Federal inspection record · CMS data as of October 1, 2026
Avante Rehabilitation Center
225 N Sowers Rd, Irving, TX · (972) 253-4173
- Certified beds
- 120
- Residents per day
- 84
- Ownership
- For-Profit
- Chain
- Hamilton County Hospital District
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- March 27, 2002
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Texas homes
Avante Rehabilitation Center carries 138 inspection points. That is fewer than 22% of Texas's 1,166 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Texas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–26 pts
- 4★ 26–51 pts
- 3★ 51–85 pts
- 2★ 85–145.75 pts
- 1★ over 145.75 pts
Bars show every rated home in Texas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
22 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (6)
-
J
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
-
J
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
-
J
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
J
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
-
J
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
-
J
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Everything else, by area of care
Resident Assessment and Care Planning9E
- D
Ensure each resident receives an accurate assessment.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Assure that each resident’s assessment is updated at least once every 3 months.
- E
Ensure a qualified health professional conducts resident assessments.
- D
Ensure each resident receives an accurate assessment.
- E
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Pharmacy Service3E
- D
Ensure that residents are free from significant medication errors.
- E
Ensure medication error rates are not 5 percent or greater.
- E
Ensure medication error rates are not 5 percent or greater.
Infection Control2E
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Nutrition and Dietary2F
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspection history
2025-07-31
7 health deficiencies · 0 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
2024-08-01
5 health deficiencies · 1 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2023-06-02
10 health deficiencies · 3 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 44 min of nursing staff time a day, 20 min of it from a registered nurse.
This home
3 h 44 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 64% of nursing staff and 54% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$17,096 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-03-28 | Fine | $17,096 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.1 pts worse | 2.1 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.2 pts better | 0.8 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2.7 pts better | 99.1% | 96.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.5 pts worse | 95.5% | 97.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.9 pts better | 1.3% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptomsAbout the same | 2.3% | 2.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.2 pts better | 0.7% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication6.8 pts better | 11.0% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication7.2 pts better | 2.6% | 9.8% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened4.6 pts worse | 17.5% | 12.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1.7 pts worse | 17.5% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.7 pts worse | 1.0% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.2 pts worse | 1.0% | 0.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.1 pts worse | 14.6% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcersAbout the same | 3.7% | 3.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine7.9 pts better | 96.6% | 88.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.3 pts better | 10.9% | 12.2% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.7 pts better | 0.7% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine7.5 pts better | 92.9% | 85.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission4.8 pts better | 20.7% | 25.5% | 23.4% |
·
Who owns and runs it
15 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Dkp Investments, LLC | 5% Or Greater Mortgage Interest · Organization | 0% | 10 facilities |
| Dkp Investments, LLC | Adp Of The SNF · Organization | 0% | 10 facilities |
| Hooper, Grady | Corporate Officer · Individual | 0% | 61 facilities |
| Llld Associates, LP | 5% Or Greater Mortgage Interest · Organization | 0% | 2 facilities |
| Llld Associates, LP | Adp Of The SNF · Organization | 0% | 2 facilities |
| Malik, Mohammad | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Malik, Mohammad | Adp Of The SNF · Individual | 0% | 1 facilities |
| Oxbow Healthcare, LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Oxbow Healthcare, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Port Au Prince LLC | 5% Or Greater Mortgage Interest · Organization | 0% | 4 facilities |
| Port Au Prince LLC | Adp Of The SNF · Organization | 0% | 4 facilities |
| Prince, Daniel | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Prince, Daniel | Adp Of The SNF · Individual | 0% | 1 facilities |
| Prince, Danny | 5% Or Greater Mortgage Interest · Individual | 0% | 12 facilities |
| Prince, Danny | Adp Of The SNF · Individual | 0% | 12 facilities |
·
Fire safety
4 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke2E
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Provide properly protected cooking facilities.
Construction1E
- E
Use approved construction type or materials.
Egress1E
- E
Have properly located and lighted "Exit" signs.
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