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Nursing homeFAID #14444

Avir At Kingsland

3727 W RANCH RD 1431, KINGSLAND, TX, 78639
(325) 388-4538
avirhg.com
122 licensed beds

CMS rates Avir At Kingsland 2 out of 5 overall. Federal inspectors issued 25 citations across 9 inspections in the last three years, with no federal fines. Listing last updated 2026-11-06.

★★★★★2/5CMS Five-Star overall3/5 health inspections1/5 staffing4/5 quality measuresSource: CMS Care Compare

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Photo of Avir at Kingsland
Photo via Google · Zachary Carlson

Public record summary

What we can show you for free.
Bed capacity
122
CMS facility ID
676035
Care type
Nursing home
County
Llano
Facility name
Avir At Kingsland
Street address
3727 W RANCH RD 1431
City / state / ZIP
Kingsland, TX 78639
Phone
(325) 388-4538
Website
avirhg.com

About this facility — Avir At Kingsland

Avir At Kingsland is a Medicare/Medicaid-certified skilled nursing facility in Kingsland, Texas. It is licensed for 122 beds — close to the median for skilled nursing facilities in Texas (120 beds).

It is one of 2 senior care facilities in Kingsland 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 Kingsland 25 times across 9 inspections in the last three years, including 5 food-safety citations; no federal fines are on record. 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.

Facility background

What the public record shows.

Ownership & operator

Parent company
Avir Health Group
Ownership type
Government - Hospital district

Registered owners & officers

Fannin County Hospital Authority
Direct owner — 100% stake — since 2020
3727 W Ranch Road 1431 Holdings Llc
Operational control — since 2025
3727 W Ranch Road 1431 Property Owner, Llc
Additional disclosable party — since 2025
Dagan, Amitai
Owner of a disclosable party — since 2025
Freund, Nochum
Operational control — since 2025
Goldberger, Abraham
Owner of a disclosable party — since 2025
Goldberger, Faigy
Owner of a disclosable party — since 2025
Ramirez, Roberto
Operational control · Additional disclosable party — since 2023
Sanderson, Clark
Officer — since 2025
Syed, Asif
Operational control · Additional disclosable party — since 2025
Travitsky, Aaron
Operational control — since 2025
Welltower Nnn Group, Llc
Additional disclosable party — since 2025
Welltower Op Llc
Additional disclosable party — since 2025

Regulatory standing

Licensed / certified since
2004-08-10
CMS overall rating
2 of 5 stars
Health deficiencies
14 at the last standard inspection
Federal fines
None on record
Last standard inspection
2026-05-28
Nurse staffing
2.8 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$242 per day (≈ $7,360/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
54% Medicaid · 17% Medicare · 29% private/other
Occupancy
50% (fiscal year 2023)
Vs. state median
13% below the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds
122
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; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 5 food-safety citations on its three-year record — flagged below among the inspections.
2026-05-28Health inspection6 citations
F-0552
D · No harm found
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2026-06-28
F-0583
D · No harm found
Keep residents' personal and medical records private and confidential.
Corrected 2026-06-28
F-0605
D · No harm found
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected 2026-06-28
F-0727
E · No harm found
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2026-06-28
F-0804
E · No harm foundFood safety
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2026-06-28
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 2026-06-28
2026-04-29Health inspectionComplaint-triggered1 citation
F-0600
D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2026-05-01
7 earlier / fire-safety inspections (18 citations)
2026-01-28Health inspectionComplaint-triggered4 citations
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2026-01-29
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 2026-01-29
F-0808
D · No harm foundFood safetyFrom a complaint
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected 2026-01-29
F-0826
D · No harm foundFrom a complaint
Provide specialized rehabilitative services by qualified personnel, when ordered for a resident by a doctor.
Corrected 2026-01-29
2025-10-08Health inspectionComplaint-triggered3 citations
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-11-10
F-0684
G · Actual harmFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-11-10
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 2025-12-17
2025-03-13Health inspection2 citations
F-0759
D · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-03-27
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-03-27
2024-01-31Health inspection4 citations
F-0732
C · No harm found
Post nurse staffing information every day.
Corrected 2024-02-15
F-0761
E · 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 2024-02-15
F-0804
E · No harm foundFood safety
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-02-15
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 2024-02-15
2026-05-28Fire-safety inspection1 citation
K-0324
C · No harm found
Provide properly protected cooking facilities.
2025-03-13Fire-safety inspection2 citations
K-0324
C · No harm found
Provide properly protected cooking facilities.
Corrected 2025-04-17
K-0353
D · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-04-17
2024-01-31Fire-safety inspection2 citations
K-0324
D · No harm found
Provide properly protected cooking facilities.
Corrected 2024-02-07
K-0353
D · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-02-15
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 676035.

Quality of care & staffing

How it compares in Texas.
Inspection citations, 3 years
25
More than 27% of nursing homes in the state
State median: 33
Federal fines, 3 years
$0
No federal fines on record
State median: $15,642
Nurse staffing, hours per resident per day
2.8
Higher than 9% of nursing homes in the state
State median: 3.3
Nursing staff turnover, annual
45%
Higher than 34% 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 8 and worse on 4. Differences within 10% of the average are shown as near average.

Long-stay residentsThis facilityStateUSCompared with state
Need for help with daily activities has increased15.0%15.8%13.5%Near state average
Lose too much weight3.9%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 infection0.9%0.8%1.5%Near state average
Have depressive symptoms0.9%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 injury5.0%3.2%3.2%Worse than state
Assessed and appropriately given the pneumococcal vaccine99.6%96.4%93.7%Near state average
Ability to walk independently worsened11.9%12.9%12.7%Near state average
Received an antianxiety or hypnotic medication16.8%17.8%19.5%Near state average
Assessed and appropriately given the seasonal influenza vaccine100.0%97.0%95.3%Near state average
With pressure ulcers2.4%3.7%4.5%Better than state
With new or worsened bowel or bladder incontinence10.6%12.5%18.3%Better than state
Received an antipsychotic medication6.6%9.8%15.4%Better than state
Hospitalizations per 1000 long-stay resident days2.802.051.81Worse than state
Outpatient emergency department visits per 1000 long-stay resident days3.511.971.69Worse than state
Short-stay residentsThis facilityStateUSCompared with state
Assessed and appropriately given the pneumococcal vaccine92.1%88.7%82.3%Near state average
Newly received an antipsychotic medication1.1%1.4%1.5%Better than state
Were assessed and appropriately given the seasonal influenza vaccine83.5%85.4%80.1%Near state average
Were rehospitalized after a nursing home admission17.4%25.5%23.4%Better than state
Had an outpatient emergency department visit11.3%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.

  • K-0324 3 inspections. Provide properly protected cooking facilities.
  • F-0804 2 inspections. Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
  • F-0812 2 inspections. Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  • F-0580 2 inspections. Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  • F-0761 2 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.
  • K-0353 2 inspections. Inspect, test, and maintain automatic sprinkler systems.

What its owners also hold

  • Fannin County Hospital Authority has an ownership stake on file at 54 nursing homes, averaging 2.8 of 5 on CMS's overall rating.
Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.

Verify & compare

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

  • Mid Coast Medical Center - Central, about 14 miles.
  • Baylor Scott & White Medical Center - Marble Falls, about 15 miles. CMS rating 4 of 5.
  • Adventhealth Rollins Brook, about 32 miles. CMS rating 4 of 5.
Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Visitor reviews

What people say on Google.
4.498 ratings on Google
★★★★★lin Evans · 2025-12-10 · via Google

“Avir of Johnson City is a great place for your loved one. They have such a loving, caring, attentive nursing team. In addition, they also have a great activity department. The residents start their day and end their day with love, fun and happiness. I highly recommend. Stop by and take a tour.”

★★★★★Nita Winters · 2025-03-25 · via Google

“The staff was great with my Aunt. One nurse in particular was kind and really made my aunt feel safe. At the end of her therapy stay recently, the same nurse helped her and her daughter pack her stuff and load it to the car. A real homelike environment.”

★★★★★Rob Leigh · 2023-08-28 · via Google

“I visited my mother after she had been here a couple months. I found her to be clean, healthy, and cared for. This facility has decent security. It does not smell like pee or medication or poo, this is important, this place is well kept. To the staff: thank you for caring for my mom and being so good.”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

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 25 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
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Citations, owner history, lawsuits — decoded into one PDF.
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Original records

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