The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited August 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 725 — 42 CFR §483.35 — S/S: F
Nursing home report
Elkhart Oaks Care Center
Registered name: Avir at Elkhart
ELKHART, TX · Medicare-certified · 98 beds
Needs attention
New ownership (past 12 mo)Government-runChain member
Data as of September 1, 2026
3 of 5 overall
Elkhart Oaks Care Center has an overall rating of 3 out of 5 stars, with a 2-star staffing rating and reported nurse staffing below the federal benchmark (3.38 vs 4.1 hours per resident per day). It also has a recent federal penalty and $65,397 in fines over the last 24 months.
Facility ratings
Health inspections
Staffing
3.3764 hrs/resident/day
Quality measures
Last inspection: June 3, 2026Penalties, last 24 months: $65,397recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3764.
Staffing detail
- Registered nurses
- 0.19
- Licensed practical nurses
- 0.85
- Nurse aides
- 2.34
- Weekend nursing
- 2.93
Hours per resident per day.
Total staff turnover: 54%
Registered nurse turnover: 80%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
4%11.5%Worsening
Residents with a fall causing major injury
8.9%11.5%Worsening
Residents with pressure ulcers (bedsores)
0%0%No change
Residents with a urinary tract infection
14.6%0%Improving
Residents who lost too much weight
8.8%2.3%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
20.6%20.5%No change
Residents whose ability to walk got worse
18.7%9.1%Improving
Long-stay residents on antianxiety or sleep medication
39.5%30.4%Improving
Short-stay residents newly given an antipsychotic
—8%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
15.4%17.6%Worsening
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—98.1%—
Long-stay residents given the pneumonia vaccine
97.8%100%Improving
Short-stay residents given the pneumonia vaccine
—78.3%—
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited April 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to keep essential equipment working safely. Cited February 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 908 — 42 CFR §483.90 — S/S: F
The home failed to submit complete and accurate staffing information based on verifiable records. Cited February 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 851 — 42 CFR §483.70 — S/S: F
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited October 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 727 — 42 CFR §483.35 — S/S: F
Recent history
- OWNERSHIP
The facility reported a change in ownership in the past 12 months.
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 10 health deficiencies.
See what inspectors found
- OWNERSHIP
The facility reported a change in ownership in the past 12 months.
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $65,397 was recorded.
- PENALTY
A federal fine of $100,610 was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $65,397 in total fines.
- $65,397
Federal fine
Dec 13, 2025
Operator & ownership
Recent ownership change · Oct 1, 2025
Now operated by Avir at Elkhart, previously Elkhart Oaks Care Center.
- Ownership
- Government - Hospital district
- Chain
- Part of AVIR HEALTH GROUP · 118 homes · 2.3 stars avg
- Occupancy
- 52.4 residents on an average day (53% of 98 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 32 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.