Government - Hospital district · 98 certified beds · CMS number 675217
Avir at Elkhart, Elkhart, TX
CMS records 31 health deficiencies at Avir at Elkhart in Elkhart, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Jun 3, 2026. The highest severity cited is F (no actual harm, potential for more than minimal harm). CMS lists 1 fine totaling $65,397 in the last three years.
- A tag cited in 3 inspections
- Ownership changed in the last 12 months (CMS)
- 31deficiencies, 3 cycles (TX median 25)
- 11in the latest cycle (TX median 8)
- Fhighest severity · Potential for harm
- $65,397fines, last 3 years
- 3CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Avir at Elkhart as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Avir at Elkhart may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (11 deficiencies)
Standard inspection Jun 3, 2026. CMS counts 11 health deficiencies and 4 fire safety deficiencies in this cycle.
Jun 3, 2026 · Standard inspection
10 deficiencies, highest E
F926 · Smoking policies
Requirement cited (CMS): Have policies on smoking.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 4, 2026
F919 · Working call system
Requirement cited (CMS): Make sure that a working call system is available in each resident's bathroom and bathing area.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 4, 2026
F761 · Drug labeling and secure storage
Requirement cited (CMS): Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 4, 2026
F692 · Nutrition and hydration
Requirement cited (CMS): Provide enough food/fluids to maintain a resident's health.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 4, 2026
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 4, 2026
F686 · Pressure ulcer prevention and care
Requirement cited (CMS): Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 4, 2026
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 4, 2026
F641 · Accurate resident assessments
Requirement cited (CMS): Ensure each resident receives an accurate assessment.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 4, 2026
F584 · Safe, clean, homelike surroundings
Requirement cited (CMS): Honor 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.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 4, 2026
F565 · Resident and family councils
Requirement cited (CMS): Honor the resident's right to organize and participate in resident/family groups in the facility.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 4, 2026
Jan 21, 2026 · Complaint inspection
1 deficiency, highest D
F584 · Safe, clean, homelike surroundings
Requirement cited (CMS): Honor 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 13, 2026
Previous cycle: 9 deficiencies (standard inspection Apr 9, 2025)
Standard inspection Apr 9, 2025. CMS counts 9 health deficiencies and 3 fire safety deficiencies in this cycle.
Aug 6, 2025 · Complaint inspection
1 deficiency, highest F
F725 · Enough nursing staff every shift
Requirement cited (CMS): Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Aug 7, 2025
Apr 9, 2025 · Standard inspection
7 deficiencies, highest F
F926 · Smoking policies
Requirement cited (CMS): Have policies on smoking.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 23, 2025
F919 · Working call system
Requirement cited (CMS): Make sure that a working call system is available in each resident's bathroom and bathing area.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 28, 2025
F908 · Equipment kept in safe working order
Requirement cited (CMS): Keep all essential equipment working safely.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 11, 2025
F813 · Food brought in by visitors
Requirement cited (CMS): Have a policy regarding use and storage of foods brought to residents by family and other visitors.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 11, 2025
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Apr 11, 2025
F805 · Food prepared for individual needs
Requirement cited (CMS): Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 21, 2025
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 11, 2025
Mar 10, 2025 · Complaint inspection
1 deficiency, highest D
F600 · Freedom from abuse and neglect
Requirement cited (CMS): Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Past non-compliance (fixed before the inspection), Jun 26, 2024
Earlier cycle: 11 deficiencies (standard inspection Feb 28, 2024)
Standard inspection Feb 28, 2024. CMS counts 11 health deficiencies and 3 fire safety deficiencies in this cycle.
Feb 28, 2024 · Standard inspection
10 deficiencies, highest F
F926 · Smoking policies
Requirement cited (CMS): Have policies on smoking.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 29, 2024
F919 · Working call system
Requirement cited (CMS): Make sure that a working call system is available in each resident's bathroom and bathing area.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 29, 2024
F908 · Equipment kept in safe working order
Requirement cited (CMS): Keep all essential equipment working safely.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Feb 29, 2024
F851 · Reporting staffing data to CMS
Requirement cited (CMS): Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Feb 29, 2024
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Feb 29, 2024
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 29, 2024
F695 · Respiratory and oxygen care
Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 29, 2024
F692 · Nutrition and hydration
Requirement cited (CMS): Provide enough food/fluids to maintain a resident's health.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 29, 2024
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 29, 2024
F637 · Reassessment after a significant change
Requirement cited (CMS): Assess the resident when there is a significant change in condition
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 29, 2024
Oct 12, 2023 · Complaint inspection
1 deficiency, highest F
F727 · RN coverage and director of nursing
Requirement cited (CMS): Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Oct 13, 2023
Tags cited in more than one inspection
8 tags cited on more than one inspection date at Avir at Elkhart; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F919 Working call system | 3 | Jun 3, 2026; Apr 9, 2025; Feb 28, 2024 |
| F926 Smoking policies | 3 | Jun 3, 2026; Apr 9, 2025; Feb 28, 2024 |
| F584 Safe, clean, homelike surroundings | 2 | Jun 3, 2026; Jan 21, 2026 |
| F689 Accident prevention and supervision | 2 | Jun 3, 2026; Feb 28, 2024 |
| F692 Nutrition and hydration | 2 | Jun 3, 2026; Feb 28, 2024 |
| F755 Pharmacy services and a consultant pharmacist | 2 | Apr 9, 2025; Feb 28, 2024 |
| F812 Food safety and sanitation | 2 | Apr 9, 2025; Feb 28, 2024 |
| F908 Equipment kept in safe working order | 2 | Apr 9, 2025; Feb 28, 2024 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Dec 13, 2025 | Fine | $65,397 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.38 h (about the same as the Texas median of 3.27 h)
- RN hours per resident per day
- 0.19 h (below the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.93 h
- Nursing staff turnover
- 54.3% (Texas median 52.1%)
- Administrators who left
- 1
- CMS overall rating
- 3 of 5
- Health inspection rating
- 3 of 5
- Staffing rating
- 2 of 5
- Quality measure rating
- 3 of 5
CMS figures for Avir at Elkhart, copied as published; Texas medians are ours.
Facility details
- Address
- 214 Jones Rd, Elkhart, TX 75839
- Phone
- (903) 764-2291
- County
- Anderson
- Accepts
- Medicare and Medicaid
- Ownership
- Government - Hospital district
- Chain (CMS)
- Avir Health Group
- Certified beds
- 98
- Average residents per day
- 52.4
- In Medicare/Medicaid since
- Dec 1, 1993
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
Questions to ask on a visit
Based on the tags cited most often here.
- How quickly are call lights usually answered, especially at night? (F919, cited 3 times)
- What is the smoking policy, and how are residents who smoke supervised? (F926, cited 3 times)
- How often are rooms cleaned and bed linens changed? (F584, cited 2 times)
- How does the home assess each resident's fall risk and plan to prevent falls? (F689, cited 2 times)
Other nursing homes in Elkhart and the same chain
- Avir at El Paso
El Paso · 93 deficiencies - Avir at Patriot
El Paso · 78 deficiencies - Avir at Cowhorn Creek
Texarkana · 68 deficiencies - Avir at Kerrville
Kerrville · 67 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.