Kerrville, TX

Avir at Kerrville

1-star overall rating with 1-star inspections with $26,313 in total fines with 32 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

1555 Bandera Hwy, Kerrville, TX

(830) 412-2366

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

130

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Avir Health Group

Operator or chain grouping

Approved since

2024-07-18

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

90 facilities

Chain averages 2 overall / 2 health / 2 staffing / 4 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.20

Registered nurse staffing · state 0.44 · national 0.68

LPN hours / resident day

1.08

Licensed practical nurse staffing · state 0.95 · national 0.87

Aide hours / resident day

2.12

Nurse aide staffing · state 2.01 · national 2.35

Total nurse hours

3.40

All reported nurse hours · state 3.40 · national 3.89

Licensed hours

1.28

RN + LPN hours · state 1.38 · national 1.54

Weekend hours

3.19

Weekend nurse staffing · state 2.99 · national 3.43

Weekend RN hours

0.13

Weekend registered nurse coverage · state 0.34 · national 0.47

Physical therapist

0.08

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

0.21

CMS adjusted RN staffing hours

Adjusted total hours

3.62

CMS adjusted total nurse staffing hours

Case-mix index

1.28

Higher values indicate more complex resident acuity

RN turnover

Annual RN turnover

Total nurse turnover

Annual nurse turnover

SNF VBP

Value-based purchasing

Program rank

11,308

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

17.29

Composite VBP score used to determine payment impact.

Payment multiplier

0.9818

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

3.46

Performance 6.80% · Measure score 3.46 · Achievement 3.46 · This facility did not have sufficient data to calculate a baseline period measure result.

Total nurse turnover

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Adjusted total nurse staffing

Performance 2.58 hours · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	Not Available	10.72%	Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · Newly certified or not enough cases to report.
Discharge to community	Not Available	50.57%	Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · Newly certified or not enough cases to report.
Medicare spending per beneficiary	Not Available	1.02	Newly certified or not enough cases to report.
Drug regimen review with follow-up	25.15%	95.27% 70.1 pts worse	Numerator 41 · Denominator 163 · Based on a shorter reporting period than usual.
Falls with major injury	0.61%	0.77% 0.2 pts better	Numerator 1 · Denominator 163 · Based on a shorter reporting period than usual.
Discharge self-care score	66.29%	53.69% 12.6 pts better	Numerator 59 · Denominator 89 · Based on a shorter reporting period than usual.
Discharge mobility score	46.07%	50.94% 4.9 pts worse	Numerator 41 · Denominator 89 · Based on a shorter reporting period than usual.
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 162 · Adjusted rate 0% · Based on a shorter reporting period than usual.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · Newly certified or not enough cases to report.
Staff COVID-19 vaccination coverage	Not Available	8.2%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Staff flu vaccination coverage	Not Available	42%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge function score	58.43%	56.45% 2 pts better	Numerator 52 · Denominator 89 · Based on a shorter reporting period than usual.
Transfer of health information to provider	96.77%	95.95% 0.8 pts better	Numerator 30 · Denominator 31 · Based on a shorter reporting period than usual.
Transfer of health information to patient	97.37%	96.28% 1.1 pts better	Numerator 111 · Denominator 114 · Based on a shorter reporting period than usual.
Resident COVID-19 vaccinations up to date	9.32%	25.2% 15.9 pts worse	Numerator 11 · Denominator 118

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	0.9	2.1 1.2 pts better	1.9 1 pts better	Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 2.3 · Expected 4.8 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.7	2.1 0.6 pts worse	1.8 0.9 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.7 · Observed 5.2 · Expected 3.2 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	98.4%	97.1% 1.3 pts better	93.4% 5 pts better	Long Stay · 2024Q4-2025Q3 · Q2 100.0% · Q3 97.6% · Q4 97.7% · 4Q avg 98.4%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	97.9% 2.1 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	1.6%	3.3% 1.7 pts better	3.3% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q2 0.0% · Q3 2.4% · Q4 2.3% · 4Q avg 1.6% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.9%	2.7% 1.8 pts better	11.4% 10.5 pts better	Long Stay · 2024Q4-2025Q3 · Q2 0.0% · Q3 2.6% · Q4 0.0% · 4Q avg 0.9%
Percentage of long-stay residents who lose too much weight	7.5%	3.3% 4.2 pts worse	5.4% 2.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q2 9.5% · Q3 13.5% · Q4 2.9% · 4Q avg 7.5%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	25.0%	18.9% 6.1 pts worse	19.6% 5.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q2 27.3% · Q3 28.9% · Q4 21.6% · 4Q avg 25.0%
Percentage of long-stay residents who received an antipsychotic medication	2.7%	10.8% 8.1 pts better	16.7% 14 pts better	Long Stay · 2024Q4-2025Q3 · Q3 4.0% · Q4 0.0% · 4Q avg 2.7% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.0% About the same	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	45.5%	15.4% 30.1 pts worse	16.3% 29.2 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 45.5% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	23.0%	16.1% 6.9 pts worse	14.9% 8.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q2 20.0% · Q3 14.7% · Q4 38.7% · 4Q avg 23.0% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.5% 0.5 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	2.5%	0.8% 1.7 pts worse	1.7% 0.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q2 0.0% · Q3 7.3% · Q4 0.0% · 4Q avg 2.5% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	22.4%	15.0% 7.4 pts worse	19.8% 2.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q3 23.7% · Q4 23.3% · 4Q avg 22.4%
Percentage of long-stay residents with pressure ulcers	2.3%	4.2% 1.9 pts better	5.1% 2.8 pts better	Long Stay · 2024Q4-2025Q3 · Q2 0.0% · Q3 4.7% · Q4 2.1% · 4Q avg 2.3% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	93.7%	89.7% 4 pts better	81.7% 12 pts better	Short Stay · 2024Q4-2025Q3 · Q1 94.3% · Q2 91.8% · Q3 94.4% · Q4 94.2% · 4Q avg 93.7%
Percentage of short-stay residents who had an outpatient emergency department visit	15.4%	12.0% 3.4 pts worse	12.0% 3.4 pts worse	Short Stay · 20240701-20250630 · Adjusted 15.4% · Observed 14.5% · Expected 10.5% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.4%	1.5% 0.1 pts better	1.6% 0.2 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.0% · Q4 3.3% · 4Q avg 1.4% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	87.0%	88.0% 1 pts worse	79.7% 7.3 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 87.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	23.4%	25.9% 2.5 pts better	23.9% 0.5 pts better	Short Stay · 20240701-20250630 · Adjusted 23.4% · Observed 20.9% · Expected 21.3% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-06-27 · Fire 2025-06-27

32 health deficiencies

Top issue: Resident Assessment and Care Planning (8 deficiencies)

1 fire-safety deficiencies

Top issue: Miscellaneous (1 deficiency)

Cycle 2 Health 2024-05-08 · Fire 2024-05-08

17 health deficiencies

Top issue: Resident Assessment and Care Planning (7 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-06-27

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2025-06-30

C · Minimal harm 2024-05-08

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-04-25

Inspection history

Recent health citations

D · Potential for more than minimal harm 2026-01-14

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2026-01-15

D · Potential for more than minimal harm 2026-01-14

F761 · Pharmacy Service Deficiencies

Health

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

H · Actual harm 2025-12-12

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-12-09

E · Potential for more than minimal harm 2025-12-12

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-12-13

D · Potential for more than minimal harm 2025-12-12

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-12-13

E · Potential for more than minimal harm 2025-11-21

F680 · Quality of Life and Care Deficiencies

Health

Ensure the activities program is directed by a qualified professional.

Corrected 2025-11-22

D · Potential for more than minimal harm 2025-11-21

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

D · Potential for more than minimal harm 2025-11-21

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-11-22

E · Potential for more than minimal harm 2025-06-27

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-06-30

E · Potential for more than minimal harm 2025-06-27

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-06-30

E · Potential for more than minimal harm 2025-06-27

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-06-30

E · Potential for more than minimal harm 2025-06-27

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2025-06-30

E · Potential for more than minimal harm 2025-06-27