nursing home in Itasca, TX
Avir at Itasca
409 S Files St, Itasca, TX 76055 · (254) 687-2383
CMS overall star rating
- Health inspections★★★★★4
- Staffing★★★★★3
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Avir at Itasca at a glance
Avir at Itasca is a 51-bed for-profit nursing home in Itasca, Texas (Hill County).
CMS gives it 4 out of 5 stars on its overall star rating, better than the Texas average of 2.7.
Residents receive about 3 hours of nursing care per day (0.5 of them from registered nurses), worse than the state average of 3.4 hours.
Its most recent standard health inspection (January 8, 2026) found 6 health citations. The Texas average is 9.4.
It has not received a federal fine in the past three years.
Nursing staff turnover is 40% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 51
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Avir Health Group
- Medicare-certified since
- August 4, 1997
- Resident/family council
- Resident
- County
- Hill County
- CMS Certification Number
- 675712
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 4 / 5 | 2.7 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 4 / 5 | 2.8 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 1.9 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 3.7 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 4 / 5 | 4 / 5 | 3.8 / 5 | Average |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 2.97 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.52 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.92 hrs | 2.01 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.66 hrs | 2.98 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 40% | 55.3% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 42.9% | 54.6% | 42.9% | Average |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 6 | 9 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 1 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 34 | 102 | 80.6 | Better |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $44,141 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 2 | 1 | Better |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 51 | 113 | 107 | |
| Average residents per day | 46 | 76 | 86 | |
| Occupancy | 89.6% | 67.6% | 80.9% |
Long-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 2.8% | 3.3% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 6.6% | 3.8% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 23.8% | 9.6% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 0.6% | 0.8% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.3% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 20.9% | 15.8% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 5% | 14% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 3.8% | 3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 0.6% | 2.4% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 11.7% | 18% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 11.8% | 13.4% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 98% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 96.6% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 1.5% | 1.6% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 100% | 88.9% | 82% | Better |
Inspection citations
State inspectors cited this home for 14 health deficiencies and 6 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| July 30, 2026 Complaint | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0603 | E Potential harm, pattern | Corrected August 13, 2026 |
| January 8, 2026 Standard | 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 · Tag F0584 | E Potential harm, pattern | Corrected January 10, 2026 |
| January 8, 2026 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected January 10, 2026 |
| January 8, 2026 Standard | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Tag F0583 | D Potential harm, isolated | Corrected January 10, 2026 |
| January 8, 2026 Standard | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Tag F0925 | D Potential harm, isolated | Corrected January 10, 2026 |
| January 8, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected January 10, 2026 |
| November 26, 2024 Complaint | 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 · Tag F0584 | E Potential harm, pattern | Corrected December 12, 2024 |
| October 10, 2024 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | F Potential harm, widespread | Corrected February 22, 2025 |
| October 10, 2024 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | C No harm, widespread | Waiver has been granted |
| October 10, 2024 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | B No harm, pattern | Waiver has been granted |
| October 10, 2024 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected October 31, 2024 |
| October 10, 2024 Standard | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Tag F0583 | D Potential harm, isolated | Corrected October 31, 2024 |
| October 10, 2024 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected October 31, 2024 |
| October 10, 2024 Standard | Have a policy regarding use and storage of foods brought to residents by family and other visitors. Nutrition and Dietary Deficiencies · Tag F0813 | D Potential harm, isolated | Corrected October 31, 2024 |
| July 18, 2024 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected July 19, 2024 |
| August 24, 2023 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | D Potential harm, isolated | Corrected February 1, 2024 |
| August 24, 2023 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | D Potential harm, isolated | Corrected February 1, 2024 |
| August 24, 2023 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | C No harm, widespread | Corrected February 1, 2024 |
| August 24, 2023 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected August 25, 2023 |
| August 24, 2023 Standard | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Environmental Deficiencies · Tag F0912 | B No harm, pattern | Corrected August 25, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| 409 S FILES STREET HOLDINGS, LLC Organization | 5% or greater direct ownership interest | — | 04/21/2025 |
| EASTLAND MEMORIAL HOSPITAL DISTRICT Organization | 5% or greater direct ownership interest | 100% | 03/01/2017 |
| 409 S FILES STREET PROPERTY OWNER, LLC Organization | 5% or greater security interest | NOT APPLICABLE | 03/01/2025 |
| WELLTOWER INC Organization | 5% or greater security interest | NOT APPLICABLE | 03/01/2025 |
| WELLTOWER NNN GROUP, LLC Organization | 5% or greater security interest | NOT APPLICABLE | 03/01/2025 |
| WELLTOWER OP, LLC Organization | 5% or greater security interest | NOT APPLICABLE | 03/01/2025 |
| 409 S FILES STREET OPCO, LLC Organization | adp of the snf | NOT APPLICABLE | 04/21/2025 |
| 409 S FILES STREET PROPERTY OWNER, LLC Organization | adp of the snf | NOT APPLICABLE | 03/01/2025 |
| EARHART, JAMES Individual | adp of the snf | NOT APPLICABLE | 03/01/2025 |
| RODRIGUEZ, KAREN Individual | adp of the snf | NOT APPLICABLE | 03/01/2025 |
| WELLTOWER INC Organization | adp of the snf | NOT APPLICABLE | 03/01/2025 |
| WELLTOWER NNN GROUP, LLC Organization | adp of the snf | NOT APPLICABLE | 03/01/2025 |
| WELLTOWER OP, LLC Organization | adp of the snf | NOT APPLICABLE | 03/01/2025 |
| WRIGHT, LABAN Individual | corporate director | NOT APPLICABLE | 11/10/2021 |
| DAGAN, AMITAI Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 07/31/2025 |
| GOLDBERGER, ABRAHAM Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 07/31/2025 |
| 409 S FILES STREET OPCO, LLC Organization | operational/managerial control | NOT APPLICABLE | 03/01/2025 |
| EARHART, JAMES Individual | operational/managerial control | NOT APPLICABLE | 03/01/2025 |
| FREUND, NOCHUM Individual | operational/managerial control | NOT APPLICABLE | 03/01/2025 |
| TRAVITSKY, AARON Individual | operational/managerial control | NOT APPLICABLE | 03/01/2025 |
Other nursing homes near Avir at Itasca
Grandview Nursing and Rehabilitation Center
301 W Criner St, Grandview, TX 76050 · 8.1 mi
Non-profit · 82 beds
★★★★★5Much above averageAvir at Hillsboro
411 Old Brandon Road, Hillsboro, TX 76645 · 10.2 mi
For-profit · 105 beds · Part of Avir Health Group
★★★★★1Much below average- ★★★★★1Much below average
Renaissance Rehabilitation and Healthcare Center
220 Davenport, Italy, TX 76651 · 14.5 mi
Government · 74 beds · Part of Nexion Health
★★★★★5Much above averageAlvarado Meadows Nursing & Rehabilitation
101 N Parkway, Alvarado, TX 76009 · 17.7 mi
For-profit · 115 beds · Part of Creative Solutions in Healthcare
★★★★★3AverageWhitney Nursing and Rehabilitation Center
101 N San Marcos Street, Whitney, TX 76692 · 17.9 mi
Government · 88 beds · Part of Foursquare Healthcare
★★★★★2Below average
Frequently asked questions
What is Avir at Itasca's rating?
Avir at Itasca has 4 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.
How many inspection citations did Avir at Itasca receive?
Its most recent standard health inspection found 6 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Avir at Itasca accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Avir at Itasca?
It is for profit - limited liability company and part of Avir Health Group. The ownership section on this page lists the owners and managers reported to CMS.
Where is Avir at Itasca and how do I contact it?
Avir at Itasca is at 409 S Files St, Itasca, TX 76055. Phone: (254) 687-2383.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.