Avir at Petal Hill
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 113 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.
- Abuse citation on record
- Low overall rating (2/5 stars)
- Low staffing rating (2/5 stars)
- High staff turnover (78%)
- High RN turnover (100%)
Below average in Texas · Below recommended RN staffing · Very high staff turnover · $61,847 in fines · Abuse citation
What this means for your family
This facility shows strong signs of improvement under new leadership, with many families praising the compassion of the nursing staff. However, due to past documented instances of serious neglect and communication failures, families should closely monitor care plans and consider installing cameras in resident rooms for peace of mind.
Google Reviews
Google Reviews
113 reviews analyzed“AVIR AT PETAL HILL is frequently praised for its compassionate and dedicated nursing and CNA staff, with many families noting a significant positive turnaround under recent leadership. However, potential residents should be aware of serious allegations regarding medical neglect, lack of communication during emergencies, and concerns regarding cleanliness and facility maintenance.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate and caring nursing staff
- Positive recent leadership and administration
- Friendly and welcoming reception team
- Improved cleanliness in certain areas
Concerns
- Serious allegations of resident neglect and physical abuse (mentioned by 2 reviewers)
- Poor communication from administration and nursing regarding health status (mentioned by 3 reviewers)
- Inconsistent cleanliness and odor issues in common areas (mentioned by 2 reviewers)
- Difficulty reaching staff via telephone (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution
How They Respond to Reviews
The owner provides personalized responses that frequently use the reviewer's name and acknowledge specific details of the feedback. For negative reviews, the owner attempts to provide direct contact information or explain specific administrative improvements and corrective actions.
Questions for Your Tour
- 1It is wonderful to hear that the reception team is so welcoming; how does the administration ensure that families are kept updated on a resident's health status and daily changes?
- 2We have noticed some positive feedback regarding the recent changes in leadership; what specific steps is the new administration taking to improve staffing levels and care consistency?
- 3Could you tell us more about the dining experience and how the facility is working to improve the quality and variety of the meals provided?
- 4How does the nursing team handle medical emergencies or sudden changes in health during the overnight hours?
- 5With the recent improvements in cleanliness mentioned by some visitors, what are your current protocols for maintaining the odor and hygiene of the common areas?
- 6What kind of daily activities or social programs are available to help residents stay engaged and connected with one another?
Personalized based on this facility's data
Key Review Excerpts
“The nurses and CNA’s here have so much compassion. My father was here until he passed and I could not have asked for a more caring staff.”
“The weekend nurse Lexus and the weekday nurse Amanda are 2 of the most caring and compassionate people I have ever met. They take such great care of my brother and always take the time to let me know how he is doing.”
“This place is amazing — clean, well-run, and full of heart. Tonaka, the administrator, has completely turned things around.”
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
7
measures
7
measures
3
measures
Residents vaccinated for pneumonia
Residents with depression symptoms
Residents vaccinated for the flu
Residents needing more daily help over time
Residents on antipsychotic medication
Residents who lost too much weight
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Nearly half of AVIR at Petal Hill's 38 deficiencies were complaint-triggered, indicating families have filed reports about care concerns. Recurring issues span medication management, facility cleanliness and safety, and nutrition services. Most deficiencies appear corrected after citation, though problems with environmental conditions and pharmacy services have repeated across multiple surveys, suggesting ongoing challenges in these areas.
Mar 5, 2026Routine3
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Dec 5, 2025Complaint1
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Nov 11, 2025Complaint1
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.
Feb 27, 2025Complaint2
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
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.
Dec 11, 2024Routine26
Emergency Preparedness Deficiencies
Establish staff and initial training requirements.
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Emergency Preparedness Deficiencies
Establish staff and initial training requirements.
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
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.
Administration Deficiencies
Hire a qualified full-time social worker in a facility with more than 120 beds.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
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.
Administration Deficiencies
Hire a qualified full-time social worker in a facility with more than 120 beds.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
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.
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.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
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.
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.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Apr 18, 2024Complaint14
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Administration Deficiencies
Provide timely, quality laboratory services/tests to meet the needs of residents.
Nutrition and Dietary Deficiencies
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Administration Deficiencies
Provide timely, quality laboratory services/tests to meet the needs of residents.
Nutrition and Dietary Deficiencies
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Federal Penalties
Fine
Nov 11, 2025
$14,901
Fine
Jul 13, 2023
$38,922
Payment Denial
Jul 13, 2023
3-day denial
Ownership & Operations
Who Operates This Facility
West Wharton County Hospital District
for profit
900 S BAXTER AVENUE OPCO LLC
TODD C BICKLE
Chain Affiliation
Avir Health Group
117 facilities nationwide
Chain avg rating: 2.3/5 · Rank 49 of 90
Ownership & Management
Owners
Dagan, Amitai
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Freund, Nochum
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
Goldberger, Faigy
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
113 reviews from families & visitors
Official Website
Visit petalhill.com
Medicare data downloads
Original nursing home datasets
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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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