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.
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).
Last yrNowTrend
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).
Last yrNowTrend
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
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
PENALTY
A federal fine of $8,281 was recorded.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
PENALTY
A federal fine of $8,281 was recorded.
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.