Avir at Kerrville
Nursing home in Kerrville, TX
Medicare & Medicaid certified1★ overall (CMS)
Public-record details
- Address
- 1555 Bandera Hwy, Kerrville, TX 78028
- Phone
- (830) 412-2366
- Listed under
- For-profit
- Medicare CCN
- 745050
- Overall star rating
- 1 of 5 ★☆☆☆☆
- Health inspection rating
- 1 of 5
- Staffing rating
- 1 of 5
- Quality measures rating
- 2 of 5
- Certified beds
- 130
- Average residents per day
- 74
- Ownership
- For-profit, corporation
- Legal business name
- West Wharton County Hospital District
- Chain
- Avir Health Group (116 facilities)
- Certified for
- Medicare and Medicaid
- First approved by Medicare/Medicaid
- Jul 18, 2024
- Changed ownership in last 12 months
- No
- Continuing care retirement community
- No
- Located inside a hospital
- No
- Resident or family council
- Resident council
- Sprinklers in all required areas
- Yes
Inspection record
Most recent standard health inspection: Jun 27, 2025. CMS lists 67 health citations for this facility across its last three standard inspection cycles and complaint inspections (May 8, 2024 to Jul 1, 2026): 50 from complaint inspections, 4 at the “actual harm” level or higher, including 3 at “immediate jeopardy”.
| Inspection | Citation | Severity |
|---|---|---|
| Jul 1, 2026 | Post nurse staffing information every day. | B |
| Jul 1, 2026 | Ensure each resident receives an accurate assessment. | D |
| Jun 19, 2026 | Reasonably accommodate the needs and preferences of each resident. | D |
| Jun 19, 2026 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D |
| Jun 19, 2026 | 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… | D |
| Apr 24, 2026 | Honor the resident's right to manage his or her financial affairs. | D |
| Apr 24, 2026 | Respond appropriately to all alleged violations. | D |
| Apr 24, 2026 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D |
| Apr 24, 2026 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| Apr 24, 2026 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| Apr 24, 2026 | 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… | D |
| Apr 24, 2026 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D |
Fines and payment denials
CMS records 2 fines totalling $20,467 in the last three years.
| Dec 12, 2025 | Fine: $11,354 |
| Apr 6, 2025 | Fine: $9,113 |
Staffing
- Total nurse staffing per resident per day
- 3.37 hours
- Registered nurse (RN) time per resident per day
- 0.40 hours
- Nurse aide time per resident per day
- 1.98 hours
- Total nurse staffing on weekends
- 2.92 hours
- Nursing staff turnover (yearly)
- 64%
- RN turnover (yearly)
- 88%
- Administrators who left in the past year
- 0
A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.