Avir at Kerrville
1555 Bandera Hwy, Kerrville, TX 78028 · (830) 412-2366
For profit - Corporation · 130 certified beds
Avir at Kerrville has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in June 2025, found 12 citations (the Texas average is 9.4). It was fined 2 times in the last three years, $20,467 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 1 out of 5 stars · Much below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 1 out of 5 stars · Much below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 2 out of 5 stars · Below average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 1 out of 5 stars · Much below average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on June 27, 2025 found 12 citations. What an inspection citation means
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.June 27, 2025 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.June 27, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.June 27, 2025 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Keep all essential equipment working safely.June 27, 2025 · F0908 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Make sure that a working call system is available in each resident's bathroom and bathing area.June 27, 2025 · F0919 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.June 27, 2025 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure each resident receives an accurate assessment.June 27, 2025 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedJune 27, 2025 · F0655 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide enough food/fluids to maintain a resident's health.June 27, 2025 · F0692 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that residents are free from significant medication errors.June 27, 2025 · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.June 27, 2025 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.June 27, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 50 citations.
- Ensure each resident receives an accurate assessment.July 1, 2026 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Post nurse staffing information every day.July 1, 2026 · F0732 · Level of harm: Potential for minimal harm · Residents affected: Some
- Reasonably accommodate the needs and preferences of each resident.June 19, 2026 · F0558 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.June 19, 2026 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.June 19, 2026 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Honor the resident's right to manage his or her financial affairs.April 24, 2026 · F0567 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Respond appropriately to all alleged violations.April 24, 2026 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide care and assistance to perform activities of daily living for any resident who is unable.April 24, 2026 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.April 24, 2026 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.April 24, 2026 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.April 24, 2026 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.April 24, 2026 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure each resident receives an accurate assessment.March 19, 2026 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Hire a qualified full-time social worker in a facility with more than 120 beds.March 19, 2026 · F0850 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure each resident receives an accurate assessment.February 6, 2026 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.February 6, 2026 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Post nurse staffing information every day.February 6, 2026 · F0732 · Level of harm: Potential for minimal harm · Residents affected: Many
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.February 6, 2026 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.January 14, 2026 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.January 14, 2026 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.December 12, 2025 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that residents are free from significant medication errors.December 12, 2025 · F0760 · Level of harm: Actual harm · Residents affected: Some
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.December 12, 2025 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.November 21, 2025 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure the activities program is directed by a qualified professional.November 21, 2025 · F0680 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.November 21, 2025 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.June 6, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure each resident receives an accurate assessment.May 16, 2025 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Post nurse staffing information every day.May 16, 2025 · F0732 · Level of harm: Potential for minimal harm · Residents affected: Many
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.May 16, 2025 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Keep residents' personal and medical records private and confidential.April 6, 2025 · F0583 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.April 6, 2025 · F0585 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.April 6, 2025 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Respond appropriately to all alleged violations.April 6, 2025 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.April 6, 2025 · F0678 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- 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.April 6, 2025 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.April 6, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide and implement an infection prevention and control program.April 6, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.February 28, 2025 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.November 26, 2024 · F0636 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure each resident receives an accurate assessment.November 26, 2024 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.November 26, 2024 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide safe and appropriate respiratory care for a resident when needed.September 19, 2024 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.September 19, 2024 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure a qualified health professional conducts resident assessments.July 1, 2024 · F0642 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.July 1, 2024 · F0656 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.July 1, 2024 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.July 1, 2024 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.July 1, 2024 · F0801 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Administer the facility in a manner that enables it to use its resources effectively and efficiently.July 1, 2024 · F0835 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Fines and payment denials
- Fine of $11,354December 12, 2025
- Fine of $9,113April 6, 2025
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Texas average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 3.37 | 3.39 | 3.86 |
| Registered nurses (RN) | 0.40 | 0.43 | 0.69 |
| Licensed practical nurses (LPN) | 0.98 | 0.95 | 0.86 |
| Nurse aides | 1.98 | 2.01 | 2.32 |
| Total nursing staff turnover | 64.4% | 55.3% | 45.8% |
About this home
| Ownership | For profit - Corporation |
| Certified beds | 130 |
| Average residents per day | 74.3 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Hilltop Village Nursing and Rehabilitation Kerrville · ★★★★★ 2 out of 5 stars
- Arbor View Nursing & Rehabilitation Kerrville · ★★★★★ 1 out of 5 stars
- River Hills Health and Rehabilitation Center Kerrville · ★★★★★ 1 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Avir at Kerrville on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.