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Nursing HomeMedicaid Investigative

Avir at Emerald Hills

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

5600 Davis Blvd, North Richland Hills, TX 76180118 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.4/5

based on 199 Google reviews

5
4
3
2
1
Avir at Emerald Hills Nursing Home in North Richland Hills, TX — Street View
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5/ 10
high Risk

Quality Concerns Identified

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

  • Low overall rating (2/5 stars)
  • Low staffing rating (2/5 stars)
  • Above-median deficiencies (9 vs median 8.0)
  • High RN turnover (88%)

Below average in Texas · Critically understaffed (RN) · Above average staffing · $301,455 in fines

Source: Medicare data

What this means for your family

This facility is a strong candidate if you prioritize cleanliness and a professional administrative team. However, you must be vigilant regarding nighttime care and food quality, as multiple families have reported issues with call lights being ignored and inadequate dietary modifications.

Google Reviews

Google Reviews

199 reviews on Google
AVIR AT EMERALD HILLS is frequently praised for its clean, well-maintained environment and a highly professional administration and marketing team. While many families report exceptional care from nurses and therapists, there are serious, recurring allegations regarding inconsistent nighttime staffing, neglectful hygiene care, and issues with food quality.

Quality Themes

Tap a score for details
Food3.0Staff7.0Clean8.0ActivitiesN/AMedsN/AMemory5.0Comms7.0ValueN/A

Strengths

  • Clean and well-maintained facility
  • Professional and compassionate administration
  • Effective rehabilitation and therapy services
  • Friendly and welcoming front desk staff

Concerns

  • Inconsistent nighttime staffing and slow response to call lights (mentioned by 3 reviewers)
  • Issues with hygiene and resident cleanliness (mentioned by 3 reviewers)
  • Poor food quality and dietary management (mentioned by 3 reviewers)
  • Difficulties with facility access and front desk availability (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

2344.32022(35)4.52023(55)4.32024(70)4.42025(39)3.22026(6)

Distribution · 205 analyzed

5
147
4
28
3
5
2
5
1
20

How They Respond to Reviews

25%response rate
Good

The owner provides personalized responses that acknowledge specific reviewers by name and address the content of positive reviews. For negative reviews, they transition from offering direct contact information to actively addressing specific grievances and explaining operational changes.

Questions for Your Tour

  • 1I noticed the administration is very responsive to feedback; how does the leadership team involve families in addressing concerns about daily care?
  • 2What specific steps are being taken to ensure consistent staffing and quick response times during the overnight hours?
  • 3Could you tell me more about how the dietary team manages meal quality and individual nutritional needs for residents?
  • 4What protocols are in place to ensure resident hygiene and personal care are maintained consistently throughout the day and night?
  • 5How does the facility handle medical emergencies or sudden changes in a resident's health during the late-night shifts?
  • 6What kind of daily activities or social programs are available to keep the residents engaged and active?

Personalized based on this facility's data


Key Review Excerpts

Every single staff member from the director to the receptionist to the social worker to the nurses, aides, therapists, cafeteria and business office staff made sure my father and the rest of the family were cared for physically and emotionally during what was a trying time for all of us.

Rehab patient's family · 2022★★★★★

My mom has only been there a couple weeks but it seems to be going well. She is in the locked wing due to her dementia. The nurses, staff seem very nice.

Memory care family member · 2025★★★★

I did my due diligence making sure my family member was ok in here, and happy I did. I’d come in at odd hours of the night, and the elderly would be screaming for help for way long then they should have to.

Long-term resident's family · 2025☆☆☆☆
Source: 199 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.15hrs
20%
Registered nurses for medical care
Total Nursing
3.37hrs
82%
All nurses + aides combined
Staff Turnover
45%
Lower is better (< 30% = good)
RN Turnover
78%
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
4/ 5
Better Than Avg

11

measures

Worse Than Avg

3

measures

Mixed Results

3

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility1.2%
Better than Avg
Here
1.2%
US
15.4%
TX
9.4%
Tarrant
8.7%
😔

Residents with depression symptoms

↓ Lower is better
This Facility1.5%
Better than Avg
Here
1.5%
US
12.1%
TX
2.5%
Tarrant
2.7%

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

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility9.9%
Better than Avg
Here
9.9%
US
19.4%
TX
14.2%
Tarrant
14.9%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
TX
96.9%
Tarrant
97.8%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility21.9%
Worse than Avg
Here
21.9%
US
19.5%
TX
18.4%
Tarrant
16.8%
⚠️

Residents who fell and were seriously hurt

↓ Lower is better
This Facility7.4%
Worse than Avg
Here
7.4%
US
3.2%
TX
3.3%
Tarrant
2.7%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility99.4%
Better than Avg
Here
99.4%
US
79.7%
TX
88.0%
Tarrant
89.7%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
81.8%
TX
89.2%
Tarrant
91.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
TX
1.5%
Tarrant
1.6%
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)
10 complaint-triggered
$301,455 in fines

This facility has faced recurring serious concerns, with families filing 10 complaint-triggered deficiencies across multiple areas. The most persistent problems involve medication management, infection control, and safety hazards, with recent 2025 complaints about medication errors and abuse prevention policies. While the facility reports correcting each issue, the pattern of repeated violations in core care areas like medication safety and infection control suggests ongoing operational challenges that families should carefully consider.

Dec 9, 2025Complaint
3
0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Jun 26, 2025Complaint
4
0607Immediate jeopardy · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0689Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0584Potential for harm · IsolatedCorrected

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.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Apr 17, 2025Routine
3
0578Potential for harm · PatternCorrected

Resident Rights Deficiencies

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.

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.

0211Potential for harm · PatternCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Aug 9, 2024Complaint
1
0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Feb 29, 2024Routine
6
0761Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0223Potential for harm · PatternCorrected

Egress Deficiencies

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

0635Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0812Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

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

Jan 9, 2024Complaint
2
0675Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Honor each resident's preferences, choices, values and beliefs.

0921Potential for harm · IsolatedCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Federal Penalties

Fine

Jun 26, 2025

$195,946

Ownership & Operations

Who Operates This Facility

Owner / Operator

Dallas County Hospital District

Organization Type

for profit

Management Company

5600 DAVIS BLVD OPCO, LLC

Administrator

JOHN HUNDLEY

Chain Affiliation

Chain Name

Avir Health Group

Chain Size

117 facilities nationwide

Chain avg rating: 2.3/5 · Rank 52 of 90

Ownership & Management

Owners

Dallas County Hospital District

Owner · Organization

100%

Dagan, Amitai

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Goldberger, Abraham

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Goldberger, Faigy

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Key personnel

Castaneda, EdmundoOfficer / DirectorCerise, FrederickOfficer / Director5600 Davis Blvd Opco, LLCManagerBehnam, SoroushManagerFreund, NochumManager
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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