Texas·El Paso County·El Paso

Avir At Patriot in El Paso, El Paso County, Texas

El Paso, El Paso County, Texas 79934

Status Medicare and Medicaid certifiedMedicare CCN 676468
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

Location and contact

Address
11490 Gateway North Blvd
El Paso, TX 79934
Open map (OpenStreetMap)
Phone
(915) 317-1758
HHSC facility ID
110220
License number
307940

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.

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
MeasureThis facilityTexas average (this site)
Total nurse staffing3.19 hours3.42 hours n=1,152
Registered nurse0.21 hours0.44 hours
LPN0.85 hours0.95 hours
Nurse aide2.13 hours2.03 hours
Weekend nurse staffing2.88 hours2.99 hours

0.23 hours below this site’s computed Texas average.

Total nursing staff turnover
49% (Texas average computed on this site: 50.8%, n=1,096)
RN turnover
44.4%
Average residents per day
116.7
Certified beds (CMS)
124

Penalties in the CMS Provider Information file: 3 finestotaling $108,786; 3 total penalties. These are the figures CMS published in this release. Confirm current figures on Medicare.gov.

Fines and payment denials

Individual fines and payment denials below come from the CMS Penalties file (official release October 28, 2026; processing date October 1, 2026). Dates and amounts are copied as published. They can lag later actions or successful appeals. Confirm current figures on Medicare.gov.

CMS fines and payment denials
DateTypeFine amountPayment denial
March 12, 2026Fine · Fine ID 137884$82,469—
March 25, 2025Fine · Fine ID 113706$10,509—
July 10, 2024Fine · Fine ID 113030$15,808—

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
MeasureStayFour-quarter averageUsed in Five-Star QM rating
Percentage of long-stay residents whose need for help with daily activities has increased
Quarterly scores

Q1 7.4% · Q2 7.7% · Q3 12.2% · Q4 8.3% · Period 2025Q3-2026Q2 · Measure code 401

Long Stay8.9%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 Stay0.0%Yes, as published by CMS
Percentage of long-stay residents with a urinary tract infection
Quarterly scores

Q1 1.1% · Q2 1.2% · Q3 1.2% · Q4 0.0% · Period 2025Q3-2026Q2 · Measure code 407

Long Stay0.9%Yes, as published by CMS
Percentage of long-stay residents experiencing one or more falls with major injury
Quarterly scores

Q1 3.2% · Q2 2.2% · Q3 2.2% · Q4 1.1% · Period 2025Q3-2026Q2 · Measure code 410

Long Stay2.2%Yes, as published by CMS
Percentage of long-stay residents whose ability to walk independently worsened
Quarterly scores

Q1 12.3% · Q2 12.4% · Q3 9.3% · Q4 7.3% · Period 2025Q3-2026Q2 · Measure code 451

Long Stay10.3%Yes, as published by CMS
Percentage of long-stay residents with pressure ulcers
Quarterly scores

Q1 3.9% · Q2 3.4% · Q3 4.1% · Q4 4.4% · Period 2025Q3-2026Q2 · Measure code 479

Long Stay4.0%Yes, as published by CMS
Percentage of long-stay residents who received an antipsychotic medication
Quarterly scores

Q1 7.3% · Q2 5.6% · Q3 10.2% · Q4 6.3% · Period 2025Q3-2026Q2 · Measure code 481

Long Stay7.4%Yes, as published by CMS
Percentage of long-stay residents who lose too much weight
Quarterly scores

Q1 3.7% · Q2 3.8% · Q3 0.0% · Q4 0.0% · Period 2025Q3-2026Q2 · Measure code 404

Long Stay1.9%No, as published by CMS
Percentage of long-stay residents who have depressive symptoms
Quarterly scores

Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · Period 2025Q3-2026Q2 · Measure code 408

Long Stay0.0%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 Stay0.0%No, as published by CMS
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
Quarterly scores

Q1 98.9% · Q2 98.9% · Q3 93.3% · Q4 98.9% · Period 2025Q3-2026Q2 · Measure code 415

Long Stay97.5%No, as published by CMS
Percentage of long-stay residents who received an antianxiety or hypnotic medication
Quarterly scores

Q1 28.4% · Q2 23.5% · Q3 20.2% · Q4 19.5% · Period 2025Q3-2026Q2 · Measure code 452

Long Stay22.9%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 Stay97.9%No, as published by CMS
Percentage of long-stay residents with new or worsened bowel or bladder incontinence
Quarterly scores

Q1 15.4% · Q2 13.0% · Q3 14.7% · Q4 12.6% · Period 2025Q3-2026Q2 · Measure code 480

Long Stay13.9%No, as published by CMS
Percentage of short-stay residents who newly received an antipsychotic medication
Quarterly scores

Q1 2.0% · Q2 2.5% · Q3 1.8% · Q4 1.9% · Period 2025Q3-2026Q2 · Measure code 434

Short Stay2.1%Yes, as published by CMS
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
Quarterly scores

Q1 99.3% · Q2 99.4% · Q3 95.1% · Q4 94.5% · Period 2025Q3-2026Q2 · Measure code 430

Short Stay97.1%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 Stay95.1%No, as published by CMS

Inspection citations

76 health citations in the CMS file (48 from complaint surveys). Highest scope/severity letter in the file: J — Isolated, immediate jeopardy.

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
SeverityIsolatedPatternWidespread
Potential for minimal harmABC
No actual harm, potential for more than minimal harmDEF
Actual harmGHI
Immediate jeopardyJKL
2026 — 9 citations

Tag 0610D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: August 20, 2026

CMS records a correction date (August 21, 2026)

More detail

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0644D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: July 23, 2026

CMS records a correction date (August 11, 2026)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0842E

E — Pattern, potential for more than minimal harm

Complaint survey

Survey date: March 12, 2026

CMS records a correction date (March 13, 2026)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0755D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: March 12, 2026

CMS records a correction date (March 13, 2026)

More detail

Pharmacy Service Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0710D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: March 12, 2026

CMS records a correction date (March 13, 2026)

More detail

Nursing and Physician Services Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0684J

J — Isolated, immediate jeopardy

Complaint survey

Survey date: March 12, 2026

CMS records a correction date (March 13, 2026)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0600D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: March 12, 2026

CMS records a correction date (March 13, 2026)

More detail

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0585D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: March 12, 2026

CMS records a correction date (March 13, 2026)

More detail

Resident Rights Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0580E

E — Pattern, potential for more than minimal harm

Complaint survey

Survey date: March 12, 2026

CMS records a correction date (March 13, 2026)

More detail

Resident Rights Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

2025 — 18 citations

Tag 0842D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: November 25, 2025

CMS records a correction date (November 26, 2025)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0585D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: November 25, 2025

CMS records a correction date (November 26, 2025)

More detail

Resident Rights Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0580D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: November 25, 2025

CMS records a correction date (November 26, 2025)

More detail

Resident Rights Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0908E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: August 29, 2025

CMS records a correction date (August 30, 2025)

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

Complaint survey, Standard survey

Survey date: August 29, 2025

CMS records a correction date (August 30, 2025)

More detail

Infection Control Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0761D

D — Isolated, potential for more than minimal harm

Complaint survey, Standard survey

Survey date: August 29, 2025

CMS records a correction date (August 30, 2025)

More detail

Pharmacy Service Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0695D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: August 29, 2025

CMS records a correction date (August 30, 2025)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0690E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: August 29, 2025

CMS records a correction date (August 30, 2025)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0677E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: August 29, 2025

CMS records a correction date (August 30, 2025)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0585D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: August 29, 2025

CMS records a correction date (August 30, 2025)

More detail

Resident Rights Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0558E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: August 29, 2025

CMS records a correction date (August 30, 2025)

More detail

Resident Rights Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0880E

E — Pattern, potential for more than minimal harm

Complaint survey

Survey date: August 8, 2025

CMS records a correction date (August 9, 2025)

More detail

Infection Control Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0842D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: August 8, 2025

CMS records a correction date (August 9, 2025)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0686D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: August 8, 2025

CMS records a correction date (August 9, 2025)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0644D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: April 22, 2025

CMS records a correction date (April 23, 2025)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0726D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: March 25, 2025

CMS records a correction date (March 26, 2025)

More detail

Nursing and Physician Services Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0689J

J — Isolated, immediate jeopardy

Complaint survey

Survey date: March 25, 2025

Past non-compliance, as recorded by CMS (February 27, 2025)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0609D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: March 25, 2025

CMS records a correction date (March 26, 2025)

More detail

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

2024 — 28 citations

Tag 0689E

E — Pattern, potential for more than minimal harm

Complaint survey

Survey date: December 12, 2024

CMS records a correction date (December 13, 2024)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0604E

E — Pattern, potential for more than minimal harm

Complaint survey

Survey date: December 12, 2024

CMS records a correction date (December 13, 2024)

More detail

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0550E

E — Pattern, potential for more than minimal harm

Complaint survey

Survey date: December 12, 2024

CMS records a correction date (December 13, 2024)

More detail

Resident Rights Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0610D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: October 31, 2024

CMS records a correction date (November 1, 2024)

More detail

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0700E

E — Pattern, potential for more than minimal harm

Complaint survey

Survey date: August 13, 2024

CMS records a correction date (August 14, 2024)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0641E

E — Pattern, potential for more than minimal harm

Complaint survey

Survey date: August 13, 2024

CMS records a correction date (August 14, 2024)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0842D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: August 5, 2024

CMS records a correction date (August 6, 2024)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0695D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: August 5, 2024

CMS records a correction date (August 6, 2024)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0656D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: August 5, 2024

CMS records a correction date (August 6, 2024)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0908D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: July 19, 2024

CMS records a correction date (July 20, 2024)

More detail

Environmental Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0880D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: July 19, 2024

CMS records a correction date (July 20, 2024)

More detail

Infection Control Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0814D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: July 19, 2024

CMS records a correction date (July 20, 2024)

More detail

Nutrition and Dietary Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0812E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: July 19, 2024

CMS records a correction date (July 20, 2024)

More detail

Nutrition and Dietary Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0758E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: July 19, 2024

CMS records a correction date (July 20, 2024)

More detail

Pharmacy Service Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0695D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: July 19, 2024

CMS records a correction date (July 20, 2024)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0693D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: July 19, 2024

CMS records a correction date (July 20, 2024)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0689D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: July 19, 2024

CMS records a correction date (July 20, 2024)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0688D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: July 19, 2024

CMS records a correction date (July 20, 2024)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0640B

B — Pattern, potential for minimal harm

Standard survey

Survey date: July 19, 2024

CMS records a correction date (July 20, 2024)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0558D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: July 19, 2024

CMS records a correction date (July 20, 2024)

More detail

Resident Rights Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

8 more 2024 citations

Tag 0689J

J — Isolated, immediate jeopardy

Complaint survey

Survey date: July 10, 2024

Past non-compliance, as recorded by CMS (April 22, 2024)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0880E

E — Pattern, potential for more than minimal harm

Complaint survey

Survey date: April 23, 2024

CMS records a correction date (May 14, 2024)

More detail

Infection Control Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0851D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: April 23, 2024

CMS records a correction date (May 14, 2024)

More detail

Administration Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0689E

E — Pattern, potential for more than minimal harm

Complaint survey

Survey date: April 23, 2024

CMS records a correction date (May 14, 2024)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0686D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: April 23, 2024

CMS records a correction date (May 14, 2024)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0644D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: April 23, 2024

CMS records a correction date (May 14, 2024)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0550D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: April 23, 2024

CMS records a correction date (May 14, 2024)

More detail

Resident Rights Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0684E

E — Pattern, potential for more than minimal harm

Complaint survey

Survey date: March 18, 2024

CMS records a correction date (April 5, 2024)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

2023 — 21 citations

Tag 0887E

E — Pattern, potential for more than minimal harm

Complaint survey

Survey date: December 22, 2023

CMS records a correction date (January 12, 2024)

More detail

Infection Control Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0880E

E — Pattern, potential for more than minimal harm

Complaint survey

Survey date: December 22, 2023

CMS records a correction date (February 16, 2024)

More detail

Infection Control Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0755E

E — Pattern, potential for more than minimal harm

Complaint survey

Survey date: December 22, 2023

CMS records a correction date (January 5, 2024)

More detail

Pharmacy Service Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0690E

E — Pattern, potential for more than minimal harm

Complaint survey

Survey date: December 22, 2023

CMS records a correction date (January 5, 2024)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0656E

E — Pattern, potential for more than minimal harm

Complaint survey

Survey date: December 22, 2023

CMS records a correction date (January 2, 2024)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0880D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: November 17, 2023

CMS records a correction date (November 24, 2023)

More detail

Infection Control Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0656D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: November 17, 2023

CMS records a correction date (November 24, 2023)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0880E

E — Pattern, potential for more than minimal harm

Complaint survey

Survey date: October 13, 2023

CMS records a correction date (October 26, 2023)

More detail

Infection Control Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0842E

E — Pattern, potential for more than minimal harm

Complaint survey

Survey date: October 13, 2023

CMS records a correction date (October 26, 2023)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0623D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: October 13, 2023

CMS records a correction date (October 23, 2023)

More detail

Resident Rights Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0812E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: May 24, 2023

CMS records a correction date (June 16, 2023)

More detail

Nutrition and Dietary Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0758D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: May 24, 2023

CMS records a correction date (June 23, 2023)

More detail

Pharmacy Service Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0755D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: May 24, 2023

CMS records a correction date (June 22, 2023)

More detail

Pharmacy Service Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0725E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: May 24, 2023

CMS records a correction date (June 23, 2023)

More detail

Nursing and Physician Services Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0695E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: May 24, 2023

CMS records a correction date (June 21, 2023)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0693E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: May 24, 2023

CMS records a correction date (June 23, 2023)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0689G

G — Isolated, actual harm

Standard survey

Survey date: May 24, 2023

CMS records a correction date (June 21, 2023)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0679D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: May 24, 2023

CMS records a correction date (June 21, 2023)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0677E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: May 24, 2023

CMS records a correction date (June 22, 2023)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0645D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: May 24, 2023

CMS records a correction date (June 23, 2023)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

1 more 2023 citation

Tag 0623D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: May 24, 2023

CMS records a correction date (May 29, 2023)

More detail

Resident Rights Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

License and identity (HHSC)

License effective
March 10, 2025
License expires
December 1, 2027
Initial license date
August 30, 2019
Facility licensed
Yes
Facility certified (HHSC)
Yes
Service type
MEDICARE/MEDICAID
Total licensed capacity
124 beds
Bed mix (HHSC)
Licensed only 0; Medicaid only 0; Medicare only 25; Medicare/Medicaid 99; ICF/IID 0
Alzheimer capacity
0
Administrator
Angel Castro
Management company
11490 Gateway North Boulevard 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
NameRoleTypeShareAssociated
11490 GATEWAY NORTH BOULEVARD PROPERTY OWNER, LLC5% OR GREATER SECURITY INTERESTOrganizationNOT APPLICABLEsince 03/01/2025
WELLTOWER INC5% OR GREATER SECURITY INTERESTOrganizationNOT APPLICABLEsince 03/01/2025
WELLTOWER NNN GROUP, LLC5% OR GREATER SECURITY INTERESTOrganizationNOT APPLICABLEsince 03/01/2025
WELLTOWER OP LLC5% OR GREATER SECURITY INTERESTOrganizationNOT APPLICABLEsince 03/01/2025
THOMPSON, JOHNNYCORPORATE OFFICERIndividualNOT APPLICABLEsince 03/01/2025
11490 GATEWAY NORTH BOULEVARD OPCO, LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 03/01/2025
FREUND, NOCHUMOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 03/01/2025
TRAVITSKY, AARONOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 03/01/2025
VARGHESE, LINDAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 03/01/2025
DAGAN, AMITAIINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualNOT APPLICABLEsince 04/25/2025
GOLDBERGER, ABRAHAMINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualNOT APPLICABLEsince 04/25/2025
11490 GATEWAY NORTH BOULEVARD OPCO, LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 04/25/2025
6 more CMS ownership records
Additional CMS ownership records
NameRoleTypeShareAssociated
11490 GATEWAY NORTH BOULEVARD PROPERTY OWNER, LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 03/01/2025
WELLTOWER INCADP OF THE SNFOrganizationNOT APPLICABLEsince 03/01/2025
WELLTOWER NNN GROUP, LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 03/01/2025
WELLTOWER OP LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 03/01/2025
CASTRO CARDENAS, ANGELADP OF THE SNFIndividualNOT APPLICABLEsince 03/01/2025
VARGHESE, LINDAADP OF THE SNFIndividualNOT APPLICABLEsince 03/01/2025
HHSC owner fields
Owner (HHSC)
West Wharton County 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.