The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited January 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
Avir at Elkhart
ELKHART, TX · Medicare-certified · 98 beds
Needs attention
For-profitChain member
3 of 5 overall
Avir at Elkhart has a 3-star overall rating, with 2 stars for staffing and 3 stars for health inspections; reported nurse staffing is 3.33 hours per resident per day, below the 4.1-hour federal benchmark. It also has a recent federal penalty and $100,610 in fines over the last 24 months.
Facility ratings
Health inspections
Staffing
3.3299 hrs/resident/day
Quality measures
Last inspection: January 21, 2026Penalties, last 24 months: $100,610recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3299.
Staffing detail
- Registered nurses
- 0.18
- Licensed practical nurses
- 0.85
- Nurse aides
- 2.30
- Weekend nursing
- 2.90
Hours per resident per day.
Total staff turnover: 59%
Registered nurse turnover: 83%
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
12%4.5%Improving
Residents with a fall causing major injury
8.3%8.2%No change
Residents with pressure ulcers (bedsores)
2.6%3.6%Worsening
Residents with a urinary tract infection
2.1%2%No change
Residents who lost too much weight
7.5%9.5%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
7.9%7.3%Improving
Residents whose ability to walk got worse
18.7%0%Improving
Long-stay residents on antianxiety or sleep medication
43.9%31%Improving
Short-stay residents newly given an antipsychotic
—3.8%—
Residents with a long-term catheter
2.2%1.9%No change
Residents with new or worsening incontinence
30.4%14.9%Improving
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
95.8%100%Improving
Short-stay residents given the pneumonia vaccine
—75%—
What the inspectors found
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
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
Recent history
- 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 $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 · $100,610 in total fines.
- $100,610
Federal fine
Dec 13, 2025
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of AVIR HEALTH GROUP · 117 homes · 2.2 stars avg
- Occupancy
- 51.1 residents on an average day (52% 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.