Houston, TX

Avir at Golfcrest

3-star overall rating with 3-star inspections with $8,021 in total fines with 7 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

7633 Bellfort, Houston, TX

(713) 644-2101

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

200

Certified beds

Average residents

122

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Avir Health Group

Operator or chain grouping

Approved since

1999-06-16

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

90 facilities

Chain averages 2 overall / 2 health / 2 staffing / 4 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.39

Registered nurse staffing · state 0.44 · national 0.68

LPN hours / resident day

0.97

Licensed practical nurse staffing · state 0.95 · national 0.87

Aide hours / resident day

1.92

Nurse aide staffing · state 2.01 · national 2.35

Total nurse hours

3.28

All reported nurse hours · state 3.40 · national 3.89

Licensed hours

1.36

RN + LPN hours · state 1.38 · national 1.54

Weekend hours

2.91

Weekend nurse staffing · state 2.99 · national 3.43

Weekend RN hours

0.45

Weekend registered nurse coverage · state 0.34 · national 0.47

Physical therapist

0.02

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

0.45

CMS adjusted RN staffing hours

Adjusted total hours

3.77

CMS adjusted total nurse staffing hours

Case-mix index

1.19

Higher values indicate more complex resident acuity

RN turnover

10%

Annual RN turnover · state 52% · national 45%

Total nurse turnover

41%

Annual nurse turnover · state 52% · national 46%

SNF VBP

Value-based purchasing

Program rank

6,823

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

31.62

Composite VBP score used to determine payment impact.

Payment multiplier

0.9866

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

4.25

Baseline 48.74% · Performance 46.30% · Measure score 4.25 · Achievement 4.25 · Improvement 0.52

Adjusted total nurse staffing

2.07

Baseline 3.80 hours · Performance 3.67 hours · Measure score 2.07 · Achievement 2.07 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	Not Available	10.72%	Not Available · Eligible stays 10 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 2 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	Not Available	1.02	Too few residents or stays to report publicly.
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator 7 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 3 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	1.26%	8.2% 6.9 pts worse	Numerator 2 · Denominator 159
Staff flu vaccination coverage	29.75%	42% 12.2 pts worse	Numerator 47 · Denominator 158
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.4	2.1 0.3 pts worse	1.9 0.5 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 2.2 · Expected 1.8 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.5	2.1 0.6 pts better	1.8 0.3 pts better	Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.4 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	94.0%	97.1% 3.1 pts worse	93.4% 0.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 94.3% · Q2 94.0% · Q3 93.6% · Q4 94.0% · 4Q avg 94.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	95.3%	97.9% 2.6 pts worse	95.5% 0.2 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 95.3%
Percentage of long-stay residents experiencing one or more falls with major injury	2.1%	3.3% 1.2 pts better	3.3% 1.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 1.7% · Q3 1.8% · Q4 3.4% · 4Q avg 2.1% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.2%	2.7% 2.5 pts better	11.4% 11.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.0% · Q4 0.0% · 4Q avg 0.2%
Percentage of long-stay residents who lose too much weight	3.5%	3.3% 0.2 pts worse	5.4% 1.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.3% · Q2 4.5% · Q3 2.9% · Q4 0.0% · 4Q avg 3.5%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	15.4%	18.9% 3.5 pts better	19.6% 4.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 17.7% · Q2 15.5% · Q3 15.5% · Q4 12.7% · 4Q avg 15.4%
Percentage of long-stay residents who received an antipsychotic medication	11.1%	10.8% 0.3 pts worse	16.7% 5.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.2% · Q2 9.4% · Q3 15.2% · Q4 10.5% · 4Q avg 11.1% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.0% About the same	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	20.7%	15.4% 5.3 pts worse	16.3% 4.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 34.3% · Q2 9.4% · Q3 21.4% · Q4 15.4% · 4Q avg 20.7% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	14.5%	16.1% 1.6 pts better	14.9% 0.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 23.6% · Q2 13.2% · Q3 9.0% · Q4 11.3% · 4Q avg 14.5% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.4%	0.5% 0.1 pts better	1.0% 0.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.7% · Q2 0.8% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	0.8% 0.8 pts better	1.7% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	17.0%	15.0% 2 pts worse	19.8% 2.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 21.4% · Q2 13.6% · Q3 16.9% · Q4 15.9% · 4Q avg 17.0%
Percentage of long-stay residents with pressure ulcers	3.7%	4.2% 0.5 pts better	5.1% 1.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 4.5% · Q3 3.8% · Q4 2.6% · 4Q avg 3.7% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	59.5%	89.7% 30.2 pts worse	81.7% 22.2 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 65.4% · Q2 67.9% · Q3 60.0% · Q4 48.6% · 4Q avg 59.5%
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	1.5% 1.5 pts better	1.6% 1.6 pts better	Short Stay · 2024Q4-2025Q3 · Q3 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	67.9%	88.0% 20.1 pts worse	79.7% 11.8 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 67.9%

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-04-10 · Fire 2025-04-10

7 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

6 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2024-02-18 · Fire 2024-02-18

12 health deficiencies

Top issue: Resident Assessment and Care Planning (6 deficiencies)

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2022-10-20 · Fire 2022-10-20

1 health deficiencies

Top issue: Resident Rights (1 deficiency)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-04-10

K342 · Smoke Deficiencies

Fire Safety

Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

Corrected 2025-04-10

F · Potential for more than minimal harm 2025-04-10

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-04-10

F · Potential for more than minimal harm 2025-04-10

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2025-04-10

F · Potential for more than minimal harm 2025-04-10

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-04-10

E · Potential for more than minimal harm 2025-04-10

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-04-10

E · Potential for more than minimal harm 2025-04-10

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2025-04-10

K · Immediate jeopardy 2024-02-18

K222 · Egress Deficiencies

Fire Safety

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.

Corrected 2024-01-31

D · Potential for more than minimal harm 2024-02-18

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-03-08

F · Potential for more than minimal harm 2022-10-20

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2022-10-22

F · Potential for more than minimal harm 2022-10-20

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2022-10-22

E · Potential for more than minimal harm 2022-10-20

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2022-10-22

Inspection history

Recent health citations

J · Immediate jeopardy 2025-08-05

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2025-08-05

J · Immediate jeopardy 2025-08-05

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-08-05

J · Immediate jeopardy 2025-07-23

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Not marked corrected

D · Potential for more than minimal harm 2025-07-08

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-08-11

E · Potential for more than minimal harm 2025-04-10

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-04-15

E · Potential for more than minimal harm 2025-04-10

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-04-15

D · Potential for more than minimal harm 2025-04-10

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2025-04-11

E · Potential for more than minimal harm 2024-08-01

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2024-09-06

E · Potential for more than minimal harm 2024-08-01

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2024-09-06

D · Potential for more than minimal harm 2024-08-01

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-09-06

J · Immediate jeopardy 2024-02-18

F740 · Quality of Life and Care Deficiencies

Health

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Corrected 2024-03-27