Avir at Patriot
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 331 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.
- Low overall rating (1/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (18 vs median 8.0)
- High staff turnover (73%)
- High RN turnover (82%)
Bottom 25% in Texas · Critically understaffed (RN) · Very high staff turnover · Worst in AVIR HEALTH GROUP chain · $38,235 in fines
What this means for your family
This facility is an excellent choice for physical rehabilitation due to its highly-rated therapy team and pristine environment. However, families must remain vigilant regarding medication administration and should closely monitor the quality of care during weekend shifts, as some reviewers noted a decline in responsiveness and attitude during those times.
Google Reviews
Google Reviews
331 reviews analyzed“AVIR AT PATRIOT is widely praised for its exceptionally clean environment and a highly skilled physical therapy team that facilitates significant patient recoveries. While many families report compassionate care from specific nurses and administrators, there are serious, recurring allegations regarding medication errors, understaffing on weekends, and issues with laundry/clothing management.”
Quality Themes
Tap a score for detailsStrengths
- Exceptional physical therapy and rehab services
- Extremely clean and well-maintained facility
- Professional and welcoming administrative staff
- Compassionate and attentive nursing team
Concerns
- Medication management errors and over-sedation (mentioned by 3 reviewers)
- Inconsistent care and attitude during weekend shifts (mentioned by 2 reviewers)
- Loss or mismanagement of patient clothing and laundry (mentioned by 2 reviewers)
- Staff communication and responsiveness to patient needs (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution
How They Respond to Reviews
Responds to almost all reviews with personalized messages that use the reviewer's name and acknowledge specific details like staff members or facility cleanliness. The owner maintains a professional, warm, and appreciative tone across all interactions.
Questions for Your Tour
- 1I noticed many people praise how clean and well-maintained the facility is; how does your team ensure that high standard of cleanliness is maintained every day?
- 2Since physical therapy and rehab are such big strengths here, could you walk us through how the therapy team coordinates with the nursing staff for daily care?
- 3What specific protocols do you have in place to ensure medication is administered accurately and that residents aren't being over-sedated?
- 4How does the level of care and communication change between the weekday staff and the weekend shifts to ensure consistency for our loved one?
- 5We want to make sure they stay organized; what is your process for managing laundry and ensuring personal clothing items don't get lost?
- 6Can you tell us more about the dining experience and what kind of nutritional variety is offered during meal times?
Personalized based on this facility's data
Key Review Excerpts
“The therapy team and nurses here at Patriot are the best by far. The therapists are great at what they do and care about their patients.”
“The facility is clean, well-organized, and has a welcoming atmosphere that helped her settle in quickly. We were always kept informed about her health and daily routine, which gave us peace.”
“The only good thing about that place is the access to therapy five days a week. Most of the nurses are rude and information about how patient is doing is very hard to obtain.”
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
10
measures
3
measures
4
measures
Residents with depression symptoms
Residents whose bladder or bowel control got worse
Residents on anti-anxiety or sleep medication
Residents on antipsychotic medication
Residents needing more daily help over time
Residents vaccinated for pneumonia
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
Families filed numerous complaints resulting in 43 deficiencies over the 3-year period, with recurring issues in safety and accident prevention, infection control, and care planning. The facility has shown persistent problems with preventing accidents and maintaining safe environments, appearing in multiple complaint-triggered inspections from 2023 through 2025. While all deficiencies show correction dates, the pattern of repeated safety violations following family complaints suggests ongoing operational challenges.
Mar 12, 2026Complaint7
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
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.
Nursing and Physician Services Deficiencies
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Nov 25, 2025Complaint3
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.
Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Aug 29, 2025Routine15
Emergency Preparedness Deficiencies
Conduct risk assessment and an All-Hazards approach.
Emergency Preparedness Deficiencies
Implement emergency and standby power systems.
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.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
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.
Environmental Deficiencies
Keep all essential equipment working safely.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Smoke Deficiencies
Provide properly protected cooking facilities.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the use and maintenance of medical gas equipment.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Aug 29, 2025Complaint2
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Aug 8, 2025Complaint3
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Apr 22, 2025Complaint2
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Federal Penalties
Fine
Mar 12, 2026
$124,950
Fine
Mar 25, 2025
$10,509
Fine
Jul 10, 2024
$15,808
Fine
May 24, 2023
$11,918
Ownership & Operations
Who Operates This Facility
West Wharton County Hospital District
for profit
11490 GATEWAY NORTH BOULEVARD OPCO LLC
ANGEL CASTRO
Chain Affiliation
Avir Health Group
117 facilities nationwide
Chain avg rating: 2.3/5 · Rank 87 of 90 (Worst)
Ownership & Management
Owners
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
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
331 reviews from families & visitors
Official Website
Visit patriotrehabandwellness.com
Medicare data downloads
Original nursing home datasets
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