The home failed to have policies and procedures in place to prevent abuse, neglect, and theft. Cited June 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 607 — 42 CFR §483.12 — S/S: J
Nursing home report
Avir at North Richland Hills
North Richland Hills, TX · Medicare-certified · 118 beds
Needs attention
For-profitChain member
1 of 5 overall
Avir at North Richland Hills has a 1-star overall rating, with 2 stars for health inspections, 1 star for staffing, and 4 stars for quality measures. It has a recent federal penalty, $195,946 in fines over the last 24 months, and reported nurse staffing of 3.37 hours per resident per day, below the federal benchmark of 4.1.
Facility ratings
Health inspections
Staffing
3.3673 hrs/resident/day
Quality measures
Last inspection: December 9, 2025Penalties, last 24 months: $195,946recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3673.
Staffing detail
- Registered nurses
- 0.15
- Licensed practical nurses
- 1.26
- Nurse aides
- 1.95
- Weekend nursing
- 3.07
Hours per resident per day.
Total staff turnover: 45%
Registered nurse turnover: 78%
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
2.4%0%Improving
Residents with a fall causing major injury
10.1%5.2%Improving
Residents with pressure ulcers (bedsores)
3%4.2%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
1.9%1.8%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
13.7%13%Improving
Residents whose ability to walk got worse
7.6%23.1%Worsening
Long-stay residents on antianxiety or sleep medication
20%24.6%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%1%Worsening
Residents with new or worsening incontinence
9.8%9.4%No change
Residents with depressive symptoms
0%2.9%Worsening
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
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—99.4%—
Short-stay residents given the pneumonia vaccine
100%100%No change
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited June 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited January 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to honor residents’ choices about treatment, research participation, and advance care instructions. Cited April 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 578 — 42 CFR §483.10 — S/S: E
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited August 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $195,946 was recorded.
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $195,946 in total fines.
- $195,946
Federal fine
Jun 26, 2025
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of AVIR HEALTH GROUP · 117 homes · 2.2 stars avg
- Occupancy
- 97.6 residents on an average day (83% of 118 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 19 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.