All states › Texas › North Richland Hills › Avir at Emerald Hills
5600 Davis Blvd North Richland Hills, TX 76180 · Tarrant County
All 2 nursing homes in North Richland Hills, TX (2 take Medicaid)
CMS certification number 676127 · See this home on Medicare Care Compare
Is Avir at Emerald Hills 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 Emerald Hills as of October 2026.
CMS rates it 1 out of 5 stars overall, below 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 3.45 hours per resident per day at Avir at Emerald Hills, above the Texas median of 3.30 (US median: 3.72). About 0.13 of those hours are from registered nurses. On weekends it falls to 3.06 hours, 11% below its all-week average. 60.2% of nursing staff left within a year (Texas median 50.2%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.
About this nursing home
Paying for care at Avir at Emerald Hills: Medicare and Medicaid
Avir at Emerald Hills 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 18, 2026 and found 4 deficiencies, plus 6 from complaint inspections in the same period. In total, inspectors issued 23 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 23 citations at Avir at Emerald Hills across 10 inspection dates, 13 of them from complaint investigations. 2 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on June 26, 2025 (complaint inspection). The most common areas cited were quality of life and care (5) and resident assessment and care planning (4). The most serious was cited under the CMS rule to "develop and implement policies and procedures to prevent abuse, neglect, and theft" (tag F0607, level J, June 26, 2025). 2 citations were under CMS's abuse, neglect and exploitation rules.
July 7, 2026 · 1 citation · includes complaint inspection
DProvide doctor's orders for the resident's immediate care at the time the resident was admitted.
June 18, 2026 · 4 citations
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.
EProvide care and assistance to perform activities of daily living for any resident who is unable.
EProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
April 22, 2026 · 1 citation, includes actual harm · includes complaint inspection
GProvide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
April 9, 2026 · 1 citation · includes complaint inspection
DProvide safe and appropriate respiratory care for a resident when needed.
December 9, 2025 · 3 citations · includes complaint inspection
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DEnsure that residents are free from significant medication errors.
DProvide and implement an infection prevention and control program.
June 26, 2025 · 4 citations, includes immediate jeopardy · includes complaint inspection
JDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
April 17, 2025 · 2 citations
EHonor 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.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
August 9, 2024 · 1 citation · includes complaint inspection
EProvide and implement an infection prevention and control program.
February 29, 2024 · 4 citations
DProvide doctor's orders for the resident's immediate care at the time the resident was admitted.
DEnsure each resident receives an accurate assessment.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
January 9, 2024 · 2 citations · includes complaint inspection
DHonor each resident's preferences, choices, values and beliefs.
DMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Questions to ask on a tour of Avir at Emerald Hills
- Inspectors cited the home at the immediate-jeopardy level on June 26, 2025 under the rule on freedom from abuse, neglect, and exploitation. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on June 26, 2025. How are staff trained, and how are concerns reported?
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Nursing staff turnover was 60.2% a year. How many of the staff come from agencies?
- 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 $195,946 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Jun 26, 2025 | Fine | $195,946 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 2/5 | 1/5 | 4/5 |
| August 2026 | 2/5 | 2/5 | 2/5 | 4/5 |
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Location
Hospitals near Avir at Emerald Hills
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
-
1.3 mi
North Hills Hospital North Richland HillsEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 2h 7m for patients treated and sent home
- 1.6 mi
-
5.3 mi
Texas Health Harris Methodist Hurst-Euless-Bedford BedfordEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 30m 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 Emerald Hills › All nursing homes in North Richland Hills ›
Compare Avir at Emerald Hills with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Hurst Plaza Nursing and Rehab · Hurst · 5 stars · 3.2 mi
- La Dora Nursing and Rehabilitation Center · Bedford · 5 stars · 4.5 mi
- Parkwood Village · Bedford · 5 stars · 5.2 mi
- Discovery Village at Southlake · Southlake · 5 stars · 6.0 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.