Avir At Elkhart
Elkhart, Anderson County, Texas · CCN 675217 · For-profit (LLC) · part of Avir Health Group (116 facilities, chain average 2.3 stars)
CMS rates Avir At Elkhart 3 of 5 overall as of August 2026. 98 certified beds, 52 residents a day on average. 26 citations on record from the current inspection cycles, 1 involving actual harm; 1 fine totalling $65,397.
On record
- Changed ownership in the last twelve months.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★☆☆ 3 of 5 |
|---|---|
| Health inspections | ★★★☆☆ 3 of 5 |
| Staffing | ★★☆☆☆ 2 of 5 |
| Quality measures | ★★★☆☆ 3 of 5 |
| Quality: long-stay / short-stay | 3 / — of 5 |
Staffing
| Total nurse staffing | 3.37637 hours per resident per day |
|---|---|
| Registered nurses | 0.18589 hours per resident per day |
| Weekend total | 2.93298 hours per resident per day |
| Nursing staff turnover | 54.3% (registered nurses 80%) |
| Administrators who left | 1 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-01-21 complaint survey |
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. Resident Rights Deficiencies · tag F0584 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-02-13 |
| 2025-08-06 complaint survey |
Provide 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 Deficiencies · tag F0725 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2025-08-07 |
| 2025-04-09 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2025-04-11 |
| 2025-04-09 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · tag F0805 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-04-21 |
| 2025-04-09 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-04-11 |
| 2025-04-09 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. Nutrition and Dietary Deficiencies · tag F0813 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-04-11 |
| 2025-04-09 | Keep all essential equipment working safely. Environmental Deficiencies · tag F0908 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-04-11 |
| 2025-04-09 | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · tag F0919 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-04-28 |
| 2025-04-09 | Have policies on smoking. Environmental Deficiencies · tag F0926 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-04-23 |
| 2025-03-10 complaint survey |
Protect 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 Deficiencies · tag F0600 |
D No actual harm, with potential for more than minimal harm; isolated | Past Non-Compliance 2024-06-26 |
| 2024-02-28 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2024-02-29 |
| 2024-02-28 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Administration Deficiencies · tag F0851 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2024-02-29 |
| 2024-02-28 | Keep all essential equipment working safely. Environmental Deficiencies · tag F0908 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2024-02-29 |
| 2024-02-28 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · tag F0692 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-02-29 |
| 2024-02-28 | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · tag F0637 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-02-29 |
| 2024-02-28 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-02-29 |
| 2024-02-28 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-02-29 |
| 2024-02-28 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-02-29 |
| 2024-02-28 | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · tag F0919 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-02-29 |
| 2024-02-28 | Have policies on smoking. Environmental Deficiencies · tag F0926 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-02-29 |
| 2023-10-12 complaint survey |
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. Nursing and Physician Services Deficiencies · tag F0727 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2023-10-13 |
| 2023-01-11 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2023-02-22 |
| 2023-01-11 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2023-01-12 |
| 2023-01-11 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · tag F0804 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-02-01 |
| 2023-01-11 | Keep all essential equipment working safely. Environmental Deficiencies · tag F0908 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-02-10 |
| 2023-01-11 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-01-12 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2025-12-13 | Fine | $65,397 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| 214 Jones Rd Property Owner LLC Organization | adp of the snf | — | 2025-10-01 |
| Welltower Inc. Organization | adp of the snf | — | 2025-10-01 |
| Welltower Nnn Group, LLC Organization | adp of the snf | — | 2025-10-01 |
| Welltower Op, LLC Organization | adp of the snf | — | 2025-10-01 |
| 214 Jones Rd Holdings LLC Organization | direct ownership interest | — | 2025-10-01 |
| Ana Tx Holdings, LLC Organization | indirect ownership interest | — | 2025-10-01 |
| Graf Holdings LLC Organization | indirect ownership interest | — | 2025-10-01 |
| Tx Snf Holdings III LLC Organization | indirect ownership interest | — | 2025-10-01 |
| Tx Snf Holdings Member, LLC Organization | indirect ownership interest | — | 2025-10-01 |
| Hekimian, Khoren Individual | adp of the snf | — | 2025-10-01 |
| Holderread, Lynn Individual | adp of the snf | — | 2025-10-01 |
| Freund, Nochum Individual | corporate officer | — | 2025-10-01 |
| Dagan, Amitai Individual | indirect ownership interest | — | 2025-10-01 |
| Freund, Nochum Individual | indirect ownership interest | — | 2025-10-01 |
| Goldberger, Abraham Individual | indirect ownership interest | — | 2025-10-01 |
| Goldberger, Faigy Individual | indirect ownership interest | — | 2025-10-01 |
| Travitsky, Aaron Individual | indirect ownership interest | — | 2025-10-01 |
| Travitsky, Aaron Individual | operational/managerial control | — | 2025-10-01 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Avir At Elkhart.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Anderson County.