Nursing HomeInspections

Avir at Elkhart

Nursing home in Elkhart, TX

Medicare & Medicaid certified3★ overall (CMS)

Call (903) 764-2291Send a messageMap ↗

Public-record details

Address
214 Jones Rd, Elkhart, TX 75839
Phone
(903) 764-2291
Listed under
For-profit
Medicare CCN
675217
Overall star rating
3 of 5 ★★★☆☆
Health inspection rating
3 of 5
Staffing rating
2 of 5
Quality measures rating
3 of 5
Certified beds
98
Average residents per day
52
Ownership
For-profit, limited Liability company
Legal business name
214 Jones Rd Opco LLC
Chain
Avir Health Group (116 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Dec 1, 1993
Changed ownership in last 12 months
Yes
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 675217. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Apr 9, 2025. CMS lists 26 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jan 11, 2023 to Jan 21, 2026): 4 from complaint inspections, 1 at the “actual harm” level or higher.

InspectionCitationSeverity
Jan 21, 2026Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Aug 6, 2025Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services · complaint inspection		F
Potential for more than minimal harm, widespread
Apr 9, 2025Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Apr 9, 2025Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Nutrition and Dietary		D
Potential for more than minimal harm, isolated
Apr 9, 2025Keep all essential equipment working safely.
Environmental		D
Potential for more than minimal harm, isolated
Apr 9, 2025Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental		D
Potential for more than minimal harm, isolated
Apr 9, 2025Have policies on smoking.
Environmental		D
Potential for more than minimal harm, isolated
Apr 9, 2025Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary		E
Potential for more than minimal harm, pattern
Apr 9, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		F
Potential for more than minimal harm, widespread
Mar 10, 2025Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Feb 28, 2024Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Feb 28, 2024Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 26. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $65,397 in the last three years.

Dec 13, 2025Fine: $65,397

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.38 hours
Registered nurse (RN) time per resident per day
0.19 hours
Nurse aide time per resident per day
2.34 hours
Total nurse staffing on weekends
2.93 hours
Nursing staff turnover (yearly)
54%
RN turnover (yearly)
80%
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.