Texas › Kerr County › Kerrville
Avir At Kerrville
1555 Bandera Hwy, Kerrville, TX 78028
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 Kerrville, in Kerrville, Texas, is certified for 130 beds under for-profit, corporation ownership and belongs to the Avir Health Group chain.
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 2.
Inspectors recorded 67 health deficiencies across the three most recent survey cycles (38, 23, 6 by cycle, most recent first), 4 of them at the actual-harm or immediate-jeopardy level. That is 51.5 per 100 beds, more than the state median of 22.5.
CMS lists 2 penalties in the period covered: fines totalling $20K.
Reported nurse staffing is 3.4 hours per resident per day (0.4 RN), close to the Texas median of 3.3; nursing staff turnover is 64.4%.
Compared with county, state and nation
| Measure | This facility | Kerr Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 1 | 3 | 3.0 |
| Health citations, 3 cycles | 67 | 67 | 25 | 28.7 |
| Citations per 100 beds | 51.5 | 43.0 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.4 | 3.4 | 3.3 | 3.9 |
| RN hours per resident day | 0.4 | 0.3 | 0.4 | 0.7 |
| Nursing staff turnover | 64.4% | 78.3% | 52.1% | 45.8% |
| Fines listed | $20,467 | $112,133 | $16,801 | — |
County and state figures are medians across facilities (4 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 27 Jun 2025, 8 May 2024.
Severity mix: J ×2 K ×1 H ×1 D ×35 E ×23 F ×2 B ×1 C ×2
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)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 1 Jul 2026 | F0641 | Ensure each resident receives an accurate assessment. | D | Complaint investigation | Deficient, Provider has no plan of correction |
| 1 Jul 2026 | F0732 | Post nurse staffing information every day. | B | Complaint investigation | Deficient, Provider has no plan of correction |
| 19 Jun 2026 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 1 Aug 2026 |
| 19 Jun 2026 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 1 Aug 2026 |
| 19 Jun 2026 | F0761 | Ensure 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. | D | Complaint investigation | 1 Aug 2026 |
| 24 Apr 2026 | F0567 | Honor the resident's right to manage his or her financial affairs. | D | Complaint investigation | 29 Apr 2026 |
| 24 Apr 2026 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 29 Apr 2026 |
| 24 Apr 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 29 Apr 2026 |
| 24 Apr 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 29 Apr 2026 |
| 24 Apr 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 29 Apr 2026 |
| 24 Apr 2026 | F0761 | Ensure 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. | D | Complaint investigation | 29 Apr 2026 |
| 24 Apr 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Complaint investigation | 29 Apr 2026 |
| 19 Mar 2026 | F0850 | Hire a qualified full-time social worker in a facility with more than 120 beds. | E | Complaint investigation | 22 Mar 2026 |
| 19 Mar 2026 | F0641 | Ensure each resident receives an accurate assessment. | D | Complaint investigation | 22 Mar 2026 |
| 6 Feb 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint investigation | 10 Feb 2026 |
| 6 Feb 2026 | F0641 | Ensure each resident receives an accurate assessment. | D | Complaint investigation | 10 Feb 2026 |
| 6 Feb 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 10 Feb 2026 |
| 6 Feb 2026 | F0732 | Post nurse staffing information every day. | C | Complaint investigation | 10 Feb 2026 |
| 14 Jan 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 15 Jan 2026 |
| 14 Jan 2026 | F0761 | Ensure 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. | D | Complaint investigation | 15 Jan 2026 |
| 12 Dec 2025 | F0760 | Ensure that residents are free from significant medication errors. | H | Complaint investigation | 9 Dec 2025 |
| 12 Dec 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint investigation | 13 Dec 2025 |
| 12 Dec 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 13 Dec 2025 |
| 21 Nov 2025 | F0680 | Ensure the activities program is directed by a qualified professional. | E | Complaint investigation | 22 Nov 2025 |
| 21 Nov 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 24 Nov 2025 |
| 21 Nov 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 22 Nov 2025 |
| 27 Jun 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 30 Jun 2025 |
| 27 Jun 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 30 Jun 2025 |
| 27 Jun 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard survey | 30 Jun 2025 |
| 27 Jun 2025 | F0908 | Keep all essential equipment working safely. | E | Standard survey | 30 Jun 2025 |
| 27 Jun 2025 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | Standard survey | 30 Jun 2025 |
| 27 Jun 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 30 Jun 2025 |
| 27 Jun 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 30 Jun 2025 |
| 27 Jun 2025 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 30 Jun 2025 |
| 27 Jun 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 30 Jun 2025 |
| 27 Jun 2025 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 30 Jun 2025 |
| 27 Jun 2025 | F0761 | Ensure 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. | D | Standard survey | 30 Jun 2025 |
| 27 Jun 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 30 Jun 2025 |
| 6 Jun 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 7 Jun 2025 |
| 16 May 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Complaint investigation | 17 May 2025 |
| 16 May 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 17 May 2025 |
| 16 May 2025 | F0732 | Post nurse staffing information every day. | C | Complaint investigation | 17 May 2025 |
| 6 Apr 2025 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J | Complaint investigation | 8 Apr 2025 |
| 6 Apr 2025 | F0583 | Keep residents' personal and medical records private and confidential. | E | Complaint investigation | 8 Apr 2025 |
| 6 Apr 2025 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | E | Complaint investigation | 8 Apr 2025 |
| 6 Apr 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint investigation | 8 Apr 2025 |
| 6 Apr 2025 | F0610 | Respond appropriately to all alleged violations. | E | Complaint investigation | 8 Apr 2025 |
| 6 Apr 2025 | F0761 | Ensure 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. | E | Complaint investigation | 8 Apr 2025 |
| 6 Apr 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 8 Apr 2025 |
| 6 Apr 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 8 Apr 2025 |
| 28 Feb 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 23 Feb 2025 |
| 26 Nov 2024 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | E | Complaint investigation | 27 Nov 2024 |
| 26 Nov 2024 | F0641 | Ensure each resident receives an accurate assessment. | E | Complaint investigation | 27 Nov 2024 |
| 26 Nov 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Complaint investigation | 27 Nov 2024 |
| 19 Sep 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 20 Sep 2024 |
| 19 Sep 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 20 Sep 2024 |
| 1 Jul 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | K | Complaint investigation | 2 Jul 2024 |
| 1 Jul 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 2 Jul 2024 |
| 1 Jul 2024 | F0642 | Ensure a qualified health professional conducts resident assessments. | D | Complaint investigation | 2 Jul 2024 |
| 1 Jul 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 2 Jul 2024 |
| 1 Jul 2024 | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | D | Complaint investigation | 2 Jul 2024 |
| 1 Jul 2024 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | D | Complaint investigation | 2 Jul 2024 |
| 8 May 2024 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | F | Standard survey | 9 May 2024 |
| 8 May 2024 | F0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | F | Standard survey | 9 May 2024 |
| 8 May 2024 | F0680 | Ensure the activities program is directed by a qualified professional. | E | Standard survey | 9 May 2024 |
| 8 May 2024 | F0803 | Ensure 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. | E | Standard survey | 9 May 2024 |
| 8 May 2024 | F0850 | Hire a qualified full-time social worker in a facility with more than 120 beds. | E | Standard survey | 9 May 2024 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 12 Dec 2025 | Fine | $11,354 | |
| 6 Apr 2025 | Fine | $9,113 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 64.4%, RNs 87.5%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 33.1% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.7% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.5% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.1% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 30.9% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.6% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 2.0% | 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: West Wharton County Hospital District. Chain: Avir Health Group (116 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Welltower Inc | 5% or greater security interest | NOT APPLICABLE | 04/01/2025 |
| Welltower Nnn Group, LLC | 5% or greater security interest | NOT APPLICABLE | 04/01/2025 |
| Welltower Op, LLC | 5% or greater security interest | NOT APPLICABLE | 04/01/2025 |
| 1555 Bandera Highway Opco, LLC | Operational/managerial control | NOT APPLICABLE | 04/01/2025 |
| 1555 Bandera Highway Opco, LLC | Adp of the snf | NOT APPLICABLE | 05/03/2025 |
| 1555 Bandera Highway Property Owner, LLC | Adp of the snf | NOT APPLICABLE | 04/01/2025 |
| Welltower Inc | Adp of the snf | NOT APPLICABLE | 04/01/2025 |
| Welltower Nnn Group, LLC | Adp of the snf | NOT APPLICABLE | 04/01/2025 |
| Welltower Op, LLC | Adp of the snf | NOT APPLICABLE | 04/01/2025 |
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 Kerr County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Hilltop Village Nursing and Rehabilitation | Kerrville | 150 | 2 | 3 | 1 | 51 | 34.0 | — | 27 Aug 2025 |
| Arbor View Nursing & Rehabilitationabuse iconSFF Candidate | Kerrville | 179 | 1 | 1 | 1 | 77 | 43.0 | $155K | 18 Jun 2026 |
| River Hills Health and Rehabilitation Center | Kerrville | 150 | 1 | 1 | 1 | 57 | 38.0 | $112K | 19 Jun 2026 |
All 4 facilities in Kerr County
Questions and answers
How many deficiencies has Avir At Kerrville been cited for?
67 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 Kerrville been fined?
Yes. CMS lists fines totalling $20K in the period covered.
How does staffing at Avir At Kerrville compare?
Reported total nurse staffing is 3.4 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Avir At Kerrville?
It is part of the Avir Health Group chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include 1555 Bandera Highway Opco, LLC. Individual owners and managers are not listed on this site.
When was Avir At Kerrville last inspected?
The most recent survey or investigation in the CMS record is dated 1 Jul 2026; the most recent standard health survey was 27 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.