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Nursing HomeMedicaid

Avir at Itasca

Strong Medicare quality ratings; families often praise caring and loving administration. Still worth an in-person visit.

409 S Files St, Itasca, TX 7605551 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
3.9/5

based on 15 Google reviews

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

While some residents enjoy the home-like atmosphere and food, the presence of severe allegations regarding hygiene and mistreatment cannot be ignored. If you choose this facility, you must perform rigorous, unannounced visits to monitor personal care and staff interactions.

Google Reviews

Google Reviews

15 reviews on Google
Families should approach this facility with significant caution due to serious allegations regarding hygiene and resident mistreatment. While some long-term residents and their families praise the caring staff and home-style cooking, others have reported severe neglect, including poor personal hygiene and lack of professional integrity.

Quality Themes

Tap a score for details
Food5.0Staff4.0Clean1.0ActivitiesN/AMedsN/AMemoryN/AComms1.0ValueN/A

Strengths

  • Caring and loving administration
  • Home-style cooking
  • Sense of community and family

Concerns

  • Severe hygiene and neglect issues
  • Allegations of resident mistreatment
  • Aging and poorly maintained facility

Rating Trends

Tap a year to see what changed

234'16(1)'18(1)'21(1)'23(2)'25(4)'26(1)

Distribution · 16 analyzed

5
9
4
2
3
1
2
0
1
4

How They Respond to Reviews

27%response rate
Good

The owner provides personalized responses by addressing reviewers by name and acknowledging specific sentiments when present in the text. They maintain a polite, appreciative, and warm tone across all interactions.

Questions for Your Tour

  • 1It is wonderful to see how much the administration cares about the community here; how do you personally stay involved with the residents' well-being?
  • 2We love the idea of home-style cooking; could you tell us more about how the daily menus are planned and how much input residents have?
  • 3What specific protocols are in place to ensure the facility is kept impeccably clean and hygienic for the residents every day?
  • 4How does the nursing team ensure that communication remains clear and consistent with family members regarding any changes in a resident's health?
  • 5In the event of a medical emergency during the night, what is the immediate process for getting care and notifying the family?
  • 6What kind of daily activities or social gatherings are available to help foster that sense of family and community mentioned by others?

Personalized based on this facility's data


Key Review Excerpts

The administration and staff here are all about making the resident's star comfortable and with a real home style cooking, it's the best I've seen.

Long-term resident · 2020★★★★★

The facility is small, drab and aged but the care is 100%. It does not have state of the art anything and not all the plumbing works but its residents are healthy and active and always smiling.

Family of a resident · 2020★★★★

If you hate your family member and want them slowly drained of all self worth then this is the place. My mother became a resident there 12/19 and it seemed great! Everything does in the beginning, then the truth reveals itself.

Family of a resident · 2023☆☆☆☆
Source: 15 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.51hrs
68%
Registered nurses for medical care
Total Nursing
3.05hrs
74%
All nurses + aides combined
Staff Turnover
42%
Lower is better (< 30% = good)
RN Turnover
33%
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

12

measures

Worse Than Avg

3

measures

Mixed Results

1

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility9.8%
Better than Avg
Here
9.8%
US
19.5%
TX
18.4%
Hill
24.4%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility4.2%
Better than Avg
Here
4.2%
US
15.3%
TX
14.9%
Hill
12.8%
😔

Residents with depression symptoms

↓ Lower is better
This Facility1.1%
Better than Avg
Here
1.1%
US
12.1%
TX
2.5%
Hill
11.6%

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 Facility10.5%
Better than Avg
Here
10.5%
US
19.4%
TX
14.2%
Hill
16.3%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility16.9%
Worse than Avg
Here
16.9%
US
15.4%
TX
9.4%
Hill
14.7%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility21.4%
Worse than Avg
Here
21.4%
US
14.4%
TX
16.1%
Hill
14.2%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
81.8%
TX
89.2%
Hill
89.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
TX
1.5%
Hill
2.6%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

5deficiencies
Near state avg (9.1)
3 complaint-triggered

Families have filed complaints triggering several inspections at this facility, with 23 total deficiencies found across safety and environmental conditions, food service, and resident rights protections. The most recurring problems involve keeping corridors clear for emergencies, proper room sizing, heating/ventilation systems, and food safety standards. While all identified issues show correction dates, the pattern of repeated violations in basic safety areas and the fact that family complaints prompted investigations suggest potential ongoing concerns that warrant careful consideration during visits.

Jan 8, 2026Routine
5
0584Potential for harm · PatternCorrected

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.

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.

0583Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0925Potential for harm · IsolatedCorrected

Environmental Deficiencies

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Nov 26, 2024Complaint
1
0584Potential for harm · PatternCorrected

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.

Oct 10, 2024Routine
7
0351Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0583Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

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.

0813Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

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

0521Minimal · Widespread

Services Deficiencies

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

0211Minimal · Pattern

Egress Deficiencies

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

Jul 18, 2024Complaint
1
0580Potential for harm · 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.

Aug 24, 2023Complaint
1
0925Potential for harm · PatternCorrected

Environmental Deficiencies

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Aug 24, 2023Routine
5
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.

0211Potential for harm · IsolatedCorrected

Egress Deficiencies

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

0324Potential for harm · IsolatedCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0521Minimal · WidespreadCorrected

Services Deficiencies

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

0912Minimal · PatternCorrected

Environmental Deficiencies

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Eastland Memorial Hospital District

Organization Type

for profit

Management Company

409 S FILES STREET OPCO LLC

Administrator

KAREN RODRIGUEZ

Chain Affiliation

Chain Name

Avir Health Group

Chain Size

117 facilities nationwide

Chain avg rating: 2.3/5 · Rank 7 of 90 (Best)

Ownership & Management

Owners

409 S Files Street Holdings, LLC

Owner · Organization

Eastland Memorial 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

Key personnel

409 S Files Street Property Owner, LLC5% or Greater Security InterestHccf Management Group Xi LLC5% or Greater Security InterestWelltower INC5% or Greater Security InterestWelltower Nnn Group, LLC5% or Greater Security InterestWright, LabanOfficer / Director
Source: Medicare provider data

Contact

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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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