Data / Nursing homes / Graf Holdings LLC
Graf Holdings LLC: 13 nursing homes, $471,099 in fines in the last 3 years
CMS lists Graf Holdings LLC as an owner or manager of 13 nursing homes in 1 state, and those homes were fined $471,099 across 21 fines and had 3 payment denials in the three years to October 1, 2026. 4 of them are rated one star, and the average overall rating is 2.5 of 5. Together they have 1,302 certified beds and 339 health citations in that time, 29 of them with actual harm or immediate jeopardy.
SpecStream is the live web data engine for teams and agents. It reads the CMS nursing home files every month, and this page is that reading, joined on the CMS Certification Number. Ask for the nursing homes you track by state, owner or rating and new inspection citations and fines arrive in your sheet, CRM, Slack or agent as CMS publishes them.
- Facilities
- 13, of which 13 owned and 0 managed
- States
- 1
- Certified beds
- 1,302
- Average overall rating
- 2.5 of 5
- One star facilities
- 4
- Special focus facilities
- 0
- Fines
- $471,099 across 21 fines
- Payment denials
- 3
- Health citations
- 339, of which 29 with actual harm or immediate jeopardy
- Latest survey
- August 21, 2026
Facilities
Ranked by fines, then by lowest star rating. Each row links to the facility page and to its Medicare Care Compare record.
| Facility | City | State | Role | Stars | Beds | Fines | Fine total | Citations | Latest survey | Source |
|---|---|---|---|---|---|---|---|---|---|---|
| Avir at Houston | Houston | TX | Indirect owner | 1 | 148 | 4 | $180,218 | 44 | July 10, 2026 | medicare.gov |
| Avir at Carthage | Carthage | TX | Indirect owner | 2 | 104 | 3 | $66,731 | 28 | January 29, 2026 | medicare.gov |
| Avir at Elkhart | Elkhart | TX | Indirect owner | 3 | 98 | 1 | $65,397 | 31 | June 3, 2026 | medicare.gov |
| Avir at Veterans Memorial | Houston | TX | Indirect owner | 1 | 120 | 3 | $47,532 | 28 | August 7, 2026 | medicare.gov |
| Avir at Kennedale | Kennedale | TX | Indirect owner | 1 | 58 | 2 | $32,787 | 26 | May 5, 2026 | medicare.gov |
| Avir at San Antonio | San Antonio | TX | Indirect owner | 1 | 119 | 3 | $29,494 | 42 | May 8, 2026 | medicare.gov |
| Avir at Jeffrey Place | Waco | TX | Indirect owner | 2 | 95 | 2 | $22,382 | 33 | April 9, 2026 | medicare.gov |
| Avir at Adams | Temple | TX | Indirect owner | 2 | 118 | 1 | $10,519 | 41 | July 21, 2026 | medicare.gov |
| Avir at Pasadena | Pasadena | TX | Indirect owner | 4 | 131 | 1 | $8,021 | 11 | August 21, 2026 | medicare.gov |
| Avir at Knox City | Knox City | TX | Indirect owner | 3 | 66 | 1 | $8,018 | 19 | December 18, 2025 | medicare.gov |
| Avir at Keeneland | Weatherford | TX | Indirect owner | 3 | 72 | 0 | $0 | 15 | March 19, 2026 | medicare.gov |
| Avir at Courtyard | Houston | TX | Indirect owner | 5 | 120 | 0 | $0 | 13 | July 18, 2026 | medicare.gov |
| Avir at Jacksonville | Jacksonville | TX | Indirect owner | 5 | 53 | 0 | $0 | 8 | June 24, 2026 | medicare.gov |
By state
| State | Facilities | Fine total |
|---|---|---|
| Texas | 13 | $471,099 |
Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.