Special Focus candidateAbuse citationFor-profitChain member
★★★★★1 of 5 overall
1 out of 5 stars overall: Avir at Adams in Temple, TX has a 1-star health inspection rating, 2-star staffing, and is an SFF Candidate/special focus facility. Reported nurse staffing is 2.70 hours per resident per day versus the 4.1 federal benchmark, and it had $15,940 in fines in the last 24 months.
Last inspection: January 14, 2026Penalties, last 24 months: $15,940special focus facility
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.6977.
Staffing detail
Registered nurses
0.23
Licensed practical nurses
0.63
Nurse aides
1.84
Weekend nursing
2.46
Hours per resident per day.
Total staff turnover: 64%
Registered nurse turnover: 40%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
15.1%Improving
Residents with a fall causing major injury
2.2%Improving
Residents with pressure ulcers (bedsores)
2.4%Steady
Residents with a urinary tract infection
0.4%Steady
Residents who lost too much weight
2.2%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
18.1%Improving
Residents whose ability to walk got worse
14.3%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
33.2%Improving
Short-stay residents newly given an antipsychotic
13.3%Steady
Residents with a long-term catheter
0.7%Improving
Residents with new or worsening incontinence
14.9%Improving
Residents with depressive symptoms
2.4%Improving
Long-stay residents given the seasonal flu vaccine
98.6%Steady
Long-stay residents given the pneumonia vaccine
98.6%Worsening
Short-stay residents given the pneumonia vaccine
86.6%Worsening
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited September 2023 — widespread issue, immediate jeopardy to residents.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: L
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited September 2023 — widespread issue, immediate jeopardy to residents.
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F-Tag 880 — 42 CFR §483.80(a) — S/S: L
The nursing home failed to protect residents from abuse and neglect by others. Cited May 2023 — limited pattern, immediate jeopardy to residents.
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F-Tag 600 — 42 CFR §483.12 — S/S: K
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited May 2023 — limited pattern, immediate jeopardy to residents.
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F-Tag 689 — 42 CFR §483.25(d) — S/S: K
The home failed to have policies and procedures in place to prevent abuse, neglect, and theft. Cited January 2026 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 607 — 42 CFR §483.12 — S/S: J
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
PENALTY
A federal fine of $15,940 was recorded.
INSPECTION
Health inspection found 3 health deficiencies.
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INSPECTION
Health inspection found 12 health deficiencies.
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Penalties & enforcement
On record with Medicare: 2 fines · $24,819 in total fines.
Federal fine
Jan 3, 2026
$15,940
Federal fine
Sep 23, 2023
$8,879
Operator & ownership
Ownership
For profit - Corporation
Chain
Part of AVIR HEALTH GROUP · 117 homes · 2.2 stars avg
Occupancy
79 residents on an average day (67% of 118 beds)
Resident voice
Resident council
Medicare history
Certified for 30 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.