Data / Nursing homes / Texas / Avir at Kerrville
Avir at Kerrville, Kerrville, TX: 1 star rating, fined $20,467 across 2 fines
Avir at Kerrville in Kerrville, TX is run by West Wharton County Hospital District, with no owner listed in the CMS ownership file, is rated 1 of 5 stars by Medicare, and was fined $20,467 across 2 fines in the three years to October 1, 2026. CMS lists 80 health citations from inspections in that time, the latest survey on August 28, 2026, and 4 of them found actual harm or immediate jeopardy.
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- Address
- 1555 Bandera Hwy, Kerrville, TX 78028
- Overall rating
- 1 of 5 stars
- Health inspection rating
- 1 of 5
- Staffing rating
- 1 of 5
- Quality measure rating
- 2 of 5
- Certified beds
- 130
- Residents per day
- 78 on average
- Ownership type
- Government, Hospital district
- Legal business name
- West Wharton County Hospital District
- Chain
- Avir Health Group, 118 facilities
- Fines
- $20,467 across 2 fines, three years to October 1, 2026
- Payment denials
- 0
- Health citations
- 80, of which 4 with actual harm or immediate jeopardy
- Latest survey
- August 28, 2026
- CMS Certification Number
- 745050
- On Care Compare
- Medicare Care Compare
Fines and payment denials
Every fine and payment denial CMS lists for this facility in the three years, newest first.
| Date | Type | Fine amount | Denial starts | Denial days | Source |
|---|---|---|---|---|---|
| December 12, 2025 | Fine | $11,354 | Not listed | data.cms.gov | |
| April 6, 2025 | Fine | $9,113 | Not listed | data.cms.gov |
Recent health citations
Citations from health inspections, newest first.
| Survey date | Tag | What CMS cited | Scope and severity | Status | Corrected on | Source |
|---|---|---|---|---|---|---|
| August 28, 2026 | F880 | Provide and implement an infection prevention and control program. | D: isolated, no actual harm, potential for more than minimal harm | No plan of correction | data.cms.gov | |
| August 28, 2026 | F813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D: isolated, no actual harm, potential for more than minimal harm | No plan of correction | data.cms.gov | |
| August 28, 2026 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D: isolated, no actual harm, potential for more than minimal harm | No plan of correction | data.cms.gov | |
| August 28, 2026 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D: isolated, no actual harm, potential for more than minimal harm | No plan of correction | data.cms.gov | |
| August 28, 2026 | F759 | Ensure medication error rates are not 5 percent or greater. | D: isolated, no actual harm, potential for more than minimal harm | No plan of correction | data.cms.gov | |
| August 28, 2026 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E: pattern, no actual harm, potential for more than minimal harm | No plan of correction | data.cms.gov | |
| August 28, 2026 | F732 | Post nurse staffing information every day. | C: widespread, minimal harm potential | No plan of correction | data.cms.gov | |
| August 28, 2026 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D: isolated, no actual harm, potential for more than minimal harm | No plan of correction | data.cms.gov | |
| August 28, 2026 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D: isolated, no actual harm, potential for more than minimal harm | No plan of correction | data.cms.gov | |
| August 28, 2026 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E: pattern, no actual harm, potential for more than minimal harm | No plan of correction | data.cms.gov | |
| August 28, 2026 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D: isolated, no actual harm, potential for more than minimal harm | No plan of correction | data.cms.gov | |
| August 28, 2026 | F644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D: isolated, no actual harm, potential for more than minimal harm | No plan of correction | data.cms.gov | |
| August 13, 2026 | F635 | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | August 28, 2026 | data.cms.gov |
| July 1, 2026 | F732 | Post nurse staffing information every day. | B: pattern, minimal harm potential | Corrected | August 7, 2026 | data.cms.gov |
| July 1, 2026 | F641 | Ensure each resident receives an accurate assessment. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | August 7, 2026 | data.cms.gov |
| June 19, 2026 | F761 | 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. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | August 1, 2026 | data.cms.gov |
| June 19, 2026 | F690 | 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: isolated, no actual harm, potential for more than minimal harm | Corrected | August 1, 2026 | data.cms.gov |
| June 19, 2026 | F558 | Reasonably accommodate the needs and preferences of each resident. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | August 1, 2026 | data.cms.gov |
| April 24, 2026 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | April 29, 2026 | data.cms.gov |
| April 24, 2026 | F761 | 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. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | April 29, 2026 | data.cms.gov |
| April 24, 2026 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | April 29, 2026 | data.cms.gov |
| April 24, 2026 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | April 29, 2026 | data.cms.gov |
| April 24, 2026 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | April 29, 2026 | data.cms.gov |
| April 24, 2026 | F610 | Respond appropriately to all alleged violations. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | April 29, 2026 | data.cms.gov |
| April 24, 2026 | F567 | Honor the resident's right to manage his or her financial affairs. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | April 29, 2026 | data.cms.gov |
| March 19, 2026 | F850 | Hire a qualified full-time social worker in a facility with more than 120 beds. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | March 22, 2026 | data.cms.gov |
| March 19, 2026 | F641 | Ensure each resident receives an accurate assessment. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | March 22, 2026 | data.cms.gov |
| February 6, 2026 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | February 10, 2026 | data.cms.gov |
| February 6, 2026 | F732 | Post nurse staffing information every day. | C: widespread, minimal harm potential | Corrected | February 10, 2026 | data.cms.gov |
| February 6, 2026 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | February 10, 2026 | data.cms.gov |
| February 6, 2026 | F641 | Ensure each resident receives an accurate assessment. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | February 10, 2026 | data.cms.gov |
| January 14, 2026 | F761 | 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. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | January 15, 2026 | data.cms.gov |
| January 14, 2026 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | January 15, 2026 | data.cms.gov |
| December 12, 2025 | F760 | Ensure that residents are free from significant medication errors. | H: pattern, actual harm | Past noncompliance | December 9, 2025 | data.cms.gov |
| December 12, 2025 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | December 13, 2025 | data.cms.gov |
| December 12, 2025 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | December 13, 2025 | data.cms.gov |
| November 21, 2025 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | November 22, 2025 | data.cms.gov |
| November 21, 2025 | F680 | Ensure the activities program is directed by a qualified professional. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | November 22, 2025 | data.cms.gov |
| November 21, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | November 24, 2025 | data.cms.gov |
| June 27, 2025 | F919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | June 30, 2025 | data.cms.gov |
| June 27, 2025 | F908 | Keep all essential equipment working safely. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | June 30, 2025 | data.cms.gov |
| June 27, 2025 | F880 | Provide and implement an infection prevention and control program. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | June 30, 2025 | data.cms.gov |
| June 27, 2025 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | June 30, 2025 | data.cms.gov |
| June 27, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | June 30, 2025 | data.cms.gov |
| June 27, 2025 | F761 | 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. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | June 30, 2025 | data.cms.gov |
| June 27, 2025 | F760 | Ensure that residents are free from significant medication errors. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | June 30, 2025 | data.cms.gov |
| June 27, 2025 | F692 | Provide enough food/fluids to maintain a resident's health. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | June 30, 2025 | data.cms.gov |
| June 27, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | June 30, 2025 | data.cms.gov |
| June 27, 2025 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D: isolated, no actual harm, potential for more than minimal harm | Corrected | June 30, 2025 | data.cms.gov |
| June 27, 2025 | F641 | Ensure each resident receives an accurate assessment. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | June 30, 2025 | data.cms.gov |
| June 27, 2025 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | June 30, 2025 | data.cms.gov |
| June 6, 2025 | F880 | Provide and implement an infection prevention and control program. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | June 7, 2025 | data.cms.gov |
| May 16, 2025 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | May 17, 2025 | data.cms.gov |
| May 16, 2025 | F732 | Post nurse staffing information every day. | C: widespread, minimal harm potential | Corrected | May 17, 2025 | data.cms.gov |
| May 16, 2025 | F641 | Ensure each resident receives an accurate assessment. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | May 17, 2025 | data.cms.gov |
| April 6, 2025 | F678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J: isolated, immediate jeopardy | Corrected | April 8, 2025 | data.cms.gov |
| April 6, 2025 | F880 | Provide and implement an infection prevention and control program. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | April 8, 2025 | data.cms.gov |
| April 6, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | April 8, 2025 | data.cms.gov |
| April 6, 2025 | F761 | 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. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | April 8, 2025 | data.cms.gov |
| April 6, 2025 | F610 | Respond appropriately to all alleged violations. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | April 8, 2025 | data.cms.gov |
| April 6, 2025 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | April 8, 2025 | data.cms.gov |
| April 6, 2025 | F585 | 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. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | April 8, 2025 | data.cms.gov |
| April 6, 2025 | F583 | Keep residents' personal and medical records private and confidential. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | April 8, 2025 | data.cms.gov |
| February 28, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D: isolated, no actual harm, potential for more than minimal harm | Past noncompliance | February 23, 2025 | data.cms.gov |
| November 26, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | November 27, 2024 | data.cms.gov |
| November 26, 2024 | F641 | Ensure each resident receives an accurate assessment. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | November 27, 2024 | data.cms.gov |
| November 26, 2024 | F636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | November 27, 2024 | data.cms.gov |
| September 19, 2024 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | September 20, 2024 | data.cms.gov |
| September 19, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | September 20, 2024 | data.cms.gov |
| July 1, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J: isolated, immediate jeopardy | Corrected | July 2, 2024 | data.cms.gov |
| July 1, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | K: pattern, immediate jeopardy | Corrected | July 2, 2024 | data.cms.gov |
| July 1, 2024 | F835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | July 2, 2024 | data.cms.gov |
| July 1, 2024 | F801 | 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. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | July 2, 2024 | data.cms.gov |
| July 1, 2024 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | July 2, 2024 | data.cms.gov |
| July 1, 2024 | F642 | Ensure a qualified health professional conducts resident assessments. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | July 2, 2024 | data.cms.gov |
| May 8, 2024 | F850 | Hire a qualified full-time social worker in a facility with more than 120 beds. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | May 9, 2024 | data.cms.gov |
| May 8, 2024 | F838 | 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. | F: widespread, no actual harm, potential for more than minimal harm | Corrected | May 9, 2024 | data.cms.gov |
| May 8, 2024 | F803 | 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. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | May 9, 2024 | data.cms.gov |
| May 8, 2024 | F680 | Ensure the activities program is directed by a qualified professional. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | May 9, 2024 | data.cms.gov |
| May 8, 2024 | F640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | F: widespread, no actual harm, potential for more than minimal harm | Corrected | May 9, 2024 | data.cms.gov |
Owners and managers
Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 9 individual or personal trusts (5 managers, 2 officers, directors or trustees, 2 other disclosable parties). Their names are not shown on this page.
| Organization | Role | Share | Since | Source |
|---|---|---|---|---|
| 1555 Bandera Highway OPCO, LLC | Operational or managerial control | Not listed | April 1, 2025 | data.cms.gov |
| Welltower Inc | Security interest | Not listed | April 1, 2025 | data.cms.gov |
| Welltower NNN Group, LLC | Security interest | Not listed | April 1, 2025 | data.cms.gov |
| Welltower OP LLC | Security interest | Not listed | April 1, 2025 | data.cms.gov |
| 1555 Bandera Highway OPCO, LLC | Additional disclosable party | Not listed | May 3, 2025 | data.cms.gov |
| 1555 Bandera Highway Property Owner, LLC | Additional disclosable party | Not listed | April 1, 2025 | data.cms.gov |
| Welltower Inc | Additional disclosable party | Not listed | April 1, 2025 | data.cms.gov |
| Welltower NNN Group, LLC | Additional disclosable party | Not listed | April 1, 2025 | data.cms.gov |
| Welltower OP LLC | Additional disclosable party | Not listed | April 1, 2025 | data.cms.gov |
Also on SpecStream
- All nursing homes in Texas
- Every nursing home Welltower Inc owns or manages
- Every nursing home Welltower OP LLC owns or manages
- This facility on Medicare Care Compare
Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.