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Nursing home report

Avir at Kerrville

Kerrville, TX · Medicare-certified · 130 beds

Needs attention
For-profitChain member
1 of 5 overall

Avir at Kerrville in Kerrville, TX has a 1 out of 5 overall rating, with 1-star health inspection and staffing ratings and 2-star quality measures. It reports nurse staffing below the federal benchmark (3.22 vs. 4.1 hours per resident per day) and has $26,313 in fines in the last 24 months, including a recent federal penalty.

Facility ratings

Health inspections

Staffing

3.2184 hrs/resident/day

Quality measures

Last inspection: March 19, 2026Penalties, last 24 months: $26,313recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2184.

Staffing detail

Registered nurses
0.25
Licensed practical nurses
0.90
Nurse aides
2.06
Weekend nursing
2.99

Hours per resident per day.

Total staff turnover: 63%
Registered nurse turnover: 80%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

4.5%0%Improving

Residents with a fall causing major injury

0%6.7%Worsening

Residents with pressure ulcers (bedsores)

0%0%No change

Residents with a urinary tract infection

0%0%No change

Residents who lost too much weight

9.5%16.2%Worsening

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

20%46.7%Worsening

Residents whose ability to walk got worse

41.2%

Long-stay residents on antianxiety or sleep medication

27.3%18.9%Improving

Short-stay residents newly given an antipsychotic

0%2%Worsening

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

23.7%15.4%Improving

Residents with depressive symptoms

0%0%No change

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

100%

Long-stay residents given the pneumonia vaccine

100%88.9%Worsening

Short-stay residents given the seasonal flu vaccine

87%

Short-stay residents given the pneumonia vaccine

91.8%50.7%Worsening

What the inspectors found

The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited July 2024 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: K

The home failed to ensure staff provided basic life support, including CPR, before emergency medical personnel arrived. Cited April 2025 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 678 — 42 CFR §483.24(a)(3) — S/S: J

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited July 2024 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: J

The nursing home failed to ensure residents were free from significant medication errors. Cited December 2025 — limited pattern, actual harm.

View the original federal record

F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: H

The nursing home failed to encode each resident’s assessment data and send it to the state on time. Cited May 2024 — widespread issue, potential for harm.

View the original federal record

F-Tag 640 — 42 CFR §483.20 — S/S: F

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 4 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  5. PENALTY

    A federal fine of $17,200 was recorded.

  6. PENALTY

    A federal fine of $9,113 was recorded.

Penalties & enforcement

On record with Medicare: 2 fines · $26,313 in total fines.

  • Federal fine

    Dec 12, 2025

    $17,200
  • Federal fine

    Apr 6, 2025

    $9,113

Operator & ownership

Ownership
For profit - Corporation
Chain
Part of AVIR HEALTH GROUP · 117 homes · 2.2 stars avg
Occupancy
74.1 residents on an average day (57% of 130 beds)
Resident voice
Resident council
Medicare history
Certified for 1 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.