CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 6757122026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

Avir At Itasca

409 S Files St · Itasca, TX 76055 · Hill County

CMS OVERALL RATING★★★★☆4/5CMS field—not our score or recommendation
Certified beds51CMS provider file
Recent citation rows20current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.

The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.

01 / INSPECTION LEDGER

Survey cycles in this release

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12026-01-0852026-01-080
Cycle 22024-10-1052024-10-103
Cycle 32023-08-2442023-08-243
02 / CITATION DETAIL

20 rows in the current release

0 rows carry G–L scope/severity codes; 0 carry J–L. 6 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2026-01-08 · HEALTHF0583Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

Correction field: Deficient, Provider has date of correction · 2026-01-10
2026-01-08 · HEALTHF0584Severity E · pattern; potential for more than minimal harm

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.

Correction field: Deficient, Provider has date of correction · 2026-01-10
2026-01-08 · HEALTHF0812Severity E · pattern; potential for more than minimal harm

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Correction field: Deficient, Provider has date of correction · 2026-01-10
2026-01-08 · HEALTHF0880Severity D · isolated; potential for more than minimal harm

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Correction field: Deficient, Provider has date of correction · 2026-01-10
2026-01-08 · HEALTHF0925Severity D · isolated; potential for more than minimal harm

Environmental Deficiencies

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Correction field: Deficient, Provider has date of correction · 2026-01-10
2024-11-26 · HEALTHF0584Severity E · pattern; potential for more than minimal harm

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.

Correction field: Deficient, Provider has date of correction · 2024-12-12 · complaint
2024-10-10 · HEALTHF0583Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

Correction field: Deficient, Provider has date of correction · 2024-10-31
2024-10-10 · HEALTHF0641Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

Correction field: Deficient, Provider has date of correction · 2024-10-31
2024-10-10 · HEALTHF0656Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Correction field: Deficient, Provider has date of correction · 2024-10-31
2024-10-10 · HEALTHF0813Severity D · isolated; potential for more than minimal harm

Nutrition and Dietary Deficiencies

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Correction field: Deficient, Provider has date of correction · 2024-10-31
2024-10-10 · FIREK0211Severity B · pattern; potential for minimal harm

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Correction field: Waiver has been granted
2024-10-10 · FIREK0351Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Install an approved automatic sprinkler system.

Correction field: Deficient, Provider has date of correction · 2025-02-22
2024-10-10 · FIREK0521Severity C · widespread; potential for minimal harm

Services Deficiencies

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

Correction field: Waiver has been granted
2024-07-18 · HEALTHF0580Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Correction field: Deficient, Provider has date of correction · 2024-07-19 · complaint
2023-08-24 · HEALTHF0812Severity F · widespread; potential for more than minimal harm

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Correction field: Deficient, Provider has date of correction · 2023-08-25
2023-08-24 · HEALTHF0912Severity B · pattern; potential for minimal harm

Environmental Deficiencies

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Correction field: Deficient, Provider has date of correction · 2023-08-25
2023-08-24 · HEALTHF0925Severity E · pattern; potential for more than minimal harm

Environmental Deficiencies

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Correction field: Deficient, Provider has date of correction · 2023-08-25 · complaint
2023-08-24 · FIREK0211Severity D · isolated; potential for more than minimal harm

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Correction field: Deficient, Provider has date of correction · 2024-02-01
2023-08-24 · FIREK0324Severity D · isolated; potential for more than minimal harm

Smoke Deficiencies

Provide properly protected cooking facilities.

Correction field: Deficient, Provider has date of correction · 2024-02-01
2023-08-24 · FIREK0521Severity C · widespread; potential for minimal harm

Services Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2024-02-01
03 / ENFORCEMENT FILE

Penalties reported by CMS

Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.

DateTypeFine amountPayment-denial days
No penalty row appeared in the August 2026 penalties file.
04 / OWNERSHIP DISCLOSURES

Who appears in the CMS file

  • 409 S FILES STREET HOLDINGS, LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    NO PERCENTAGE PROVIDED · since 04/21/2025
  • EASTLAND MEMORIAL HOSPITAL DISTRICTOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    100% · since 03/01/2017
  • 409 S FILES STREET PROPERTY OWNER, LLCOrganization · 5% OR GREATER SECURITY INTEREST
    NOT APPLICABLE · since 03/01/2025
  • WELLTOWER INCOrganization · 5% OR GREATER SECURITY INTEREST
    NOT APPLICABLE · since 03/01/2025
  • WELLTOWER NNN GROUP, LLCOrganization · 5% OR GREATER SECURITY INTEREST
    NOT APPLICABLE · since 03/01/2025
  • WELLTOWER OP, LLCOrganization · 5% OR GREATER SECURITY INTEREST
    NOT APPLICABLE · since 03/01/2025
  • WRIGHT, LABANIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 11/10/2021
  • 409 S FILES STREET OPCO, LLCOrganization · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 03/01/2025
  • EARHART, JAMESIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 03/01/2025
  • FREUND, NOCHUMIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 03/01/2025
  • TRAVITSKY, AARONIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 03/01/2025
  • DAGAN, AMITAIIndividual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
    NOT APPLICABLE · since 07/31/2025
  • GOLDBERGER, ABRAHAMIndividual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
    NOT APPLICABLE · since 07/31/2025
  • 409 S FILES STREET OPCO, LLCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 04/21/2025
  • 409 S FILES STREET PROPERTY OWNER, LLCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 03/01/2025
  • WELLTOWER INCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 03/01/2025
  • WELLTOWER NNN GROUP, LLCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 03/01/2025
  • WELLTOWER OP, LLCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 03/01/2025

Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.

05 / CMS STAFFING FIELDS

Reported hours and turnover

Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.

Total nurse hours2.97per resident day
RN hours0.52per resident day
Weekend nurse hours2.66per resident day
Staff turnover40.0%CMS reported field
06 / LOCAL RECORDS

Other published facilities nearby

Open the Texas ledger →

No second facility in the same city met the directory rule.

BEFORE A CARE DECISION

Verify the current record and visit in person.

Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.