Avir at Killeen
5000 Thayer Dr · Killeen, TX · 76549 · 2542216380
120 certified beds For profit - Corporation Chain: Avir Health Group
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $21,420 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
3 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
67% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
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: 3 of 5
| Total nurse hours / resident-day | 3.12 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.31 | 0.55–0.75 |
| Weekend hours / resident-day | 2.75 | ≈ weekday level |
| Nursing turnover / year | 67% | median 45% |
| Fines (3-yr window) | 6 · $137,749 |
Inspection citations (59 in the current record)
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Potential for harm · E April 1, 2026 · found via complaint
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected April 2, 2026 · Quality of Life and Care
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Potential for harm · D April 1, 2026 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 2, 2026 · Quality of Life and Care
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Potential for harm · E April 1, 2026 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected April 2, 2026 · Nutrition and Dietary
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Potential for harm · D March 6, 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 March 7, 2026 · Pharmacy Service
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Potential for harm · D March 6, 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 March 7, 2026 · Pharmacy Service
-
Potential for harm · D February 26, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected February 27, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 29, 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 December 30, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 29, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected December 30, 2025 · Quality of Life and Care
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Potential for harm · E December 3, 2025 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected January 2, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 2, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 3, 2025 · Quality of Life and Care
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Potential for harm · D August 11, 2025 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected August 12, 2025 · Resident Rights
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Potential for harm · D August 11, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected August 12, 2025 · Infection Control
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Immediate jeopardy · J June 26, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 27, 2025 · Quality of Life and Care
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Potential for harm · D June 26, 2025 · found via complaint
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected June 27, 2025 · Resident Rights
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Potential for harm · D April 17, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 18, 2025 · Resident Rights
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Potential for harm · D April 17, 2025
Keep residents' personal and medical records private and confidential.
Corrected April 18, 2025 · Resident Rights
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Potential for harm · E April 17, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected April 18, 2025 · Quality of Life and Care
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Potential for harm · D April 17, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 18, 2025 · Pharmacy Service
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Actual harm · H November 25, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected November 26, 2024 · Quality of Life and Care
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Potential for harm · E November 25, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected November 26, 2024 · Quality of Life and Care
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Potential for harm · E November 25, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected November 26, 2024 · Infection Control
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Potential for harm · D June 20, 2024 · found via complaint
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected June 2, 2024 · Nursing and Physician Services
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Potential for harm · D May 21, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected May 22, 2024 · Quality of Life and Care
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Immediate jeopardy · J May 13, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected June 14, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · K March 13, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 14, 2024 · 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 |
|---|---|---|
| June 26, 2025 | Fine | $12,428 |
| November 25, 2024 | Fine | $8,992 |
| May 13, 2024 | Payment Denial | 2 days |
| March 13, 2024 | Fine | $13,583 |
| November 11, 2023 | Fine | $14,730 |
| October 21, 2023 | Fine | $15,827 |
| July 21, 2023 | Fine | $72,189 |
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 676438 · certified since January 25, 2018. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.