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Nursing HomeMedicaid Investigative

Avante Rehabilitation Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

225 N Sowers Rd, Irving, TX 75061120 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.3/5

based on 53 Google reviews

5
4
3
2
1

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3/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low staffing rating (2/5 stars)
  • High staff turnover (72%)
  • High RN turnover (74%)

Above average in Texas · Below recommended RN staffing · Above average staffing · Very high staff turnover · $24,542 in fines · Very few deficiencies

Source: Medicare data

What this means for your family

This facility is an excellent choice for short-term rehabilitation due to its highly skilled therapy teams and attentive nursing. However, if you are seeking long-term placement, you should contact them well in advance, as multiple families have struggled with a lack of available permanent rooms.

Google Reviews

Google Reviews

53 reviews on Google
Avante Rehabilitation Center is highly regarded for its exceptional physical and occupational therapy teams and a nursing staff described as compassionate and attentive. While many families praise the facility's cleanliness and warm environment, some reviewers have reported significant issues with long-term room availability and occasional lapses in responsiveness during night shifts.

Quality Themes

Tap a score for details
Food7.0Staff9.0Clean9.0Activities8.0MedsN/AMemoryN/AComms9.0ValueN/A

Strengths

  • Exceptional rehabilitation and therapy services
  • Compassionate and attentive nursing staff
  • Clean and well-maintained environment
  • Strong communication with family members

Concerns

  • Lack of availability for long-term care placement (mentioned by 3 reviewers)
  • Slow response times from night shift staff (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'13(1)'16(1)'19(7)'21(3)'23(8)'25(4)'26(2)

Distribution · 48 analyzed

5
38
4
2
3
2
2
0
1
6

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1We've heard wonderful things about your rehab and therapy services; could you tell us more about how the therapy team works with residents to reach their goals?
  • 2Since we value staying connected, how do the nurses and administrators typically keep family members updated on a loved one's progress?
  • 3What specific steps is the facility taking to increase staffing levels and ensure there is plenty of support available during the overnight hours?
  • 4In the event of a medical emergency during the night shift, what is the protocol for ensuring a quick response from the on-duty team?
  • 5What kind of daily activities or social events are available to help residents stay engaged and active within the community?
  • 6If we were looking for a more permanent, long-term care arrangement in the future, how do you typically manage transitions or availability for those needs?

Personalized based on this facility's data


Key Review Excerpts

The nursing staff and aids have been really good with my mom. Overall everyone there has been very friendly and very attentive to my and my mom's needs.

Rehab patient's family · 2024★★★★★

They did very well with my wife's rehab, strong team, very good outstanding PT, OT, Speach, as well as everyone went above and beyond

Rehab patient's family · 2024★★★★★

My father was there in his rehabilitation phase. And we feel very comfortable in this place. The staff was nice. I liked CNA Lianys Vilahomat because, in addition to basic care, she also gave him massages during the bath to improve circulation.

Rehab patient's family · 2023★★★★★
Source: 53 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.35hrs
46%
Registered nurses for medical care
Total Nursing
2.88hrs
70%
All nurses + aides combined
Staff Turnover
63%
Lower is better (< 30% = good)
RN Turnover
64%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

11

measures

Worse Than Avg

5

measures

Mixed Results

1

measures

Long-Stay Residents
🚶

Residents whose walking got worse

↓ Lower is better
This Facility25.9%
Worse than Avg
Here
25.9%
US
15.3%
TX
14.9%
Dallas
16.8%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility5.3%
Better than Avg
Here
5.3%
US
15.4%
TX
9.4%
Dallas
10.7%
😔

Residents with depression symptoms

↓ Lower is better
This Facility2.2%
Mixed vs Avgs
Here
2.2%
US
12.1%
TX
2.5%
Dallas
2.0%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility24.0%
Worse than Avg
Here
24.0%
US
14.4%
TX
16.1%
Dallas
17.8%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility10.3%
Better than Avg
Here
10.3%
US
19.5%
TX
18.4%
Dallas
16.2%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility21.2%
Worse than Avg
Here
21.2%
US
19.4%
TX
14.2%
Dallas
16.0%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility98.5%
Better than Avg
Here
98.5%
US
79.7%
TX
88.0%
Dallas
78.7%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility97.3%
Better than Avg
Here
97.3%
US
81.8%
TX
89.2%
Dallas
86.4%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.3%
Better than Avg
Here
0.3%
US
1.6%
TX
1.5%
Dallas
1.3%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

3deficiencies
2penalties
Well below state avg (9.1)
6 complaint-triggered
$24,542 in fines

This facility has concerning patterns, particularly six complaint-triggered deficiencies where families reported serious issues including abuse prevention failures and inadequate emergency response. The most recurring problems involve resident assessments and care planning, medication management, and food safety. While all deficiencies show correction dates, the pattern of complaints about fundamental safety and care issues, combined with repeated medication errors across multiple surveys, suggests ongoing operational challenges that families should carefully consider.

Jul 31, 2025Routine
3
0759Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0638Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Assure that each resident’s assessment is updated at least once every 3 months.

Aug 1, 2024Routine
6
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0642Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure a qualified health professional conducts resident assessments.

0759Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0372Potential for harm · PatternCorrected

Smoke Deficiencies

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

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

Mar 28, 2024Complaint
1
0678Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Oct 4, 2023Complaint
5
0580Immediate jeopardy · IsolatedCorrected

Resident Rights Deficiencies

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

0600Immediate jeopardy · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0607Immediate jeopardy · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

0690Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0773Immediate jeopardy · IsolatedCorrected

Administration Deficiencies

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

Jun 2, 2023Routine
7
0640Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

0842Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0161Potential for harm · PatternCorrected

Construction Deficiencies

Use approved construction type or materials.

0293Potential for harm · PatternCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0324Potential for harm · PatternCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0636Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

0655Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Federal Penalties

Fine

Mar 28, 2024

$17,096

Fine

Oct 4, 2023

$7,446

Ownership & Operations

Who Operates This Facility

Owner / Operator

Hamilton County Hospital District

Organization Type

for profit

Management Company

OXBOW HEALTHCARE LLC

Administrator

DANIEL R PRINCE

Chain Affiliation

Chain Name

Hamilton County Hospital District

Chain Size

10 facilities nationwide

Chain avg rating: 2.7/5 · Rank 3 of 10

Ownership & Management

Key personnel

Dkp Investments, LLC5% or Greater Mortgage InterestLlld Associates, Lp5% or Greater Mortgage InterestPort Au Prince LLC5% or Greater Mortgage InterestPrince, Danny5% or Greater Mortgage InterestHooper, GradyOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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