All states › Texas › Kerrville › Avir at Kerrville
1555 Bandera Hwy Kerrville, TX 78028 · Kerr County
All 4 nursing homes in Kerrville, TX (4 take Medicaid)
CMS certification number 745050 · See this home on Medicare Care Compare
Is Avir at Kerrville a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Avir at Kerrville as of October 2026.
CMS rates it 1 out of 5 stars overall, below the Texas average of 2.8.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.17 hours per resident per day at Avir at Kerrville, below the Texas median of 3.30 (US median: 3.72). About 0.39 of those hours are from registered nurses. On weekends it falls to 2.85 hours, 10% below its all-week average. 60.8% of nursing staff left within a year (Texas median 50.2%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.
About this nursing home
Paying for care at Avir at Kerrville: Medicare and Medicaid
Avir at Kerrville is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Texas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on August 28, 2026 and found 12 deficiencies, plus 27 from complaint inspections in the same period. In total, inspectors issued 80 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 80 citations at Avir at Kerrville across 19 inspection dates, 51 of them from complaint investigations. 3 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on April 6, 2025 (complaint inspection). The most common areas cited were resident assessment and care planning (23) and quality of life and care (14). The most serious was cited under the CMS rule to "develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured" (tag F0656, level K, July 1, 2024). 5 citations were under CMS's abuse, neglect and exploitation rules.
August 28, 2026 · 12 citations
EDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DProvide safe and appropriate respiratory care for a resident when needed.
DEnsure medication error rates are not 5 percent or greater.
DEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DHave a policy regarding use and storage of foods brought to residents by family and other visitors.
DProvide and implement an infection prevention and control program.
CPost nurse staffing information every day.
August 13, 2026 · 1 citation · includes complaint inspection
DProvide doctor's orders for the resident's immediate care at the time the resident was admitted.
July 1, 2026 · 2 citations · includes complaint inspection
DEnsure each resident receives an accurate assessment.
BPost nurse staffing information every day.
June 19, 2026 · 3 citations · includes complaint inspection
DReasonably accommodate the needs and preferences of each resident.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DEnsure 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 · 7 citations · includes complaint inspection
DHonor the resident's right to manage his or her financial affairs.
DRespond appropriately to all alleged violations.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DEnsure 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.
DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
March 19, 2026 · 2 citations · includes complaint inspection
EHire a qualified full-time social worker in a facility with more than 120 beds.
DEnsure each resident receives an accurate assessment.
February 6, 2026 · 4 citations · includes complaint inspection
ESafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
DEnsure each resident receives an accurate assessment.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
CPost nurse staffing information every day.
January 14, 2026 · 2 citations · includes complaint inspection
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DEnsure 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.
December 12, 2025 · 3 citations, includes actual harm · includes complaint inspection
HEnsure that residents are free from significant medication errors.
ESafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
November 21, 2025 · 3 citations · includes complaint inspection
EEnsure the activities program is directed by a qualified professional.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
June 27, 2025 · 12 citations
EProvide appropriate treatment and care according to orders, resident’s preferences and goals.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
ESafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
EKeep all essential equipment working safely.
EMake sure that a working call system is available in each resident's bathroom and bathing area.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DEnsure each resident receives an accurate assessment.
DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
DProvide enough food/fluids to maintain a resident's health.
DEnsure that residents are free from significant medication errors.
DEnsure 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.
DProvide and implement an infection prevention and control program.
June 6, 2025 · 1 citation · includes complaint inspection
EProvide and implement an infection prevention and control program.
May 16, 2025 · 3 citations · includes complaint inspection
DEnsure each resident receives an accurate assessment.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CPost nurse staffing information every day.
April 6, 2025 · 8 citations, includes immediate jeopardy · includes complaint inspection
JProvide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
EKeep residents' personal and medical records private and confidential.
EHonor 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.
ETimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
ERespond appropriately to all alleged violations.
EEnsure 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.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EProvide and implement an infection prevention and control program.
February 28, 2025 · 1 citation · includes complaint inspection
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
November 26, 2024 · 3 citations · includes complaint inspection
EAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
EEnsure each resident receives an accurate assessment.
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
September 19, 2024 · 2 citations · includes complaint inspection
DProvide safe and appropriate respiratory care for a resident when needed.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
July 1, 2024 · 6 citations, includes immediate jeopardy · includes complaint inspection
KDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DEnsure a qualified health professional conducts resident assessments.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
DAdminister the facility in a manner that enables it to use its resources effectively and efficiently.
May 8, 2024 · 5 citations
FEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
FConduct 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.
EEnsure the activities program is directed by a qualified professional.
EEnsure 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.
EHire a qualified full-time social worker in a facility with more than 120 beds.
Questions to ask on a tour of Avir at Kerrville
- Inspectors cited the home at the immediate-jeopardy level on July 1, 2024 under the rule on resident assessment and care planning. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on April 24, 2026. How are staff trained, and how are concerns reported?
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Nursing staff turnover was 60.8% a year. How many of the staff come from agencies?
- CMS rates short-stay quality 2 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
2 penalties in the last three years, including $20,467 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Dec 12, 2025 | Fine | $11,354 |
| Apr 6, 2025 | Fine | $9,113 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 1/5 | 2/5 |
| August 2026 | 1/5 | 1/5 | 1/5 | 2/5 |
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Location
Hospitals near Avir at Kerrville
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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1.4 mi
Peterson Regional Medical Center KerrvilleEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 42m for patients treated and sent home
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22.4 mi
Hill Country Memorial Hospital INC FredericksburgEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 36m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Avir at Kerrville › All nursing homes in Kerrville ›
Compare Avir at Kerrville with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Hilltop Village Nursing and Rehabilitation · Kerrville · 2 stars · 3.6 mi
Other Avir Health Group nursing homes in Texas
- Avir at Beeville · Beeville · 5 stars
- Avir at Temple East · Temple · 5 stars
- Avir at Courtyard · Houston · 5 stars
- Avir at Haskell · Haskell · 5 stars
- Avir at Pampa · Pampa · 5 stars
- Avir at Paris · Paris · 5 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 118 Avir Health Group nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.