Elder Care Record

Texas › Bell County › Temple

Avir At Adams

3011 W Adams Ave, Temple, TX 76504

CCN 675587 · For-profit, corporation · 118 certified beds · chain Avir Health Group

CMS abuse iconOwnership changed in last 12 months
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Avir At Adams is a For-profit, corporation nursing home in Temple, Texas, certified for 118 beds and caring for about 75 residents a day.

CMS gives it 1 of 5 stars overall, below the Texas median of 3; the health inspection rating is 1, staffing 1 and quality measures 3.

Inspectors recorded 49 health deficiencies across the three most recent survey cycles (20, 19, 10 by cycle, most recent first), 4 of them at the actual-harm or immediate-jeopardy level. That is 41.5 per 100 beds, more than the state median of 22.5.

CMS lists 2 penalties in the period covered: fines totalling $19K.

Reported nurse staffing is 3.1 hours per resident per day (0.3 RN), close to the Texas median of 3.3; nursing staff turnover is 66.2%.

CMS flags that the facility carries the CMS abuse icon and changed ownership in the last 12 months.

49health deficiencies, 3 survey cycles4 at actual harm or worse
$19Kfines listed by CMS2 penalties in period
3.1nurse hours per resident per daystate median 3.3
63%occupancy (residents ÷ beds)75 residents a day

Compared with county, state and nation

MeasureThis facilityBell Co. medianTexas medianUS average
Overall star rating1233.0
Health citations, 3 cycles49282528.7
Citations per 100 beds41.524.622.526.8
Total nurse hours per resident day3.13.33.33.9
RN hours per resident day0.30.40.40.7
Nursing staff turnover66.2%55.6%52.1%45.8%
Fines listed$19,240$19,240$16,801—

County and state figures are medians across facilities (16 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)20
Cycle 219
Cycle 310

Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 19 Jun 2025, 17 May 2024.

Severity mix: J ×2 L ×2 D ×16 E ×26 F ×2 C ×1

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
29 Jun 2026F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.EComplaint investigation2 Jul 2026
29 Jun 2026F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DComplaint investigation2 Jul 2026
5 Jun 2026F0926Have policies on smoking.EComplaint investigation6 Jun 2026
5 Jun 2026F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation6 Jun 2026
14 Jan 2026F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation15 Jan 2026
3 Jan 2026F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JComplaint investigation4 Jan 2026
3 Jan 2026F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.JComplaint investigation4 Jan 2026
3 Jan 2026F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation4 Jan 2026
19 Jun 2025F0584Honor 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.EStandard survey18 Jul 2025
19 Jun 2025F0679Provide activities to meet all resident's needs.EStandard survey18 Jul 2025
19 Jun 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.EStandard survey18 Jul 2025
19 Jun 2025F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.EStandard survey18 Jul 2025
19 Jun 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard survey18 Jul 2025
19 Jun 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey18 Jul 2025
19 Jun 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EStandard survey15 Jul 2025
19 Jun 2025F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.EStandard survey18 Jul 2025
19 Jun 2025F0583Keep residents' personal and medical records private and confidential.DStandard survey20 Jul 2025
19 Jun 2025F0641Ensure each resident receives an accurate assessment.DStandard survey18 Jul 2025
19 Jun 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey15 Jul 2025
19 Jun 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey15 Jul 2025
16 Jun 2025F0558Reasonably accommodate the needs and preferences of each resident.DComplaint investigation17 Jun 2025
16 Jun 2025F0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.DComplaint investigation17 Jun 2025
17 Jan 2025F0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.EComplaint investigation18 Jan 2025
11 Dec 2024F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EComplaint investigation16 Dec 2024
11 Dec 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint investigation16 Dec 2024
11 Dec 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DComplaint investigation16 Dec 2024
17 May 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey6 Jun 2024
17 May 2024F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard survey22 May 2024
17 May 2024F0584Honor 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.EStandard survey22 May 2024
17 May 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard survey30 Jun 2024
17 May 2024F0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.EStandard survey27 May 2024
17 May 2024F0759Ensure medication error rates are not 5 percent or greater.EStandard survey22 May 2024
17 May 2024F0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.EStandard survey22 May 2024
17 May 2024F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard survey14 Jun 2024
17 May 2024F0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.EStandard survey7 Jun 2024
17 May 2024F0880Provide and implement an infection prevention and control program.EStandard survey22 May 2024
17 May 2024F0697Provide safe, appropriate pain management for a resident who requires such services.DStandard survey26 May 2024
17 May 2024F0791Provide or obtain dental services for each resident.DStandard survey13 Jun 2024
17 May 2024F0732Post nurse staffing information every day.CStandard survey18 May 2024
13 Nov 2023F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation14 Nov 2023
23 Sep 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.LComplaint investigation24 Sep 2023
23 Sep 2023F0880Provide and implement an infection prevention and control program.LComplaint investigation24 Sep 2023
16 Aug 2023F0559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.EComplaint investigation18 Sep 2023
23 Mar 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey18 Apr 2023
23 Mar 2023F0584Honor 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.EStandard survey18 Apr 2023
23 Mar 2023F0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.EStandard survey18 Apr 2023
23 Mar 2023F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.EStandard survey18 Apr 2023
23 Mar 2023F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey18 Apr 2023
23 Mar 2023F0880Provide and implement an infection prevention and control program.DStandard survey18 Apr 2023

Penalties

DateTypeAmountDetail
3 Jan 2026Fine$10,361
23 Sep 2023Fine$8,879

Staffing

Total nursing3.14 h
Nurse aides2.2 h
LPN0.68 h
RN0.26 h
Weekend total2.75 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 66.2%, RNs 50.0%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityTexas medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay13.3%14.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.4%0.0%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.4%0.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay2.1%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay15.2%0.7%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay9.7%12.4%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay2.7%3.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay9.0%8.3%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, corporation. Legal business name: 3011 W Adams Opco Llc. Chain: Avir Health Group (116 facilities).

OrganisationRole in the CMS recordInterestSince
3011 W Adams Holdings LLCDirect ownership interestNOT APPLICABLE10/01/2025
Ana Tx Holdings, LLCIndirect ownership interestNOT APPLICABLE10/01/2025
Graf Holdings LLCIndirect ownership interestNOT APPLICABLE10/01/2025
Tx SNF Holdings Member, LLCIndirect ownership interestNOT APPLICABLE10/01/2025
3011 W Adams Property Owner LLCAdp of the snfNOT APPLICABLE10/01/2025
Welltower IncAdp of the snfNOT APPLICABLE10/01/2025
Welltower Nnn Group, LLCAdp of the snfNOT APPLICABLE10/01/2025
Welltower Op, LLCAdp of the snfNOT APPLICABLE10/01/2025

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Bell County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Avir At Temple EastTemple138554107.2—6 Feb 2026
Baylor Scott & White Continuing Care Hospital SkilTemple2355514.3—21 Aug 2025
Creekside Terrace RehabilitationBelton1264421814.3$13K8 Jun 2026
Will-O-BellBartlett904422932.2$8K14 May 2026
Avir At Temple WestTemple1043311918.3$7K18 Dec 2025
Cornerstone Gardens LLPTemple1303321511.5$16K29 May 2025
Rosewood HeightsKilleen643321523.4$42K17 Apr 2026
Avir At Western HillsTemple1202313226.7$17K11 Jun 2026

All 16 facilities in Bell County

Questions and answers

How many deficiencies has Avir At Adams been cited for?

49 health deficiencies across the three most recent survey cycles, 4 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.

Has Avir At Adams been fined?

Yes. CMS lists fines totalling $19K in the period covered.

How does staffing at Avir At Adams compare?

Reported total nurse staffing is 3.1 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.

Who operates Avir At Adams?

It is part of the Avir Health Group chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include 3011 W Adams Holdings LLC, Ana Tx Holdings, LLC and Graf Holdings LLC. Individual owners and managers are not listed on this site.

When was Avir At Adams last inspected?

The most recent survey or investigation in the CMS record is dated 29 Jun 2026; the most recent standard health survey was 19 Jun 2025.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.