Avir at Kingsland
3727 W Ranch Rd 1431 · Kingsland, TX · 78639 · 3253884538
122 certified beds Government - Hospital district Chain: Avir Health Group
Why this verdict
- Staffing levels are well below research benchmarks for safe care.
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
Red flags
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
RN staffing in the bottom 10% nationally
0.22 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Total nurse staffing below 3.0 hours per resident-day
2.48 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 4 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 2.48 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.22 | 0.55–0.75 |
| Weekend hours / resident-day | 2.15 | ≈ weekday level |
| Nursing turnover / year | 39% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (26 in the current record)
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Potential for harm · D April 29, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected May 1, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D January 28, 2026 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected January 29, 2026 · Resident Rights
-
Potential for harm · D January 28, 2026 · 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 January 29, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D January 28, 2026 · found via complaint
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected January 29, 2026 · Nutrition and Dietary
-
Potential for harm · D January 28, 2026 · found via complaint
Provide specialized rehabilitative services by qualified personnel, when ordered for a resident by a doctor.
Corrected January 29, 2026 · Quality of Life and Care
-
Actual harm · G October 8, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected November 10, 2025 · Quality of Life and Care
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Potential for harm · D October 8, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected November 10, 2025 · Resident Rights
-
Potential for harm · D October 8, 2025 · 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 December 17, 2025 · Pharmacy Service
-
Potential for harm · D March 13, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected March 27, 2025 · Pharmacy Service
-
Potential for harm · E March 13, 2025
Provide and implement an infection prevention and control program.
Corrected March 27, 2025 · Infection Control
-
Potential for harm · E January 31, 2024
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 February 15, 2024 · Pharmacy Service
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Potential for harm · E January 31, 2024
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected February 15, 2024 · Nutrition and Dietary
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Potential for harm · E January 31, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 15, 2024 · Nutrition and Dietary
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No harm found · C January 31, 2024
Post nurse staffing information every day.
Corrected February 15, 2024 · Nursing and Physician Services
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Potential for harm · D October 26, 2022
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected November 18, 2022 · Resident Rights
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Potential for harm · D October 26, 2022
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected November 18, 2022 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E October 26, 2022
Ensure each resident receives an accurate assessment.
Corrected November 18, 2022 · Resident Assessment and Care Planning
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Potential for harm · D October 26, 2022
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected November 18, 2022 · Resident Assessment and Care Planning
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Potential for harm · E October 26, 2022
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected November 18, 2022 · Resident Assessment and Care Planning
-
Potential for harm · E October 26, 2022
Ensure the activities program is directed by a qualified professional.
Corrected November 18, 2022 · Quality of Life and Care
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Potential for harm · D October 26, 2022
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected November 18, 2022 · Pharmacy Service
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Potential for harm · D October 26, 2022
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected November 18, 2022 · Administration
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Potential for harm · E October 26, 2022
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected November 18, 2022 · Nutrition and Dietary
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Potential for harm · D October 26, 2022
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected November 18, 2022 · Nutrition and Dietary
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Potential for harm · E October 26, 2022
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 18, 2022 · Nutrition and Dietary
Showing the 25 most recent. The Safety Report includes every citation with full findings.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676035 · certified since August 10, 2004. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.