Avir At Emerald Hills

Penalties

• Jun 26, 2025 — Fine ($195,946)

Inspection findings

1. Jun 18, 2026 Fire Safety · 15 findings
   • Not serious Scope/severity F

     E0009 Emergency Preparedness Deficiencies

     Include a process for Emergency Preparedness collaboration.

     Corrected Jul 18, 2026 · CMS fire safety

   • Not serious Scope/severity F

     E0024 Emergency Preparedness Deficiencies

     Establish policies and procedures for volunteers.

     Corrected Jul 18, 2026 · CMS fire safety

   • Not serious Scope/severity F

     E0026 Emergency Preparedness Deficiencies

     Establish roles under a Waiver declared by secretary.

     Corrected Jul 18, 2026 · CMS fire safety

   • Not serious Scope/severity F

     E0030 Emergency Preparedness Deficiencies

     List the names and contact information of those in the facility.

     Corrected Jul 18, 2026 · CMS fire safety

   • Not serious Scope/severity E

     F0677 Quality of Life and Care Deficiencies

     Provide care and assistance to perform activities of daily living for any resident who is unable.

     Corrected Jun 19, 2026 · CMS health inspection

   • Not serious Scope/severity E

     F0690 Quality of Life and Care Deficiencies

     Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

     Corrected Jun 19, 2026 · CMS health inspection

   • Not serious Scope/severity F

     F0727 Nursing and Physician Services Deficiencies

     Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

     Corrected Jun 19, 2026 · CMS health inspection

   • Not serious Scope/severity E

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Jun 19, 2026 · CMS health inspection

   • Not serious Scope/severity D

     K0222 Egress Deficiencies

     Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

     Corrected Jul 18, 2026 · CMS fire safety

   • Not serious Scope/severity F

     K0324 Smoke Deficiencies

     Provide properly protected cooking facilities.

     Corrected Jul 18, 2026 · CMS fire safety

   • Not serious Scope/severity F

     K0343 Smoke Deficiencies

     Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

     Corrected Jul 18, 2026 · CMS fire safety

   • Not serious Scope/severity D

     K0351 Smoke Deficiencies

     Install an approved automatic sprinkler system.

     Corrected Jul 18, 2026 · CMS fire safety

   • Not serious Scope/severity F

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Jul 18, 2026 · CMS fire safety

   • Not serious Scope/severity F

     K0374 Smoke Deficiencies

     Install smoke barrier doors that can resist smoke for at least 20 minutes.

     Corrected Jul 18, 2026 · CMS fire safety

   • Not serious Scope/severity F

     K0522 Services Deficiencies

     Have an externally vented heating system.

     Corrected Jul 18, 2026 · CMS fire safety

2. Apr 22, 2026 Health · 1 finding
   • Serious Scope/severity G Complaint

     F0777 Administration Deficiencies

     Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.

     Corrected Apr 23, 2026 · CMS health inspection

3. Apr 9, 2026 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0695 Quality of Life and Care Deficiencies

     Provide safe and appropriate respiratory care for a resident when needed.

     Corrected Apr 10, 2026 · CMS health inspection

4. Dec 9, 2025 Health · 3 findings
   • Not serious Scope/severity D Complaint

     F0755 Pharmacy Service Deficiencies

     Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

     Corrected Dec 10, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0760 Pharmacy Service Deficiencies

     Ensure that residents are free from significant medication errors.

     Corrected Dec 10, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Dec 10, 2025 · CMS health inspection

5. Jun 26, 2025 Health · 4 findings
   • Not serious Scope/severity D Complaint

     F0584 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.

     Corrected Jun 27, 2025 · CMS health inspection

   • Serious Scope/severity J Complaint

     F0607 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Develop and implement policies and procedures to prevent abuse, neglect, and theft.

     Corrected Jun 27, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

     Corrected Jun 27, 2025 · CMS health inspection

   • Serious Scope/severity J Complaint

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Jun 27, 2025 · CMS health inspection

6. Apr 17, 2025 Health · 3 findings
   • Not serious Scope/severity E

     F0578 Resident Rights Deficiencies

     Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

     Corrected Apr 18, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Apr 18, 2025 · CMS health inspection

   • Not serious Scope/severity E

     K0211 Egress Deficiencies

     Keep aisles, corridors, and exits free of obstruction in case of emergency.

     Corrected Apr 18, 2025 · CMS fire safety

7. Aug 9, 2024 Health · 1 finding
   • Not serious Scope/severity E Complaint

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Aug 10, 2024 · CMS health inspection

8. Feb 29, 2024 Health · 6 findings
   • Not serious Scope/severity D

     F0635 Resident Assessment and Care Planning Deficiencies

     Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

     Corrected Mar 1, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0641 Resident Assessment and Care Planning Deficiencies

     Ensure each resident receives an accurate assessment.

     Corrected Mar 1, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0656 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.

     Corrected Mar 1, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Mar 1, 2024 · CMS health inspection

   • Not serious Scope/severity E

     K0223 Egress Deficiencies

     Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

     Corrected Mar 29, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0761 Miscellaneous Deficiencies

     To conduct inspection, testing and maintenance of fire doors by qualified individuals.

     Corrected Mar 29, 2024 · CMS fire safety

9. Jan 9, 2024 Health · 2 findings
   • Not serious Scope/severity D Complaint

     F0675 Quality of Life and Care Deficiencies

     Honor each resident's preferences, choices, values and beliefs.

     Corrected Jan 12, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0921 Environmental Deficiencies

     Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

     Corrected Jan 12, 2024 · CMS health inspection

Owners and managers (as published by CMS)

• BEHNAM, SOROUSH — adp of the snf, NOT APPLICABLE, since 08/01/2025
• BEHNAM, SOROUSH — operational/managerial control, NOT APPLICABLE, since 08/01/2025
• CASTANEDA, EDMUNDO — corporate officer, NOT APPLICABLE, since 01/10/2022
• CERISE, FREDERICK — corporate officer, NOT APPLICABLE, since 03/24/2014
• DAGAN, AMITAI — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 11/12/2025
• FREUND, NOCHUM — operational/managerial control, NOT APPLICABLE, since 08/01/2025
• GOLDBERGER, ABRAHAM — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 11/12/2025
• GOLDBERGER, FAIGY — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 11/12/2025
• HARRIS, JONATHAN — adp of the snf, NOT APPLICABLE, since 08/01/2025
• TRAVITSKY, AARON — operational/managerial control, NOT APPLICABLE, since 08/01/2025
• 5600 DAVIS BLVD OPCO, LLC — operational/managerial control, NOT APPLICABLE, since 08/01/2025
• 5600 DAVIS BLVD PROPERTY OWNER, LLC — adp of the snf, NOT APPLICABLE, since 08/01/2025
• DALLAS COUNTY HOSPITAL DISTRICT — 5% or greater direct ownership interest, 100%, since 03/31/2017
• WELLTOWER NNN GROUP, LLC — adp of the snf, NOT APPLICABLE, since 08/01/2025
• WELLTOWER OP, LLC — adp of the snf, NOT APPLICABLE, since 08/01/2025