Texas › Tarrant County › North Richland Hills
Avir At Emerald Hills
5600 Davis Blvd, North Richland Hills, TX 76180
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 Emerald Hills, in North Richland Hills, Texas, is certified for 118 beds under for-profit, limited liability company ownership and belongs to the Avir Health Group chain.
CMS gives it 2 of 5 stars overall, below the Texas median of 3; the health inspection rating is 2, staffing 2 and quality measures 4.
Inspectors recorded 22 health deficiencies across the three most recent survey cycles (9, 7, 6 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 18.6 per 100 beds, about the same as the state median of 22.5.
CMS lists 1 penalty in the period covered: fines totalling $196K.
Reported nurse staffing is 3.4 hours per resident per day (0.1 RN), close to the Texas median of 3.3; nursing staff turnover is 56.3%.
Compared with county, state and nation
| Measure | This facility | Tarrant Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 22 | 28 | 25 | 28.7 |
| Citations per 100 beds | 18.6 | 21.9 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.4 | 3.3 | 3.3 | 3.9 |
| RN hours per resident day | 0.1 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 56.3% | 53.4% | 52.1% | 45.8% |
| Fines listed | $195,946 | $31,778 | $16,801 | — |
County and state figures are medians across facilities (71 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: 18 Jun 2026, 17 Apr 2025.
Severity mix: J ×2 G ×1 D ×12 E ×6 F ×1
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 |
|---|---|---|---|---|---|
| 18 Jun 2026 | 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 | Standard survey | 19 Jun 2026 |
| 18 Jun 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 19 Jun 2026 |
| 18 Jun 2026 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E | Standard survey | 19 Jun 2026 |
| 18 Jun 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 19 Jun 2026 |
| 22 Apr 2026 | F0777 | Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. | G | Complaint investigation | 23 Apr 2026 |
| 9 Apr 2026 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 10 Apr 2026 |
| 9 Dec 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 10 Dec 2025 |
| 9 Dec 2025 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 10 Dec 2025 |
| 9 Dec 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 10 Dec 2025 |
| 26 Jun 2025 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | J | Complaint investigation | 27 Jun 2025 |
| 26 Jun 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 27 Jun 2025 |
| 26 Jun 2025 | 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 | 27 Jun 2025 |
| 26 Jun 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 27 Jun 2025 |
| 17 Apr 2025 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | E | Standard survey | 18 Apr 2025 |
| 17 Apr 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 18 Apr 2025 |
| 9 Aug 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 10 Aug 2024 |
| 29 Feb 2024 | F0635 | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | D | Standard survey | 1 Mar 2024 |
| 29 Feb 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 1 Mar 2024 |
| 29 Feb 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 1 Mar 2024 |
| 29 Feb 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 1 Mar 2024 |
| 9 Jan 2024 | F0675 | Honor each resident's preferences, choices, values and beliefs. | D | Complaint investigation | 12 Jan 2024 |
| 9 Jan 2024 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Complaint investigation | 12 Jan 2024 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 26 Jun 2025 | Fine | $195,946 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 56.3%, RNs 71.4%; 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 | 15.6% | 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 | 0.0% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 6.0% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 16.4% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.2% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 0.6% | 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: Dallas County Hospital District. Chain: Avir Health Group (116 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Dallas County Hospital District | 5% or greater direct ownership interest | 100% | 03/31/2017 |
| 5600 Davis Blvd Opco, LLC | Operational/managerial control | NOT APPLICABLE | 08/01/2025 |
| 5600 Davis Blvd Property Owner, LLC | Adp of the snf | NOT APPLICABLE | 08/01/2025 |
| Welltower Nnn Group, LLC | Adp of the snf | NOT APPLICABLE | 08/01/2025 |
| Welltower Op, LLC | Adp of the snf | NOT APPLICABLE | 08/01/2025 |
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 Tarrant County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Allegiant Wellness and Rehab | Crowley | 60 | 5 | 5 | 4 | 11 | 18.3 | — | 24 Jul 2025 |
| Crowley Nursing and Rehabilitation | Crowley | 120 | 5 | 4 | 2 | 17 | 14.2 | $18K | 5 Jun 2025 |
| Discovery Village At Southlake | Southlake | 41 | 5 | 5 | 4 | 15 | 36.6 | $13K | 4 Jun 2026 |
| Grapevine Medical Lodge | Grapevine | 132 | 5 | 4 | 2 | 8 | 6.1 | — | 15 Apr 2025 |
| Heritage House At Keller Rehab & Nursing | Keller | 120 | 5 | 4 | 2 | 20 | 16.7 | $23K | 28 Mar 2026 |
| Hurst Plaza Nursing and Rehab | Hurst | 106 | 5 | 5 | 2 | 15 | 14.2 | $7K | 21 May 2026 |
| La Dora Nursing and Rehabilitation Center | Bedford | 62 | 5 | 5 | 2 | 10 | 16.1 | — | 24 Apr 2026 |
| Stonegate Nursing and Rehabilitation | Fort Worth | 134 | 5 | 4 | 2 | 23 | 17.2 | $17K | 12 Feb 2026 |
All 71 facilities in Tarrant County
Questions and answers
How many deficiencies has Avir At Emerald Hills been cited for?
22 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Avir At Emerald Hills been fined?
Yes. CMS lists fines totalling $196K in the period covered.
How does staffing at Avir At Emerald Hills 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 Emerald Hills?
It is part of the Avir Health Group chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Dallas County Hospital District and 5600 Davis Blvd Opco, LLC. Individual owners and managers are not listed on this site.
When was Avir At Emerald Hills last inspected?
The most recent survey or investigation in the CMS record is dated 18 Jun 2026; the most recent standard health survey was 18 Jun 2026.
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.