Dallas County, Texas · Nursing home
Avante Rehabilitation Center
2 of 5 overall from CMS
225 N Sowers Rd, Irving, TX 75061
At a glance
- Overall rating 2 of 5 Below the state average of 2.7
- Nurse time per resident, per day 2.58 hours Below the state average of 3.39
- Nursing staff who left in a year 66.0% Above the state average of 55.3%
- Health citations, last 3 inspection cycles 19 6 at the harm level or above
- Fines in 3 years $24,542 2 fines
- Certified beds in use 100.7% of 120 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Avante Rehabilitation Center is a 120-bed nursing home in Irving, Texas (Dallas County). CMS rates it 2 of 5 stars overall as of Sep 2026. It reports 2.58 nurse staffing hours per resident per day, below the Texas average of 3.39. CMS lists 2 fines totaling $24,542 in the past three years.
- Certified beds
- 120
- Residents per day (average)
- 120.8
- Certified since
- 2002 (24 yrs)
For profit - Limited Liability company Participates in Medicare and MedicaidPart of Hamilton County Hospital District (10 homes)
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Avante Rehabilitation Center
Chosen from this home's public data.
- CMS lists 2 fines totaling $24,542 in the past three years. What changed after the most recent one?Penalties in CMS data
- Nursing staff turnover is 66.0%, above the Texas average of 55.3%. How often would the same aides care for my relative?Turnover in CMS data
- About 100.7% of certified beds are in use on an average day. Is there a waiting list, and how long is it?Certified beds and average residents in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 2 of 5 Texas average 2.7
- Health inspections 2 of 5 Texas average 2.8
- Staffing 1 of 5 Texas average 1.9
- Quality measures 5 of 5 Texas average 3.7
The vertical line marks the Texas average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 2.58 h Texas average 3.39
- Nurse aides 1.56 h Texas average 2.01
- Licensed practical nurses 0.72 h Texas average 0.95
- Registered nurses 0.30 h Texas average 0.43
- All staff, weekends 2.34 h Texas average 2.98
How much nurse staffing is enough? All bars share one scale, 0 to 11 hours. The vertical line marks the Texas average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover66.0%
- Texas average55.3%
- Registered nurse turnover61.5%
- Texas average54.6%
- Administrators who left1
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Texas and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Texas | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 21.3% | 15.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 0.0% | 3.0% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.1% | 0.3% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 2.0% | 0.8% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 2.2% | 2.4% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.0% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 0.4% | 3.3% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.2% | 96.6% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 20.4% | 14.0% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 10.4% | 18.0% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.4% | 98.0% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 4.6% | 3.8% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 20.9% | 13.4% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 3.8% | 9.6% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 1.97 | 2.17 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 0.80 | 2.06 | 1.78 |
Short-stay residents
| Measure | This home | Texas | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 96.8% | 88.9% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 0.2% | 1.5% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 98.5% | 88.0% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 19.4% | 25.7% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 9.0% | 12.3% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 19 health deficiencies in the three most recent inspection cycles. Of these, 6 were at the immediate jeopardy level; the rest were graded as no actual harm. 7 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Mar 28, 2024: Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Jul 31, 2025 | 4 | 0 |
| Aug 1, 2024 | 5 | 1 |
| Jun 2, 2023 | 10 | 3 |
Texas homes averaged 9.4 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (19)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Complaint investigation · Infection Control · Deficient, Provider has date of correction (May 15, 2026)
-
EPotential for more than minimal harm, pattern
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service · Deficient, Provider has date of correction (Aug 1, 2025)
-
EPotential for more than minimal harm, pattern
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Aug 1, 2025)
-
DPotential for more than minimal harm, isolated
Assure that each resident’s assessment is updated at least once every 3 months.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Aug 1, 2025)
-
FPotential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Aug 2, 2024)
Show 14 more
-
EPotential for more than minimal harm, pattern
Ensure a qualified health professional conducts resident assessments.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Aug 20, 2024)
-
EPotential for more than minimal harm, pattern
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service · Deficient, Provider has date of correction (Aug 20, 2024)
-
EPotential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Aug 20, 2024)
-
DPotential for more than minimal harm, isolated
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Aug 20, 2024)
-
JImmediate jeopardy, isolated
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Apr 19, 2024)
-
JImmediate jeopardy, isolated
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Oct 27, 2023)
-
JImmediate jeopardy, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Oct 27, 2023)
-
JImmediate jeopardy, isolated
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Oct 27, 2023)
-
JImmediate jeopardy, isolated
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Oct 27, 2023)
-
JImmediate jeopardy, isolated
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Complaint investigation · Administration · Deficient, Provider has date of correction (Oct 27, 2023)
-
EPotential for more than minimal harm, pattern
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jun 22, 2023)
-
EPotential for more than minimal harm, pattern
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jun 22, 2023)
-
DPotential for more than minimal harm, isolated
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jun 22, 2023)
-
DPotential for more than minimal harm, isolated
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jun 22, 2023)
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Mar 28, 2024 | Fine | $17,096 |
| Oct 4, 2023 | Fine | $7,446 |
Texas homes averaged 1.5 fines and $44,141 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Texas
- Size520 of 1177 by certified beds
- Texas average residents per day75.8
- ChainHamilton County Hospital District
- Chain average overall rating2.3 of 5
- Resident or family councilResident
- Homes in Irving6
- Homes in Dallas County82
Common questions
What is the CMS star rating for Avante Rehabilitation Center?
Avante Rehabilitation Center has an overall rating of 2 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 2, staffing is 1 and quality measures is 5.
How many beds does Avante Rehabilitation Center have?
Avante Rehabilitation Center has 120 certified beds. It averages 120.8 residents per day, about 100.7% of its certified beds.
How much nursing care do residents get at Avante Rehabilitation Center?
The home reports 2.58 hours of nurse staffing per resident per day, including 0.30 hours from registered nurses. The Texas average is 3.39 hours and 0.43 hours from registered nurses.
Has Avante Rehabilitation Center been fined?
Yes. CMS lists 2 fines totaling $24,542 in the past three years.
Does Avante Rehabilitation Center accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 5 of 5 Avir at Irving 84beds 48.1%in use 3.31nurse hours a day
- 1 of 5 Ashford Hall 206beds 55.3%in use 3.71nurse hours a day
- 2 of 5 The Villages on MacArthur 124beds 83.5%in use 3.45nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Dallas County
Who to call in Texas
These offices serve residents of every nursing home in Texas.
- Long-term care ombudsman Office of the State Long-Term Care Ombudsman 1-800-252-2412 An advocate for residents and their families.
- File a complaint about a nursing home Complaint and Incident Intake 1-800-458-9858 (Monday to Friday, 7 a.m. to 7 p.m. Central) The state agency that inspects nursing homes.
Texas staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 675908. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.