Avir At Elkhart
214 Jones Rd, Elkhart, TX 75839 · Anderson County
For-profit · 98 certified beds · 53% occupancy · (903) 764-2291
Avir At Elkhart reviews: what the government record shows
The U.S. government (CMS) rates Avir At Elkhart 3 out of 5 stars overall, average. Its nurse staffing is at or above the Texas median.
Updated September 2026 from the latest CMS data release. Ellery Care shows the government's own inspection and safety record, not consumer reviews.
At a glance
- CMS overall rating
- 3 of 5 stars
- Nurse staffing
- 3.38 hrs/resident/day (+3% vs TX median)
- Antipsychotic drug use
- 6.3% of long-stay residents (TX median 8.3%)
- Falls with major injury
- 8.7% of long-stay residents (TX median 3%)
- Federal fines (3 yrs)
- $65,397
- Inspection findings
- 26 cited
- Federal abuse-warning flag
- No
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05.
What this means for your family
A mixed record. The strengths and concerns below are worth weighing against a visit.
Strengths
- ✓Nurse staffing of 3.38 hrs/resident/day is at or above the Texas median of 3.27.
Concerns
- !Has paid $65,397 in federal fines in roughly the last three years.
- !Serious-fall rate of 8.7% is well above the Texas median of 3%.
Questions to ask on your visit
- ·What is your fall-prevention program, and how is it staffed overnight?
Touring in person? Our free nursing-home tour checklist has 30 questions to ask and the red flags to watch for, printable to take with you.
A plain-English read of this home's public record. Not advice — always visit in person.
Common questions about Avir At Elkhart
Is Avir At Elkhart a good nursing home?
Avir At Elkhart in Elkhart, Texas holds a 3 of 5 star CMS overall rating. A mixed record. The strengths and concerns below are worth weighing against a visit.
How is Avir At Elkhart staffed?
Avir At Elkhart reports 3.38 nurse hours per resident per day, at or above the Texas median of 3.27 hours per resident per day.
Has Avir At Elkhart been fined or flagged for abuse?
Avir At Elkhart has paid approximately $65,397 in federal fines in roughly the last three years, and does not currently carry a federal abuse-warning flag.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. Stars are CMS's own five-star ratings.
Nurse staffing
Staffing is the single strongest predictor of nursing home quality, and the number pay-to-play referral sites rarely show you.
3.38 nurse hours per resident per day. 3% above the Texas median of 3.27.
Nursing staff turnover: 54.3% · RN turnover: 80%
Safety & compliance flags
- Changed ownership in last 12 months
Recent inspection findings
The specific problems state inspectors cited, the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.
- Potential for harmTag F0725 · Aug 6, 2025ComplaintCorrected Aug 7, 2025
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies
- Potential for harmTag F0812 · Apr 9, 2025Corrected Apr 11, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0805 · Apr 9, 2025Corrected Apr 21, 2025
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0584 · Jan 21, 2026ComplaintCorrected Feb 13, 2026
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights Deficiencies
- Potential for harmTag F0755 · Apr 9, 2025Corrected Apr 11, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
- Potential for harmTag F0813 · Apr 9, 2025Corrected Apr 11, 2025
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0908 · Apr 9, 2025Corrected Apr 11, 2025
Keep all essential equipment working safely.
Environmental Deficiencies
- Potential for harmTag F0919 · Apr 9, 2025Corrected Apr 28, 2025
Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies
- Potential for harmTag F0926 · Apr 9, 2025Corrected Apr 23, 2025
Have policies on smoking.
Environmental Deficiencies
- Potential for harmTag F0812 · Feb 28, 2024Corrected Feb 29, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Showing the 10 most recent and serious of 26 findings. See the full inspection history on Medicare.gov.
Antipsychotic drug use
The share of long-stay residents given antipsychotic medication. These drugs are sometimes used to sedate residents with dementia, a practice CMS and resident advocates watch closely. Lower is better.
This is at or below the Texas median, which is a reassuring sign for how the home manages dementia care.
Source: CMS MDS Quality Measures, long-stay antipsychotic measure, retrieved 2026-09-05. See the Texas study
Preventable harm
Two injuries that good staffing and attentive care are meant to prevent: serious falls and pressure ulcers (bedsores). These are the outcomes families fear most, and they rarely appear on referral sites. Lower is better on both.
The serious-fall rate here is at least double the Texas median. Ask the staff directly about their fall-prevention program: how they assess risk, how often they check on residents, and whether staffing at night is enough to respond quickly.
Source: CMS MDS Quality Measures, long-stay falls and pressure-ulcer measures, period 2025Q2-2026Q1, retrieved 2026-09-05. Texas falls study · bedsore study
Federal fines and penalties
Money CMS has fined this home, plus other federal penalties, over roughly the last three years. Fines follow serious or repeated violations.
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. See the most-fined homes in Texas
Ownership
This home is for-profit (for profit - limited liability company). It is part of the Avir Health Group chain, which operates 116 facilities, with a chain-average CMS rating of 2.3 stars.
Ownership changed within the last 12 months, which can disrupt staffing and care during the transition.