Nursing Home Alerts

Avir at Emerald Hills

5600 Davis Blvd, North Richland Hills, TX 76180

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Avir at Emerald Hills is a nursing home in North Richland Hills, 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.

At a glance

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.

Get an email when CMS publishes something new about this home

One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.

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CMS flags

CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.

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

    • Star rating

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

  2. CMS update of October 8, 2026

    • Star rating

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

    • Star rating

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

    • Name

      CMS lists a new name for this home. It was Avir at North Richland Hills.

  3. CMS update of July 29, 2026

    • Star rating

      The CMS overall star rating changed from 1 of 5 to 3 of 5.

    • Star rating

      The CMS health inspection star rating changed from 1 of 5 to 3 of 5.

    • Star rating

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

  4. Health inspection on July 7, 2026

    1 citation

    CMS lists this as a complaint inspection.

    Show the 1 citation
    • Citation F0635. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

      CMS lists it as corrected on July 10, 2026.

      CMS has cited this home for F0635 2 times since 2024.

    See this home on CMS Care Compare

  5. CMS update of June 24, 2026

    • Star rating

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

  6. Health inspection on June 18, 2026

    4 citations

    CMS lists this as a standard inspection.

    Show the 4 citations
    • 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 June 19, 2026.

    • Citation F0677. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide care and assistance to perform activities of daily living for any resident who is unable.

      CMS lists it as corrected on June 19, 2026.

    • Citation F0690. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

      CMS lists it as corrected on June 19, 2026.

    • Citation F0812. Severity E: potential for more than minimal harm, pattern.

      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 June 19, 2026.

      CMS has cited this home for F0812 3 times since 2024.

    See this home on CMS Care Compare

  7. Fire safety inspection on June 18, 2026

    11 citations

    CMS lists this as a standard inspection.

    Show the 11 citations
    • Citation E0009. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Include a process for Emergency Preparedness collaboration.

      CMS lists it as corrected on July 18, 2026.

    • Citation E0024. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Establish policies and procedures for volunteers.

      CMS lists it as corrected on July 18, 2026.

    • Citation E0026. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Establish roles under a Waiver declared by secretary.

      CMS lists it as corrected on July 18, 2026.

    • Citation E0030. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: List the names and contact information of those in the facility.

      CMS lists it as corrected on July 18, 2026.

    • Citation K0324. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Provide properly protected cooking facilities.

      CMS lists it as corrected on July 18, 2026.

    • Citation K0343. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

      CMS lists it as corrected on July 18, 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 July 18, 2026.

    • Citation K0374. Severity F: potential for more than minimal harm, widespread.

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

      CMS lists it as corrected on July 18, 2026.

    • Citation K0522. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have an externally vented heating system.

      CMS lists it as corrected on July 18, 2026.

    • Citation K0222. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

      CMS lists it as corrected on July 18, 2026.

    • Citation K0351. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Install an approved automatic sprinkler system.

      CMS lists it as corrected on July 18, 2026.

    See this home on CMS Care Compare

  8. CMS update of April 29, 2026

    • Star rating

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

    • Star rating

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

    • Fine

      CMS changed the fine from June 26, 2025 from $301,455 to $195,946.

  9. Health inspection on April 22, 2026

    1 citation

    CMS lists this as a complaint inspection.

    Severity G is the second-highest of CMS's four levels. It means a resident was harmed.

    95 of 1,177 Texas homes (8%) got a citation at the actual harm level in 2026.

    Show the 1 citation
    • Citation F0777. Severity G: actual harm, isolated.

      The rule CMS cited: Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.

      CMS lists it as corrected on April 23, 2026.

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  10. Health inspection on April 9, 2026

    1 citation

    CMS lists this as a complaint inspection.

    Show the 1 citation
    • 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 April 10, 2026.

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  11. CMS update of February 25, 2026

    • Ownership

      CMS lists this home under a new chain.

  12. CMS update of January 14, 2026

    • Name

      CMS lists a new name for this home. It was Emerald Hills Rehabilitation and Healthcare Center.

  13. Health inspection on December 9, 2025

    3 citations

    CMS lists this as a complaint inspection.

    Show the 3 citations
    • 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 December 10, 2025.

    • Citation F0760. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that residents are free from significant medication errors.

      CMS lists it as corrected on December 10, 2025.

    • Citation F0880. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on December 10, 2025.

      CMS has cited this home for F0880 2 times since 2024.

    See this home on CMS Care Compare

  14. CMS update of November 20, 2025

    • Star rating

      The CMS overall star rating changed from 3 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

      The CMS health inspection star rating changed from 4 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

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

    • Star rating

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

  15. CMS update of July 30, 2025

    • Star rating

      The CMS overall star rating changed from 4 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

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

    • Star rating

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

  16. Health inspection on June 26, 2025

    4 citations

    CMS lists this as a complaint inspection.

    Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.

    407 of 1,177 Texas homes (35%) got a citation at the immediate jeopardy level in 2025.

    CMS fine of $195,946 on June 26, 2025.

    Show the 4 citations
    • Citation F0607. Severity J: immediate jeopardy, isolated.

      The rule CMS cited: Develop and implement policies and procedures to prevent abuse, neglect, and theft.

      CMS lists it as corrected on June 27, 2025.

    • Citation F0689. Severity J: immediate jeopardy, 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 27, 2025.

    • 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 June 27, 2025.

    • Citation F0609. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

      CMS lists it as corrected on June 27, 2025.

    See this home on CMS Care Compare

  17. CMS update of April 30, 2025

    • Star rating

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

    • Star rating

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

  18. Health inspection on April 17, 2025

    2 citations

    CMS lists this as a standard inspection.

    Show the 2 citations
    • Citation F0578. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: 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.

      CMS lists it as corrected on April 18, 2025.

    • Citation F0812. Severity E: potential for more than minimal harm, pattern.

      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 18, 2025.

    See this home on CMS Care Compare

  19. Fire safety inspection on April 17, 2025

    1 citation

    CMS lists this as a standard inspection.

    Show the 1 citation
    • Citation K0211. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Keep aisles, corridors, and exits free of obstruction in case of emergency.

      CMS lists it as corrected on April 18, 2025.

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  20. CMS update of February 26, 2025

    • Star rating

      The CMS overall star rating changed from 4 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

      The CMS health inspection star rating changed from 3 of 5 to 4 of 5.

    • Star rating

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

    • Star rating

      The CMS quality measures star rating changed from 5 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.

  21. Health inspection on August 9, 2024

    1 citation

    CMS lists this as a complaint inspection.

    Show the 1 citation
    • Citation F0880. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on August 10, 2024.

    See this home on CMS Care Compare

  22. CMS update of July 31, 2024

    • Star rating

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

    • Star rating

      The CMS staffing star rating changed from 1 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.

  23. Health inspection on February 29, 2024

    4 citations

    CMS lists this as a standard inspection.

    Show the 4 citations
    • Citation F0635. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

      CMS lists it as corrected on March 1, 2024.

    • 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 March 1, 2024.

    • Citation F0656. Severity D: potential for more than minimal harm, isolated.

      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 March 1, 2024.

    • Citation F0812. Severity D: potential for more than minimal harm, isolated.

      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 March 1, 2024.

    See this home on CMS Care Compare

  24. Fire safety inspection on February 29, 2024

    2 citations

    CMS lists this as a standard inspection.

    Show the 2 citations
    • Citation K0761. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: To conduct inspection, testing and maintenance of fire doors by qualified individuals.

      CMS lists it as corrected on March 29, 2024.

    • Citation K0223. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

      CMS lists it as corrected on March 29, 2024.

    See this home on CMS Care Compare

  25. CMS update of February 29, 2024

    • Star rating

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

    • Star rating

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

  26. Health inspection on January 9, 2024

    2 citations

    CMS lists this as a complaint inspection.

    Show the 2 citations
    • Citation F0675. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Honor each resident's preferences, choices, values and beliefs.

      CMS lists it as corrected on January 12, 2024.

    • Citation F0921. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

      CMS lists it as corrected on January 12, 2024.

    See this home on CMS Care Compare

CMS star ratings

Facts from CMS

Phone
(817) 503-4700
Last standard health inspection
June 18, 2026 (4 months ago)
Certified beds
118
Residents per day, on average
92.4
Ownership type
For profit - Limited Liability company
Legal business name
Dallas County Hospital District
Chain
Avir Health Group
Takes part in
Medicare and Medicaid

Fewer health citations than the Texas average (23 vs 28).

Owners and managers

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

Questions

When was Avir at Emerald Hills last inspected?

CMS lists June 18, 2026 as the date of its most recent standard health inspection.

How many citations (violations) does Avir at Emerald Hills have?

CMS lists 23 health citations since January 9, 2024. CMS also calls these deficiencies.

Has Avir at Emerald Hills been fined?

CMS lists 1 fine in the past three years, $195,946 in total.

What is the CMS star rating of Avir at Emerald Hills?

Its CMS overall star rating is 1 of 5.

Is Avir at Emerald Hills a Special Focus Facility?

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

Other nursing homes in North Richland Hills