Avir At Kerrville
1555 BANDERA HWY, Kerrville, TX, 78028
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: Avir Health Group
- Certified beds
- 130 · avg 74 residents/day
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $26,313 total
State licensing & capacity
- License number
- 312515
- Service type
- Medicare/medicaid
- Licensed capacity
- 130 beds
- Bed type breakdown
- 30 Medicare-only · 100 Medicaid/Medicare
- Current license effective
- May 29, 2025
- Current license expires
- May 29, 2028
- Initial license date
- May 7, 2024
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- West Wharton County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- 1555 Bandera Highway Opco Llc
- Administrator
- Marcus Hall
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Avir Health Group chain — 90 facilities. Chain-wide average overall rating 2.3 / 5.
Disclosed owners (8 on record)
- Kerr Skilled Property Holdings
Adp of The Snf · since 2025
- Conquest Healthcare Management Llc
Operational/managerial Control · since 2024
- Conquest Healthcare Operations
5% or Greater Indirect Ownership Interest · 100% · since 2024
- Douglas 2016 Family Trust
5% or Greater Indirect Ownership Interest · 100% · since 2024
- Kerrville Healthcare Operations Llc
5% or Greater Direct Ownership Interest · 100% · since 2024
- Laura Givens
Adp of The Snf · since 2024
+ 2 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 49)
- D0761·Jan 14, 2026Complaint
Pharmacy Service Deficiencies
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.
- D0755·Jan 14, 2026Complaint
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E0842·Dec 12, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- H0760·Dec 12, 2025Complaint
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
- D0609·Dec 12, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D0842·Nov 21, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E0680·Nov 21, 2025Complaint
Quality of Life and Care Deficiencies
Ensure the activities program is directed by a qualified professional.
- D0656·Nov 21, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Federal penalties
By year
- 20252 fines · $26K
Most recent events
- Dec 12, 2025Fine · $17K
- Apr 6, 2025Fine · $9,113
Largest single fine on record: $17K.
Fire-safety citations
2 Life-Safety-Code citations on file. Most recent: Jun 27, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Avir At Kerrville is a 130-bed Medicare/Medicaid nursing home in Kerrville, Texas, operated by Avir Health Group. CMS rates it 1 star overall, with 1-star ratings on both health inspections and staffing. Quality-of-care measures rate 4 stars for long-stay residents. The facility is currently at 57% occupancy — about 74 residents in 130 licensed beds — and holds an active state license through May 2028.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates this facility 1 star on staffing — the lowest tier, shared by about 38% of Texas nursing homes. Each resident receives roughly 204 minutes of total nursing care per day, about 37 minutes less than at a 4-star-staffing facility in Texas. Of that, just 12 minutes come from a registered nurse; the Texas threshold for 4-star RN coverage is 37 minutes per resident per day.
Despite the low staffing rating, quality-of-care measures rate 4 stars for long-stay residents and 3 stars for short-stay residents. These measures track things like pressure wounds, falls, and pain management — outcomes that held up even at current staffing levels.
CMS recorded 2 fines totaling $26,313 since the facility's inspection history began. The state median fine total for Texas nursing homes with any fines is about $20,699; this facility's total runs modestly above that. About 30% of Texas nursing homes have no fines at all.
The facility is running at 57% of licensed capacity — roughly 74 residents in 130 beds. That gap is present against a backdrop of 1-star inspection and staffing ratings.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing levels on nights and weekends
Reported nursing hours average 204 minutes per resident per day overall, but weekend hours are lower at about 191 minutes — ask how many nurses and aides are on each shift.
RN presence on any given day
CMS data shows just 12 minutes of registered-nurse time per resident per day; ask whether an RN is physically on-site during all three shifts or only on call.
What the two CMS fines covered
The facility received 2 fines totaling $26,313 — ask which deficiencies triggered them and what corrective steps followed.
Why census is well below capacity
Only about 74 of 130 beds are occupied; ask whether that reflects a recent opening, referral patterns, or something else affecting operations.
License and management history
The state license was first issued in May 2024 and the management company is listed separately from the licensee — ask how long current management has been running day-to-day operations.
Resident Council access and schedule
A Resident Council is on record but no Family Council exists — ask how often the Resident Council meets and how families can raise concerns directly.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.