ElderGrade Check a home before you move a parent in Compare
Nursing homes Best graded Watchlist Home health Hospice Costs Medicaid Guides How we grade Ownership Compare homes
C

56/100

Average

Avir At Kerrville

1555 Bandera Hwy, Kerrville, TX 78028

CMS 1/5 stars #3 of 4 in Kerr County (830) 412-2366
Certified beds
130
Occupancy
57%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion, each one comes straight from a federal inspection or enforcement file.

  • $20,467 in federal fines

    CMS has fined this facility across 2 penalty action(s).

  • Nursing staff turnover of 64%

    High turnover means residents rarely see the same caregiver twice. The national average is about 50%.

Our read on Avir At Kerrville

Avir At Kerrville runs 130 certified beds under for-profit corporate ownership, and the staffing numbers are the first thing I'd flag: 3.37 nurse hours per resident day against a national average of 3.86, with weekends dropping another 13% below its own weekday level. That shortfall shows up in turnover too, 64.4% annually, well above the 45.8% national figure, meaning the aides and nurses your family gets to know are likely to change often. The inspection record carries 62 deficiencies, four at harm or jeopardy level and five abuse-related, plus $20,293 in fines across two penalties. CMS rated its health inspection, staffing, and quality measures at 1, 2, and 1 stars respectively, with the most recent inspection dated June 2025.

Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.

Inspection30/30Staffing8/30Stability5/15Outcomes5/15Enforcement8/10

A full pentagon is full marks. The shape shows what kind of good or bad a home is, two homes can share a score and look nothing alike.

Inspection safety

30/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • →No citations recorded in the last 3 years

Staffing

8/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • →3.27 total nurse hours per resident per day (national median 3.77)
  • →0.4 RN hours per resident per day
  • →Weekend staffing drops 13% against weekdays

Staff stability

5/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • →64% of nursing staff left in the last year

Resident outcomes

5/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • →2 of 5 stars on the CMS quality-measure rating

Enforcement history

8/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • →$20,467 in federal fines across 2 action(s)

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day3.37 hrs
National average 3.86 hrsBelow average
Registered nurse (RN) hours0.40 hrs
National average 0.69 hrsBelow average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours2.92 hrs
National average 3.42 hrsBelow average

The shift most families visit, and the one thinned first.

Nursing staff turnover64.40%
National average 45.80%Below average

The share of nursing staff who left over the last year.

Recent inspection findings

Last standard health inspection: June 27, 2025 (1 year ago). No citations were recorded.

No health-inspection citations on record for this facility in the current CMS release.

Who owns this home

Full record

Part of AVIR HEALTH GROUP, which operates 118 homes. Staffing budgets are usually set at chain level, not in the building.

What families say

Write a review

No family reviews yet for Avir At Kerrville. If you or a relative have experience of this home, other families would find it useful.

Be the first to review

Every review is confirmed by email and read by a moderator before it appears. We remove reviews written by or for a facility. If something is wrong right now, report a concern , that routes you to your state ombudsman, who can actually intervene.

Common questions about Avir At Kerrville

What is the ElderGrade for Avir At Kerrville? +

Avir At Kerrville holds an ElderGrade of C (56 out of 100), which we describe as "average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Avir At Kerrville? +

Residents receive an average of 3.37 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Avir At Kerrville been cited for harming residents? +

No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does Avir At Kerrville accept Medicaid? +

Yes, Avir At Kerrville is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.