How to file a complaint about care →

1 fine totaling $65,397.

Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.

What these staffing numbers mean →

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.38, RN 0.19, weekend 2.93.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.38 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 2/5.

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

For profit - Limited Liability company · changed ownership in the last 12 months

All 18 owning or managing parties CMS has on file are shown — none excluded.

Other facilities in the same chain

CMS lists this facility under the chain Avir Health Group — 116 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

• Avir at Emerald Hills — North Richland Hills, TX · overall 2/5
• Avir at Enchanted Rock — Fredericksburg, TX · overall 2/5
• Avir at Fort Worth — Fort Worth, TX · overall 2/5abuse
• Avir at Fredericksburg — Fredericksburg, TX · overall 3/5
• Avir at Gainesville — Gainesville, TX · overall 1/5
• Avir at Garland — Garland, TX · overall 1/5abuse
• Avir at Giddings — Giddings, TX · overall 1/5
• Avir at Golfcrest — Houston, TX · overall 2/5

Listed by state, then facility name — not a ranking. Showing 8 of the 115 others, continuing from this facility's own place in that list.

Full visit checklist →

Print visit checklist

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

• "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
• "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
• "What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
• "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
• "How do you handle residents who need modified food textures, and how do you make those meals appetizing?"
• "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
• "What are your rules for bringing in my family member's favorite foods, and how are they stored?"
• "How do you inspect and maintain essential equipment, and how quickly are repairs made?"

Also worth asking anywhere

• "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
• "Can I see the plan of correction for the findings in your most recent state inspection?"
• "CMS reports 54% total nursing staff turnover here — who on the care team has been with you longest?"
• "CMS records an ownership change here in the last 12 months — what changed for residents and staff?"
• "The ownership record on file lists 18 owning or managing parties — who makes the decisions about staffing levels?"
• "Can I visit again unannounced, at a mealtime or on a weekend?"

Compare this facility with the 3 closest →

Other facilities in the same county

CMS records place this facility in Anderson, TX — 6 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.

• The Legacy Midtown Park — Dallas, TX · overall 5/5

Listed by facility name — not a ranking. Homes already in the table above are not repeated here.

All facilities in Elkhart →