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
Emerald Hills Rehabilitation and Healthcare Center
Registered name: Avir at North Richland Hills
North Richland Hills, TX · Medicare-certified · 118 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
3 of 5 overall
Emerald Hills Rehabilitation and Healthcare Center has a 3 out of 5 overall rating, with a 2-star staffing rating and nurse staffing below the federal benchmark (3.40 hours per resident per day vs. 4.1). It also had $195,946 in fines in the last 24 months and a recent federal penalty; recent inspection issues included abuse/neglect/theft prevention, accident hazards and supervision, and delayed tests/x-ray results.
Facility ratings
Health inspections
Staffing
3.4034 hrs/resident/day
Quality measures
Last inspection: April 22, 2026Penalties, last 24 months: $195,946recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4034.
Staffing detail
- Registered nurses
- 0.14
- Licensed practical nurses
- 1.25
- Nurse aides
- 2.02
- Weekend nursing
- 3.05
Hours per resident per day.
Total staff turnover: 56%
Registered nurse turnover: 71%
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%4.9%Improving
Residents with pressure ulcers (bedsores)
3.9%4%No change
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
0%0%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
15.7%17.9%Worsening
Residents whose ability to walk got worse
22.5%8%Improving
Long-stay residents on antianxiety or sleep medication
22.2%29.5%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
14.2%9.9%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
—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 nursing home failed to get ordered tests or X-rays and failed to promptly tell the doctor the results. Cited April 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 777 — 42 CFR §483.50 — S/S: G
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
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
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- 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 · 119 homes · 2.3 stars avg
- Occupancy
- 98.4 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.