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Nursing HomeMedicaid

Avir at Richland Hills

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

7146 Baker Boulevard, Richland Hills, TX 76118114 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
3.1/5

based on 19 Google reviews

5
4
3
2
1
Avir at Richland Hills Nursing Home in Richland Hills, TX — Street View
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What this means for your family

This facility presents significant risks regarding hygiene and the security of personal belongings. While you may find excellent medical care from specific nurses, you must closely monitor the cleanliness of the room and the safety of your loved one's property to prevent theft and neglect.

Google Reviews

Google Reviews

19 reviews on Google
Families should exercise extreme caution, as recent reviews highlight severe issues with hygiene, including pervasive odors of urine and neglected personal care. While some long-term residents and their families praise the compassionate nursing staff and improved food, there are frequent and serious allegations of theft, lack of cleanliness, and inadequate maintenance.

Quality Themes

Tap a score for details
Food3.0Staff3.0Clean1.0Activities4.0MedsN/AMemoryN/AComms5.0Value1.0

Strengths

  • Compassionate and professional nursing staff
  • Effective rehabilitation team
  • Improved food quality for long-term residents
  • Engaging resident activities and events

Concerns

  • Persistent odor of urine and poor hygiene (mentioned by 4 reviewers)
  • Theft of resident belongings and property (mentioned by 3 reviewers)
  • Neglect in personal hygiene and bathing (mentioned by 3 reviewers)
  • Inadequate facility maintenance and cleanliness (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2344.02023(8)3.32024(4)2.12025(7)3.02026(1)

Distribution · 20 analyzed

5
8
4
3
3
1
2
0
1
8

How They Respond to Reviews

21%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1I've heard wonderful things about the compassion of your nursing staff; how do you ensure that level of care remains consistent across all shifts?
  • 2What specific steps is the facility taking to ensure the dining areas and common spaces are kept fresh and well-maintained for the residents?
  • 3How does the rehabilitation team work with residents to help them regain their independence after a hospital stay?
  • 4Could you tell me more about the types of social events and activities planned to keep the residents engaged and connected?
  • 5What is the protocol for monitoring resident belongings and ensuring everything stays secure in their rooms?
  • 6How is the facility managing hygiene and bathing schedules to ensure every resident feels refreshed and cared for daily?

Personalized based on this facility's data


Key Review Excerpts

If we have any issues the administration is always on top of it and it is always handled. I absolutely appreciate nurse Arianna... she always keeps me informed of any changes that are made in my mom’s health

Long-term resident's family · 2024★★★★

The staff do what they can. The place do have an odor of urine. Yougot to remember that these are adults they are taking care of. My thing is how often do they give the patients full body wash down.

Resident's family · 2026★★★☆☆

I have lived at Birchwood for a few years and am overall satisfied. The food has improved greatly, I enjoy my meals. Overall, I am pleased with my care and I feel the staff really care about us.

Long-term resident · 2024★★★★
Source: 19 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.27hrs
36%
Registered nurses for medical care
Total Nursing
3.69hrs
90%
All nurses + aides combined
Staff Turnover
31%
Lower is better (< 30% = good)
RN Turnover
43%
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
5/ 5
Better Than Avg

5

measures

Worse Than Avg

6

measures

Mixed Results

6

measures

Long-Stay Residents
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility24.7%
Worse than Avg
Here
24.7%
US
14.4%
TX
16.1%
Tarrant
13.1%
😔

Residents with depression symptoms

↓ Lower is better
This Facility1.0%
Better than Avg
Here
1.0%
US
12.1%
TX
2.5%
Tarrant
2.7%

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

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility26.0%
Worse than Avg
Here
26.0%
US
19.5%
TX
18.4%
Tarrant
16.8%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility6.9%
Better than Avg
Here
6.9%
US
15.4%
TX
9.4%
Tarrant
8.7%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility17.7%
Worse than Avg
Here
17.7%
US
15.3%
TX
14.9%
Tarrant
12.5%
🩹

Residents with pressure sores (bedsores)

↓ Lower is better
This Facility0.8%
Better than Avg
Here
0.8%
US
4.9%
TX
4.0%
Tarrant
3.0%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility61.8%
Worse than Avg
Here
61.8%
US
79.7%
TX
88.0%
Tarrant
89.7%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility7.1%
Worse than Avg
Here
7.1%
US
1.6%
TX
1.5%
Tarrant
1.6%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility86.2%
Mixed vs Avgs
Here
86.2%
US
81.8%
TX
89.2%
Tarrant
91.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

14deficiencies
2penalties
Well above state avg (9.1)
12 complaint-triggered
$14,506 in fines

Families have filed multiple complaints about AVIR at Richland Hills, triggering 7 deficiency citations. The facility shows recurring problems with infection control, safety hazards, medication management, and resident rights that persist across surveys from 2022 to 2025. While all deficiencies show correction dates, the pattern of repeated issues in critical care areas and ongoing family complaints raises concerns about sustained quality improvement.

Feb 3, 2026Complaint
5
0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

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.

0919Potential for harm · IsolatedCorrected

Environmental Deficiencies

Make sure that a working call system is available in each resident's bathroom and bathing area.

Dec 1, 2025Complaint
1
0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Aug 8, 2025Complaint
1
0584Actual harm · IsolatedCorrected

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.

Jul 22, 2025Complaint
1
0584Potential for harm · IsolatedCorrected

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.

Sep 10, 2024Routine
7
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.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0677Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0686Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0521Minimal · WidespreadCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Sep 10, 2024Complaint
1
0583Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

Federal Penalties

Fine

Jul 22, 2025

$6,338

Fine

Jul 26, 2024

$8,168

Ownership & Operations

Who Operates This Facility

Owner / Operator

Bellville Hospital District

Organization Type

for profit

Management Company

7146 BAKER BOULEVARD OPCO LLC

Administrator

AMY D SKILES

Chain Affiliation

Chain Name

Avir Health Group

Chain Size

117 facilities nationwide

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

7146 Baker 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

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References & Resources

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