Avir at Elkhart
214 Jones Rd · Elkhart, TX · 75839 · 9037642291
98 certified beds For profit - Limited Liability company Chain: Avir Health Group
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.
Red flags
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
$100,610 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
RN staffing in the bottom 10% nationally
0.18 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 3 of 5 Staffing: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.33 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.18 | 0.55–0.75 |
| Weekend hours / resident-day | 2.90 | ≈ weekday level |
| Nursing turnover / year | 59% | median 45% |
| Fines (3-yr window) | 1 · $100,610 |
Inspection citations (26 in the current record)
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Potential for harm · D January 21, 2026 · found via complaint
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.
Corrected February 13, 2026 · Resident Rights
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Potential for harm · F August 6, 2025 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected August 7, 2025 · Nursing and Physician Services
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Potential for harm · D April 9, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 11, 2025 · Pharmacy Service
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Potential for harm · E April 9, 2025
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected April 21, 2025 · Nutrition and Dietary
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Potential for harm · F April 9, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 11, 2025 · Nutrition and Dietary
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Potential for harm · D April 9, 2025
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected April 11, 2025 · Nutrition and Dietary
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Potential for harm · D April 9, 2025
Keep all essential equipment working safely.
Corrected April 11, 2025 · Environmental
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Potential for harm · D April 9, 2025
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected April 28, 2025 · Environmental
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Potential for harm · D April 9, 2025
Have policies on smoking.
Corrected April 23, 2025 · Environmental
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Potential for harm · D March 10, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected June 26, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 28, 2024
Assess the resident when there is a significant change in condition
Corrected February 29, 2024 · Resident Assessment and Care Planning
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Potential for harm · D February 28, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 29, 2024 · Quality of Life and Care
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Potential for harm · E February 28, 2024
Provide enough food/fluids to maintain a resident's health.
Corrected February 29, 2024 · Quality of Life and Care
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Potential for harm · D February 28, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected February 29, 2024 · Quality of Life and Care
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Potential for harm · D February 28, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected February 29, 2024 · Pharmacy Service
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Potential for harm · F February 28, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 29, 2024 · Nutrition and Dietary
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Potential for harm · F February 28, 2024
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected February 29, 2024 · Administration
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Potential for harm · F February 28, 2024
Keep all essential equipment working safely.
Corrected February 29, 2024 · Environmental
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Potential for harm · D February 28, 2024
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected February 29, 2024 · Environmental
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Potential for harm · D February 28, 2024
Have policies on smoking.
Corrected February 29, 2024 · Environmental
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Potential for harm · F October 12, 2023 · found via complaint
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.
Corrected October 13, 2023 · Nursing and Physician Services
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Actual harm · G January 11, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 22, 2023 · Quality of Life and Care
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Potential for harm · D January 11, 2023
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected January 12, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E January 11, 2023
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected February 1, 2023 · Nutrition and Dietary
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Potential for harm · F January 11, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 12, 2023 · Nutrition and Dietary
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| December 13, 2025 | Fine | $100,610 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675217 · certified since December 1, 1993. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.