Avir at North Richland Hills
5600 Davis Blvd · North Richland Hills, TX · 76180 · 8175034700
118 certified beds For profit - Limited Liability company Chain: Avir Health Group
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (2 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
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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
2 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$195,946 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
0.15 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.37 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.15 | 0.55–0.75 |
| Weekend hours / resident-day | 3.07 | ≈ weekday level |
| Nursing turnover / year | 45% | median 45% |
| Fines (3-yr window) | 1 · $195,946 |
Inspection citations (24 in the current record)
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Actual harm · G April 22, 2026 · found via complaint
Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
Corrected May 15, 2026 · Administration
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Potential for harm · D April 9, 2026 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected April 10, 2026 · Quality of Life and Care
-
Potential for harm · D December 9, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected December 10, 2025 · Pharmacy Service
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Potential for harm · D December 9, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected December 10, 2025 · Pharmacy Service
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Potential for harm · D December 9, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected December 10, 2025 · Infection Control
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Immediate jeopardy · J June 26, 2025 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected June 27, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J June 26, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 27, 2025 · Quality of Life and Care
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Potential for harm · D June 26, 2025 · 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 June 27, 2025 · Resident Rights
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Potential for harm · D June 26, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected June 27, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E April 17, 2025
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.
Corrected April 18, 2025 · Resident Rights
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Potential for harm · E April 17, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 18, 2025 · Nutrition and Dietary
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Potential for harm · E August 9, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected August 10, 2024 · Infection Control
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Potential for harm · D February 29, 2024
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Corrected March 1, 2024 · Resident Assessment and Care Planning
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Potential for harm · D February 29, 2024
Ensure each resident receives an accurate assessment.
Corrected March 1, 2024 · Resident Assessment and Care Planning
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Potential for harm · D February 29, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 1, 2024 · Resident Assessment and Care Planning
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Potential for harm · D February 29, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 1, 2024 · Nutrition and Dietary
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Potential for harm · D January 9, 2024 · found via complaint
Honor each resident's preferences, choices, values and beliefs.
Corrected January 12, 2024 · Quality of Life and Care
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Potential for harm · D January 9, 2024 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected January 12, 2024 · Environmental
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Potential for harm · E January 12, 2023
Reasonably accommodate the needs and preferences of each resident.
Corrected January 13, 2023 · Resident Rights
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Potential for harm · E January 12, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected January 13, 2023 · Resident Assessment and Care Planning
-
Potential for harm · E January 12, 2023
Provide safe and appropriate respiratory care for a resident when needed.
Corrected January 13, 2023 · Quality of Life and Care
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Potential for harm · F January 12, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 16, 2023 · Nutrition and Dietary
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Potential for harm · E January 12, 2023
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected January 20, 2023 · Administration
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Potential for harm · E January 12, 2023
Provide and implement an infection prevention and control program.
Corrected February 6, 2023 · Infection Control
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| June 26, 2025 | Fine | $195,946 |
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 676127 · certified since February 6, 2007. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.