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.
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).
Last yrNowTrend
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).
Last yrNowTrend
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
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
PENALTY
A federal fine of $17,200 was recorded.
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.