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Nursing homeFAID #746678

Avir At Kerrville

1555 Bandera Hwy, Kerrville, TX, 78028
(830) 412-2366
130 licensed beds

CMS rates Avir At Kerrville 1 out of 5 overall. Federal inspectors issued 84 citations across 22 inspections in the last three years, with $20,467 in fines. Listing last updated 2026-11-06.

★★★★★1/5CMS Five-Star overall1/5 health inspections1/5 staffing2/5 quality measuresSource: CMS Care Compare

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What we can show you for free.
Bed capacity
130
CMS facility ID
745050
Care type
Nursing home
County
Kerr
Facility name
Avir At Kerrville
Street address
1555 Bandera Hwy
City / state / ZIP
Kerrville, TX 78028
Phone
(830) 412-2366

Avir At Kerrville is a Medicare/Medicaid-certified skilled nursing facility in Kerrville, Texas. It is licensed for 130 beds — close to the median for skilled nursing facilities in Texas (120 beds).

It is one of 14 senior care facilities in Kerrville and 1,179 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Avir Health Group, a group of 118 facilities on this site.

Federal inspectors have cited Avir At Kerrville 84 times across 22 inspections in the last three years, including 8 food-safety citations, and CMS has imposed $20,467 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

What the public record shows.

Ownership & operator

Parent company
Avir Health Group
Ownership type
Government - Hospital district

Registered owners & officers

1555 Bandera Highway Opco, Llc
Operational control · Additional disclosable party — since 2025
1555 Bandera Highway Property Owner, Llc
Additional disclosable party — since 2025
Byker, Dakota
Operational control · Additional disclosable party — since 2025
Dagan, Amitai
Operational control — since 2025
Freund, Nochum
Operational control — since 2025
Goldberger, Abraham
Owner of a disclosable party — since 2025
Rodriguez, Ismael
Operational control · Additional disclosable party — since 2025
Thompson, Johnny
Director — since 2025
Travitsky, Aaron
Operational control — since 2025
Welltower Inc
Security-interest holder · Additional disclosable party — since 2025
Welltower Nnn Group, Llc
Security-interest holder · Additional disclosable party — since 2025
Welltower Op Llc
Security-interest holder · Additional disclosable party — since 2025

Regulatory standing

Licensed / certified since
2024-07-18
CMS overall rating
1 of 5 stars
Health deficiencies
39 at the last standard inspection
Federal fines
$20,467 total
Last standard inspection
2026-08-28
Nurse staffing
3.2 hours per resident per day

Services & coverage

Licensed beds
130
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Visiting hours
Daily Open 24 hours
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; hours/accessibility via Google · last verified 2026-11-06. Facilities can submit a correction.
Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 8 food-safety citations on its three-year record — flagged below among the inspections.
2026-08-28Health inspection12 citations
F-0644
D · No harm found
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F-0657
E · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F-0686
D · No harm found
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
F-0732
C · No harm found
Post nurse staffing information every day.
F-0755
E · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F-0759
D · No harm found
Ensure medication error rates are not 5 percent or greater.
F-0804
D · No harm foundFood safety
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F-0812
D · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F-0813
D · No harm foundFood safety
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
2026-08-13Health inspectionComplaint-triggered1 citation
F-0635
D · No harm foundFrom a complaint
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Corrected 2026-08-28
20 earlier / fire-safety inspections (71 citations)
2026-07-01Health inspectionComplaint-triggered2 citations
F-0641
D · No harm foundFrom a complaint
Ensure each resident receives an accurate assessment.
Corrected 2026-08-07
F-0732
B · No harm foundFrom a complaint
Post nurse staffing information every day.
Corrected 2026-08-07
2026-06-19Health inspectionComplaint-triggered3 citations
F-0558
D · No harm foundFrom a complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected 2026-08-01
F-0690
D · No harm foundFrom a complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2026-08-01
F-0761
D · No harm foundFrom a 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 2026-08-01
2026-04-24Health inspectionComplaint-triggered7 citations
F-0567
D · No harm foundFrom a complaint
Honor the resident's right to manage his or her financial affairs.
Corrected 2026-04-29
F-0610
D · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2026-04-29
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2026-04-29
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-04-29
F-0755
D · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2026-04-29
F-0761
D · No harm foundFrom a 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 2026-04-29
F-0812
D · No harm foundFood safetyFrom a complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2026-04-29
2026-03-19Health inspectionComplaint-triggered2 citations
F-0641
D · No harm foundFrom a complaint
Ensure each resident receives an accurate assessment.
Corrected 2026-03-22
F-0850
E · No harm foundFrom a complaint
Hire a qualified full-time social worker in a facility with more than 120 beds.
Corrected 2026-03-22
2026-02-06Health inspectionComplaint-triggered4 citations
F-0641
D · No harm foundFrom a complaint
Ensure each resident receives an accurate assessment.
Corrected 2026-02-10
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-02-10
F-0732
C · No harm foundFrom a complaint
Post nurse staffing information every day.
Corrected 2026-02-10
F-0842
E · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2026-02-10
2026-01-14Health inspectionComplaint-triggered2 citations
F-0755
D · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2026-01-15
F-0761
D · No harm foundFrom a 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 2026-01-15
2025-12-12Health inspectionComplaint-triggered3 citations
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-12-13
F-0760
H · Actual harmFrom a complaint
Ensure that residents are free from significant medication errors.
Corrected 2025-12-09
F-0842
E · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-12-13
2025-11-21Health inspectionComplaint-triggered3 citations
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-11-24
F-0680
E · No harm foundFrom a complaint
Ensure the activities program is directed by a qualified professional.
Corrected 2025-11-22
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-11-22
2025-06-27Health inspection12 citations
F-0609
D · No harm found
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-06-30
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2025-06-30
F-0655
D · No harm found
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2025-06-30
F-0684
E · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-06-30
F-0692
D · No harm found
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-06-30
F-0760
D · No harm found
Ensure that residents are free from significant medication errors.
Corrected 2025-06-30
F-0761
D · No harm found
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 2025-06-30
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-06-30
F-0842
E · No harm found
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-06-30
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-06-30
F-0908
E · No harm found
Keep all essential equipment working safely.
Corrected 2025-06-30
F-0919
E · No harm found
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2025-06-30
2025-06-06Health inspectionComplaint-triggered1 citation
F-0880
E · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2025-06-07
2025-05-16Health inspectionComplaint-triggered3 citations
F-0641
D · No harm foundFrom a complaint
Ensure each resident receives an accurate assessment.
Corrected 2025-05-17
F-0732
C · No harm foundFrom a complaint
Post nurse staffing information every day.
Corrected 2025-05-17
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-05-17
2025-04-06Health inspectionComplaint-triggered8 citations
F-0583
E · No harm foundFrom a complaint
Keep residents' personal and medical records private and confidential.
Corrected 2025-04-08
F-0585
E · No harm foundFrom a complaint
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 2025-04-08
F-0609
E · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-04-08
F-0610
E · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2025-04-08
F-0678
J · Immediate jeopardyFrom a complaint
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected 2025-04-08
F-0761
E · No harm foundFrom a 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 2025-04-08
F-0812
E · No harm foundFood safetyFrom a complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-04-08
F-0880
E · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2025-04-08
2025-02-28Health inspectionComplaint-triggered1 citation
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-02-23
2024-11-26Health inspectionComplaint-triggered3 citations
F-0636
E · No harm foundFrom a complaint
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2024-11-27
F-0641
E · No harm foundFrom a complaint
Ensure each resident receives an accurate assessment.
Corrected 2024-11-27
F-0656
E · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-11-27
2024-09-19Health inspectionComplaint-triggered2 citations
F-0695
D · No harm foundFrom a complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-09-20
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-09-20
2024-07-01Health inspectionComplaint-triggered6 citations
F-0642
D · No harm foundFrom a complaint
Ensure a qualified health professional conducts resident assessments.
Corrected 2024-07-02
F-0656
K · Immediate jeopardyFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-07-02
F-0689
J · Immediate jeopardyFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-07-02
F-0755
D · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-07-02
F-0801
D · No harm foundFood safetyFrom a complaint
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.
Corrected 2024-07-02
F-0835
D · No harm foundFrom a complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2024-07-02
2024-05-08Health inspection5 citations
F-0640
F · No harm found
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2024-05-09
F-0680
E · No harm found
Ensure the activities program is directed by a qualified professional.
Corrected 2024-05-09
F-0803
E · No harm foundFood safety
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.
Corrected 2024-05-09
F-0838
F · No harm found
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.
Corrected 2024-05-09
F-0850
E · No harm found
Hire a qualified full-time social worker in a facility with more than 120 beds.
Corrected 2024-05-09
2026-08-28Fire-safety inspection2 citations
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
K-0741
E · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
2025-06-27Fire-safety inspection1 citation
K-0741
E · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2025-06-30
2024-05-08Fire-safety inspection1 citation
K-0372
C · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-04-25

Federal penalties

2025-12-12Fine$11,354
2025-04-06Fine$9,113
Total fines$20,467
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 745050.
How it compares in Texas.
Inspection citations, 3 years
84
More than 97% of nursing homes in the state
State median: 33
Federal fines, 3 years
$20,467
More than 56% of nursing homes in the state
State median: $15,642
Nurse staffing, hours per resident per day
3.2
Higher than 35% of nursing homes in the state
State median: 3.3
Nursing staff turnover, annual
61%
Higher than 77% of nursing homes in the state
State median: 50%

Resident outcomes

On 21 federal quality measures, this facility does better than the Texas average on 5 and worse on 11. Differences within 10% of the average are shown as near average.

Long-stay residentsThis facilityStateUSCompared with state
Need for help with daily activities has increased34.0%15.8%13.5%Worse than state
Lose too much weight6.5%2.9%5.1%Worse than state
With a catheter inserted and left in their bladder0.0%0.3%0.7%Better than state
With a urinary tract infection1.6%0.8%1.5%Worse than state
Have depressive symptoms0.6%2.3%13.5%Better than state
Were physically restrained0.0%0.0%0.1%Better than state
Experiencing one or more falls with major injury6.5%3.2%3.2%Worse than state
Assessed and appropriately given the pneumococcal vaccine84.4%96.4%93.7%Worse than state
Ability to walk independently worsened32.1%12.9%12.7%Worse than state
Received an antianxiety or hypnotic medication17.8%17.8%19.5%Near state average
Assessed and appropriately given the seasonal influenza vaccine81.4%97.0%95.3%Worse than state
With pressure ulcers1.2%3.7%4.5%Better than state
With new or worsened bowel or bladder incontinence16.5%12.5%18.3%Worse than state
Received an antipsychotic medication1.8%9.8%15.4%Better than state
Hospitalizations per 1000 long-stay resident days2.062.051.81Near state average
Outpatient emergency department visits per 1000 long-stay resident days1.921.971.69Near state average
Short-stay residentsThis facilityStateUSCompared with state
Assessed and appropriately given the pneumococcal vaccine51.6%88.7%82.3%Worse than state
Newly received an antipsychotic medication1.8%1.4%1.5%Worse than state
Were assessed and appropriately given the seasonal influenza vaccine29.5%85.4%80.1%Worse than state
Were rehospitalized after a nursing home admission27.6%25.5%23.4%Near state average
Had an outpatient emergency department visit12.3%12.2%11.8%Near state average
Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

  • F-0641 6 inspections. Ensure each resident receives an accurate assessment.
  • F-0842 6 inspections. Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  • F-0761 5 inspections. 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.
  • F-0656 4 inspections. Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  • F-0732 4 inspections. Post nurse staffing information every day.
  • F-0755 4 inspections. Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Where to check, and what's nearby.

Who to contact in Texas

  • Licensing: Texas Health and Human Services
  • File a complaint: 800-458-9858 · Online
  • Long-Term Care Ombudsman: 800-252-2412. A free advocate for residents and families.
  • Adult Protective Services: 800-252-5400. Some states send facility cases to licensing instead. In an emergency, call 911.
  • Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

  • Peterson Regional Medical Center, about 1.4 miles. CMS rating 4 of 5.
  • Hill Country Memorial Hospital, about 22 miles. CMS rating 4 of 5.
  • Bandera Family Hospital, about 46 miles.
Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

What people say on Google.
4.648 ratings on Google
★Phyllis Allen · 2026-07-26 · via Google

“If I could leave a -10 I would. This place is a death trap. . While it looks amazing inside. The care is awful. They do not have enough staff per patient ratio in order to give adequate care. . You have to fight to be heard about the care and concerns about your loved one. My mom died there and our voices were not heard. Do your research before choosing Avir Kerrville.”

★★★★★David Reast (Coach) · 2026-04-07 · via Google

“It has been a pleasure to see the friendly faces of the staff when I visit my brother at Avir in Kerrville. The facility is kept clean and bright. The nursing students from Ingram Tom Moore High School and Schreiner University bring a youthful exuberance to the atmosphere. We are lucky to have found it!”

★★★★★Rachel Pils · 2026-04-10 · via Google

“Visited my grandpa and the place is very clean, smelled nice and everyone we encountered greeted us with a smile. My grandpa is impressed with this place too”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google
What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 84 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-11-06
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered