GoodStanding

Nursing home report

Avir at Richland Hills

Richland Hills, TX · Medicare-certified · 114 beds

Needs attention
Government-runChain member
3 of 5 overall

Avir at Richland Hills has a 3-star overall rating, with a 2-star health inspection rating, 3-star staffing, and 5-star quality measures. It has a recent federal penalty and $14,506 in fines over the last 24 months, and reported nurse staffing of 3.69 hours per resident per day is below the 4.1-hour federal benchmark.

Facility ratings

Health inspections

Staffing

3.6883 hrs/resident/day

Quality measures

Last inspection: February 3, 2026Penalties, last 24 months: $14,506recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6883.

Staffing detail

Registered nurses
0.27
Licensed practical nurses
1.06
Nurse aides
2.36
Weekend nursing
3.27

Hours per resident per day.

Total staff turnover: 31%
Registered nurse turnover: 43%

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

4.5%9.8%Worsening

Residents with a fall causing major injury

0%5%Worsening

Residents with pressure ulcers (bedsores)

0%2%Worsening

Residents with a urinary tract infection

0%1.3%Worsening

Residents who lost too much weight

9.1%1.4%Improving

Residents who were physically restrained

2.4%1.2%Improving

Residents needing more help with daily activities

22.7%31.9%Worsening

Residents whose ability to walk got worse

20%2.7%Improving

Long-stay residents on antianxiety or sleep medication

30%25.3%Improving

Short-stay residents newly given an antipsychotic

7.1%

Residents with a long-term catheter

1.1%0%Improving

Residents with new or worsening incontinence

18.5%14.6%Improving

Residents with depressive symptoms

1.2%2.7%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

97.8%

Long-stay residents given the pneumonia vaccine

95.2%98.8%Improving

Short-stay residents given the seasonal flu vaccine

61.8%

Short-stay residents given the pneumonia vaccine

71.4%92.9%Improving

What the inspectors found

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited July 2024 — 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 ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited August 2025 — isolated incident, actual harm.

View the original federal record

F-Tag 584 — 42 CFR §483.10 — S/S: G

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited September 2024 — 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 provide needed care and help with daily activities for residents who could not do them on their own. Cited September 2024 — limited pattern, potential for harm.

View the original federal record

F-Tag 677 — 42 CFR §483.24(a)(2) — S/S: E

The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited September 2024 — limited pattern, potential for harm.

View the original federal record

F-Tag 686 — 42 CFR §483.25(b) — S/S: E

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 5 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  4. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  5. PENALTY

    A federal fine of $6,338 was recorded.

  6. PENALTY

    A federal fine of $8,168 was recorded.

Penalties & enforcement

On record with Medicare: 2 fines · $14,506 in total fines.

  • Federal fine

    Jul 22, 2025

    $6,338
  • Federal fine

    Jul 26, 2024

    $8,168

Operator & ownership

Ownership
Government - Hospital district
Chain
Part of AVIR HEALTH GROUP · 117 homes · 2.2 stars avg
Occupancy
84.2 residents on an average day (74% of 114 beds)
Resident voice
Resident council
Medicare history
Certified for 25 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.