Avir at North Houston
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 138 Google reviews

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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
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 detailsStrengths
- 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
Distribution · 143 analyzed
How They Respond to Reviews
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”
“The nursing team was attentive and professional, and the physical therapists worked with her daily to support her recovery.”
“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.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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
12
measures
5
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on antipsychotic medication
Residents whose bladder or bowel control got worse
Residents vaccinated for pneumonia
Residents on anti-anxiety or sleep medication
Residents needing more daily help over time
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
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, 2026Complaint3
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Jun 27, 2025Complaint1
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, 2025Routine9
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Install an approved automatic sprinkler system.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
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.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
May 8, 2025Complaint1
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, 2024Complaint3
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
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, 2024Routine5
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
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.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
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
Kirbyville I Enterprises, LLC
for profit
303 HOLLOW TREE LN OPCO LLC
BRIAN L MARTIN
Chain Affiliation
Touchstone Communities
25 facilities nationwide
Chain avg rating: 2.8/5 · Rank 12 of 27
Ownership & Management
Owners
Liberty County Hospital District no. 1
Owner · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
138 reviews from families & visitors
Official Website
Visit avirhg.com
Medicare data downloads
Original nursing home datasets
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