Avir At Itasca
409 S FILES ST, Itasca, TX, 76055
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 - Corporation · Chain: Avir Health Group
- Certified beds
- 51 · avg 46 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
- 50% — near the Texas averageTexas 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
State licensing & capacity
- License number
- 147321
- Service type
- Medicare/medicaid
- Licensed capacity
- 51 beds
- Bed type breakdown
- 35 Medicaid-only · 16 Medicaid/Medicare
- Current license effective
- March 1, 2026
- Current license expires
- March 1, 2029
- Initial license date
- May 1, 1972
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Eastland Memorial Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- 409 S Files Street Opco Llc
- Administrator
- Karen Rodriguez
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Avir Health Group chain — 90 facilities. Chain-wide average overall rating 2.3 / 5.
Disclosed owners (12 on record)
- 409 s Files Street Holdings, Llc
5% or Greater Direct Ownership Interest · since 2025
- 409 s Files Street Opco, Llc
Adp of The Snf · since 2025
- 409 s Files Street Property Owner, Llc
5% or Greater Security Interest · 100% · since 2025
- Aaron Travitsky
Operational/managerial Control · since 2025
- Hccf Management Group xi Llc
5% or Greater Security Interest · 100% · since 2025
- James m Earhart
Adp of The Snf · since 2025
+ 6 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of April 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 14)
- E0584·Nov 26, 2024Complaint
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.
- D0813·Oct 10, 2024
Nutrition and Dietary Deficiencies
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
- D0656·Oct 10, 2024
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.
- D0641·Oct 10, 2024
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
- D0583·Oct 10, 2024
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
- D0580·Jul 18, 2024Complaint
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.
- E0925·Aug 24, 2023Complaint
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- B0912·Aug 24, 2023
Environmental Deficiencies
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Fire-safety citations
9 Life-Safety-Code citations on file. Most recent: Oct 10, 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
Avir At Itasca is a 51-bed nursing home in Itasca, Hill County, accepting Medicare and Medicaid. CMS rates it 5 stars overall, with a 5-star health inspection score and a 4-star quality-of-care rating. Staffing pulls that picture down to 2 stars — residents receive about 184 minutes of nursing care per day, roughly 57 minutes less than at 4-star-staffing facilities in Texas. Licensed under Eastland Memorial Hospital District; managed by 409 S Files Street Opco LLC.
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 184 minutes of nursing care per day — roughly 57 minutes less than at a 4-star-staffing facility in Texas. About 32% of Texas nursing homes share this staffing rating. Residents here also require more hands-on care than at a typical facility — less mobile or medically complex on average — so those 184 minutes stretch thinner than the number alone suggests. RN coverage specifically comes to about 29 minutes per resident per day, compared to 37 minutes at a 4-star-staffing facility in Texas.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing levels on nights and weekends
Weekend nursing hours average 2.66 hours per resident per day — lower than the weekday figure; ask how many nurses and aides are on duty overnight and on weekends.
How RN coverage is scheduled
Reported RN hours come to about 29 minutes per resident per day; ask whether a registered nurse is on-site around the clock or available only during day shifts.
Resident Council meeting schedule
The facility has a Resident Council but no Family Council; ask how families are informed of concerns raised in those meetings and whether family attendance is permitted.
Management company's role day-to-day
The licensed owner is a hospital district, but day-to-day operations are run by 409 S Files Street Opco LLC; ask which entity sets staffing budgets and handles complaints.
Waitlist and current bed availability
The facility averages 46 residents in 51 licensed beds — about 90% occupied; ask whether there is a current waitlist and what the typical wait time is.
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.