For profit - Limited Liability company · 118 certified beds · CMS number 676127
Avir at Emerald Hills, North Richland Hills, TX
CMS records 23 health deficiencies at Avir at Emerald Hills in North Richland Hills, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Jun 18, 2026. The highest severity cited is J (immediate jeopardy to resident health or safety). 2 citations were at the immediate jeopardy level. CMS lists 1 fine totaling $195,946 in the last three years.
- 23deficiencies, 3 cycles (TX median 25)
- 10in the latest cycle (TX median 8)
- Jhighest severity · Immediate jeopardy
- $195,946fines, last 3 years
- 2CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Avir at Emerald Hills as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Avir at Emerald Hills may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (10 deficiencies)
Standard inspection Jun 18, 2026. CMS counts 10 health deficiencies and 11 fire safety deficiencies in this cycle.
Jul 7, 2026 · Complaint inspection
1 deficiency, highest D
F635 · Doctor's orders at admission
Requirement cited (CMS): Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Plan of correction, no correction date yet
Jun 18, 2026 · Standard inspection
4 deficiencies, highest F
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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 19, 2026
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 Jun 19, 2026
F690 · Bladder, bowel, and catheter care
Requirement cited (CMS): Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 19, 2026
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 19, 2026
Apr 22, 2026 · Complaint inspection
1 deficiency, highest G
F777 · Ordering X-rays and reporting results
Requirement cited (CMS): Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
- Severity
- G Actual harm (not immediate jeopardy), isolated
- Status
- Correction date Apr 23, 2026
Apr 9, 2026 · Complaint inspection
1 deficiency, highest D
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 Apr 10, 2026
Dec 9, 2025 · Complaint inspection
3 deficiencies, highest D
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 10, 2025
F760 · No significant medication errors
Requirement cited (CMS): Ensure that residents are free from significant medication errors.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 10, 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 Dec 10, 2025
Previous cycle: 6 deficiencies (standard inspection Apr 17, 2025)
Standard inspection Apr 17, 2025. CMS counts 6 health deficiencies and 1 fire safety deficiency in this cycle.
Jun 26, 2025 · Complaint inspection
4 deficiencies, highest J
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
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Jun 27, 2025
F609 · Reporting suspected abuse and crimes
Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 27, 2025
F607 · Abuse prevention policies
Requirement cited (CMS): Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Jun 27, 2025
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 Jun 27, 2025
Apr 17, 2025 · Standard inspection
2 deficiencies, highest E
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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 18, 2025
F578 · Refusing treatment and advance directives
Requirement cited (CMS): Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 18, 2025
Earlier cycle: 7 deficiencies (standard inspection Feb 29, 2024)
Standard inspection Feb 29, 2024. CMS counts 7 health deficiencies and 2 fire safety deficiencies in this cycle.
Aug 9, 2024 · Complaint inspection
1 deficiency, highest E
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Aug 10, 2024
Feb 29, 2024 · Standard inspection
4 deficiencies, highest D
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
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 1, 2024
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
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 1, 2024
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 Mar 1, 2024
F635 · Doctor's orders at admission
Requirement cited (CMS): Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 1, 2024
Jan 9, 2024 · Complaint inspection
2 deficiencies, highest D
F921 · Safe, functional, sanitary building
Requirement cited (CMS): Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 12, 2024
F675 · Quality of life
Requirement cited (CMS): Honor each resident's preferences, choices, values and beliefs.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 12, 2024
Tags cited in more than one inspection
3 tags cited on more than one inspection date at Avir at Emerald Hills; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F812 Food safety and sanitation | 3 | Jun 18, 2026; Apr 17, 2025; Feb 29, 2024 |
| F635 Doctor's orders at admission | 2 | Jul 7, 2026; Feb 29, 2024 |
| F880 Infection prevention and control program | 2 | Dec 9, 2025; Aug 9, 2024 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Jun 26, 2025 | Fine | $195,946 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.40 h (about the same as the Texas median of 3.27 h)
- RN hours per resident per day
- 0.14 h (below the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 3.05 h
- Nursing staff turnover
- 56.3% (Texas median 52.1%)
- Administrators who left
- 1
- CMS overall rating
- 2 of 5
- Health inspection rating
- 2 of 5
- Staffing rating
- 2 of 5
- Quality measure rating
- 4 of 5
CMS figures for Avir at Emerald Hills, copied as published; Texas medians are ours.
Facility details
- Address
- 5600 Davis Blvd, North Richland Hills, TX 76180
- Phone
- (817) 503-4700
- County
- Tarrant
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Chain (CMS)
- Avir Health Group
- Certified beds
- 118
- Average residents per day
- 98.4
- In Medicare/Medicaid since
- Feb 6, 2007
- 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.
- When was the kitchen last inspected, and how are food temperatures checked? (F812, cited 3 times)
- What information does the home need from the hospital or the resident's doctor before admission day? (F635, cited 2 times)
- How do staff track and report infections among residents? (F880, cited 2 times)
- How does the home record and follow a resident's advance directive? (F578, cited 1 time)
Other nursing homes in North Richland Hills and the same chain
- Glenview Wellness & Rehabilitation
North Richland Hills · 25 deficiencies - 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.