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Nursing HomeMedicaid

Avir at Elkhart

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

214 Jones Rd, Elkhart, TX 7583998 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
3.9/5

based on 7 Google reviews

5
4
3
2
1
Avir at Elkhart Nursing Home in Elkhart, TX — Street View
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What this means for your family

This facility is a good option for those seeking a small, intimate environment where the staff is noted for being exceptionally kind and compassionate. However, if your loved one requires specialized memory care for Lewy Body Dementia, you should investigate their specific capabilities closely, as one recent reviewer found them inadequate for that condition.

Google Reviews

Google Reviews

7 reviews analyzed
Families can expect a small, family-like atmosphere with staff members who are frequently described as kind and wonderful. However, there are significant concerns regarding the facility's ability to provide adequate care for residents with specialized needs like Lewy Body Dementia.

Quality Themes

Tap a score for details
FoodN/AStaff9.0CleanN/AActivitiesN/AMedsN/AMemory1.0Comms5.0ValueN/A

Strengths

  • Kind and compassionate staff
  • Small, family-oriented environment
  • Courteful admissions process

Rating Trends

Tap a year to see what changed

2345.02017(1)3.02018(1)3.02019(1)4.02023(1)3.52024(2)5.02026(1)

Distribution

5
1
4
1
3
2
2
1
1
0

How They Respond to Reviews

14%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1Since we are looking for a close-knit feel, how does the small, family-oriented atmosphere here help residents feel more at home?
  • 2We want to make sure we have the right support for specialized needs; what specific programs or staffing structures are in place for memory care residents?
  • 3How does the nursing team manage medical emergencies or sudden changes in health during the overnight hours?
  • 4We've heard wonderful things about the kindness of your staff; how do you support and train your team to maintain that compassionate culture?
  • 5What kind of daily activities or social outings are available to help residents stay engaged with each other?
  • 6Could you walk us through how the admissions process works to ensure a smooth transition for our family member?

Personalized based on this facility's data


Key Review Excerpts

the staff was really good to her the nurse care was wonderful the admissions Mark Tang really courteous he passed away and they really been good to me and my family

Long-term resident's family · 2024★★★★★

My mother received really good care there. She had always rehabbed there and my dad and mama were both in there. there. I love that it was small and everyone was family.

Long-term resident's family · 2023★★★★
Source: 7 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.18hrs
24%
Registered nurses for medical care
Total Nursing
3.33hrs
81%
All nurses + aides combined
Staff Turnover
59%
Lower is better (< 30% = good)
RN Turnover
83%
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 · 16 measures

Medicare Rating
4/ 5
Better Than Avg

8

measures

Worse Than Avg

7

measures

Mixed Results

1

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility38.5%
Worse than Avg
Here
38.5%
US
19.5%
TX
18.4%
Anderson
24.6%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
TX
2.5%
Anderson
5.6%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility7.8%
Better than Avg
Here
7.8%
US
15.3%
TX
14.9%
Anderson
18.1%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility98.4%
Better than Avg
Here
98.4%
US
93.4%
TX
96.9%
Anderson
88.3%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility6.4%
Better than Avg
Here
6.4%
US
15.4%
TX
9.4%
Anderson
12.4%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility98.1%
Better than Avg
Here
98.1%
US
95.5%
TX
98.0%
Anderson
89.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility75.0%
Worse than Avg
Here
75.0%
US
81.8%
TX
89.2%
Anderson
77.7%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility3.8%
Worse than Avg
Here
3.8%
US
1.6%
TX
1.5%
Anderson
1.8%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

9deficiencies
1penalties
Near state avg (9.1)
4 complaint-triggered
$66,210 in fines

This facility has concerning patterns of repeated deficiencies and recent complaint-triggered issues that families reported. Primary recurring problems include nursing staffing shortages, food safety and dietary services, and equipment maintenance failures. Many issues persist across multiple surveys, with some deficiencies remaining uncorrected as of the most recent inspection, including serious concerns about providing a safe, homelike environment.

Jan 21, 2026Complaint
1
0584MinorCorrected

Resident Rights Deficiencies

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.

Aug 6, 2025Complaint
1
0725ModerateCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Apr 9, 2025Routine
10
0812ModerateCorrected

Nutrition and Dietary Deficiencies

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

0805ModerateCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

0321ModerateCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0353ModerateCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0755MinorCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0813MinorCorrected

Nutrition and Dietary Deficiencies

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

0908MinorCorrected

Environmental Deficiencies

Keep all essential equipment working safely.

0919MinorCorrected

Environmental Deficiencies

Make sure that a working call system is available in each resident's bathroom and bathing area.

0926MinorCorrected

Environmental Deficiencies

Have policies on smoking.

0521MinorCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Mar 10, 2025Complaint
1
0600Minor

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.

Feb 28, 2024Routine
13
0812ModerateCorrected

Nutrition and Dietary Deficiencies

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

0851ModerateCorrected

Administration Deficiencies

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

0908ModerateCorrected

Environmental Deficiencies

Keep all essential equipment working safely.

0692ModerateCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0321ModerateCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0374ModerateCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

0695MinorCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0637MinorCorrected

Resident Assessment and Care Planning Deficiencies

Assess the resident when there is a significant change in condition

0689MinorCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0755MinorCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0919MinorCorrected

Environmental Deficiencies

Make sure that a working call system is available in each resident's bathroom and bathing area.

0926MinorCorrected

Environmental Deficiencies

Have policies on smoking.

0521Minor

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Oct 12, 2023Complaint
1
0727ModerateCorrected

Nursing and Physician Services Deficiencies

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.

Federal Penalties

Fine

Dec 13, 2025

$100,610

Ownership & Operations

Who Operates This Facility

Owner / Operator

214 Jones Rd Opco LLC

Organization Type

for profit

Management Company

LOH MANAGEMENT LLC

Administrator

MARITIA BARHAM

Chain Affiliation

Chain Name

Avir Health Group

Chain Size

117 facilities nationwide

Ownership & Management

Owners

Live Oak Healthcare, LLC

Owner · Organization

100%

Leonard, Joshua

Owner (parent company)

100%

Key personnel

Tang, MarkW-2 Managing EmployeeLeonard, JoshuaOfficer / DirectorLoh Management, LLCManager
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.

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