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.
based on 19 Google reviews

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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 detailsStrengths
- 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
Distribution · 20 analyzed
How They Respond to Reviews
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”
“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.”
“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.”
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
5
measures
6
measures
6
measures
Residents needing more daily help over time
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on anti-anxiety or sleep medication
Residents on antipsychotic medication
Residents whose walking got worse
Residents with pressure sores (bedsores)
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
Short-stay residents vaccinated for pneumonia
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
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, 2026Complaint5
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
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.
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Dec 1, 2025Complaint1
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Aug 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.
Jul 22, 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.
Sep 10, 2024Routine7
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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 care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Sep 10, 2024Complaint1
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
Bellville Hospital District
for profit
7146 BAKER BOULEVARD OPCO LLC
AMY D SKILES
Chain Affiliation
Avir Health Group
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
Contact
Get in Touch
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References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
19 reviews from families & visitors
Official Website
Visit avirhg.com
Medicare data downloads
Original nursing home datasets
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