Avir At Itasca in Itasca, Hill County, Texas

Itasca, Hill County, Texas 76055

Status Medicare and Medicaid certifiedMedicare CCN 675712

HHSC license rosteras of November 9, 2026CMS nursing home filerelease October 28, 2026; processing date October 1, 2026CMS processing date for this home October 1, 2026

Verify on TULIP View on Medicare.gov

Location and contact

Address: 409 S Files ST
Itasca, TX 76055
Open map (OpenStreetMap)
Phone: (254) 687-2383
HHSC facility ID: 004294
License number: 147321

Medicare ratings

Star ratings below are copied from the CMS Provider Information file (official release October 28, 2026; processing date October 1, 2026). They are not assigned by NursingCareLookup. See how to read ratings and CMS Five-Star documentation.

Overall: 4 of 5Overall: 4 of 5 stars
Health inspection: 4 of 5Health inspection: 4 of 5 stars
Staffing: 2 of 5Staffing: 2 of 5 stars
Quality measures: 4 of 5Quality measures: 4 of 5 stars
Long-stay quality measures: 4 of 5Long-stay quality measures: 4 of 5 stars
Short-stay quality measures: Not rated in the CMS file on handShort-stay quality measures: not rated in the CMS file on hand
CMS footnote: 2

Staffing hours

Hours are the facility’s reported nurse staffing hours per resident per day from the CMS file. The Texas average is computed on this site from Texas rows in that same file that include a numeric value. It is not copied from another website. Method: Methodology.

Staffing hours per resident per day
Measure	This facility	Texas average (this site)
Total nurse staffing	2.94 hours	3.42 hours n=1,152
Registered nurse	0.46 hours	0.44 hours
LPN	0.55 hours	0.95 hours
Nurse aide	1.93 hours	2.03 hours
Weekend nurse staffing	2.66 hours	2.99 hours

0.48 hours below this site’s computed Texas average.

Total nursing staff turnover: 51.4% (Texas average computed on this site: 50.8%, n=1,096)
RN turnover: 40%
Average residents per day: 47.6
Certified beds (CMS): 51

MDS quality measures

These figures are the four-quarter averages published in the CMS MDS Quality Measures file (official release October 28, 2026; measure period 2025Q3-2026Q2; processing date October 1, 2026). They are not a grade this site assigned. A “used in Five-Star” flag is the published CMS field that says whether that measure feeds the quality-measure star rating. Quarterly scores are collapsed under each measure. Official definitions are on the CMS Five-Star page.

CMS MDS quality measures, four-quarter averages
Measure	Stay	Four-quarter average	Used in Five-Star QM rating
Percentage of long-stay residents whose need for help with daily activities has increased Quarterly scores Q1 28.9% · Q2 17.9% · Q3 9.5% · Q4 11.9% · Period 2025Q3-2026Q2 · Measure code 401	Long Stay	16.8%	Yes, as published by CMS
Percentage of long-stay residents with a catheter inserted and left in their bladder Quarterly scores Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · Period 2025Q3-2026Q2 · Measure code 406	Long Stay	0.0%	Yes, as published by CMS
Percentage of long-stay residents with a urinary tract infection Quarterly scores Q1 0.0% · Q2 2.3% · Q3 0.0% · Q4 0.0% · Period 2025Q3-2026Q2 · Measure code 407	Long Stay	0.6%	Yes, as published by CMS
Percentage of long-stay residents experiencing one or more falls with major injury Quarterly scores Q1 2.4% · Q2 2.3% · Q3 2.2% · Q4 0.0% · Period 2025Q3-2026Q2 · Measure code 410	Long Stay	1.7%	Yes, as published by CMS
Percentage of long-stay residents whose ability to walk independently worsened Quarterly scores Q1 0.0% · Q2 8.2% · Q3 3.6% · Q4 11.2% · Period 2025Q3-2026Q2 · Measure code 451	Long Stay	5.9%	Yes, as published by CMS
Percentage of long-stay residents with pressure ulcers Quarterly scores Q1 4.9% · Q2 5.6% · Q3 6.9% · Q4 6.8% · Period 2025Q3-2026Q2 · Measure code 479	Long Stay	6.1%	Yes, as published by CMS
Percentage of long-stay residents who received an antipsychotic medication Quarterly scores Q1 19.0% · Q2 — (CMS footnote 9) · Q3 30.8% · Q4 37.5% · Period 2025Q3-2026Q2 · Measure code 481	Long Stay	30.3%	Yes, as published by CMS
Percentage of long-stay residents who lose too much weight Quarterly scores Q1 7.9% · Q2 5.0% · Q3 0.0% · Q4 0.0% · Period 2025Q3-2026Q2 · Measure code 404	Long Stay	3.1%	No, as published by CMS
Percentage of long-stay residents who have depressive symptoms Quarterly scores Q1 0.0% · Q2 2.4% · Q3 0.0% · Q4 0.0% · Period 2025Q3-2026Q2 · Measure code 408	Long Stay	0.6%	No, as published by CMS
Percentage of long-stay residents who were physically restrained Quarterly scores Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · Period 2025Q3-2026Q2 · Measure code 409	Long Stay	0.0%	No, as published by CMS
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Quarterly scores Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · Period 2025Q3-2026Q2 · Measure code 415	Long Stay	100.0%	No, as published by CMS
Percentage of long-stay residents who received an antianxiety or hypnotic medication Quarterly scores Q1 10.5% · Q2 7.3% · Q3 14.0% · Q4 21.4% · Period 2025Q3-2026Q2 · Measure code 452	Long Stay	13.4%	No, as published by CMS
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Quarterly scores Q1 — (CMS footnote 28) · Q2 — (CMS footnote 28) · Q3 — (CMS footnote 28) · Q4 — (CMS footnote 28) · Period 2025Q3-2026Q2 · Measure code 454	Long Stay	96.0%	No, as published by CMS
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Quarterly scores Q1 20.0% · Q2 13.0% · Q3 10.4% · Q4 8.2% · Period 2025Q3-2026Q2 · Measure code 480	Long Stay	12.8%	No, as published by CMS
Percentage of short-stay residents who newly received an antipsychotic medication Quarterly scores Q1 — (CMS footnote 9) · Q2 — (CMS footnote 9) · Q3 — (CMS footnote 9) · Q4 — (CMS footnote 9) · Period 2025Q3-2026Q2 · Measure code 434	Short Stay	0.0%	Yes, as published by CMS
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Quarterly scores Q1 — (CMS footnote 9) · Q2 — (CMS footnote 9) · Q3 — (CMS footnote 9) · Q4 — (CMS footnote 9) · Period 2025Q3-2026Q2 · Measure code 430	Short Stay	100.0%	No, as published by CMS
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Quarterly scores Q1 — (CMS footnote 28) · Q2 — (CMS footnote 28) · Q3 — (CMS footnote 28) · Q4 — (CMS footnote 28) · Period 2025Q3-2026Q2 · Measure code 472	Short Stay	— (CMS footnote 9)	No, as published by CMS

Inspection citations

14 health citations in the CMS file (3 from complaint surveys). Highest scope/severity letter in the file: E — Pattern, potential for more than minimal harm.

The list below is drawn from the CMS Health Deficiencies file. We show the tag, a plain-language reading of the scope and severity letter, whether the survey was a standard or complaint survey, the survey date, and whether CMS recorded a correction. We do not reprint the official deficiency narrative here. Read that text on TULIP or Medicare.gov. A facility may appeal a finding; a successful appeal can alter or remove a citation.

Scope and severity letters (A–L)

CMS assigns one letter from a grid of scope (how widely a problem was found) and severity (how serious the harm was or could be). The short labels below are our wording of that grid, not a different rating system.

Scope and severity letters used in CMS health citations
Severity	Isolated	Pattern	Widespread
Potential for minimal harm	A	B	C
No actual harm, potential for more than minimal harm	D	E	F
Actual harm	G	H	I
Immediate jeopardy	J	K	L

2026 — 6 citations

Tag 0603E

E — Pattern, potential for more than minimal harm

Complaint survey

Survey date: July 30, 2026

CMS records a correction date (August 13, 2026)

More detail

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0925D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: January 8, 2026

CMS records a correction date (January 10, 2026)

More detail

Environmental Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0880D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: January 8, 2026

CMS records a correction date (January 10, 2026)

More detail

Infection Control Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0812E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: January 8, 2026

CMS records a correction date (January 10, 2026)

More detail

Nutrition and Dietary Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0584E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: January 8, 2026

CMS records a correction date (January 10, 2026)

More detail

Resident Rights Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0583D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: January 8, 2026

CMS records a correction date (January 10, 2026)

More detail

Resident Rights Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

2024 — 6 citations

Tag 0584E

E — Pattern, potential for more than minimal harm

Complaint survey

Survey date: November 26, 2024

CMS records a correction date (December 12, 2024)

More detail

Resident Rights Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0813D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: October 10, 2024

CMS records a correction date (October 31, 2024)

More detail

Nutrition and Dietary Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0656D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: October 10, 2024

CMS records a correction date (October 31, 2024)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0641D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: October 10, 2024

CMS records a correction date (October 31, 2024)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0583D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: October 10, 2024

CMS records a correction date (October 31, 2024)

More detail

Resident Rights Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0580D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: July 18, 2024

CMS records a correction date (July 19, 2024)

More detail

Resident Rights Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

2023 — 2 citations

Tag 0912B

B — Pattern, potential for minimal harm

Standard survey

Survey date: August 24, 2023

CMS records a correction date (August 25, 2023)

More detail

Environmental Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0812F

F — Widespread, potential for more than minimal harm

Standard survey

Survey date: August 24, 2023

CMS records a correction date (August 25, 2023)

More detail

Nutrition and Dietary Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

License and identity (HHSC)

License effective: March 1, 2026
License expires: March 1, 2029
Initial license date: May 1, 1972
Facility licensed: Yes
Facility certified (HHSC): Yes
Service type: MEDICARE/MEDICAID
Total licensed capacity: 51 beds
Bed mix (HHSC): Licensed only 0; Medicaid only 35; Medicare only 0; Medicare/Medicaid 16; ICF/IID 0
Alzheimer capacity: 0
Administrator: Stormy Garfias
Management company: 409 S Files Street Opco LLC

Ownership

Ownership below comes from the CMS file when a row joined on this home’s Medicare number. HHSC also records an owner and entity type; those appear after the CMS data. The HHSC entity type “HOSPITAL DISTRICT/AUTHORITY” is very common in the state roster and may not describe day-to-day control. It is not used as a headline here.

CMS ownership type: For profit - Limited Liability company · Affiliated / chain name in the file: AVIR HEALTH GROUP (118 facilities in the chain, as listed)

CMS ownership records
Name	Role	Type	Share	Associated
409 S FILES STREET HOLDINGS, LLC	5% OR GREATER DIRECT OWNERSHIP INTEREST	Organization	NO PERCENTAGE PROVIDED	since 04/21/2025
EASTLAND MEMORIAL HOSPITAL DISTRICT	5% OR GREATER DIRECT OWNERSHIP INTEREST	Organization	100%	since 03/01/2017
409 S FILES STREET PROPERTY OWNER, LLC	5% OR GREATER SECURITY INTEREST	Organization	NOT APPLICABLE	since 03/01/2025
WELLTOWER INC	5% OR GREATER SECURITY INTEREST	Organization	NOT APPLICABLE	since 03/01/2025
WELLTOWER NNN GROUP, LLC	5% OR GREATER SECURITY INTEREST	Organization	NOT APPLICABLE	since 03/01/2025
WELLTOWER OP LLC	5% OR GREATER SECURITY INTEREST	Organization	NOT APPLICABLE	since 03/01/2025
WRIGHT, LABAN	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 11/10/2021
409 S FILES STREET OPCO, LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 03/01/2025
EARHART, JAMES	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 03/01/2025
FREUND, NOCHUM	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 03/01/2025
TRAVITSKY, AARON	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 03/01/2025
DAGAN, AMITAI	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	Individual	NOT APPLICABLE	since 07/31/2025

8 more CMS ownership records

Additional CMS ownership records
Name	Role	Type	Share	Associated
GOLDBERGER, ABRAHAM	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	Individual	NOT APPLICABLE	since 07/31/2025
409 S FILES STREET OPCO, LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 04/21/2025
409 S FILES STREET PROPERTY OWNER, LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 03/01/2025
WELLTOWER INC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 03/01/2025
WELLTOWER NNN GROUP, LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 03/01/2025
WELLTOWER OP LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 03/01/2025
EARHART, JAMES	ADP OF THE SNF	Individual	NOT APPLICABLE	since 03/01/2025
RODRIGUEZ, KAREN	ADP OF THE SNF	Individual	NOT APPLICABLE	since 03/01/2025

HHSC owner fields

Owner (HHSC): Eastland Memorial Hospital District
Type of entity (HHSC): HOSPITAL DISTRICT/AUTHORITY

Public data compiled by NursingCareLookup, not an endorsement or a recommendation, and not medical or legal advice. This site is not affiliated with HHSC, CMS, or Medicare. Figures can lag events at the facility, including surveys, corrections, and successful appeals (an appeal can alter or remove a citation). Verify current facts on TULIP and Medicare.gov, and visit in person before you decide. HHSC roster as of November 9, 2026 (America/Chicago). CMS file: official release October 28, 2026; processing date October 1, 2026.