CCN 675712 · Hill County, Texas
Avir at Itasca
409 S Files St, Itasca, TX 76055
Avir at Itasca is a 51-bed for-profit nursing home in Itasca, Texas, first certified for Medicare or Medicaid in 1997. CMS rates it 4 out of 5 stars overall in its September 2026 data, and it averaged 45.7 residents a day, about 90% of its certified beds. We found no FHA-insured Section 232 loan for it in HUD's healthcare endorsement database (fiscal 2001 onward).
Facility facts
- Certified beds
- 51
- Average residents per day
- 45.7 (89.6% of beds)
- Ownership type
- For profit - Limited Liability company
- Certification
- Medicare and Medicaid
- Legal business name
- Eastland Memorial Hospital District
- Certified since
- Aug 4, 1997
- Chain or affiliated group
- Avir Health Group (118 facilities, chain average 2.3 stars)
- Location
- Rural
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Texas median | US median |
|---|---|---|---|
| Overall rating | 4 of 5 | State spread: 322 at 1, 244 at 2, 247 at 3, 211 at 4, 141 at 5 | |
| Health inspections | 4 of 5 | ||
| Quality measures | 4 of 5 | ||
| Staffing | 3 of 5 | ||
| Total nurse hours per resident per day | 2.97 | 3.27 | 3.68 |
| RN hours per resident per day | 0.52 | 0.38 | 0.58 |
| Weekend nurse hours per resident per day | 2.66 | ||
| Nursing staff turnover | 40.0% | 52.1% | 44.9% |
| Occupancy (residents / beds) | 89.6% | 68.6% | 85.7% |
| Fines reported by CMS | None | ||
| Health deficiencies, latest standard survey | 6 (Jan 8, 2026) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Avir at Itasca meets that part today: 4 stars overall, 4 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| 409 S Files Street Holdings, LLCOrganization | Direct Ownership Interest | n/a | 04/21/2025 |
| Eastland Memorial Hospital DistrictOrganization | Direct Ownership Interest | 100% | 03/01/2017 |
| 409 S Files Street Property Owner, LLCOrganization | Security Interest | n/a | 03/01/2025 |
| Welltower IncOrganization | Security Interest | n/a | 03/01/2025 |
| Welltower Nnn Group, LLCOrganization | Security Interest | n/a | 03/01/2025 |
| Welltower Op, LLCOrganization | Security Interest | n/a | 03/01/2025 |
| 409 S Files Street Opco, LLCOrganization | Operational / Managerial Control | n/a | 03/01/2025 |
| Earhart, JamesIndividual | Operational / Managerial Control | n/a | 03/01/2025 |
| Freund, NochumIndividual | Operational / Managerial Control | n/a | 03/01/2025 |
| Travitsky, AaronIndividual | Operational / Managerial Control | n/a | 03/01/2025 |
Changes of ownership
| Effective | Buyer | Seller |
|---|---|---|
| Mar 1, 2017 | Eastland Memorial Hospital District | Itasca Nursing Operations LLC |
HUD Section 232 loans
No FHA-insured loan matching this facility appears in HUD's database of healthcare endorsements, which covers fiscal 2001 onward (HUD data run of July 8, 2026). A loan could still exist under a different project name or from before 2001.
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.