All states › Texas › Elkhart › Avir at Elkhart
214 Jones Rd Elkhart, TX 75839 · Anderson County
CMS certification number 675217 · See this home on Medicare Care Compare
Is Avir at Elkhart a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Avir at Elkhart as of October 2026.
CMS rates it 3 out of 5 stars overall, about the same as the Texas average of 2.8.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.56 hours per resident per day at Avir at Elkhart, above the Texas median of 3.30 (US median: 3.72). About 0.24 of those hours are from registered nurses. On weekends it falls to 3.34 hours, 6% below its all-week average. 48.9% of nursing staff left within a year (Texas median 50.2%). 2 administrators left in the past year.
About this nursing home
Paying for care at Avir at Elkhart: Medicare and Medicaid
Avir at Elkhart is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Texas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on June 3, 2026 and found 10 deficiencies, plus 1 from complaint inspections in the same period. In total, inspectors issued 31 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 31 citations at Avir at Elkhart across 7 inspection dates, 4 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 31 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). The most common areas cited were environmental (8) and quality of life and care (6). The most serious was cited under the CMS rule to "provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift" (tag F0725, level F, August 6, 2025). 1 citation was under CMS's abuse, neglect and exploitation rules.
June 3, 2026 · 10 citations
EHonor the resident's right to organize and participate in resident/family groups in the facility.
EHonor 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.
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DEnsure each resident receives an accurate assessment.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide enough food/fluids to maintain a resident's health.
DEnsure 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.
DMake sure that a working call system is available in each resident's bathroom and bathing area.
DHave policies on smoking.
January 21, 2026 · 1 citation · includes complaint inspection
DHonor 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.
August 6, 2025 · 1 citation · includes complaint inspection
FProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
April 9, 2025 · 7 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DHave a policy regarding use and storage of foods brought to residents by family and other visitors.
DKeep all essential equipment working safely.
DMake sure that a working call system is available in each resident's bathroom and bathing area.
DHave policies on smoking.
March 10, 2025 · 1 citation · includes complaint inspection
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
February 28, 2024 · 10 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
FKeep all essential equipment working safely.
EProvide enough food/fluids to maintain a resident's health.
DAssess the resident when there is a significant change in condition
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide safe and appropriate respiratory care for a resident when needed.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DMake sure that a working call system is available in each resident's bathroom and bathing area.
DHave policies on smoking.
October 12, 2023 · 1 citation · includes complaint inspection
FHave 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.
Questions to ask on a tour of Avir at Elkhart
- CMS cited the home under its abuse and neglect rules on March 10, 2025. How are staff trained, and how are concerns reported?
- Ownership changed in the last 12 months. What has changed for residents and staff since then?
- The home averages about 52% of its beds filled. Are any units closed?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
1 penalty in the last three years, including $65,397 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Dec 13, 2025 | Fine | $65,397 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 3/5 | 3/5 | 3/5 | 4/5 |
| August 2026 | 3/5 | 3/5 | 2/5 | 3/5 |
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Location
Hospitals near Avir at Elkhart
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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8.4 mi
Palestine Regional Medical Center PalestineEmergency room ★☆☆☆☆ Medicare overall 1 of 5Median ER visit 2h 16m for patients treated and sent home
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21.9 mi
Crockett Medical Center CrockettEmergency roomMedian ER visit 1h 58m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Avir at Elkhart › All nursing homes in Elkhart ›
Compare Avir at Elkhart with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Trucare Living Centers · Palestine · 5 stars · 8.1 mi
Other Avir Health Group nursing homes in Texas
- Avir at Beeville · Beeville · 5 stars
- Avir at Temple East · Temple · 5 stars
- Avir at Courtyard · Houston · 5 stars
- Avir at Haskell · Haskell · 5 stars
- Avir at Pampa · Pampa · 5 stars
- Avir at Paris · Paris · 5 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 118 Avir Health Group nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.