Avir at Emerald Hills — nursing home in North Richland Hills, TX

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 118 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 92.4 CMS, MDS-derived
CMS Certification Number: 676127
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Feb 6, 2007
Ownership type: For profit - Limited Liability company
Operator (legal business name): Dallas County Hospital District
CMS chain: Avir Health Group 118 facilities
Phone: (817) 503-4700
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

15

latest Jul 7, 2026

Citations

37

23 health · 14 fire

Harm or worse

3

2 immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J2	K·	L·
Actual harm	G1	H·	I·
Potential harm	D15	E8	F11
Minimal	A·	B·	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffingfn 24

Quality measures

Penalties · about the last 3 years

Fines

1

$195,946

Payment denials

0

Latest

Jun 26, 2025

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 676127
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 118
First approved: Feb 6, 2007
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Texas.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Jul 7, 2026	Health	Health Complaint	1	Potential harm	—	Open →
Jun 18, 2026	Fire safety	Fire Safety Standard	11	Potential harm	—	Open →
Jun 18, 2026	Health	Health Standard	4	Potential harm	—	Open →
Apr 22, 2026	Health	Health Complaint	1	Actual harm	—	Open →
Apr 9, 2026	Health	Health Complaint	1	Potential harm	—	Open →
Dec 9, 2025	Health	Health Complaint	3	Potential harm	—	Open →
Jun 26, 2025	Health	Health Complaint	4	Immediate jeopardy	—	Open →
Apr 17, 2025	Fire safety	Fire Safety Standard	1	Potential harm	—	Open →
Apr 17, 2025	Health	Health Standard	2	Potential harm	—	Open →
Aug 9, 2024	Health	Health Complaint	1	Potential harm	—	Open →
Feb 29, 2024	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
Feb 29, 2024	Health	Health Standard	4	Potential harm	—	Open →
Feb 7, 2024	Health	Infection Control	0	No citations	—	Open →
Jan 9, 2024	Health	Health Complaint	2	Potential harm	—	Open →
Dec 14, 2023	Health	Infection Control	0	No citations	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

Date	Type	Amount	Payment denial	Record
Jun 26, 2025	Civil money penalty (fine)	$195,946	—	676127\|Fine\|134329

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J2	K·	L·
Actual harm	G1	H·	I·
Potential harm	D15	E8	F11
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Jul 7, 2026	F-0635	Provide doctor's orders for the resident's immediate care at the time the resident was admitted. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 10, 2026	Complaint
Jun 18, 2026	E-0009	Include a process for Emergency Preparedness collaboration. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Jul 18, 2026
Jun 18, 2026	E-0024	Establish policies and procedures for volunteers. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Jul 18, 2026
Jun 18, 2026	E-0026	Establish roles under a Waiver declared by secretary. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Jul 18, 2026
Jun 18, 2026	E-0030	List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Jul 18, 2026
Jun 18, 2026	K-0222	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. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jul 18, 2026
Jun 18, 2026	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jul 18, 2026
Jun 18, 2026	K-0343	Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jul 18, 2026
Jun 18, 2026	K-0351	Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jul 18, 2026
Jun 18, 2026	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jul 18, 2026
Jun 18, 2026	K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jul 18, 2026
Jun 18, 2026	K-0522	Have an externally vented heating system. Services Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jul 18, 2026
Jun 18, 2026	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Jun 19, 2026
Jun 18, 2026	F-0690	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Jun 19, 2026
Jun 18, 2026	F-0727	Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Nursing and Physician Services Deficiencies · Staffing & supervision	F · Potential harm Widespread	Corrected Jun 19, 2026
Jun 18, 2026	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Jun 19, 2026
Apr 22, 2026	F-0777	Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. Administration Deficiencies · Administration & records	G · Actual harm Isolated	Corrected Apr 23, 2026	Complaint
Apr 9, 2026	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 10, 2026	Complaint
Dec 9, 2025	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Dec 10, 2025	Complaint
Dec 9, 2025	F-0760	Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Dec 10, 2025	Complaint
Dec 9, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Dec 10, 2025	Complaint
Jun 26, 2025	F-0607	Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	J · Immediate jeopardy Isolated	Corrected Jun 27, 2025	Complaint
Jun 26, 2025	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	J · Immediate jeopardy Isolated	Corrected Jun 27, 2025	Complaint
Jun 26, 2025	F-0584	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 · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jun 27, 2025	Complaint
Jun 26, 2025	F-0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jun 27, 2025	Complaint
Apr 17, 2025	K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Apr 18, 2025
Apr 17, 2025	F-0578	Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Apr 18, 2025
Apr 17, 2025	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Apr 18, 2025
Aug 9, 2024	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Aug 10, 2024	Complaint
Feb 29, 2024	K-0223	Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Mar 29, 2024
Feb 29, 2024	K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Mar 29, 2024
Feb 29, 2024	F-0635	Provide doctor's orders for the resident's immediate care at the time the resident was admitted. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 1, 2024
Feb 29, 2024	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 1, 2024
Feb 29, 2024	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 1, 2024
Feb 29, 2024	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Mar 1, 2024
Jan 9, 2024	F-0675	Honor each resident's preferences, choices, values and beliefs. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jan 12, 2024	Complaint
Jan 9, 2024	F-0921	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jan 12, 2024	Complaint

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 2.8

Health inspectionsstate 2.8

Staffingstate 1.9

Quality measuresstate 3.8

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.45

State avg 3.42US avg 3.90

Registered nurse (RN)0.13

State avg 0.44US avg 0.69

Licensed practical nurse1.28

State avg 0.94US avg 0.86

Nurse aide2.04

State avg 2.03US avg 2.35

Weekend total nurse3.06

State avg 2.99US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.66 (case-mix index 1.32).

Staff turnover

Total nursing staff turnover60.2%

State avg 50.8%US avg 45.3%

Registered nurse turnover100.0%

State avg 49.8%US avg 42.5%

Administrators who left1

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Jun 18, 2026
Cycle 1 health score: 80
Total weighted score: 107.5
Infection-control citations: 0

Operating entity

Dallas County Hospital District

CMS legal business name of the certified provider. Operates 37 facilities.

VerifiedLinked by exact legal name

CMS chain

Avir Health Group

118 facilities in 1 states. CMS chain ID 719.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 2.2

Ownership disclosures

Disclosures

15

Organizations

5

Individuals

10

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Dallas County Hospital District	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Mar 31, 2017

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Dallas County Hospital District	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Mar 31, 2017
Amitai Dagan	Individual	Partner	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	not provided	Nov 12, 2025
Abraham Goldberger	Individual	Partner	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	not provided	Nov 12, 2025
Faigy Goldberger	Individual	Partner	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	not provided	Nov 12, 2025
5600 Davis Blvd Opco, LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Aug 1, 2025
Soroush Behnam	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Aug 1, 2025
Nochum Freund	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Aug 1, 2025
Aaron Travitsky	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Aug 1, 2025
Edmundo Castaneda	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jan 10, 2022
Frederick Cerise	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Mar 24, 2014
5600 Davis Blvd Property Owner, LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Aug 1, 2025
Welltower Nnn Group, LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Aug 1, 2025
Welltower Op LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Aug 1, 2025
Soroush Behnam	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Aug 1, 2025
Jonathan Harris	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Aug 1, 2025

Other facilities operated by Dallas County Hospital District

All 36 →

Facility	Beds	Last inspection	Citations (window)	Fines
Windsor Gardens 2535 W Pleasant Run, Lancaster, TX 75146 CCN 455832	150	Jul 20, 2026	342 IJ	$14k
Avir at River Valley 1907 Refinery Rd, Gainesville, TX 76240 CCN 455970	116	Jul 27, 2026	41	—
Denton Rehabilitation and Nursing Center 3345 Medpark Dr., Denton, TX 76210 CCN 675136	94	Jul 16, 2026	32	—
Meadowbrook Care Center 632 Windsor Way, Van Alstyne, TX 75495 CCN 675151	60	May 5, 2026	251 IJ	$14k
The Manor at Seagoville 2416 Elizabeth Ln, Seagoville, TX 75159 CCN 675418	90	Apr 1, 2026	382 IJ	$98k
Renaissance Care Center 1400 Blackshill Dr, Gainesville, TX 76240 CCN 675441	91	Jun 4, 2026	42	—
Beacon Hill 3515 S Park Ave, Denison, TX 75020 CCN 675503	150	May 26, 2026	28	—
Williamsburg Village Healthcare Campus 940 York Drive, Desoto, TX 75115 CCN 675756SFF Candidate	242	Jul 30, 2026	939 IJ	$150k

Same chain in Texas

All 117 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Avir at Beaumont 4195 Milam Street, Beaumont, TX 77707 CCN 455001Abuse icon	214	Aug 24, 2026	582 IJ2 open	$40k
Avir at New Braunfels 821 US Hwy 81 W, New Braunfels, TX 78130 CCN 455020Abuse icon	154	Jul 10, 2026	755 IJ	$158k
Avir at Rose Trail 930 S Baxter, Tyler, TX 75701 CCN 455429SFF Candidate	172	Aug 14, 2026	639 IJ3 harm	$484k
Avir at Petal Hill 900 S Baxter Ave, Tyler, TX 75701 CCN 455485Abuse icon	120	May 13, 2026	352 IJ	$26k
Avir at Jeffrey Place 820 Jeffrey Dr, Waco, TX 76710 CCN 455489	95	Apr 9, 2026	452 IJ	$22k
Avir at Temple West 1700 Marlandwood Rd, Temple, TX 76502 CCN 455522	104	Dec 18, 2025	312 IJ1 open	$7,257
Avir at Center 280 Moffitt Dr, Center, TX 75935 CCN 455550	137	Jul 23, 2025	271 IJ	$9,113
Avir at Graham 1224 Corvadura St, Graham, TX 76450 CCN 455555	116	Aug 14, 2025	33	—

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 5600 Davis Blvd, North Richland Hills, TX 76180
ZIP: 76180
County: Tarrant County FIPS 48439
State: Texas
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Glenview Wellness & Rehabilitation 7625 Glenview Dr, North Richland Hills, TX 76180 CCN 455494	2.8 km	163	Aug 11, 2026	444 IJ2 open	$16k
Green Valley Healthcare and Rehabilitation Center 6850 Rufe Snow Dr, Fort Worth, TX 76148 CCN 676161	3.4 km	124	Jun 17, 2026	426 IJ	$97k
North Pointe Nursing and Rehabilitation 7804 Virgil Anthony Blvd, Watauga, TX 76148 CCN 675963	3.6 km	126	Aug 12, 2026	385 IJ1 open	$36k
Oakmont Guest Care Center 2712 Hurstview Dr, Hurst, TX 76054 CCN 455626	3.9 km	161	Jun 10, 2026	492 harm	$29k
Avir at Richland Hills 7146 Baker Blvd, Richland Hills, TX 76118 CCN 675840	4.6 km	114	Jun 11, 2026	391 IJ1 harm	$15k
Richland Hills Rehabilitation and Healthcare Cente 3109 Kings Ct, Fort Worth, TX 76118 CCN 455576	5.1 km	92	May 28, 2026	401 harm	$8,190
Hurst Plaza Nursing and Rehab 215 E Plaza Blvd, Hurst, TX 76053 CCN 455850	5.2 km	106	May 21, 2026	23	$6,540
Bedford Wellness & Rehabilitation 2001 Forest Ridge Dr, Bedford, TX 76021 CCN 455798	6.8 km	166	Aug 13, 2026	311 IJ2 open	$14k

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	676127	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	676127	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 676127

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction