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Last checked October 26, 2026 · 2,911 nursing homes and 3,257 assisted living licenses in 5 states · CMS data processed September 1, 2026

Home › Texas › Kerr County › Avir at Kerrville

Avir at Kerrville

1555 Bandera Hwy, Kerrville, TX 78028 · CMS Certification Number (CCN) 745050

At a glance

CMS overall rating
★☆☆☆☆ 1 of 5
Health inspection citations
67 in the last 3 inspection cycles (3 immediate jeopardy, 1 actual harm, 50 from complaints)
Fire safety citations
2
Fines (last 3 years)
2 fines, total $20,467
Payment denials
0
Most recent standard inspection
June 27, 2025
Official record
Medicare Care Compare page for this facility

Source: CMS Nursing Home Provider Information: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

CMS star ratings

CMS rates every Medicare- and Medicaid-certified nursing home from 1 to 5 stars. Health inspection stars are relative to other homes in the same state: the top 10% get 5 stars and the bottom 20% get 1 star. CMS says to use the ratings together with other information, including a visit. Technical Users’ Guide

RatingThis facilityTexas averageU.S. average
Overall★☆☆☆☆ 1 of 52.73
Health inspections★☆☆☆☆ 1 of 52.82.8
Staffing★☆☆☆☆ 1 of 51.92.9
Quality measures★★☆☆☆ 2 of 53.73.6
Long-stay quality★★☆☆☆ 2 of 5Not publishedNot published
Short-stay quality★★☆☆☆ 2 of 5Not publishedNot published

Averages: CMS State and US Averages: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Health inspections

Inspection cycleStandard survey dateHealth citationsFrom standard surveyFrom complaints
Cycle 1 (most recent)June 27, 2025381226
Cycle 2May 8, 202429524

CMS weighted health inspection score: 269.5 (lower is better; it counts citation severity, complaints and repeat revisits). Citations from infection control inspections: Not published. How to read these citations

67 health citations across 17 inspection dates, newest first. The letter is CMS’s scope/severity code: A–C means potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, and J–L immediate jeopardy.

July 1, 2026: 2 citations (Complaint)
SeverityTagWhat was citedTypeStatus
B F-0732 Post nurse staffing information every day.
Nursing and Physician Services Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 08/07/2026
D F-0641 Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 08/07/2026
June 19, 2026: 3 citations (Complaint)
SeverityTagWhat was citedTypeStatus
D F-0761 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.
Pharmacy Service Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 08/01/2026
D F-0690 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 08/01/2026
D F-0558 Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 08/01/2026
April 24, 2026: 7 citations (Complaint)
SeverityTagWhat was citedTypeStatus
D F-0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 04/29/2026
D F-0761 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.
Pharmacy Service Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 04/29/2026
D F-0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 04/29/2026
D F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 04/29/2026
D F-0677 Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 04/29/2026
D F-0610 Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 04/29/2026
D F-0567 Honor the resident's right to manage his or her financial affairs.
Resident Rights Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 04/29/2026
March 19, 2026: 2 citations (Complaint)
SeverityTagWhat was citedTypeStatus
E F-0850 Hire a qualified full-time social worker in a facility with more than 120 beds.
Administration Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 03/22/2026
D F-0641 Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 03/22/2026
February 6, 2026: 4 citations (Complaint)
SeverityTagWhat was citedTypeStatus
E F-0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 02/10/2026
C F-0732 Post nurse staffing information every day.
Nursing and Physician Services Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 02/10/2026
D F-0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 02/10/2026
D F-0641 Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 02/10/2026
January 14, 2026: 2 citations (Complaint)
SeverityTagWhat was citedTypeStatus
D F-0761 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.
Pharmacy Service Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 01/15/2026
D F-0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 01/15/2026
December 12, 2025: 3 citations (Complaint)
SeverityTagWhat was citedTypeStatus
E F-0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 12/13/2025
H F-0760 Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies
Complaint Past Non-Compliance
Corrected 12/09/2025
D F-0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 12/13/2025
November 21, 2025: 3 citations (Complaint)
SeverityTagWhat was citedTypeStatus
D F-0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 11/22/2025
E F-0680 Ensure the activities program is directed by a qualified professional.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 11/22/2025
D F-0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 11/24/2025
June 27, 2025: 12 citations (Standard)
SeverityTagWhat was citedTypeStatus
E F-0919 Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies
Standard Deficient, Provider has date of correction
Corrected 06/30/2025
E F-0908 Keep all essential equipment working safely.
Environmental Deficiencies
Standard Deficient, Provider has date of correction
Corrected 06/30/2025
D F-0880 Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Standard Deficient, Provider has date of correction
Corrected 06/30/2025
E F-0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies
Standard Deficient, Provider has date of correction
Corrected 06/30/2025
E F-0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Standard Deficient, Provider has date of correction
Corrected 06/30/2025
D F-0761 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.
Pharmacy Service Deficiencies
Standard Deficient, Provider has date of correction
Corrected 06/30/2025
D F-0760 Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies
Standard Deficient, Provider has date of correction
Corrected 06/30/2025
D F-0692 Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies
Standard Deficient, Provider has date of correction
Corrected 06/30/2025
E F-0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Standard Deficient, Provider has date of correction
Corrected 06/30/2025
D F-0655 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies
Standard Deficient, Provider has date of correction
Corrected 06/30/2025
D F-0641 Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Standard Deficient, Provider has date of correction
Corrected 06/30/2025
D F-0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Standard Deficient, Provider has date of correction
Corrected 06/30/2025
June 6, 2025: 1 citation (Complaint)
SeverityTagWhat was citedTypeStatus
E F-0880 Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 06/07/2025
May 16, 2025: 3 citations (Complaint)
SeverityTagWhat was citedTypeStatus
D F-0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 05/17/2025
C F-0732 Post nurse staffing information every day.
Nursing and Physician Services Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 05/17/2025
D F-0641 Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 05/17/2025
April 6, 2025: 8 citations (Complaint)
SeverityTagWhat was citedTypeStatus
E F-0880 Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 04/08/2025
E F-0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 04/08/2025
E F-0761 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.
Pharmacy Service Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 04/08/2025
J F-0678 Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 04/08/2025
E F-0610 Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 04/08/2025
E F-0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 04/08/2025
E F-0585 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.
Resident Rights Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 04/08/2025
E F-0583 Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 04/08/2025
February 28, 2025: 1 citation (Complaint)
SeverityTagWhat was citedTypeStatus
D F-0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Complaint Past Non-Compliance
Corrected 02/23/2025
November 26, 2024: 3 citations (Complaint)
SeverityTagWhat was citedTypeStatus
E F-0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 11/27/2024
E F-0641 Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 11/27/2024
E F-0636 Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 11/27/2024
September 19, 2024: 2 citations (Complaint)
SeverityTagWhat was citedTypeStatus
D F-0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 09/20/2024
D F-0695 Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 09/20/2024
July 1, 2024: 6 citations (Complaint)
SeverityTagWhat was citedTypeStatus
D F-0835 Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 07/02/2024
D F-0801 Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Nutrition and Dietary Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 07/02/2024
D F-0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 07/02/2024
J F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 07/02/2024
K F-0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 07/02/2024
D F-0642 Ensure a qualified health professional conducts resident assessments.
Resident Assessment and Care Planning Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 07/02/2024
May 8, 2024: 5 citations (Standard)
SeverityTagWhat was citedTypeStatus
E F-0850 Hire a qualified full-time social worker in a facility with more than 120 beds.
Administration Deficiencies
Standard Deficient, Provider has date of correction
Corrected 05/09/2024
F F-0838 Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Administration Deficiencies
Standard Deficient, Provider has date of correction
Corrected 05/09/2024
E F-0803 Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nutrition and Dietary Deficiencies
Standard Deficient, Provider has date of correction
Corrected 05/09/2024
E F-0680 Ensure the activities program is directed by a qualified professional.
Quality of Life and Care Deficiencies
Standard Deficient, Provider has date of correction
Corrected 05/09/2024
F F-0640 Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning Deficiencies
Standard Deficient, Provider has date of correction
Corrected 05/09/2024

Source: CMS Health Deficiencies: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Fire safety inspections

2 fire safety citations across 2 inspection dates
DateSeverityTagWhat was citedStatus
06/27/2025EK-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Miscellaneous Deficiencies
Deficient, Provider has date of correction
Corrected 06/30/2025
05/08/2024CK-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 04/25/2024

Automatic sprinklers in all required areas: Yes. CMS does not count fire safety citations in the health inspection star rating.

Source: CMS Fire Safety Deficiencies: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Penalties

DateTypeFine amountPayment denial
December 12, 2025Fine$11,354—
April 6, 2025Fine$9,113—

Source: CMS Penalties: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Staffing

MeasureThis facilityTexas averageU.S. average
Total nurse staff hours per resident per day3.373.393.86
Registered nurse (RN) hours per resident per day0.40.430.69
LPN/LVN hours per resident per day0.98Not publishedNot published
Nurse aide hours per resident per day1.98Not publishedNot published
Total nurse staff hours per resident per day, weekends2.92Not publishedNot published
RN hours per resident per day, weekends0.33Not publishedNot published
Total nursing staff turnover (%)64.455.345.8
Registered nurse turnover (%)87.5Not publishedNot published
Administrators who have left0Not publishedNot published

Reported hours come from the Payroll-Based Journal (PBJ) staffing data that facilities submit to CMS each quarter.

Source: CMS Provider Information; State and US Averages: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Facility details

Legal business name
West Wharton County Hospital District
Ownership type
For profit - Corporation
Chain
Avir Health Group (118 facilities)
Ownership changed in last 12 months
No
Certified beds
130
Average residents per day
74.3
Participates in
Medicare and Medicaid
Located inside a hospital
No
Continuing care retirement community
No
Resident and family council
Resident
First approved for Medicare/Medicaid
July 18, 2024
County/parish
Kerr

Source: CMS Provider Information: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Owners and managers reported to CMS

18 ownership and management records
NameRoleTypeOwnership %Since
WELLTOWER INC5% OR GREATER SECURITY INTERESTOrganizationNOT APPLICABLEundefined undefined, NaN
WELLTOWER NNN GROUP, LLC5% OR GREATER SECURITY INTERESTOrganizationNOT APPLICABLEundefined undefined, NaN
WELLTOWER OP, LLC5% OR GREATER SECURITY INTERESTOrganizationNOT APPLICABLEundefined undefined, NaN
THOMPSON, JOHNNYCORPORATE DIRECTORIndividualNOT APPLICABLEundefined undefined, NaN
1555 BANDERA HIGHWAY OPCO, LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEundefined undefined, NaN
BYKER, DAKOTAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEundefined undefined, NaN
DAGAN, AMITAIOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEundefined undefined, NaN
FREUND, NOCHUMOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEundefined undefined, NaN
RODRIGUEZ, ISMAELOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEundefined undefined, NaN
TRAVITSKY, AARONOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEundefined undefined, NaN
GOLDBERGER, ABRAHAMINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualNOT APPLICABLEundefined undefined, NaN
1555 BANDERA HIGHWAY OPCO, LLCADP OF THE SNFOrganizationNOT APPLICABLEundefined undefined, NaN
1555 BANDERA HIGHWAY PROPERTY OWNER, LLCADP OF THE SNFOrganizationNOT APPLICABLEundefined undefined, NaN
WELLTOWER INCADP OF THE SNFOrganizationNOT APPLICABLEundefined undefined, NaN
WELLTOWER NNN GROUP, LLCADP OF THE SNFOrganizationNOT APPLICABLEundefined undefined, NaN
WELLTOWER OP, LLCADP OF THE SNFOrganizationNOT APPLICABLEundefined undefined, NaN
BYKER, DAKOTAADP OF THE SNFIndividualNOT APPLICABLEundefined undefined, NaN
RODRIGUEZ, ISMAELADP OF THE SNFIndividualNOT APPLICABLEundefined undefined, NaN

Source: CMS Ownership: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Check it yourself

Page built from CMS data files processed September 1, 2026 (CMS refreshes monthly). Last checked October 26, 2026. Not a ranking or endorsement.