Avir at Elkhart
214 Jones Rd, Elkhart, TX 75839 · (903) 764-2291
Government - Hospital district · 98 certified beds
Avir at Elkhart has a 3-star overall rating from Medicare, out of 5. Its last standard inspection, in June 2026, found 10 citations (the Texas average is 9.4). It was fined 1 time in the last three years, $65,397 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 3 out of 5 stars · Average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 3 out of 5 stars · Average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 3 out of 5 stars · Average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 2 out of 5 stars · Below average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on June 3, 2026 found 10 citations. What an inspection citation means
- Honor the resident's right to organize and participate in resident/family groups in the facility.June 3, 2026 · F0565 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.June 3, 2026 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.June 3, 2026 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure each resident receives an accurate assessment.June 3, 2026 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.June 3, 2026 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.June 3, 2026 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide enough food/fluids to maintain a resident's health.June 3, 2026 · F0692 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.June 3, 2026 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Make sure that a working call system is available in each resident's bathroom and bathing area.June 3, 2026 · F0919 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Have policies on smoking.June 3, 2026 · F0926 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 4 citations.
- 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.January 21, 2026 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.August 6, 2025 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.March 10, 2025 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.October 12, 2023 · F0727 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
Fines and payment denials
- Fine of $65,397December 13, 2025
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Texas average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 3.38 | 3.39 | 3.86 |
| Registered nurses (RN) | 0.19 | 0.43 | 0.69 |
| Licensed practical nurses (LPN) | 0.85 | 0.95 | 0.86 |
| Nurse aides | 2.34 | 2.01 | 2.32 |
| Total nursing staff turnover | 54.3% | 55.3% | 45.8% |
About this home
| Ownership | Government - Hospital district |
| Certified beds | 98 |
| Average residents per day | 52.4 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Trucare Living Centers Palestine · ★★★★★ 5 out of 5 stars
- Greenbrier Nursing & Rehabilitation Center of Pale Palestine · ★★★★★ 4 out of 5 stars
- Cass Valley Healthcare Center Centerville · ★★★★★ 3 out of 5 stars
- Crockett Health Care Associates, Inc. Crockett · ★★★★★ 4 out of 5 stars
- Whitehall Rehab & Nursing Crockett · ★★★★★ 3 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Avir at Elkhart on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.