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Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 19 Google reviews
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These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.
This facility has areas of concern that warrant careful consideration. Registered Nurse hours are 32% of the EveryPlace reference benchmark; ask how RN coverage is allocated across shifts. The latest standard survey recorded 14 findings, above the TX average of 9.1. We recommend asking the administrator directly: "How are you addressing recent staffing shortfalls?" These are not reasons to panic, but they are reasons to ask tough questions and visit in person.
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
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Concerns
Rating Trends
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Distribution · 20 analyzed
This facility rarely responds to reviews.
Personalized based on this facility's data
Key Review Excerpts
“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.”
“My mother in law is a resident here and her stuff is constantly getting stolen. To the point we got her totes and pad locks and they just break the totes....”
Both RN and total nursing hours are below the EveryPlace reference benchmarks. Ask the facility how it staffs each shift for current resident needs.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 17 measures
6
measures
6
measures
5
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents needing more daily help over time
Residents on anti-anxiety or sleep medication
Residents on antipsychotic medication
Residents whose bladder or bowel control got worse
Residents vaccinated for pneumonia
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
Detailed Medicare record · up to 3-year lookback
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.
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
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 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.
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.
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
Bellville Hospital District
for profit
7146 BAKER BOULEVARD OPCO LLC
AMY D SKILES
Avir Health Group
119 facilities nationwide
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 this facility directly and verify the details that matter most to your family.
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
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Google Reviews
19 reviews from families & visitors
Official Website
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Original nursing home datasets
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. Some summaries, interpretations, suggested questions, and pricing research are AI-generated or AI-assisted and may contain errors or omit important context. 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.
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