Karen Rodriguez
Nov 2025
This is my home and my family and everyone loves everyone. If you want to be a part of a family come to Avir at Itasca
Homestead Nursing & Rehab
409 S Files St3.9(15 ratings)
Part of Avir Health Group · 126 communities · 4★ average
Quick Facts
- Total units
- 51
- Medicare rating
- 4 of 5
- Ownership
- For profit, Limited Liability company
- Certified beds
- 51
- Inspections
- View history (20 citations)
- Facility size
- Small 16-bed skilled nursing community
- Memory care
- Secured unit for dementia and cognitive impairment
- Therapy frequency
- PT/OT/speech therapy up to 5x weekly
- Religious services
- On-site church services held on Sundays
- CMS rating
- 5-star CMS overall rating in 2024
CMS Care Compare
What Families Think
An automated summary of family reviews and public information. Not verified by MyLivingChoice; confirm services, staffing and pricing with the community.
Reviewers of this small, 16-bed skilled nursing and memory care facility in Itasca, TX are sharply divided. Several praise the close-knit, family-like atmosphere, home-style cooking, and attentive staff, while two detailed 1-star reviews describe serious neglect, poor hygiene, and financial mismanagement concerns.
What reviewers praise
- Family-like, caring staff atmosphere
- Home-style cooking praised by residents
- 5-star CMS overall rating in 2024
- Secured memory care unit for dementia residents
- On-site PT, OT, and speech therapy
- Communal spaces: salon, library, sunroom, church services
What reviewers flag
- Serious allegations of neglect and poor hygiene from one family
- Reports of financial mismanagement and unexplained missing funds
- One reviewer described facility as small, drab, and aged with plumbing issues
- One account of COVID-related death and mistreatment concerns
AI-generated from reviews and community data.
Homestead Nursing & Rehab is a senior living community in Itasca, Texas offering Skilled Nursing / Long Term Care and Memory Care. Amenities include Restaurant style Dining Room, Gathering / Activity Spaces and Social Activities. Families rate it 3.9 out of 5 across 15 reviews.
About Homestead Nursing & Rehab
Avir at Itasca is a skilled nursing and rehabilitation facility located in Itasca, Texas. The 16-bed community provides short-term rehabilitation, long-term skilled nursing care, and secure memory support for residents with dementia or cognitive impairments.
The facility offers comprehensive therapeutic services, including physical, occupational, and speech therapies available up to five times per week for post-hospital recovery. Residents benefit from individualized care plans tailored to their specific needs, supported by around-the-clock nursing staff. The community received a 5-star CMS overall rating in 2024.
Avir at Itasca features multiple communal spaces designed for resident comfort and engagement, including a salon, therapy gym, library, recreation room, sunroom, and on-site church services on Sundays. A large front porch provides a relaxing outdoor area for residents and guests. The facility maintains calm, quiet spaces for reading, reflection, and prayer.
The community is home to feline companions that roam freely throughout the facility, providing comfort and companionship to residents and visitors. A designated smoking area is available for residents who need it. The memory care unit is designed as a safe, gender-inclusive environment supporting residents in a structured, calm setting.
Types of Care at Homestead Nursing & Rehab
Memory CareSkilled Nursing / Long Term Care
Amenities
Room Amenities
- Cable or Satellite TV
- Emergency Call System
- Private Bathroom
- Private Rooms
- Wheelchair Accessible
Meals & Dining
- Dietary Accommodations (Gluten-Free, Low / No Sodium, No Sugar, Vegan)
- Restaurant style Dining Room
Community Amenities
- 24-Hour Staff
- Gathering / Activity Spaces
- Housekeeping
- Laundry Service
- Medication Management
- On-Site Nurse (RN)
- Pet Friendly
- Salon / Barber
Activities
- Religious Services
- Social Activities (Happy Hour, Wine Tasting, Dances, Karaoke)
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Help Me ChooseReviews of Homestead Nursing & Rehab
3.9overall · 15 ratings combined
3.9★ on Google (15)
Jenifer Bailey
Oct 2023
If you hate your family member and want them slowly drained of all self worth then this is the place. My mother became a resident there 12/19 and it seemed great! Everything does in the beginning, then the truth reveals itself. They are smug, unfeeling, don’t have a clue on how to tell the truth or follow the law. Save your time contacting state for help they are basically one and the same. There were times my mother smelled so bad I could hardly hug her, her nails had her feces under them, they didn’t bother to clean them they just painted over them with a hideous bright pink. It was bad enough my mother asked me to please do something so I had to quit my job to take care of her. These idiots actually called APS on me!! “ They were afraid I didn’t have the equipment to take care of her” smh They had an entire facility and they couldn’t get the job done. I have no clue what her trust fund money was spent on it wasn’t hair washed or hair cuts nor was it personal hygine products because I had to buy them for her and we have never received anything stating her financial standings until right before I brought her home. They informed me they hadn’t recieved her pension check in 2 years!!! Two months would be pretty hard to accept but 2 years?!? And have acted like they have been more than patient with us not taking care of it. They lost her bottom denture plate charged her for it and she still doesn’t have a bottom plate . I’m not sure what meds they gave her but it must have been horrible because she stopped all meds completely! She is a diabetic and heart patient. And apparently has an esophageal hernia so bad she can only eat puréed food and most of the time can’t eat or drink without getting sick. They NEVER MENTIONED ONE SINGLE WORD OF THIS TO ME! I tried to get her moved to a different nursing home but thanks to the admin who openly said it was her fault the home refused to take her. The things my mother has told me since she has been home I’m mad at myself that I ever left her there for 1 night much less 4 years!! If I could leave a rating of negative stars I would, it needs to be shut down. The local vet would be more humane.
Joe Anders
Jan 2022
Do not send your family here they have so many complaints about mistreating ppl there, I didn't find out till after my mother cought covid while she lived there and died. That going through her phone that they mistreated her so badly to the point the point she was glad she could finally leave there. That is beyond sad and if your reading this please have health officials and the state look into it. I still have her phone and the memo messages she left on there and if need be I will testify in court to get this place shut down just like I did with the Westchester plaza in fort worth tx due to how they treated her there
Bill Wynne (Big Bill)
Dec 2020
I've been a resident of the nursing home for a while and I was at one in Lake Worth for months before that. I have found this home to be very careful with the resident's needs and issues. The administration and staff here are all about making the resident's star comfortable and with a real home style cooking, it's the best I've seen. 5 stars! December, 2020 I wanted to add to my review, considering the current Pandemic and how it is changing the face of the world as we knew it. Here at Homestead, we have been blessed by having a woman, Karen Rodriguez, R.N., as not only our former DON, but now as our Administrator. When Covid-19 first broke out, she was all over it. She locked the facility down tight, mandated mask for all, no exceptions; temperature checks on every shift; restricted movement and more. She is responsible for keeping us safe, and is continuing to do so. If you are considering a long term home for your loved one, this could be it. We are OK here - and we will survive this because our staff cares.
Marva Townes
Feb 2020
My mother moved into Homestead in September 2019. She absolutely loves All the staff there. The facility is small, drab and aged but the care is 100%. It does not have state of the art anything and not all the plumbing works but its residents are healthy and active and always smiling. So if the owners would update & fix the facility it would be a 5 Starr
Government Inspection History
5 inspection visits in the last three years, 20 citations on file. Inspections are conducted by state agencies on behalf of the U.S. Centers for Medicare & Medicaid Services (CMS).
Jan 8, 2026Fire Safety StandardHealth Standard5 citations
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.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 10, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 10, 2026
Provide and implement an infection prevention and control program.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jan 10, 2026
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jan 10, 2026
Keep residents' personal and medical records private and confidential.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jan 10, 2026
Nov 26, 2024Health Complaint1 citation
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.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Dec 12, 2024
Oct 10, 2024Fire Safety StandardHealth Standard7 citations
Install an approved automatic sprinkler system.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Feb 22, 2025
Keep residents' personal and medical records private and confidential.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 31, 2024
Ensure each resident receives an accurate assessment.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 31, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 31, 2024
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 31, 2024
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Severity C of L: potential for minimal harm, widespreadWaiver has been granted
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Severity B of L: potential for minimal harm, patternWaiver has been granted
Jul 18, 2024Health Complaint1 citation
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jul 19, 2024
Aug 24, 2023Fire Safety StandardHealth ComplaintHealth Standard6 citations
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Aug 25, 2023
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Aug 25, 2023
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 1, 2024
Provide properly protected cooking facilities.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 1, 2024
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Severity C of L: potential for minimal harm, widespreadCorrected Feb 1, 2024
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Severity B of L: potential for minimal harm, patternCorrected Aug 25, 2023
Source: CMS Care Compare, public federal data covering certified nursing facilities, refreshed monthly. Citations range from A (least serious) to L (most serious) on the federal scope and severity scale. Most citations are corrected quickly; review the details and ask the community about anything that concerns you.
Frequently Asked Questions
What types of care does Homestead Nursing & Rehab offer?
Homestead Nursing & Rehab offers Memory Care and Skilled Nursing / Long Term Care.
Is Homestead Nursing & Rehab pet friendly?
Yes. Homestead Nursing & Rehab lists pet-friendly accommodations among its amenities. Ask about any size or breed policies when you visit.
Where is Homestead Nursing & Rehab located?
Homestead Nursing & Rehab is located at 409 S Files St in Itasca, Texas.
What do families say about Homestead Nursing & Rehab?
Reviewers of this small, 16-bed skilled nursing and memory care facility in Itasca, TX are sharply divided. Several praise the close-knit, family-like atmosphere, home-style cooking, and attentive staff, while two detailed 1-star reviews describe serious neglect, poor hygiene, and financial mismanagement concerns.
How did Homestead Nursing & Rehab do on recent health and safety inspections?
Homestead Nursing & Rehab had 5 government inspection visits in the last three years, with 20 citations on file according to CMS Care Compare data. The full history, including what each citation was for and whether it was corrected, is in the inspection section on this page.
How can families visit Homestead Nursing & Rehab?
Submit the Request Information form on this page, or contact Homestead Nursing & Rehab directly, to arrange a tour. Sharing your timeline and care needs up front helps the community prepare for your visit.
Work at Homestead Nursing & Rehab? Claim this listing to update photos, pricing, and details. It's free.
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