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Nursing home report

Avir at Western Hills

Temple, TX · Medicare-certified · 120 beds

Needs attention
For-profitChain member
1 of 5 overall

Avir at Western Hills has a 1-star overall rating, with 1-star staffing and 2-star health inspection results, though quality measures are 4 stars. It reports 2.90 nurse staffing hours per resident per day versus the 4.1-hour federal benchmark, and it has had $16,562 in fines in the last 24 months plus a recent federal penalty.

Facility ratings

Health inspections

Staffing

2.9035 hrs/resident/day

Quality measures

Last inspection: December 29, 2025Penalties, last 24 months: $16,562recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.9035.

Staffing detail

Registered nurses
0.38
Licensed practical nurses
0.75
Nurse aides
1.77
Weekend nursing
2.70

Hours per resident per day.

Total staff turnover: 52%
Registered nurse turnover: 44%

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

4.2%6.7%Worsening

Residents with a fall causing major injury

2.8%1.4%Improving

Residents with pressure ulcers (bedsores)

8.1%2.3%Improving

Residents with a urinary tract infection

0%1.5%Worsening

Residents who lost too much weight

0%0%No change

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

6.2%3.3%Improving

Residents whose ability to walk got worse

6.1%0%Improving

Long-stay residents on antianxiety or sleep medication

24.6%32.3%Worsening

Short-stay residents newly given an antipsychotic

0%12.5%Worsening

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

9.7%6.3%Improving

Residents with depressive symptoms

1.4%4.7%Worsening

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

93.1%98.6%Improving

Short-stay residents given the seasonal flu vaccine

88.9%

Short-stay residents given the pneumonia vaccine

97.2%98.5%Improving

What the inspectors found

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited November 2025 — 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 provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited June 2023 — limited pattern, actual harm.

View the original federal record

F-Tag 684 — 42 CFR §483.25 — S/S: H

The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited June 2023 — limited pattern, actual harm.

View the original federal record

F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: H

The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited March 2024 — widespread issue, potential for harm.

View the original federal record

F-Tag 727 — 42 CFR §483.35 — S/S: F

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited February 2023 — widespread issue, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — 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. PENALTY

    A federal fine of $8,281 was recorded.

  4. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  5. PENALTY

    A federal fine of $8,281 was recorded.

  6. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 2 fines · $16,562 in total fines.

  • Federal fine

    Nov 20, 2025

    $8,281
  • Federal fine

    Jul 2, 2025

    $8,281

Operator & ownership

Ownership
For profit - Corporation
Chain
Part of AVIR HEALTH GROUP · 117 homes · 2.2 stars avg
Occupancy
81.7 residents on an average day (68% of 120 beds)
Resident voice
Resident council
Medicare history
Certified for 37 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.