Avante Rehabilitation Center
225 N SOWERS RD, Irving, TX, 75061
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 · Chain: Hamilton County Hospital District
- Certified beds
- 120 · avg 80 residents/day
- Total nursing staff turnover
- 72.2% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 73.7% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $24,542 total
State licensing & capacity
- License number
- 149060
- Service type
- Medicare/medicaid
- Licensed capacity
- 120 beds
- Bed type breakdown
- 15 Medicare-only · 105 Medicaid/Medicare
- Current license effective
- June 1, 2023
- Current license expires
- June 1, 2026
- Initial license date
- February 18, 1979
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Hamilton County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Oxbow Healthcare Llc
- Administrator
- Daniel R Prince
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Hamilton County Hospital District chain — 10 facilities. Chain-wide average overall rating 2.7 / 5.
Disclosed owners (10 on record)
- Oxbow Healthcare, Llc
Adp of The Snf · since 2025
- (unnamed Owner)
Adp of The Snf · since 2025
- Daniel Prince
Operational/managerial Control · since 2023
- Danny k Prince
5% or Greater Mortgage Interest · 100% · since 2023
- Dkp Investments, Llc
5% or Greater Mortgage Interest · 59% · since 2023
- Grady Hooper
Corporate Officer · since 2023
+ 4 additional owners on the federal record.
Recent change of ownership
June 2023 (2 years ago) · acquired from Avante Rehabilitation Center
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 18)
- E0812·Jul 31, 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.
- E0759·Jul 31, 2025
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
- D0638·Jul 31, 2025
Resident Assessment and Care Planning Deficiencies
Assure that each resident’s assessment is updated at least once every 3 months.
- E0880·Aug 1, 2024
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- F0812·Aug 1, 2024
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E0759·Aug 1, 2024
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
- E0642·Aug 1, 2024
Resident Assessment and Care Planning Deficiencies
Ensure a qualified health professional conducts resident assessments.
- D0641·Aug 1, 2024
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Federal penalties
By year
- 20241 fine · $17K
- 20231 fine · $7,446
Most recent events
- Mar 28, 2024Fine · $17K
- Oct 4, 2023Fine · $7,446
Largest single fine on record: $17K.
Fire-safety citations
4 Life-Safety-Code citations on file. Most recent: Aug 1, 2024. 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
Avante Rehabilitation Center is a 120-bed nursing home in Irving, Dallas County, accepting Medicare and Medicaid. CMS rates it 3 stars overall, with a 2-star health inspection rating and 2-star staffing rating — though quality-of-care measures score 5 stars. About 80 residents are in residence on a given day, putting occupancy at roughly 66% of licensed beds. The facility is licensed through June 2026 and has an active inspection record.
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 226 minutes of nursing care per day — roughly 15 minutes less than at a 4-star-staffing facility in Texas, which sets its threshold at 241 minutes. Of those 226 minutes, only 29 come from a registered nurse; Texas 4-star facilities average 37 RN minutes per resident per day.
About 7 in 10 nursing staff left in the past year — a rate that puts this facility in the very-high tier relative to Texas peers, well above the state's 75th-percentile cutoff of 60%. RN turnover runs at roughly the same level: 7 in 10 RNs departed over the same period, which is high by state standards. A long-stay resident is likely to cycle through multiple primary caregivers during a year's stay.
Despite 2-star staffing and high turnover, CMS rates the facility's quality measures at 5 stars — the highest tier — for both long-stay and short-stay residents. These measures track outcomes such as pressure wounds, falls, hospitalizations, and pain management.
Two CMS fines totaling $24,542 have been issued; the state median fine total across fined facilities is $20,699. About 30% of Texas nursing homes received no fines at all.
The facility is operating at roughly 66% of its 120 licensed beds, with about 80 residents on a typical day. Occupancy this far below capacity is uncommon absent a specific reason and does not accompany a waitlist here.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing coverage on evenings and weekends
With a 2-star staffing rating and weekend hours logged at 3.38 hours per resident per day versus 3.76 on weekdays, ask how many nurses and aides are on the floor during evenings, nights, and weekends.
Turnover and continuity of care
Seven in ten nursing staff left in the past year; ask how the facility assigns consistent caregivers to long-stay residents and what the current vacancy rate is.
Why occupancy sits at 66%
About 80 of 120 beds are filled on a typical day; ask whether the low census reflects a recent change in referral relationships, staffing constraints, or something else.
What drives the 5-star quality outcomes
CMS scores quality measures at 5 stars despite 2-star staffing; ask which specific protocols — wound care, fall prevention, hospitalization reduction — the team credits for those results.
Management company's day-to-day role
The facility is licensed to Hamilton County Hospital District but managed by Oxbow Healthcare; ask which entity sets staffing levels, hires administrators, and handles compliance.
Resident Council access and function
A Resident Council meets here but no Family Council exists; ask how families are formally notified of concerns raised in Resident Council meetings.
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.