Nursing home
Avir at Elkhart
214 Jones Rd, Elkhart, TX 75839 · Map
For profit - Limited Liability company · 98 certified beds
Avir at Elkhart is a Medicare-certified nursing home in Elkhart, Texas. CMS rates it 3 out of 5 stars overall (2/5 for staffing, 3/5 for health inspections). Nurse staffing is 3.25 hours per resident per day, below the Texas average of 3.40. Its most recent inspection on Apr 9, 2025 cited 10 deficiencies.
- 1 fine totaling $66,210In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Avir at Elkhart compares
This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Texas avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.25 | 3.40 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.17 | 0.44 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.34 | 2.01 | 2.34 | above avg |
| Nursing staff turnover | 46.2% | 51.5% | 46.4% | below avg |
| Deficiencies cited, last inspection | 10.0 | 9.1 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 1 fine totaling $66,210, 1 total penalty.
What inspectors found at Avir at Elkhart
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
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.
Resident Rights Deficiencies · Jan 21, 2026 · Full report (PDF) - Potential for harm
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · Aug 6, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Apr 9, 2025 · Full report (PDF) - Potential for harm
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary Deficiencies · Apr 9, 2025 · Full report (PDF) - Potential for harm
Have policies on smoking.
Environmental Deficiencies · Apr 9, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies · Apr 9, 2025 · Full report (PDF) - Potential for harm
Keep all essential equipment working safely.
Environmental Deficiencies · Apr 9, 2025 · Full report (PDF) - Potential for harm
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Nutrition and Dietary Deficiencies · Apr 9, 2025 · Full report (PDF) - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Apr 9, 2025 · Full report (PDF) - Potential for harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Mar 10, 2025 · Full report (PDF) - Potential for harm
Keep all essential equipment working safely.
Environmental Deficiencies · Feb 28, 2024 · Full report (PDF) - Potential for harm
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Administration Deficiencies · Feb 28, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 214 Jones Rd
Elkhart, TX 75839 - CMS certification #
- 675217
- Ownership
- For profit - Limited Liability company
- Certified beds
- 98
- Avg residents/day
- 51.7
- Provider type
- Medicare and Medicaid
- First certified
- 1993-12-01
- Setting
- Rural
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Avir at Elkhart using Google Maps.
Other public records
- Website says Transportation
Full public records, with dates and sources
Care and services
From the community’s website
What Avir at Elkhart says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Provides transportation.
Beyond life enrichment and our on-site salon, residents at Avir at Elkhart also enjoy on-demand meal services, regular religious services for spiritual support, scheduled transportation for appointments and outings, and a dedicated Express Recovery Unit for a faster path back home.
(page, checked Oct 12, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Palestine Regional Medical Center, Palestine. 8.5 miles away, straight line. CMS overall hospital rating: 1 of 5 stars.
- Nearest Medicare nursing home
- Trucare Living Centers, Palestine. 8.1 miles away, straight line.
- Nearest home health agency office
- Enhabit Home Health, Palestine. 8.5 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 8.3 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 75839 as micropolitan (micropolitan high commuting).
- Dialysis within 15 miles
- Fkc Palestine Home Therapies, Palestine, 8.3 miles away, straight line (CMS rating 4 of 5 stars)
Palestine Dialysis Center, Palestine, 8.5 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 9 Medicare hospices tell CMS they serve ZIP code 75839.
Vitalcaring Group, office in Crockett, 21.3 miles away, straight line - Nearest geriatric medicine practice
- South Limestone Hospital District, Groesbeck. 56.8 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- Wildfire risk to homes
- In Elkhart, TX, risk to homes is greater than 55% of communities in Texas and 78% of communities nationwide. USDA rates the whole town or city, not this address. (USDA Forest Service, Wildfire Risk to Communities, April 2026)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane relatively low, inland flooding relatively low, wildfire relatively moderate, tornado very high, heat wave relatively moderate, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | See above |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Avir at Elkhart a good nursing home?
CMS gives Avir at Elkhart an overall rating of 3 out of 5 stars, including 2/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Avir at Elkhart staffed?
Avir at Elkhart reports 3.25 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has Avir at Elkhart had inspection problems?
Its most recent CMS inspection cited 10 deficiencies.
How many beds does Avir at Elkhart have?
Avir at Elkhart is certified for 98 beds.