Avir at Kennedale
413 Mansfield Cardinal Road, Kennedale, TX 76060 · Tarrant County · 58 certified beds · avg 38 residents/day · certified since Jan 31, 1994
Part of chain: AVIR HEALTH GROUP (116 facilities, chain avg rating 2.3★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 1/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, repeated · Sep 3, 2025 · F-0656
The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Why it matters: Without a complete, working care plan, important needs can slip through the cracks and no one is accountable for results.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Aug 4, 2025 (Past Non-Compliance)
▲ Immediate jeopardy, one-off · Sep 3, 2025 · F-0689
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Aug 4, 2025 (Past Non-Compliance)
▲ Immediate jeopardy, repeated · Oct 24, 2023 · F-0880 · triggered by a complaint
The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Why it matters: Weak infection control lets illnesses like flu, COVID-19, and drug-resistant infections spread quickly among vulnerable residents.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Nov 16, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (28)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| May 5, 2026 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Apr 15, 2026 | E · Potential for harm, repeated | The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. · from a complaint |
| Apr 15, 2026 | D · Potential for harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. · from a complaint |
| Apr 15, 2026 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint |
| Apr 15, 2026 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint |
| Feb 19, 2026 | D · Potential for harm, one-off | The facility did not provide proper foot care for residents. Foot care includes routine care like nail trimming and attention to foot problems, which matter greatly for older adults. · from a complaint |
| Dec 15, 2025 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint |
| Sep 3, 2025 | ▲ K · Immediate jeopardy, repeated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Sep 3, 2025 | ▲ J · Immediate jeopardy, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Sep 3, 2025 | E · Potential for harm, repeated | The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. |
| Sep 3, 2025 | E · Potential for harm, repeated | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Sep 3, 2025 | E · Potential for harm, repeated | The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. |
| Sep 3, 2025 | E · Potential for harm, repeated | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. |
| Sep 3, 2025 | E · Potential for harm, repeated | The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems. |
| Sep 3, 2025 | D · Potential for harm, one-off | The facility did not let a resident help develop and carry out their own plan of care — the written roadmap of the services and support they'll receive, built around their personal goals and preferences. |
| Sep 3, 2025 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. |
| Sep 3, 2025 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. |
| Sep 3, 2025 | D · Potential for harm, one-off | The facility did not make sure a transfer or discharge met the resident's needs and preferences, or did not properly prepare the resident to leave safely. · from a complaint |
| Sep 3, 2025 | D · Potential for harm, one-off | The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). · from a complaint |
| Sep 3, 2025 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Sep 3, 2025 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Jul 16, 2024 | E · Potential for harm, repeated | The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. |
| Jul 16, 2024 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Jul 16, 2024 | C · Minimal risk, facility-wide | The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records. |
| Dec 7, 2023 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint |
| Oct 24, 2023 | ▲ K · Immediate jeopardy, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint |
| Jun 6, 2023 | E · Potential for harm, repeated | The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. |
| Jun 6, 2023 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (3 → 14).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 4 | 1 | K ▲ |
| 2024 | 3 | 0 | E |
| 2025 | 15 | 2 | K ▲ |
| 2026 | 6 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $16,437.
| Date | Type | Amount / length |
|---|---|---|
| Sep 3, 2025 | Fine | $16,437 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Texas avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 2.95 | 3.46 | 3.95 | bottom 20% in Texas; bottom 12% in the U.S. |
| Registered Nurse hours | 0.29 | 0.44 | 0.69 | bottom 27% in Texas; bottom 9% in the U.S. |
| Weekend total nurse staffing | 2.48 | 3.04 | 3.50 | bottom 15% in Texas; bottom 9% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.16 | 0.34 | 0.48 | bottom 12% in Texas; bottom 7% in the U.S. |
| Total nursing staff turnover (%) | 72.2 | 55.3 | 45.8 | bottom 17% in Texas; bottom 4% in the U.S. |
| RN turnover (%) | 0.0 | 54.6 | 42.9 | — |
Hours are per resident per day, 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 2.92, RN 0.29, weekend 2.47. Staffing rating: 1/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 3/5 · long-stay residents: 3/5 · short-stay residents: —/5
Who owns this facility
For profit - Corporation · changed ownership in the last 12 months
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| 413 Mansfield Cardinal Rd Holdings LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 09/01/2025 |
| Ana TX Holdings, LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 09/01/2025 |
| Dagan, Amitai | Individual | Indirect Ownership Interest | NOT APPLICABLE | 09/01/2025 |
| Freund, Nochum | Individual | Indirect Ownership Interest | NOT APPLICABLE | 09/01/2025 |
| Goldberger, Abraham | Individual | Indirect Ownership Interest | NOT APPLICABLE | 09/01/2025 |
| Goldberger, Faigy | Individual | Indirect Ownership Interest | NOT APPLICABLE | 09/01/2025 |
| Graf Holdings LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 09/01/2025 |
| Travitsky, Aaron | Individual | Indirect Ownership Interest | NOT APPLICABLE | 09/01/2025 |
| TX SNF Holdings II LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 09/01/2025 |
| TX SNF Holdings Member, LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 09/01/2025 |
| 413 Mansfield Cardinal Rd Property Owner LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/01/2025 |
| Day, Zarah | Individual | ADP of the SNF | NOT APPLICABLE | 09/01/2025 |
| Freund, Nochum | Individual | Corporate Officer | NOT APPLICABLE | 09/01/2025 |
| Silat, Nooman | Individual | ADP of the SNF | NOT APPLICABLE | 09/01/2025 |
| Travitsky, Aaron | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/01/2025 |
| Welltower INC | Organization | ADP of the SNF | NOT APPLICABLE | 09/01/2025 |
| Welltower NNN Group, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/01/2025 |
| Welltower Op, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/01/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "How many hours a day is a registered nurse physically in the building, including weekends?"
- "How do you decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "How is routine foot care handled here, and does a podiatrist visit regularly?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Green Oaks Nursing & Rehabilitation | 3.9 mi | Arlington, TX | ★★★☆☆ | 2/5 | |
| Immanuel's Healthcare | 4.2 mi | Fort Worth, TX | ★★★☆☆ | 3/5 | |
| Village Creek Nursing & Rehabilitation | 4.8 mi | Fort Worth, TX | ★★★☆☆ | 4/5 | |
| Tuskegee Airmen Texas State Veterans Home | 5.0 mi | Fort Worth, TX | —/5 | abuse | |
| Matlock Place Health & Rehabilitation Center | 6.0 mi | Arlington, TX | ★☆☆☆☆ | 1/5 | abuse |
| Estates Healthcare and Rehabilitation Center | 6.4 mi | Fort Worth, TX | ★☆☆☆☆ | 1/5 | abuse |
| Town Hall Estates - Arlington, INC. | 6.5 mi | Arlington, TX | ★★☆☆☆ | 1/5 | |
| Arbrook Plaza | 6.7 mi | Arlington, TX | ★★★☆☆ | 3/5 | |
| Park Bend Rehabilitation and Healthcare Center | 7.2 mi | Burleson, TX | ★★☆☆☆ | 1/5 | |
| Avir at Mansfield | 7.6 mi | Mansfield, TX | ★★★★☆ | 3/5 | |
| Park View Care Center | 7.8 mi | Fort Worth, TX | ★☆☆☆☆ | 1/5 | |
| Allegiant Wellness and Rehab | 8.2 mi | Crowley, TX | ★★★★★ | 5/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 675270.