nursing home in North Richland Hills, TX
Avir at Emerald Hills
5600 Davis Blvd, North Richland Hills, TX 76180 · (817) 503-4700
★★★★★2
Below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★2
- 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 Emerald Hills at a glance
Avir at Emerald Hills is a 118-bed for-profit nursing home in North Richland Hills, Texas (Tarrant County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the Texas average of 2.7.
Residents receive about 3.4 hours of nursing care per day (0.1 of them from registered nurses), close to the state average of 3.4 hours.
Its most recent standard health inspection (June 18, 2026) found 10 health citations. The Texas average is 9.4.
Federal regulators fined it 1 time in the past three years, totaling $195,946.
Nursing staff turnover is 56.3% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 118
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Avir Health Group
- Medicare-certified since
- February 6, 2007
- Resident/family council
- Resident
- County
- Tarrant County
- CMS Certification Number
- 676127
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 2.7 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 1.9 / 5 | 2.9 / 5 | Worse |
| 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 |
| Short-stay (rehab) quality rating (higher is better) | 4 / 5 | 3.2 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.40 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.14 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.02 hrs | 2.01 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 3.05 hrs | 2.98 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 56.3% | 55.3% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 71.4% | 54.6% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 1 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 10 | 9 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 6 | 4 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 107.5 | 102 | 80.6 | Worse |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $195,946 | $44,141 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 1 | 2 | 1 | Average |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 118 | 113 | 107 | |
| Average residents per day | 98 | 76 | 86 | |
| Occupancy | 83.4% | 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) | 6% | 3.3% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 4.2% | 3.8% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 0.6% | 9.6% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0% | 0.8% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.5% | 0.3% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 15.6% | 15.8% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 16.4% | 14% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 1.4% | 3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 1.5% | 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) | 24.4% | 18% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 9.9% | 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 flu vaccine (higher is better) | 99.4% | 88% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 100% | 88.9% | 82% | Better |
Inspection citations
State inspectors cited this home for 23 health deficiencies and 14 fire safety deficiencies in the inspection records CMS currently publishes. 3 citations involved actual harm, including 2 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| July 7, 2026 Complaint | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. Resident Assessment and Care Planning Deficiencies · Tag F0635 | D Potential harm, isolated | Corrected July 10, 2026 |
| June 18, 2026 Fire safety | Have an externally vented heating system. Services Deficiencies · Tag K0522 | F Potential harm, widespread | Corrected July 18, 2026 |
| June 18, 2026 Fire safety | Include a process for Emergency Preparedness collaboration. Emergency Preparedness Deficiencies · Tag E0009 | F Potential harm, widespread | Corrected July 18, 2026 |
| June 18, 2026 Fire safety | Establish policies and procedures for volunteers. Emergency Preparedness Deficiencies · Tag E0024 | F Potential harm, widespread | Corrected July 18, 2026 |
| June 18, 2026 Fire safety | Establish roles under a Waiver declared by secretary. Emergency Preparedness Deficiencies · Tag E0026 | F Potential harm, widespread | Corrected July 18, 2026 |
| June 18, 2026 Fire safety | List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Tag E0030 | F Potential harm, widespread | Corrected July 18, 2026 |
| June 18, 2026 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected July 18, 2026 |
| June 18, 2026 Fire safety | Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. Smoke Deficiencies · Tag K0343 | F Potential harm, widespread | Corrected July 18, 2026 |
| June 18, 2026 Fire safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Tag K0374 | F Potential harm, widespread | Corrected July 18, 2026 |
| June 18, 2026 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected July 18, 2026 |
| June 18, 2026 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. Egress Deficiencies · Tag K0222 | D Potential harm, isolated | Corrected July 18, 2026 |
| June 18, 2026 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | D Potential harm, isolated | Corrected July 18, 2026 |
| June 18, 2026 Standard | 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. Nursing and Physician Services Deficiencies · Tag F0727 | F Potential harm, widespread | Corrected June 19, 2026 |
| June 18, 2026 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | E Potential harm, pattern | Corrected June 19, 2026 |
| June 18, 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 June 19, 2026 |
| June 18, 2026 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | E Potential harm, pattern | Corrected June 19, 2026 |
| April 22, 2026 Complaint | Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. Administration Deficiencies · Tag F0777 | G Actual harm, isolated | Corrected April 23, 2026 |
| April 9, 2026 Complaint | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected April 10, 2026 |
| December 9, 2025 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected December 10, 2025 |
| December 9, 2025 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected December 10, 2025 |
| December 9, 2025 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected December 10, 2025 |
| June 26, 2025 Complaint | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | J Immediate jeopardy, isolated | Corrected June 27, 2025 |
| June 26, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | J Immediate jeopardy, isolated | Corrected June 27, 2025 |
| June 26, 2025 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected June 27, 2025 |
| June 26, 2025 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 | D Potential harm, isolated | Corrected June 27, 2025 |
| April 17, 2025 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | E Potential harm, pattern | Corrected April 18, 2025 |
| April 17, 2025 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 April 18, 2025 |
| April 17, 2025 Standard | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Tag F0578 | E Potential harm, pattern | Corrected April 18, 2025 |
| August 9, 2024 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected August 10, 2024 |
| February 29, 2024 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | F Potential harm, widespread | Corrected March 29, 2024 |
| February 29, 2024 Fire safety | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Tag K0223 | E Potential harm, pattern | Corrected March 29, 2024 |
| February 29, 2024 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 | D Potential harm, isolated | Corrected March 1, 2024 |
| February 29, 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 March 1, 2024 |
| February 29, 2024 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected March 1, 2024 |
| February 29, 2024 Standard | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. Resident Assessment and Care Planning Deficiencies · Tag F0635 | D Potential harm, isolated | Corrected March 1, 2024 |
| January 9, 2024 Complaint | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Tag F0921 | D Potential harm, isolated | Corrected January 12, 2024 |
| January 9, 2024 Complaint | Honor each resident's preferences, choices, values and beliefs. Quality of Life and Care Deficiencies · Tag F0675 | D Potential harm, isolated | Corrected January 12, 2024 |
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 1 federal penalty in the past three years, including $195,946 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| June 26, 2025 | Fine | $195,946 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| DALLAS COUNTY HOSPITAL DISTRICT Organization | 5% or greater direct ownership interest | 100% | 03/31/2017 |
| 5600 DAVIS BLVD PROPERTY OWNER, LLC Organization | adp of the snf | NOT APPLICABLE | 08/01/2025 |
| BEHNAM, SOROUSH Individual | adp of the snf | NOT APPLICABLE | 08/01/2025 |
| HARRIS, JONATHAN Individual | adp of the snf | NOT APPLICABLE | 08/01/2025 |
| WELLTOWER NNN GROUP, LLC Organization | adp of the snf | NOT APPLICABLE | 08/01/2025 |
| WELLTOWER OP, LLC Organization | adp of the snf | NOT APPLICABLE | 08/01/2025 |
| CASTANEDA, EDMUNDO Individual | corporate officer | NOT APPLICABLE | 01/10/2022 |
| CERISE, FREDERICK Individual | corporate officer | NOT APPLICABLE | 03/24/2014 |
| DAGAN, AMITAI Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 11/12/2025 |
| GOLDBERGER, ABRAHAM Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 11/12/2025 |
| GOLDBERGER, FAIGY Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 11/12/2025 |
| 5600 DAVIS BLVD OPCO, LLC Organization | operational/managerial control | NOT APPLICABLE | 08/01/2025 |
| BEHNAM, SOROUSH Individual | operational/managerial control | NOT APPLICABLE | 08/01/2025 |
| FREUND, NOCHUM Individual | operational/managerial control | NOT APPLICABLE | 08/01/2025 |
| TRAVITSKY, AARON Individual | operational/managerial control | NOT APPLICABLE | 08/01/2025 |
Other nursing homes near Avir at Emerald Hills
Glenview Wellness & Rehabilitation
7625 Glenview Dr, North Richland Hills, TX 76180 · 1.7 mi
Government · 163 beds · Part of Opco Skilled Management
★★★★★1Much below averageGreen Valley Healthcare and Rehabilitation Center
6850 Rufe Snow Dr, Fort Worth, TX 76148 · 2.1 mi
For-profit · 124 beds · Part of Nexion Health
★★★★★1Much below averageNorth Pointe Nursing and Rehabilitation
7804 Virgil Anthony Blvd, Watauga, TX 76148 · 2.3 mi
For-profit · 126 beds · Part of Creative Solutions in Healthcare
★★★★★1Much below average- ★★★★★2Below average
Avir at Richland Hills
7146 Baker Blvd, Richland Hills, TX 76118 · 2.8 mi
For-profit · 114 beds · Part of Avir Health Group
★★★★★3AverageRichland Hills Rehabilitation and Healthcare Cente
3109 Kings Ct, Fort Worth, TX 76118 · 3.1 mi
For-profit · 92 beds · Part of The Ensign Group
★★★★★3Average
All nursing homes in North Richland Hills, TX · Compare side by side
Frequently asked questions
What is Avir at Emerald Hills's rating?
Avir at Emerald Hills has 2 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 Emerald Hills receive?
Its most recent standard health inspection found 10 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Avir at Emerald Hills 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 Emerald Hills?
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 Emerald Hills and how do I contact it?
Avir at Emerald Hills is at 5600 Davis Blvd, North Richland Hills, TX 76180. Phone: (817) 503-4700.
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.