Federal inspection record · CMS data as of October 1, 2026
Avir at Emerald Hills
5600 Davis Blvd, North Richland Hills, TX · (817) 503-4700
- Certified beds
- 118
- Residents per day
- 92
- Ownership
- For-Profit
- Chain
- Avir Health Group
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- February 6, 2007
1
How this home got 1 star
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.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.
-
Staffing
★★★★★−1 star
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
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Texas homes
Avir at Emerald Hills carries 107.5 inspection points. That is fewer than 31% 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
23 health citations on record since 2024. 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 (3)
-
G
Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
-
J
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Resident Assessment and Care Planning4D
- D
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
- D
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
- D
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care4E
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Honor each resident's preferences, choices, values and beliefs.
Nutrition and Dietary3E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Pharmacy Service2D
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure that residents are free from significant medication errors.
Infection Control2E
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Resident Rights2E
- D
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.
- E
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.
Nursing and Physician Services1F
- F
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.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Environmental1D
- D
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspection history
2026-06-18
10 health deficiencies · 11 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2025-04-17
6 health deficiencies · 1 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
2024-02-29
7 health deficiencies · 2 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 27 min of nursing staff time a day, 8 min of it from a registered nurse.
This home
3 h 27 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 60% of nursing staff and 100% of registered nurses left in the past year, along with 1 administrator.
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
$195,946 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-06-26 | Fine | $195,946 |
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 days0.6 pts worse | 2.6 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1 pts better | 1.0 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.6 pts better | 100.0% | 96.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.6 pts better | 97.6% | 97.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.7 pts worse | 4.9% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms0.1 pts better | 2.2% | 2.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.5 pts better | 1.4% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication7.6 pts worse | 25.4% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication9.8 pts better | 0.0% | 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 worsened2.5 pts worse | 15.4% | 12.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2.2 pts worse | 18.0% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts worse | 0.5% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.8 pts better | 0.0% | 0.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.3 pts better | 9.2% | 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 vaccine11.3 pts better | 100.0% | 88.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit7.5 pts better | 4.7% | 12.2% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.4 pts better | 0.0% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine13.9 pts better | 99.3% | 85.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission0.4 pts better | 25.1% | 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 |
|---|---|---|---|
| Dallas County Hospital District | 5% Or Greater Direct Ownership Interest · Organization | 100% | 36 facilities |
| 5600 Davis Blvd Opco, LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| 5600 Davis Blvd Property Owner, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Behnam, Soroush | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Behnam, Soroush | Adp Of The SNF · Individual | 0% | 3 facilities |
| Castaneda, Edmundo | Corporate Officer · Individual | 0% | 35 facilities |
| Cerise, Frederick | Corporate Officer · Individual | 0% | 30 facilities |
| Dagan, Amitai | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 156 facilities |
| Freund, Nochum | Operational/Managerial Control · Individual | 0% | 164 facilities |
| Goldberger, Abraham | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 154 facilities |
| Goldberger, Faigy | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 118 facilities |
| Harris, Jonathan | Adp Of The SNF · Individual | 0% | 1 facilities |
| Travitsky, Aaron | Operational/Managerial Control · Individual | 0% | 162 facilities |
| Welltower Nnn Group, LLC | Adp Of The SNF · Organization | 0% | 121 facilities |
| Welltower Op LLC | Adp Of The SNF · Organization | 0% | 158 facilities |
·
Fire safety
14 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke5F
- F
Provide properly protected cooking facilities.
- F
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- D
Install an approved automatic sprinkler system.
Emergency Preparedness4F
- F
Establish policies and procedures for volunteers.
- F
Establish roles under a Waiver declared by secretary.
- F
List the names and contact information of those in the facility.
- F
Include a process for Emergency Preparedness collaboration.
Egress3E
- D
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.
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Services1F
- F
Have an externally vented heating system.
Miscellaneous1F
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
·
Other homes nearby
-
Glenview Wellness & Rehabilitation
North Richland Hills, TX · Opco Skilled Management
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 2 h 33 min
- Fines
- $15,887
-
Green Valley Healthcare and Rehabilitation Center
Fort Worth, TX · Nexion Health
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 29 min
- Fines
- $96,925
-
North Pointe Nursing and Rehabilitation
Watauga, TX · Creative Solutions In Healthcare
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 16 min
- Fines
- $36,475