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.
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).
Last yrNowTrend
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).
Last yrNowTrend
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
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
PENALTY
A federal fine of $6,338 was recorded.
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.