Elder Care Record

Texas › Hill County › Itasca

Avir At Itasca

409 S Files St, Itasca, TX 76055

CCN 675712 · For-profit, limited liability company · 51 certified beds · chain Avir Health Group

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

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.

Certified for 51 beds, Avir At Itasca serves Itasca in Hill County, Texas and has taken Medicare and Medicaid residents since 1997.

CMS gives it 4 of 5 stars overall, above the Texas median of 3; the health inspection rating is 4, staffing 3 and quality measures 4.

Inspectors recorded 14 health deficiencies across the three most recent survey cycles (5, 5, 4 by cycle, most recent first), none at the actual-harm level. That is 27.5 per 100 beds, about the same as the state median of 22.5.

CMS lists no fines or payment denials against the facility in the period covered.

Reported nurse staffing is 3.0 hours per resident per day (0.5 RN), close to the Texas median of 3.3; nursing staff turnover is 40.0%.

14health deficiencies, 3 survey cyclesnone at actual-harm level
$0fines listed by CMS0 penalties in period
3.0nurse hours per resident per daystate median 3.3
90%occupancy (residents ÷ beds)46 residents a day

Compared with county, state and nation

MeasureThis facilityHill Co. medianTexas medianUS average
Overall star rating4233.0
Health citations, 3 cycles14302528.7
Citations per 100 beds27.527.522.526.8
Total nurse hours per resident day3.03.13.33.9
RN hours per resident day0.50.50.40.7
Nursing staff turnover40.0%62.2%52.1%45.8%
Fines listed$0$65,850$16,801—

County and state figures are medians across facilities (4 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)5
Cycle 25
Cycle 34

Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 8 Jan 2026, 10 Oct 2024.

Severity mix: D ×8 E ×4 F ×1 B ×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)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
8 Jan 2026F0584Honor 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.EStandard survey10 Jan 2026
8 Jan 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey10 Jan 2026
8 Jan 2026F0583Keep residents' personal and medical records private and confidential.DStandard survey10 Jan 2026
8 Jan 2026F0880Provide and implement an infection prevention and control program.DStandard survey10 Jan 2026
8 Jan 2026F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.DStandard survey10 Jan 2026
26 Nov 2024F0584Honor 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.EComplaint investigation12 Dec 2024
10 Oct 2024F0583Keep residents' personal and medical records private and confidential.DStandard survey31 Oct 2024
10 Oct 2024F0641Ensure each resident receives an accurate assessment.DStandard survey31 Oct 2024
10 Oct 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey31 Oct 2024
10 Oct 2024F0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.DStandard survey31 Oct 2024
18 Jul 2024F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation19 Jul 2024
24 Aug 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey25 Aug 2023
24 Aug 2023F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.EComplaint investigation25 Aug 2023
24 Aug 2023F0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.BStandard survey25 Aug 2023

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing2.97 h
Nurse aides1.92 h
LPN0.52 h
RN0.52 h
Weekend total2.66 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 40.0%, RNs 42.9%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityTexas medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay20.9%14.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.0%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.6%0.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay2.8%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.0%0.7%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay5.0%12.4%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay6.6%3.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay23.8%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: Eastland Memorial Hospital District. Chain: Avir Health Group (116 facilities).

OrganisationRole in the CMS recordInterestSince
409 S Files Street Holdings, LLC5% or greater direct ownership interestNO PERCENTAGE PROVIDED04/21/2025
Eastland Memorial Hospital District5% or greater direct ownership interest100%03/01/2017
409 S Files Street Property Owner, LLC5% or greater security interestNOT APPLICABLE03/01/2025
Welltower Inc5% or greater security interestNOT APPLICABLE03/01/2025
Welltower Nnn Group, LLC5% or greater security interestNOT APPLICABLE03/01/2025
Welltower Op, LLC5% or greater security interestNOT APPLICABLE03/01/2025
409 S Files Street Opco, LLCOperational/managerial controlNOT APPLICABLE03/01/2025
409 S Files Street Opco, LLCAdp of the snfNOT APPLICABLE04/21/2025
409 S Files Street Property Owner, LLCAdp of the snfNOT APPLICABLE03/01/2025
Welltower IncAdp of the snfNOT APPLICABLE03/01/2025
Welltower Nnn Group, LLCAdp of the snfNOT APPLICABLE03/01/2025
Welltower Op, LLCAdp of the snfNOT APPLICABLE03/01/2025

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 Hill County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Whitney Nursing and Rehabilitation CenterWhitney882311517.0$45K30 Jan 2026
Avir At HillsboroHillsboro1051113937.1$107K18 Feb 2026
Town Hall EstatesHillsboro1381123021.7$66K23 Jun 2026

All 4 facilities in Hill County

Questions and answers

How many deficiencies has Avir At Itasca been cited for?

14 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.

Has Avir At Itasca been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Avir At Itasca compare?

Reported total nurse staffing is 3.0 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.

Who operates Avir At Itasca?

It is part of the Avir Health Group chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include 409 S Files Street Holdings, LLC, Eastland Memorial Hospital District and 409 S Files Street Opco, LLC. Individual owners and managers are not listed on this site.

When was Avir At Itasca last inspected?

The most recent survey or investigation in the CMS record is dated 8 Jan 2026; the most recent standard health survey was 8 Jan 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.