Texas › Llano County › Kingsland
Avir At Kingsland
3727 W Ranch Rd 1431, Kingsland, TX 78639
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 Kingsland, in Kingsland, Texas, is certified for 122 beds under government, hospital district ownership and belongs to the Avir Health Group chain.
CMS gives it 2 of 5 stars overall, below the Texas median of 3; the health inspection rating is 3, staffing 1 and quality measures 3.
Inspectors recorded 20 health deficiencies across the three most recent survey cycles (14, 2, 4 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 16.4 per 100 beds, fewer than the state median of 22.5.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 2.7 hours per resident per day (0.3 RN), close to the Texas median of 3.3; nursing staff turnover is 42.5%.
Compared with county, state and nation
| Measure | This facility | Llano Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 20 | 27 | 25 | 28.7 |
| Citations per 100 beds | 16.4 | 28.1 | 22.5 | 26.8 |
| Total nurse hours per resident day | 2.7 | 3.0 | 3.3 | 3.9 |
| RN hours per resident day | 0.3 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 42.5% | 70.4% | 52.1% | 45.8% |
| Fines listed | $0 | $40,170 | $16,801 | — |
County and state figures are medians across facilities (2 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: 28 May 2026, 13 Mar 2025.
Severity mix: G ×1 D ×11 E ×7 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)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 28 May 2026 | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | E | Standard survey | 28 Jun 2026 |
| 28 May 2026 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 28 Jun 2026 |
| 28 May 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 28 Jun 2026 |
| 28 May 2026 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 28 Jun 2026 |
| 28 May 2026 | F0583 | Keep residents' personal and medical records private and confidential. | D | Standard survey | 28 Jun 2026 |
| 28 May 2026 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Standard survey | 28 Jun 2026 |
| 29 Apr 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 1 May 2026 |
| 28 Jan 2026 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 29 Jan 2026 |
| 28 Jan 2026 | 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 | 29 Jan 2026 |
| 28 Jan 2026 | F0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D | Complaint investigation | 29 Jan 2026 |
| 28 Jan 2026 | F0826 | Provide specialized rehabilitative services by qualified personnel, when ordered for a resident by a doctor. | D | Complaint investigation | 29 Jan 2026 |
| 8 Oct 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 10 Nov 2025 |
| 8 Oct 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 10 Nov 2025 |
| 8 Oct 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 | Complaint investigation | 17 Dec 2025 |
| 13 Mar 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 27 Mar 2025 |
| 13 Mar 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 27 Mar 2025 |
| 31 Jan 2024 | 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 | Standard survey | 15 Feb 2024 |
| 31 Jan 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 15 Feb 2024 |
| 31 Jan 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 15 Feb 2024 |
| 31 Jan 2024 | F0732 | Post nurse staffing information every day. | C | Standard survey | 15 Feb 2024 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 42.5%, RNs 50.0%; 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 | 14.7% | 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 | 0.9% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.4% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.5% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 14.8% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.6% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 6.7% | 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: government, hospital district. Legal business name: Fannin County Hospital Authority. Chain: Avir Health Group (116 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Fannin County Hospital Authority | 5% or greater direct ownership interest | 100% | 10/01/2020 |
| 3727 W Ranch Road 1431 Holdings LLC | Operational/managerial control | NOT APPLICABLE | 08/01/2025 |
| 3727 W Ranch Road 1431 Property Owner, LLC | Adp of the snf | NOT APPLICABLE | 08/01/2025 |
| Welltower Nnn Group, LLC | Adp of the snf | NOT APPLICABLE | 08/01/2025 |
| Welltower Op, LLC | Adp of the snf | NOT APPLICABLE | 08/01/2025 |
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 Llano County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Llano Nursing and Rehabilitation Center | Llano | 96 | 1 | 2 | 1 | 27 | 28.1 | $40K | 19 Mar 2026 |
All 2 facilities in Llano County
Questions and answers
How many deficiencies has Avir At Kingsland been cited for?
20 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Avir At Kingsland been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Avir At Kingsland compare?
Reported total nurse staffing is 2.7 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Avir At Kingsland?
It is part of the Avir Health Group chain. Ownership type is government, hospital district. Organisations in the CMS ownership record include Fannin County Hospital Authority and 3727 W Ranch Road 1431 Holdings LLC. Individual owners and managers are not listed on this site.
When was Avir At Kingsland last inspected?
The most recent survey or investigation in the CMS record is dated 28 May 2026; the most recent standard health survey was 28 May 2026.
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.