Federal inspection record · CMS data as of October 1, 2026

Avir at Richland Hills

7146 Baker Blvd, Richland Hills, TX · (817) 589-1734

CMS overall rating

4 of 5

Compare with a nearby home →
Certified beds
114
Residents per day
89
Ownership
For-Profit
Chain
Avir Health Group
Medicare / Medicaid
Medicare + Medicaid
Certified since
August 1, 2000

1

How this home got 4 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.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.

  2. 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.

  3. Quality measures

    +1 star

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    4 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Texas homes

Avir at Richland Hills carries 70.75 inspection points. That is fewer than 51% of Texas's 1,166 rated homes.

5★4★3★2★1★+35 homes above 292.505102550100200inspection points → fewer is better on the leftThis home · 70.75 pts · 3★

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

25 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 1 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 1 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 17 4 pts
E 5 8 pts
F 1 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

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 (2)

  1. G

    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.

    August 8, 2025 · Complaint inspection · Resident Rights · F584 · Corrected August 15, 2025

  2. J

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

    July 26, 2024 · Complaint inspection · Quality of Life and Care · F689 · Corrected July 27, 2024

Everything else, by area of care

Quality of Life and Care7E
  1. D

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

    February 3, 2026 · Complaint · F689 · Corrected February 4, 2026

  2. D

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

    February 3, 2026 · Complaint · F695 · Corrected February 4, 2026

  3. E

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    September 10, 2024 · Standard · F677 · Corrected September 12, 2024

  4. E

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    September 10, 2024 · Standard · F686 · Corrected September 12, 2024

  5. D

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

    September 10, 2024 · Standard · F689 · Corrected September 12, 2024

  6. D

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

    July 26, 2024 · Complaint · F684 · Corrected July 27, 2024

  7. E

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

    July 28, 2023 · Standard · F695 · Corrected July 29, 2023

Resident Rights5D
  1. D

    Reasonably accommodate the needs and preferences of each resident.

    February 3, 2026 · Complaint · F558 · Corrected February 4, 2026

  2. 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.

    July 22, 2025 · Complaint · F584 · Corrected July 25, 2025

  3. D

    Keep residents' personal and medical records private and confidential.

    September 10, 2024 · Complaint · F583 · Corrected September 12, 2024

  4. D

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

    July 26, 2024 · Complaint · F580 · Corrected July 27, 2024

  5. D

    Allow residents to self-administer drugs if determined clinically appropriate.

    July 28, 2023 · Standard · F554 · Corrected July 29, 2023

Environmental3E
  1. E

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    June 11, 2026 · Complaint · F919 · Corrected June 12, 2026

  2. D

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    February 3, 2026 · Complaint · F919 · Corrected February 4, 2026

  3. D

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    December 5, 2025 · Standard · F919 · Corrected December 6, 2025

Pharmacy Service3E
  1. D

    Ensure 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.

    February 3, 2026 · Complaint · F761 · Corrected February 4, 2026

  2. E

    Ensure medication error rates are not 5 percent or greater.

    July 28, 2023 · Standard · F759 · Corrected July 29, 2023

  3. D

    Ensure 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.

    July 28, 2023 · Standard · F761 · Corrected July 29, 2023

Nutrition and Dietary2F
  1. D

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    December 5, 2025 · Standard · F812 · Corrected December 6, 2025

  2. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    September 10, 2024 · Standard · F812 · Corrected September 12, 2024

Infection Control2D
  1. D

    Provide and implement an infection prevention and control program.

    December 1, 2025 · Complaint · F880 · Corrected December 2, 2025

  2. D

    Provide and implement an infection prevention and control program.

    September 10, 2024 · Standard · F880 · Corrected September 12, 2024

Resident Assessment and Care Planning1D
  1. D

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

    December 5, 2025 · Standard · F644 · Corrected December 6, 2025

Inspection history

  1. 2025-12-05

    10 health deficiencies · 9 fire-safety deficiencies

    Top issue: Environmental (3 deficiencies)

  2. 2024-09-10

    8 health deficiencies · 2 fire-safety deficiencies

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

  3. 2023-07-28

    7 health deficiencies · 3 fire-safety deficiencies

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

4

Nursing time per resident, per day

Each resident here gets about 3 h 19 min of nursing staff time a day, 15 min of it from a registered nurse.

This home

3 h 19 min

Texas average

3 h 25 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 31% of nursing staff and 38% 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

$14,506 in federal fines on record over the past three years.

DatePenaltyAmount
2025-07-22Fine$6,338
2024-07-26Fine$8,168

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.2 pts worse2.22.01.8
Number of outpatient emergency department visits per 1000 long-stay resident days1.7 pts better0.32.01.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2.7 pts better99.1%96.4%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.9 pts better98.9%97.0%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.8 pts worse4.0%3.2%3.2%
Percentage of long-stay residents who have depressive symptoms1 pts better1.3%2.3%13.5%
Percentage of long-stay residents who lose too much weight1.2 pts better1.7%2.9%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication6.1 pts worse23.9%17.8%19.5%
Percentage of long-stay residents who received an antipsychotic medication1 pts better8.8%9.8%15.4%
Percentage of long-stay residents who were physically restrained1.8 pts worse1.8%0.0%0.1%
Percentage of long-stay residents whose ability to walk independently worsened1.2 pts better11.7%12.9%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased4.7 pts worse20.5%15.8%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better0.0%0.3%0.7%
Percentage of long-stay residents with a urinary tract infection0.5 pts better0.3%0.8%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.4 pts worse15.9%12.5%18.3%
Percentage of long-stay residents with pressure ulcers1.1 pts better2.6%3.7%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine7.7 pts better96.4%88.7%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit8.7 pts better3.5%12.2%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication4.2 pts worse5.6%1.4%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine14.6 pts better100.0%85.4%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission1.9 pts better23.6%25.5%23.4%

·

Who owns and runs it

19 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
7146 Baker Boulevard Opco, LLCOperational/Managerial Control · Organization0%1 facilities
7146 Baker Boulevard Opco, LLCAdp Of The SNF · Organization0%1 facilities
7146 Baker Boulevard Property Owner, LLC5% Or Greater Security Interest · Organization0%1 facilities
7146 Baker Boulevard Property Owner, LLCAdp Of The SNF · Organization0%1 facilities
Bw Of Richland Hills LLCOperational/Managerial Control · Organization0%1 facilities
Dagan, AmitaiIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%156 facilities
Freund, NochumOperational/Managerial Control · Individual0%164 facilities
Goldberger, AbrahamIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%154 facilities
Rai, SweetyOperational/Managerial Control · Individual0%2 facilities
Rai, SweetyAdp Of The SNF · Individual0%2 facilities
Skiles, AmyAdp Of The SNF · Individual0%1 facilities
Thompson, JohnnyCorporate Officer · Individual0%79 facilities
Travitsky, AaronOperational/Managerial Control · Individual0%162 facilities
Welltower Inc5% Or Greater Security Interest · Organization0%139 facilities
Welltower IncAdp Of The SNF · Organization0%139 facilities
Welltower Nnn Group, LLC5% Or Greater Security Interest · Organization0%121 facilities
Welltower Nnn Group, LLCAdp Of The SNF · Organization0%121 facilities
Welltower Op LLC5% Or Greater Security Interest · Organization0%158 facilities
Welltower Op LLCAdp Of The SNF · Organization0%158 facilities

·

Fire safety

14 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke5F
  1. F

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    December 5, 2025 · K321 · Corrected December 11, 2025

  2. F

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

    December 5, 2025 · K345 · Corrected December 11, 2025

  3. F

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

    December 5, 2025 · K372 · Corrected December 11, 2025

  4. E

    Install corridor and hallway doors that block smoke.

    December 5, 2025 · K363 · Corrected December 11, 2025

  5. E

    Provide properly protected cooking facilities.

    July 28, 2023 · K324 · Corrected August 18, 2023

Gas, Vacuum, and Electrical Systems3F
  1. F

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

    December 5, 2025 · K918 · Corrected December 11, 2025

  2. F

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

    September 10, 2024 · K918 · Corrected September 25, 2024

  3. E

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

    July 28, 2023 · K918 · Corrected August 18, 2023

Egress2F
  1. F

    Install emergency lighting that can last at least 1 1/2 hours.

    December 5, 2025 · K291 · Corrected December 11, 2025

  2. B

    Have properly located and lighted "Exit" signs.

    July 28, 2023 · K293 · Corrected August 18, 2023

Miscellaneous2F
  1. F

    Have simulated fire drills held at unexpected times.

    December 5, 2025 · K712 · Corrected December 11, 2025

  2. F

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

    December 5, 2025 · K741 · Corrected December 11, 2025

Services2C
  1. C

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    December 5, 2025 · K521 · Corrected December 11, 2025

  2. C

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    September 10, 2024 · K521 · Corrected September 11, 2024

·

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