Texas › Anderson County › Elkhart
Avir At Elkhart
214 Jones Rd, Elkhart, TX 75839
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Avir At Elkhart is a For-profit, limited liability company nursing home in Elkhart, Texas, certified for 98 beds and caring for about 52 residents a day.
CMS gives it 3 of 5 stars overall, equal to the Texas median; the health inspection rating is 3, staffing 2 and quality measures 3.
Inspectors recorded 26 health deficiencies across the three most recent survey cycles (9, 11, 6 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 26.5 per 100 beds, about the same as the state median of 22.5.
CMS lists 1 penalty in the period covered: fines totalling $65K.
Reported nurse staffing is 3.4 hours per resident per day (0.2 RN), close to the Texas median of 3.3; nursing staff turnover is 54.3%.
CMS flags that the facility changed ownership in the last 12 months.
Compared with county, state and nation
| Measure | This facility | Anderson Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 26 | 23 | 25 | 28.7 |
| Citations per 100 beds | 26.5 | 19.1 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.4 | 3.6 | 3.3 | 3.9 |
| RN hours per resident day | 0.2 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 54.3% | 53.8% | 52.1% | 45.8% |
| Fines listed | $65,397 | $49,065 | $16,801 | — |
County and state figures are medians across facilities (6 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 9 Apr 2025, 28 Feb 2024.
Severity mix: G ×1 D ×14 E ×4 F ×7
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 21 Jan 2026 | F0584 | 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. | D | Complaint investigation | 13 Feb 2026 |
| 6 Aug 2025 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Complaint investigation | 7 Aug 2025 |
| 9 Apr 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 11 Apr 2025 |
| 9 Apr 2025 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | Standard survey | 21 Apr 2025 |
| 9 Apr 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 11 Apr 2025 |
| 9 Apr 2025 | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | Standard survey | 11 Apr 2025 |
| 9 Apr 2025 | F0908 | Keep all essential equipment working safely. | D | Standard survey | 11 Apr 2025 |
| 9 Apr 2025 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Standard survey | 28 Apr 2025 |
| 9 Apr 2025 | F0926 | Have policies on smoking. | D | Standard survey | 23 Apr 2025 |
| 10 Mar 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 26 Jun 2024 |
| 28 Feb 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 29 Feb 2024 |
| 28 Feb 2024 | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | Standard survey | 29 Feb 2024 |
| 28 Feb 2024 | F0908 | Keep all essential equipment working safely. | F | Standard survey | 29 Feb 2024 |
| 28 Feb 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | E | Standard survey | 29 Feb 2024 |
| 28 Feb 2024 | F0637 | Assess the resident when there is a significant change in condition | D | Standard survey | 29 Feb 2024 |
| 28 Feb 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 29 Feb 2024 |
| 28 Feb 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 29 Feb 2024 |
| 28 Feb 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 29 Feb 2024 |
| 28 Feb 2024 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Standard survey | 29 Feb 2024 |
| 28 Feb 2024 | F0926 | Have policies on smoking. | D | Standard survey | 29 Feb 2024 |
| 12 Oct 2023 | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | Complaint investigation | 13 Oct 2023 |
| 11 Jan 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard survey | 22 Feb 2023 |
| 11 Jan 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 12 Jan 2023 |
| 11 Jan 2023 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 1 Feb 2023 |
| 11 Jan 2023 | F0908 | Keep all essential equipment working safely. | E | Standard survey | 10 Feb 2023 |
| 11 Jan 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 12 Jan 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 13 Dec 2025 | Fine | $65,397 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 54.3%, RNs 80.0%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 14.8% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.5% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 5.8% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 8.7% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 8.0% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 9.8% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.6% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 6.3% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: 214 Jones Rd Opco Llc. Chain: Avir Health Group (116 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| 214 Jones Rd Holdings LLC | Direct ownership interest | NOT APPLICABLE | 10/01/2025 |
| Ana Tx Holdings, LLC | Indirect ownership interest | NOT APPLICABLE | 10/01/2025 |
| Graf Holdings LLC | Indirect ownership interest | NOT APPLICABLE | 10/01/2025 |
| Tx SNF Holdings Member, LLC | Indirect ownership interest | NOT APPLICABLE | 10/01/2025 |
| 214 Jones Rd Property Owner LLC | Adp of the snf | NOT APPLICABLE | 10/01/2025 |
| Welltower Inc | Adp of the snf | NOT APPLICABLE | 10/01/2025 |
| Welltower Nnn Group, LLC | Adp of the snf | NOT APPLICABLE | 10/01/2025 |
| Welltower Op, LLC | Adp of the snf | NOT APPLICABLE | 10/01/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Anderson County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| The Legacy Midtown Park | Dallas | 54 | 5 | 5 | 5 | 7 | 13.0 | $28K | 16 Jun 2026 |
| Trucare Living Centers | Palestine | 120 | 5 | 5 | 3 | 10 | 8.3 | — | 17 Dec 2025 |
| Greenbrier Nursing & Rehabilitation Center of Pale | Palestine | 120 | 4 | 5 | 1 | 12 | 10.0 | — | 30 Apr 2026 |
| Avir At Town Creek | Palestine | 102 | 3 | 3 | 3 | 23 | 22.5 | $49K | 18 Feb 2026 |
| Legacy At Town Creek | Palestine | 199 | 1 | 2 | 1 | 38 | 19.1 | $295K | 7 Jan 2026 |
All 6 facilities in Anderson County
Questions and answers
How many deficiencies has Avir At Elkhart been cited for?
26 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Avir At Elkhart been fined?
Yes. CMS lists fines totalling $65K in the period covered.
How does staffing at Avir At Elkhart compare?
Reported total nurse staffing is 3.4 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Avir At Elkhart?
It is part of the Avir Health Group chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include 214 Jones Rd Holdings LLC, Ana Tx Holdings, LLC and Graf Holdings LLC. Individual owners and managers are not listed on this site.
When was Avir At Elkhart last inspected?
The most recent survey or investigation in the CMS record is dated 21 Jan 2026; the most recent standard health survey was 9 Apr 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.