Avir At Elkhart
214 JONES RD, Elkhart, TX, 75839
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company
- Certified beds
- 98 · avg 52 residents/day
- Total nursing staff turnover
- 46.2% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 60% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $66,210 total
State licensing & capacity
- License number
- 312857
- Service type
- Medicare/medicaid
- Licensed capacity
- 98 beds
- Bed type breakdown
- 24 Medicare-only · 74 Medicaid/Medicare
- Current license effective
- October 1, 2025
- Current license expires
- October 1, 2026
- Initial license date
- February 6, 1975
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- 214 Jones Rd Opco Llc (Limited Liability Company (LLC))
- Operator / manager
- Loh Management Llc
- Administrator
- Maritia Barham
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Disclosed owners (4 on record)
- Mark Chih-ping Tang
W-2 Managing Employee · since 2021
- Joshua Leonard
5% or Greater Indirect Ownership Interest · 100% · since 2018
- Loh Management, Llc
Operational/managerial Control · since 2018
- Live Oak Healthcare, Llc
5% or Greater Direct Ownership Interest · 100% · since 2018
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners, as of April 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 26)
- D0584·Jan 21, 2026Complaint
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.
- F0725·Aug 6, 2025Complaint
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- D0926·Apr 9, 2025
Environmental Deficiencies
Have policies on smoking.
- D0919·Apr 9, 2025
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
- D0908·Apr 9, 2025
Environmental Deficiencies
Keep all essential equipment working safely.
- D0813·Apr 9, 2025
Nutrition and Dietary Deficiencies
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
- F0812·Apr 9, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E0805·Apr 9, 2025
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Federal penalties
By year
- 20251 fine · $66K
Most recent events
- Dec 13, 2025Fine · $66K
Fire-safety citations
9 Life-Safety-Code citations on file. Most recent: Apr 9, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Avir At Elkhart is a 98-bed Medicare/Medicaid nursing home in Elkhart, Anderson County, Texas, licensed since 1975 and operated by 214 Jones Rd Opco LLC under Loh Management LLC. CMS rates it 3 stars overall, with a 2-star staffing rating. One fine of $66,210 has been issued. The facility is currently running at about 53% of licensed capacity — roughly 52 residents in a building certified for 98.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 2 stars. Each resident receives about 195 minutes of nursing care per day — roughly 46 minutes less than at a 4-star-staffing facility in Texas. Of that total, RN time accounts for only 10 minutes per resident per day, compared to 37 minutes at the 4-star threshold in Texas. About 31% of Texas nursing homes share this 2-star staffing rating.
One CMS fine has been issued totaling $66,210. The state median for fines among Texas nursing homes that receive any is $20,699, and about 30% of facilities in Texas have no fines at all. This single fine is more than three times the state median fine amount.
The facility is operating at approximately 53% of its 98 licensed beds — about 52 residents on an average day. This is a low fill rate by Texas standards.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Reason for the $66,210 fine
Ask what deficiency triggered the CMS fine and what specific changes were made in response, since the fine is more than three times the Texas median.
RN coverage on a typical day
CMS data shows roughly 10 minutes of RN time per resident per day — ask how many registered nurses are on the floor during day, evening, and overnight shifts.
Why occupancy is this low
The facility averages about 52 residents in a building licensed for 98 — ask whether the low census reflects a recent ownership transition, staffing constraints, or something else.
Staffing levels on weekends
CMS reports weekend nursing hours below the already-low weekday average — ask how many nurses and aides are scheduled on Saturdays and Sundays.
Resident Council activity
The facility has a Resident Council but no Family Council — ask how often the Resident Council meets and how families can raise concerns formally.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.