Nursing Home Alerts

Avir at Elkhart

214 Jones Rd, Elkhart, TX 75839

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Avir at Elkhart is a nursing home in Elkhart, Texas. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.

This page uses data from the Centers for Medicare & Medicaid Services (CMS), published on October 28, 2026. CMS updates its data about once a month.

CMS star ratings

Facts from CMS

Phone
(903) 764-2291
Last standard health inspection
June 3, 2026 (5 months ago)
Certified beds
98
Residents per day, on average
51
Ownership type
Government - Hospital district
Legal business name
214 Jones Rd Opco LLC
Chain
Avir Health Group
Takes part in
Medicare and Medicaid

More health citations than the Texas average (31 vs 28).

Inspections, fines and changes

This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.

  1. CMS update of October 28, 2026

    • Star rating

      The CMS staffing star rating changed from 2 of 5 to 3 of 5.

    • Star rating

      The CMS quality measures star rating changed from 3 of 5 to 4 of 5.

  2. CMS update of October 8, 2026

    • Changed ownership in the last 12 months

      CMS records show a change of ownership in the past 12 months.

    • Name

      CMS lists a new legal business name for this home.

    • Ownership

      CMS ownership records list new owners for this home.

  3. CMS update of July 29, 2026

    • Star rating

      The CMS quality measures star rating changed from 4 of 5 to 3 of 5.

    • Fine

      CMS changed the fine from December 13, 2025 from $100,610 to $65,397.

  4. 10 citations

    Health inspection on June 3, 2026

    CMS lists this as a standard inspection.

    • Citation F0565. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Honor the resident's right to organize and participate in resident/family groups in the facility.

      CMS lists it as corrected on June 4, 2026.

    • Citation F0584. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: 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.

      CMS lists it as corrected on June 4, 2026.

      CMS has cited this home for F0584 2 times since 2026.

    • Citation F0656. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

      CMS lists it as corrected on June 4, 2026.

    • Citation F0641. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure each resident receives an accurate assessment.

      CMS lists it as corrected on June 4, 2026.

    • Citation F0686. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate pressure ulcer care and prevent new ulcers from developing.

      CMS lists it as corrected on June 4, 2026.

    • Citation F0689. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on June 4, 2026.

      CMS has cited this home for F0689 2 times since 2024.

    • Citation F0692. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide enough food/fluids to maintain a resident's health.

      CMS lists it as corrected on June 4, 2026.

      CMS has cited this home for F0692 2 times since 2024.

    • Citation F0761. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on June 4, 2026.

    • Citation F0919. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Make sure that a working call system is available in each resident's bathroom and bathing area.

      CMS lists it as corrected on June 4, 2026.

      CMS has cited this home for F0919 3 times since 2024.

    • Citation F0926. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Have policies on smoking.

      CMS lists it as corrected on June 4, 2026.

      CMS has cited this home for F0926 3 times since 2024.

    See this home on CMS Care Compare

  5. 4 citations

    Fire safety inspection on June 3, 2026

    CMS lists this as a standard inspection.

    • Citation K0321. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

      CMS lists it as corrected on June 16, 2026.

      CMS has cited this home for K0321 3 times since 2024.

    • Citation K0352. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Properly install and monitor supervisory attachments on automatic sprinkler systems.

      CMS lists it as corrected on June 16, 2026.

    • Citation K0353. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.

      CMS lists it as corrected on June 16, 2026.

      CMS has cited this home for K0353 2 times since 2025.

    • Citation K0521. Severity C: potential for minimal harm, widespread.

      The rule CMS cited: Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

      CMS has cited this home for K0521 3 times since 2024.

    See this home on CMS Care Compare

  6. CMS update of May 27, 2026

    • Ownership

      CMS lists this home under a new chain.

  7. CMS update of April 29, 2026

    • Star rating

      The CMS quality measures star rating changed from 3 of 5 to 4 of 5.

    • Fine

      CMS changed the fine from December 13, 2025 from $66,210 to $100,610.

  8. CMS update of February 25, 2026

    • Star rating

      The CMS staffing star rating changed from 3 of 5 to 2 of 5.

    • Star rating

      The CMS quality measures star rating changed from 2 of 5 to 3 of 5.

    • Name

      CMS lists a new name for this home. It was ELKHART OAKS CARE CENTER.

  9. 1 citation

    Health inspection on January 21, 2026

    CMS lists this as a complaint inspection.

    • Citation F0584. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on February 13, 2026.

    See this home on CMS Care Compare

  10. Fine

    December 13, 2025 (10 months ago)

    CMS fine of $65,397 on December 13, 2025.

    See this home on CMS Care Compare

  11. CMS update of November 20, 2025

    • Star rating

      The CMS quality measures star rating changed from 3 of 5 to 2 of 5.

  12. 1 citation

    Health inspection on August 6, 2025

    CMS lists this as a complaint inspection.

    • Citation F0725. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

      CMS lists it as corrected on August 7, 2025.

    See this home on CMS Care Compare

  13. CMS update of July 30, 2025

    • Star rating

      The CMS staffing star rating changed from 2 of 5 to 3 of 5.

    • Ownership

      CMS no longer lists a chain for this home.

  14. CMS update of April 30, 2025

    • Star rating

      The CMS overall star rating changed from 2 of 5 to 3 of 5.

    • Star rating

      The CMS staffing star rating changed from 1 of 5 to 2 of 5.

  15. 7 citations

    Health inspection on April 9, 2025

    CMS lists this as a standard inspection.

    • Citation F0812. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

      CMS lists it as corrected on April 11, 2025.

      CMS has cited this home for F0812 2 times since 2024.

    • Citation F0805. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

      CMS lists it as corrected on April 21, 2025.

    • Citation F0755. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      CMS lists it as corrected on April 11, 2025.

      CMS has cited this home for F0755 2 times since 2024.

    • Citation F0813. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Have a policy regarding use and storage of foods brought to residents by family and other visitors.

      CMS lists it as corrected on April 11, 2025.

    • Citation F0908. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Keep all essential equipment working safely.

      CMS lists it as corrected on April 11, 2025.

      CMS has cited this home for F0908 2 times since 2024.

    • Citation F0919. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Make sure that a working call system is available in each resident's bathroom and bathing area.

      CMS lists it as corrected on April 28, 2025.

    • Citation F0926. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Have policies on smoking.

      CMS lists it as corrected on April 23, 2025.

    See this home on CMS Care Compare

  16. 3 citations

    Fire safety inspection on April 9, 2025

    CMS lists this as a standard inspection.

    • Citation K0321. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

      CMS lists it as corrected on April 11, 2025.

    • Citation K0353. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.

      CMS lists it as corrected on May 19, 2025.

    • Citation K0521. Severity C: potential for minimal harm, widespread.

      The rule CMS cited: Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    See this home on CMS Care Compare

  17. CMS update of March 26, 2025

    • Star rating

      The CMS overall star rating changed from 1 of 5 to 2 of 5.

    • Star rating

      The CMS health inspection star rating changed from 2 of 5 to 3 of 5.

  18. 1 citation

    Health inspection on March 10, 2025

    CMS lists this as a complaint inspection.

    • Citation F0600. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

      CMS lists it as corrected on June 26, 2024.

    See this home on CMS Care Compare

  19. CMS update of February 26, 2025

    • Star rating

      The CMS quality measures star rating changed from 1 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.

  20. CMS update of May 29, 2024

    • Star rating

      The CMS health inspection star rating changed from 3 of 5 to 2 of 5.

  21. CMS update of March 28, 2024

    • Star rating

      The CMS health inspection star rating changed from 2 of 5 to 3 of 5.

  22. 10 citations

    Health inspection on February 28, 2024

    CMS lists this as a standard inspection.

    • Citation F0812. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

      CMS lists it as corrected on February 29, 2024.

    • Citation F0851. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

      CMS lists it as corrected on February 29, 2024.

    • Citation F0908. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Keep all essential equipment working safely.

      CMS lists it as corrected on February 29, 2024.

    • Citation F0692. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide enough food/fluids to maintain a resident's health.

      CMS lists it as corrected on February 29, 2024.

    • Citation F0637. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Assess the resident when there is a significant change in condition

      CMS lists it as corrected on February 29, 2024.

    • Citation F0689. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on February 29, 2024.

    • Citation F0695. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide safe and appropriate respiratory care for a resident when needed.

      CMS lists it as corrected on February 29, 2024.

    • Citation F0755. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      CMS lists it as corrected on February 29, 2024.

    • Citation F0919. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Make sure that a working call system is available in each resident's bathroom and bathing area.

      CMS lists it as corrected on February 29, 2024.

    • Citation F0926. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Have policies on smoking.

      CMS lists it as corrected on February 29, 2024.

    See this home on CMS Care Compare

  23. 3 citations

    Fire safety inspection on February 28, 2024

    CMS lists this as a standard inspection.

    • Citation K0321. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

      CMS lists it as corrected on March 28, 2024.

    • Citation K0374. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Install smoke barrier doors that can resist smoke for at least 20 minutes.

      CMS lists it as corrected on March 28, 2024.

    • Citation K0521. Severity C: potential for minimal harm, widespread.

      The rule CMS cited: Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    See this home on CMS Care Compare

  24. CMS update of January 31, 2024

    • Star rating

      The CMS staffing star rating changed from 2 of 5 to 1 of 5.

  25. 1 citation

    Health inspection on October 12, 2023

    CMS lists this as a complaint inspection.

    • Citation F0727. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: 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.

      CMS lists it as corrected on October 13, 2023.

    See this home on CMS Care Compare

Owners and managers

CMS lists these owners and managers for this home. Names are as CMS writes them.

Questions

When was Avir at Elkhart last inspected?

CMS lists June 3, 2026 as the date of its most recent standard health inspection.

How many citations (violations) does Avir at Elkhart have?

CMS lists 31 health citations since October 12, 2023. CMS also calls these deficiencies.

Has Avir at Elkhart been fined?

CMS lists 1 fine in the past three years, $65,397 in total.

What is the CMS star rating of Avir at Elkhart?

Its CMS overall star rating is 3 of 5.

Is Avir at Elkhart a Special Focus Facility?

No. CMS does not list it as a Special Focus Facility or a candidate.