Avir at Elkhart: Staffing, Turnover, and Inspection Record
Avir at Elkhart is a 98-bed for-profit nursing home in Elkhart, Texas, part of Avir Health Group. In the CMS August 2026 release it reported 2.34 nurse aide hours per resident per day, 17% above the Texas average of 2.00, and 54.3% nursing staff turnover (Texas average 55.3%).
Avir at Elkhart
214 Jones RdElkhart, TX 75839
Anderson County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Avir at Elkhart, nurse aides logged 2.34 hours per resident per day, 17% above the Texas average. With about 52 residents a day, that works out to roughly 122 aide hours a day, or about 15 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 13% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.34 | 2.00 | 2.32 |
| Licensed practical nurses | 0.85 | 0.95 | 0.86 |
| Registered nurses | 0.19 | 0.43 | 0.69 |
| All nursing staff | 3.38 | 3.39 | 3.86 |
| All nursing staff, weekends | 2.93 | 2.98 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
54.3% of nursing staff at Avir at Elkhart left over the year CMS measured, against a Texas average of 55.3% and a US average of 45.8%. Registered nurse turnover was 80.0%. 1 administrator left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Apr 9, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 9 health deficiencies (Texas average 9.3). CMS lists 1 fine totaling $65,397 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Dec 13, 2025 | Fine | $65,397 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Avir at Elkhart holds 3 of 5 overall; the Texas average is 2.6.
About Avir at Elkhart
- Ownership: For profit - Limited Liability company
- Chain: Avir Health Group, 116 homes
- Legal name: 214 Jones Rd Opco LLC
- Medicare and Medicaid certified since: Dec 1, 1993
- Changed ownership in the last 12 months
- Councils: resident council
- Area: rural
Nursing homes near Avir at Elkhart
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Trucare Living Centers Palestine | 8.1 | 120 | 2.51 | 3.59 | 25.0% | 5 | None |
| Legacy at Town Creek Palestine | 9.6 | 199 | 2.00 | 3.37 | 53.8% | 1 | $294,608 |
| Avir at Town Creek Palestine | 9.7 | 102 | 2.01 | 3.76 | 47.1% | 3 | $49,065 |
| Greenbrier Nursing & Rehabilitation Center of Pale Palestine | 11.9 | 120 | 1.66 | 3.18 | 97.9% | 4 | None |
| Winfield Rehab & Nursing Crockett | 22.2 | 83 | 1.99 | 3.20 | 62.1% | 1 | $355,773 |
| Whitehall Rehab & Nursing Crockett | 22.2 | 113 | 1.81 | 3.01 | 36.5% | 3 | $77,342 |
| Crockett Health Care Associates, Inc. Crockett · many days without an RN | 24.2 | 90 | 0.90 | 1.98 | 26.1% | 4 | None |
| The Arbors Healthcare and Rehabilitation Center Rusk | 27.1 | 110 | 1.69 | 3.11 | — | 2 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.