.2. (2) boxes of packets of jelly, no label or date.3. 1) container of sugar, lid not sealed.4. (1) box of potatoes, no label or date. […]

Read 21 findings in full →The most serious and the most recent: 21 of 111 on record.

Every survey on record

FindingsAt actual harm or above

  • Jan 28, 2026Standard6 findings
  • Jun 3, 2025Complaint1 finding
  • Feb 5, 2025Complaint1 finding
  • Oct 30, 2024Standard5 findings
  • Sep 13, 2023Standard and complaint3 findings
  • Apr 4, 2023Complaint1 finding
  • Aug 9, 2022Standard5 findings
  • Mar 17, 2022Infection control1 finding
Show the 24 earlier surveys
  • Jun 16, 2021Standard and complaint7 findings
  • Jan 13, 2021Complaint2 findings
  • Oct 30, 2020Infection control2 findings
  • Jul 13, 2020Complaint1 finding
  • Feb 12, 2020Standard and complaint11 findings
  • Mar 25, 2019Complaint1 finding
  • Mar 5, 2019Complaint1 finding
  • Feb 25, 2019Complaint1 finding
  • Jan 17, 2019Standard11 findings
  • Dec 6, 2018Complaint2 findings
  • Sep 6, 2018Complaint7 findings
  • Feb 15, 2018Standard9 findings
  • Sep 12, 2017Complaint2 findings
  • Jul 11, 2017Complaint1 finding
  • Mar 23, 2017Standard4 findings
  • May 19, 2016Standard1 finding
  • Mar 5, 2015Standard4 findings
  • Jan 15, 2014—3 findings
  • Jul 24, 2013—2 findings
  • May 3, 2013—1 finding · 1 harm
  • Dec 19, 2012—2 findings
  • Jan 6, 2012—2 findings
  • Jan 21, 2011—8 findings
  • Sep 8, 2010—3 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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