Avante Rehabilitation Center

225 N Sowers Rd · Irving, TX · 75061 · 9722534173

120 certified beds For profit - Limited Liability company Chain: Hamilton County Hospital District

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • Inspection results have improved across recent cycles.

The complete Safety Report — $19

Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

Get the Safety Report

Red flags

6 immediate-jeopardy citations in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

2 abuse-related citations at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

Total nurse staffing below 3.0 hours per resident-day

2.88 reported hours vs the 3.48 minimum CMS's own staffing study recommends.

63% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 36
Serious harm & abuse 20% 60
Staffing 20% 45
Federal penalties 15% 59
Trend 10% 92
Context 5% 75

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day2.883.48 min · 4.1 strong
RN hours / resident-day0.350.55–0.75
Weekend hours / resident-day2.66≈ weekday level
Nursing turnover / year63%median 45%
Fines (3-yr window)2 · $24,542

Inspection citations (19 in the current record)

  • Potential for harm · D April 23, 2026 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected May 15, 2026 · Infection Control

  • Potential for harm · D July 31, 2025

    Assure that each resident’s assessment is updated at least once every 3 months.

    Corrected August 1, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E July 31, 2025

    Ensure medication error rates are not 5 percent or greater.

    Corrected August 1, 2025 · Pharmacy Service

  • Potential for harm · E July 31, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected August 1, 2025 · Nutrition and Dietary

  • Potential for harm · D August 1, 2024

    Ensure each resident receives an accurate assessment.

    Corrected August 20, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E August 1, 2024

    Ensure a qualified health professional conducts resident assessments.

    Corrected August 20, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E August 1, 2024

    Ensure medication error rates are not 5 percent or greater.

    Corrected August 20, 2024 · Pharmacy Service

  • Potential for harm · F August 1, 2024

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected August 2, 2024 · Nutrition and Dietary

  • Potential for harm · E August 1, 2024

    Provide and implement an infection prevention and control program.

    Corrected August 20, 2024 · Infection Control

  • Immediate jeopardy · J March 28, 2024 · found via complaint

    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

    Corrected April 19, 2024 · Quality of Life and Care

  • Immediate jeopardy · J October 4, 2023 · found via complaint

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected October 27, 2023 · Resident Rights

  • Immediate jeopardy · J October 4, 2023 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected October 27, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · J October 4, 2023 · found via complaint

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Corrected October 27, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · J October 4, 2023 · found via complaint

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected October 27, 2023 · Quality of Life and Care

  • Immediate jeopardy · J October 4, 2023 · found via complaint

    Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

    Corrected October 27, 2023 · Administration

  • Potential for harm · D June 2, 2023

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    Corrected June 22, 2023 · Resident Assessment and Care Planning

  • Potential for harm · E June 2, 2023

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    Corrected June 22, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D June 2, 2023

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Corrected June 22, 2023 · Resident Assessment and Care Planning

  • Potential for harm · E June 2, 2023

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected June 22, 2023 · Resident Assessment and Care Planning

Federal penalties

DateTypeAmount / length
March 28, 2024Fine$17,096
October 4, 2023Fine$7,446

Family & resident reviews — a separate signal, never mixed into the score

No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.

Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.

Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675908 · certified since March 27, 2002. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.