Avir At Kerrville

Penalties

• Dec 12, 2025 — Fine ($11,354)
• Apr 6, 2025 — Fine ($9,113)

Inspection findings

1. Jul 1, 2026 Health · 2 findings
   • Not serious Scope/severity D Complaint

     F0641 Resident Assessment and Care Planning Deficiencies

     Ensure each resident receives an accurate assessment.

     CMS health inspection

   • Not serious Scope/severity B Complaint

     F0732 Nursing and Physician Services Deficiencies

     Post nurse staffing information every day.

     CMS health inspection

2. Jun 19, 2026 Health · 3 findings
   • Not serious Scope/severity D Complaint

     F0558 Resident Rights Deficiencies

     Reasonably accommodate the needs and preferences of each resident.

     Corrected Aug 1, 2026 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0690 Quality of Life and Care Deficiencies

     Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

     Corrected Aug 1, 2026 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0761 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.

     Corrected Aug 1, 2026 · CMS health inspection

3. Apr 24, 2026 Health · 7 findings
   • Not serious Scope/severity D Complaint

     F0567 Resident Rights Deficiencies

     Honor the resident's right to manage his or her financial affairs.

     Corrected Apr 29, 2026 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Respond appropriately to all alleged violations.

     Corrected Apr 29, 2026 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0677 Quality of Life and Care Deficiencies

     Provide care and assistance to perform activities of daily living for any resident who is unable.

     Corrected Apr 29, 2026 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Apr 29, 2026 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0755 Pharmacy Service Deficiencies

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

     Corrected Apr 29, 2026 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0761 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.

     Corrected Apr 29, 2026 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0812 Nutrition and Dietary Deficiencies

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

     Corrected Apr 29, 2026 · CMS health inspection

4. Mar 19, 2026 Health · 2 findings
   • Not serious Scope/severity D Complaint

     F0641 Resident Assessment and Care Planning Deficiencies

     Ensure each resident receives an accurate assessment.

     Corrected Mar 22, 2026 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0850 Administration Deficiencies

     Hire a qualified full-time social worker in a facility with more than 120 beds.

     Corrected Mar 22, 2026 · CMS health inspection

5. Feb 6, 2026 Health · 4 findings
   • Not serious Scope/severity D Complaint

     F0641 Resident Assessment and Care Planning Deficiencies

     Ensure each resident receives an accurate assessment.

     Corrected Feb 10, 2026 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0684 Quality of Life and Care Deficiencies

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

     Corrected Feb 10, 2026 · CMS health inspection

   • Not serious Scope/severity C Complaint

     F0732 Nursing and Physician Services Deficiencies

     Post nurse staffing information every day.

     Corrected Feb 10, 2026 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0842 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.

     Corrected Feb 10, 2026 · CMS health inspection

6. Jan 14, 2026 Health · 2 findings
   • Not serious Scope/severity D Complaint

     F0755 Pharmacy Service Deficiencies

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

     Corrected Jan 15, 2026 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0761 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.

     Corrected Jan 15, 2026 · CMS health inspection

7. Dec 12, 2025 Health · 3 findings
   • Not serious Scope/severity D Complaint

     F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

     Corrected Dec 13, 2025 · CMS health inspection

   • Serious Scope/severity H Complaint

     F0760 Pharmacy Service Deficiencies

     Ensure that residents are free from significant medication errors.

     Corrected Dec 9, 2025 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0842 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.

     Corrected Dec 13, 2025 · CMS health inspection

8. Nov 21, 2025 Health · 3 findings
   • Not serious Scope/severity D Complaint

     F0656 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.

     Corrected Nov 24, 2025 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0680 Quality of Life and Care Deficiencies

     Ensure the activities program is directed by a qualified professional.

     Corrected Nov 22, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0842 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.

     Corrected Nov 22, 2025 · CMS health inspection

9. Jun 27, 2025 Health · 13 findings
   • Not serious Scope/severity D

     F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

     Corrected Jun 30, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0641 Resident Assessment and Care Planning Deficiencies

     Ensure each resident receives an accurate assessment.

     Corrected Jun 30, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0655 Resident Assessment and Care Planning Deficiencies

     Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

     Corrected Jun 30, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0684 Quality of Life and Care Deficiencies

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

     Corrected Jun 30, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0692 Quality of Life and Care Deficiencies

     Provide enough food/fluids to maintain a resident's health.

     Corrected Jun 30, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0760 Pharmacy Service Deficiencies

     Ensure that residents are free from significant medication errors.

     Corrected Jun 30, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0761 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.

     Corrected Jun 30, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0812 Nutrition and Dietary Deficiencies

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

     Corrected Jun 30, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0842 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.

     Corrected Jun 30, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Jun 30, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0908 Environmental Deficiencies

     Keep all essential equipment working safely.

     Corrected Jun 30, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0919 Environmental Deficiencies

     Make sure that a working call system is available in each resident's bathroom and bathing area.

     Corrected Jun 30, 2025 · CMS health inspection

   • Not serious Scope/severity E

     K0741 Miscellaneous Deficiencies

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

     Corrected Jun 30, 2025 · CMS fire safety

10. Jun 6, 2025 Health · 1 finding
    • Not serious Scope/severity E Complaint

      F0880 Infection Control Deficiencies

      Provide and implement an infection prevention and control program.

      Corrected Jun 7, 2025 · CMS health inspection

11. May 16, 2025 Health · 3 findings
    • Not serious Scope/severity D Complaint

      F0641 Resident Assessment and Care Planning Deficiencies

      Ensure each resident receives an accurate assessment.

      Corrected May 17, 2025 · CMS health inspection

    • Not serious Scope/severity C Complaint

      F0732 Nursing and Physician Services Deficiencies

      Post nurse staffing information every day.

      Corrected May 17, 2025 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0842 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.

      Corrected May 17, 2025 · CMS health inspection

12. Apr 6, 2025 Health · 8 findings
    • Not serious Scope/severity E Complaint

      F0583 Resident Rights Deficiencies

      Keep residents' personal and medical records private and confidential.

      Corrected Apr 8, 2025 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0585 Resident Rights Deficiencies

      Honor 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.

      Corrected Apr 8, 2025 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

      Corrected Apr 8, 2025 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies

      Respond appropriately to all alleged violations.

      Corrected Apr 8, 2025 · CMS health inspection

    • Serious Scope/severity J Complaint

      F0678 Quality of Life and Care Deficiencies

      Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

      Corrected Apr 8, 2025 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0761 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.

      Corrected Apr 8, 2025 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0812 Nutrition and Dietary Deficiencies

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

      Corrected Apr 8, 2025 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0880 Infection Control Deficiencies

      Provide and implement an infection prevention and control program.

      Corrected Apr 8, 2025 · CMS health inspection

13. Feb 28, 2025 Health · 1 finding
    • Not serious Scope/severity D Complaint

      F0684 Quality of Life and Care Deficiencies

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

      Corrected Feb 23, 2025 · CMS health inspection

14. Nov 26, 2024 Health · 3 findings
    • Not serious Scope/severity E Complaint

      F0636 Resident Assessment and Care Planning Deficiencies

      Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

      Corrected Nov 27, 2024 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0641 Resident Assessment and Care Planning Deficiencies

      Ensure each resident receives an accurate assessment.

      Corrected Nov 27, 2024 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0656 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.

      Corrected Nov 27, 2024 · CMS health inspection

15. Sep 19, 2024 Health · 2 findings
    • Not serious Scope/severity D Complaint

      F0695 Quality of Life and Care Deficiencies

      Provide safe and appropriate respiratory care for a resident when needed.

      Corrected Sep 20, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0842 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.

      Corrected Sep 20, 2024 · CMS health inspection

16. Jul 1, 2024 Health · 6 findings
    • Not serious Scope/severity D Complaint

      F0642 Resident Assessment and Care Planning Deficiencies

      Ensure a qualified health professional conducts resident assessments.

      Corrected Jul 2, 2024 · CMS health inspection

    • Serious Scope/severity K Complaint

      F0656 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.

      Corrected Jul 2, 2024 · CMS health inspection

    • Serious Scope/severity J Complaint

      F0689 Quality of Life and Care Deficiencies

      Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      Corrected Jul 2, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0755 Pharmacy Service Deficiencies

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

      Corrected Jul 2, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0801 Nutrition and Dietary Deficiencies

      Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

      Corrected Jul 2, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0835 Administration Deficiencies

      Administer the facility in a manner that enables it to use its resources effectively and efficiently.

      Corrected Jul 2, 2024 · CMS health inspection

17. May 8, 2024 Health · 6 findings
    • Not serious Scope/severity F

      F0640 Resident Assessment and Care Planning Deficiencies

      Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

      Corrected May 9, 2024 · CMS health inspection

    • Not serious Scope/severity E

      F0680 Quality of Life and Care Deficiencies

      Ensure the activities program is directed by a qualified professional.

      Corrected May 9, 2024 · CMS health inspection

    • Not serious Scope/severity E

      F0803 Nutrition and Dietary Deficiencies

      Ensure 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.

      Corrected May 9, 2024 · CMS health inspection

    • Not serious Scope/severity F

      F0838 Administration Deficiencies

      Conduct 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.

      Corrected May 9, 2024 · CMS health inspection

    • Not serious Scope/severity E

      F0850 Administration Deficiencies

      Hire a qualified full-time social worker in a facility with more than 120 beds.

      Corrected May 9, 2024 · CMS health inspection

    • Not serious Scope/severity C

      K0372 Smoke Deficiencies

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

      Corrected Apr 25, 2024 · CMS fire safety

Owners and managers (as published by CMS)

• BYKER, DAKOTA — adp of the snf, NOT APPLICABLE, since 04/01/2025
• BYKER, DAKOTA — operational/managerial control, NOT APPLICABLE, since 04/01/2025
• DAGAN, AMITAI — operational/managerial control, NOT APPLICABLE, since 04/01/2025
• FREUND, NOCHUM — operational/managerial control, NOT APPLICABLE, since 04/01/2025
• GOLDBERGER, ABRAHAM — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 05/03/2025
• RODRIGUEZ, ISMAEL — adp of the snf, NOT APPLICABLE, since 04/01/2025
• RODRIGUEZ, ISMAEL — operational/managerial control, NOT APPLICABLE, since 04/01/2025
• THOMPSON, JOHNNY — corporate director, NOT APPLICABLE, since 04/01/2025
• TRAVITSKY, AARON — operational/managerial control, NOT APPLICABLE, since 04/01/2025
• 1555 BANDERA HIGHWAY OPCO, LLC — operational/managerial control, NOT APPLICABLE, since 04/01/2025
• 1555 BANDERA HIGHWAY OPCO, LLC — adp of the snf, NOT APPLICABLE, since 05/03/2025
• 1555 BANDERA HIGHWAY PROPERTY OWNER, LLC — adp of the snf, NOT APPLICABLE, since 04/01/2025
• WELLTOWER INC — 5% or greater security interest, NOT APPLICABLE, since 04/01/2025
• WELLTOWER INC — adp of the snf, NOT APPLICABLE, since 04/01/2025
• WELLTOWER NNN GROUP, LLC — adp of the snf, NOT APPLICABLE, since 04/01/2025
• WELLTOWER NNN GROUP, LLC — 5% or greater security interest, NOT APPLICABLE, since 04/01/2025
• WELLTOWER OP, LLC — 5% or greater security interest, NOT APPLICABLE, since 04/01/2025
• WELLTOWER OP, LLC — adp of the snf, NOT APPLICABLE, since 04/01/2025