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Nursing HomeMedicaid Investigative

Avir at Patriot

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

11490 Gateway North Blvd, Northeast El Paso · El Paso, TX 79934124 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.4/5

based on 331 Google reviews

5
4
3
2
1

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6/ 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 (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

Source: Medicare data

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 details
Food3.0Staff7.0Clean9.0Activities8.0Meds2.0MemoryN/AComms5.0ValueN/A

Strengths

  • 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

2344.42024(82)4.62025(71)5.02026(24)

Distribution

5
125
4
14
3
3
2
1
1
12

How They Respond to Reviews

97%response rate
Good

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.

Rehab patient's family · 2025★★★★★

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.

Long-term resident's family · 2025★★★★★

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.

Rehab patient's family · 2024★★☆☆☆
Source: 331 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.18hrs
24%
Registered nurses for medical care
Total Nursing
3.01hrs
73%
All nurses + aides combined
Staff Turnover
59%
Lower is better (< 30% = good)
RN Turnover
82%
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
3/ 5
Better Than Avg

10

measures

Worse Than Avg

3

measures

Mixed Results

4

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility1.2%
Better than Avg
Here
1.2%
US
12.1%
TX
2.5%
El paso
4.2%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility9.1%
Better than Avg
Here
9.1%
US
19.4%
TX
14.2%
El paso
17.2%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility23.6%
Worse than Avg
Here
23.6%
US
19.5%
TX
18.4%
El paso
13.9%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility9.0%
Better than Avg
Here
9.0%
US
15.4%
TX
9.4%
El paso
14.6%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility9.9%
Better than Avg
Here
9.9%
US
14.4%
TX
16.1%
El paso
15.6%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.5%
Better than Avg
Here
99.5%
US
93.4%
TX
96.9%
El paso
94.8%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility99.2%
Better than Avg
Here
99.2%
US
81.8%
TX
89.2%
El paso
82.5%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility96.2%
Better than Avg
Here
96.2%
US
79.7%
TX
88.0%
El paso
82.0%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility2.3%
Mixed vs Avgs
Here
2.3%
US
1.6%
TX
1.5%
El paso
2.7%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

21deficiencies
4penalties
Well above state avg (9.1)
57 complaint-triggered
$38,235 in fines

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, 2026Complaint
7
0684SevereCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0580ModerateCorrected

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.

0842ModerateCorrected

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.

0585MinorCorrected

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.

0600MinorCorrected

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.

0710MinorCorrected

Nursing and Physician Services Deficiencies

Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

0755MinorCorrected

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, 2025Complaint
3
0580MinorCorrected

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.

0585MinorCorrected

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.

0842MinorCorrected

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, 2025Routine
15
0006ModerateCorrected

Emergency Preparedness Deficiencies

Conduct risk assessment and an All-Hazards approach.

0041ModerateCorrected

Emergency Preparedness Deficiencies

Implement emergency and standby power systems.

0712ModerateCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0918ModerateCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0558ModerateCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0677ModerateCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0690ModerateCorrected

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.

0908ModerateCorrected

Environmental Deficiencies

Keep all essential equipment working safely.

0211ModerateCorrected

Egress Deficiencies

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

0324ModerateCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0741ModerateCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0922ModerateCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the use and maintenance of medical gas equipment.

0923ModerateCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0585MinorCorrected

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.

0695MinorCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

Aug 29, 2025Complaint
2
0761MinorCorrected

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.

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Aug 8, 2025Complaint
3
0880ModerateCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0686MinorCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0842MinorCorrected

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, 2025Complaint
2
0644MinorCorrected

Resident Assessment and Care Planning Deficiencies

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

0644MinorCorrected

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

Owner / Operator

West Wharton County Hospital District

Organization Type

for profit

Management Company

11490 GATEWAY NORTH BOULEVARD OPCO LLC

Administrator

ANGEL CASTRO

Chain Affiliation

Chain Name

Avir Health Group

Chain Size

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

11490 Gateway North Boulevard 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 InterestThompson, JohnnyOfficer / Director
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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