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Nursing HomeMedicaid Investigative

Avir at North Houston

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

303 Hollow Tree Lane, Houston, TX 77090131 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.9/5

based on 138 Google reviews

5
4
3
2
1
Avir at North Houston Nursing Home in Houston, TX — Street View
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0/ 10
none Risk

Quality Concerns Identified

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

Above average in Texas · Below recommended RN staffing · Above average staffing · $39,207 in fines

Source: Medicare data

What this means for your family

This facility offers an excellent physical therapy program and maintains a very clean environment. However, families should exercise extreme caution regarding nursing care, as multiple recent reviews report serious issues with hygiene neglect, slow response to call lights, and medical errors.

Google Reviews

Google Reviews

138 reviews on Google
Families considering AVIR AT NORTH HOUSTON will find a highly polarized experience. While many reviewers praise the exceptional physical therapy department and the cleanliness of the facility, there are frequent and serious allegations regarding nursing neglect, including failure to change incontinence briefs, delayed response to call lights, and the development of severe bedsores.

Quality Themes

Tap a score for details
Food2.0Staff4.0Clean8.0Activities5.0Meds3.0MemoryN/AComms4.0ValueN/A

Strengths

  • Exceptional physical therapy and rehab services
  • Clean and well-maintained facility
  • Friendly and welcoming reception staff
  • Professional and attentive therapy team

Concerns

  • Neglect regarding hygiene and incontinence care (mentioned by 4 reviewers)
  • Slow response times to call lights and after-hours requests (mentioned by 4 reviewers)
  • Inadequate medical monitoring leading to bedsores or injuries (mentioned by 3 reviewers)
  • Staffing shortages and high turnover (mentioned by 2 reviewers)
  • Poor food quality and nutritional concerns (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'17(4)'19(10)'21(4)'23(34)'25(54)'26(9)

Distribution · 143 analyzed

5
91
4
10
3
7
2
6
1
29

How They Respond to Reviews

90%response rate
Generic

The owner relies heavily on a set of pre-written templates that vary slightly depending on the star rating. While they use the reviewer's name, the core of the response is a copy-paste script that fails to address specific details or provide actual solutions to complaints.

Questions for Your Tour

  • 1We've heard wonderful things about your physical therapy and rehab team; could you tell us more about how the therapists work with residents to meet their mobility goals?
  • 2How does the nursing team ensure that call lights are answered promptly, especially during the overnight hours?
  • 3With the recent focus on improving communication, what specific steps is the facility taking to keep families updated on their loved one's daily care?
  • 4Could you describe the process for monitoring skin integrity and preventing pressure sores during daily care routines?
  • 5What are some of the favorite daily activities or social events that help residents stay engaged with one another?
  • 6How does the facility manage nutrition and meal quality to ensure all residents' dietary needs are met?

Personalized based on this facility's data


Key Review Excerpts

The therapy dept is great Eapecially Amber must watch the billing dept. They overcharge

Rehab patient's family · 2018★★☆☆☆

The nursing team was attentive and professional, and the physical therapists worked with her daily to support her recovery.

Skilled Nursing Care family member · 2025★★★★★

My mother was here for over 5 years. She was at home there. ...As I sat with her during her final weeks, I realized just how loved she was.

Long-term resident's family · 2023☆☆☆☆
Source: 138 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.39hrs
52%
Registered nurses for medical care
Total Nursing
3.33hrs
81%
All nurses + aides combined

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

12

measures

Mixed Results

5

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
TX
2.5%
Harris
0.9%

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

💊

Residents on antipsychotic medication

↓ Lower is better
This Facility7.2%
Better than Avg
Here
7.2%
US
15.4%
TX
9.4%
Harris
9.0%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility19.3%
Mixed vs Avgs
Here
19.3%
US
19.4%
TX
14.2%
Harris
12.7%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
TX
96.9%
Harris
95.7%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility15.5%
Mixed vs Avgs
Here
15.5%
US
19.5%
TX
18.4%
Harris
13.9%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility12.3%
Better than Avg
Here
12.3%
US
14.4%
TX
16.1%
Harris
12.3%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility98.5%
Better than Avg
Here
98.5%
US
81.8%
TX
89.2%
Harris
86.4%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility94.7%
Better than Avg
Here
94.7%
US
79.7%
TX
88.0%
Harris
86.1%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
TX
1.5%
Harris
1.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

9deficiencies
2penalties
Near state avg (9.1)
10 complaint-triggered
$39,207 in fines

This facility has a concerning pattern of recurring deficiencies with families filing complaints that triggered seven investigations. The most persistent issues involve medication management, safety hazards, and infection control, appearing across multiple surveys from 2022 through 2025. While the facility corrects violations when cited, the same problems keep recurring, suggesting systemic challenges in maintaining consistent standards of care and safety.

Mar 31, 2026Complaint
3
0697Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

0755Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Jun 27, 2025Complaint
1
0755Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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

May 8, 2025Routine
9
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.

0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0925Potential for harm · PatternCorrected

Environmental Deficiencies

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

0321Potential for harm · PatternCorrected

Smoke Deficiencies

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

0351Potential for harm · PatternCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0923Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

0355Potential for harm · IsolatedCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

May 8, 2025Complaint
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.

Mar 1, 2024Complaint
3
0689Immediate jeopardy · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

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

0644Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

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.

Mar 1, 2024Routine
5
0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0690Potential for harm · PatternCorrected

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.

0759Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Federal Penalties

Fine

Mar 31, 2026

$23,520

Fine

Mar 1, 2024

$8,021

Ownership & Operations

Who Operates This Facility

Owner / Operator

Kirbyville I Enterprises, LLC

Organization Type

for profit

Management Company

303 HOLLOW TREE LN OPCO LLC

Administrator

BRIAN L MARTIN

Chain Affiliation

Chain Name

Touchstone Communities

Chain Size

25 facilities nationwide

Chain avg rating: 2.8/5 · Rank 12 of 27

Ownership & Management

Owners

Liberty County Hospital District no. 1

Owner · Organization

100%

Key personnel

Keybank National Association5% or Greater Mortgage InterestInternational Bank of Commerce5% or Greater Security InterestStratton, CharlesOfficer / DirectorTouchstone Strategies-Nw Houston LLCManagerBoening, ChristopherManager
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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