Avir at Kerrville
1555 Bandera Hwy · Kerrville, TX · 78028 · 8304122366
130 certified beds For profit - Corporation Chain: Avir Health Group
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
3 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
RN staffing in the bottom 10% nationally
0.25 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
63% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.22 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.25 | 0.55–0.75 |
| Weekend hours / resident-day | 2.99 | ≈ weekday level |
| Nursing turnover / year | 63% | median 45% |
| Fines (3-yr window) | 2 · $20,293 |
Inspection citations (62 in the current record)
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Potential for harm · D April 24, 2026 · found via complaint
Honor the resident's right to manage his or her financial affairs.
Deficient, Provider has no plan of correction · Resident Rights
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Potential for harm · D April 24, 2026 · found via complaint
Respond appropriately to all alleged violations.
Deficient, Provider has no plan of correction · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 24, 2026 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Deficient, Provider has no plan of correction · Quality of Life and Care
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Potential for harm · D April 24, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Deficient, Provider has no plan of correction · Quality of Life and Care
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Potential for harm · D April 24, 2026 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Deficient, Provider has no plan of correction · Pharmacy Service
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Potential for harm · D April 24, 2026 · found via complaint
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Deficient, Provider has no plan of correction · Pharmacy Service
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Potential for harm · D April 24, 2026 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Deficient, Provider has no plan of correction · Nutrition and Dietary
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Potential for harm · D March 19, 2026 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected March 22, 2026 · Resident Assessment and Care Planning
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Potential for harm · E March 19, 2026 · found via complaint
Hire a qualified full-time social worker in a facility with more than 120 beds.
Corrected March 22, 2026 · Administration
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Potential for harm · D February 6, 2026 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected February 10, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 6, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 10, 2026 · Quality of Life and Care
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Potential for harm · E February 6, 2026 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected February 10, 2026 · Resident Assessment and Care Planning
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No harm found · C February 6, 2026 · found via complaint
Post nurse staffing information every day.
Corrected February 10, 2026 · Nursing and Physician Services
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Potential for harm · D January 14, 2026 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected January 15, 2026 · Pharmacy Service
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Potential for harm · D January 14, 2026 · found via complaint
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected January 15, 2026 · Pharmacy Service
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Actual harm · H December 12, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected December 9, 2025 · Pharmacy Service
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Potential for harm · D December 12, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected December 13, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E December 12, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected December 13, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 21, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected November 24, 2025 · Resident Assessment and Care Planning
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Potential for harm · E November 21, 2025 · found via complaint
Ensure the activities program is directed by a qualified professional.
Corrected November 22, 2025 · Quality of Life and Care
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Potential for harm · D November 21, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected November 22, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 27, 2025
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected June 30, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 27, 2025
Ensure each resident receives an accurate assessment.
Corrected June 30, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 27, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected June 30, 2025 · Resident Assessment and Care Planning
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Potential for harm · E June 27, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected June 30, 2025 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| December 12, 2025 | Fine | $11,180 |
| April 6, 2025 | Fine | $9,113 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 745050 · certified since July 18, 2024. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.