Quick answers
- Where is Avir at Itasca?
- 409 S Files St, Itasca, TX 76055, in Hill County, Texas.
- What is the phone number of Avir at Itasca?
- (254) 687-2383, as listed by Medicare (CMS).
- What is the Medicare star rating of Avir at Itasca?
- Medicare overall rating: 4 out of 5 stars (CMS data updated 2026-10-01).
- Has Avir at Itasca been fined?
- Medicare lists no fines for Avir at Itasca.
- What did inspectors find at Avir at Itasca?
- In its last three inspection cycles (August 24, 2023 to July 30, 2026), Medicare lists 14 health citations; the most serious was level F. See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (August 24, 2023 to July 30, 2026), Avir at Itasca had 14 health citations; the most serious was level F (no actual harm, potential for more than minimal harm). Medicare lists no fines or payment denials for it in the last three years. Nurse staffing is 2.94 hours per resident per day; the Texas average is 3.42 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: January 8, 2026 — 6 health citations
Inspections in this cycle: January 8, 2026 (standard health inspection); July 30, 2026 (complaint investigation).
Show 6 citations (levels A to F, no actual harm)
F0603 Level E
“Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).”
F0584 Level E
“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.”
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0583 Level D
“Keep residents' personal and medical records private and confidential.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
F0925 Level D
“Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.”
Previous cycle: October 10, 2024 — 5 health citations
Inspections in this cycle: October 10, 2024 (standard health inspection); November 26, 2024 (complaint investigation).
Show 5 citations (levels A to F, no actual harm)
F0584 Level E
“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.”
F0583 Level D
“Keep residents' personal and medical records private and confidential.”
F0641 Level D
“Ensure each resident receives an accurate assessment.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0813 Level D
“Have a policy regarding use and storage of foods brought to residents by family and other visitors.”
Earlier cycle: August 24, 2023 — 3 health citations
Inspections in this cycle: August 24, 2023 (standard health inspection); July 18, 2024 (complaint investigation).
Show 3 citations (levels A to F, no actual harm)
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0580 Level D
“Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.”
F0912 Level B
“Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (6)
K0351 Level F
“Install an approved automatic sprinkler system.”
K0521 Level C
“Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.”
K0211 Level B
“Keep aisles, corridors, and exits free of obstruction in case of emergency.”
K0211 Level D
“Keep aisles, corridors, and exits free of obstruction in case of emergency.”
K0324 Level D
“Provide properly protected cooking facilities.”
K0521 Level C
“Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.”
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | Texas | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.46 | 0.44 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.55 | 0.94 | 0.86 |
| Nurse aide hours per resident per day | 1.93 | 2.03 | 2.35 |
| Total nurse staff hours per resident per day | 2.94 | 3.42 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 2.66 | 2.99 | 3.43 |
| RN hours per resident per day on the weekend | 0.39 | 0.35 | 0.48 |
| Nursing staff turnover (per year) | 51.4% | 50.8% | 45.3% |
| RN turnover (per year) | 40.0% | 49.8% | 42.5% |
| Administrators who left in the last year | 0.0 | 0.6 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Part of a group of 118 nursing homes: Avir Health Group.
Legal business name: Eastland Memorial Hospital District.
Owners and managers Medicare lists (3)
| Name | Role | Share | Since |
|---|---|---|---|
| 409 S Files Street Holdings, LLC | Direct owner | — | April 21, 2025 |
| Eastland Memorial Hospital District | Direct owner | 100% | March 1, 2017 |
| 409 S Files Street Opco, LLC | Management company (operational or managerial control) | NOT APPLICABLE | March 1, 2025 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 51 |
| Average residents per day | 47.6 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – limited liability company |
| Group or chain (affiliated entity) | Avir Health Group |
| Legal business name | Eastland Memorial Hospital District |
| First approved by Medicare/Medicaid | 1997-08-04 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 409 S Files St, Itasca, TX 76055 |
| County | Hill County |
| State | Texas |
| Phone | (254) 687‑2383 |
| CMS Certification Number | 675712 |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Grandview Nursing and Rehabilitation Center8.1 mi · Grandview, TX · 5 of 5 stars
- Avir at Hillsboro10 mi · Hillsboro, TX · 1 of 5 stars
- Town Hall Estates10 mi · Hillsboro, TX · 1 of 5 stars
- Renaissance Rehabilitation and Healthcare Center15 mi · Italy, TX · 5 of 5 stars
- Alvarado Meadows Nursing & Rehabilitation18 mi · Alvarado, TX · 2 of 5 stars
Nearest hospital emergency rooms
- Hill Regional Hospital10 mi · Hillsboro, TX · Critical Access Hospital
- Texas Health Harris Methodist Hospital Cleburne21 mi · Cleburne, TX · Acute Care Hospital
- Methodist Midlothian Medical Center23 mi · Midlothian, TX · Acute Care Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13