nursing home in Temple, TX

Avir at Adams

3011 W Adams Ave, Temple, TX 76504 · (254) 773-1626

★★★★★1
Much below average
CMS overall star rating
  • Health inspections★★★★★1
  • Staffing★★★★★1
  • Quality measures★★★★★3
  • Abuse citation
  • New owner (last 12 months)

Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data

Avir at Adams at a glance

Avir at Adams is a 118-bed for-profit nursing home in Temple, Texas (Bell County).

CMS gives it 1 out of 5 stars on its overall star rating, worse than the Texas average of 2.7.

Residents receive about 3.1 hours of nursing care per day (0.3 of them from registered nurses), worse than the state average of 3.4 hours.

Its most recent standard health inspection (June 19, 2025) found 21 health citations. The Texas average is 9.4.

Federal regulators fined it 2 times in the past three years, totaling $19,240.

Nursing staff turnover is 66.2% per year (state average 55.3%).

Facility details

Type
Nursing home
Ownership
For Profit - Corporation
Beds
118
Certified for
Medicare and Medicaid
Chain / affiliated entity
Avir Health Group
Medicare-certified since
May 18, 1996
Resident/family council
Resident
County
Bell County
CMS Certification Number
675587

Ratings

MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Overall star rating ⓘ (higher is better)1 / 52.7 / 53 / 5Worse
Health inspection rating ⓘ (higher is better)1 / 52.8 / 52.8 / 5Worse
Staffing rating ⓘ (higher is better)1 / 51.9 / 52.9 / 5Worse
Quality measures rating ⓘ (higher is better)3 / 53.7 / 53.6 / 5Worse
Long-stay quality rating (higher is better)5 / 54 / 53.8 / 5Better
Short-stay (rehab) quality rating (higher is better)1 / 53.2 / 53.3 / 5Worse

Staffing

This facility3.14 hrsTexas average3.39 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)3.14 hrs3.39 hrs3.86 hrsWorse
Registered nurse hours per resident per day (higher is better)0.26 hrs0.43 hrs0.69 hrsWorse
Nurse aide hours per resident per day (higher is better)2.20 hrs2.01 hrs2.32 hrsWorse
Weekend nurse staff hours per resident per day (higher is better)2.75 hrs2.98 hrs3.42 hrsWorse
Nursing staff turnover (yearly) (lower is better)66.2%55.3%45.8%Worse
Registered nurse turnover (yearly) (lower is better)50%54.6%42.9%Worse
Administrators who left in the past year (lower is better)011Better

Inspections

This facility21Texas average9U.S. average9
Health citations in the most recent inspection: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)2199Worse
Citations from complaint investigations (latest cycle) (lower is better)943Worse
Weighted health inspection score ⓘ (lower is better)308.510280.6Worse

Penalties

This facility2Texas average1U.S. average1
Fines in the past 3 years: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)211Worse
Total fines in the past 3 years (lower is better)$19,240$44,141$30,972Better
All federal penalties in the past 3 years (lower is better)221Worse

Size

MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Certified beds118113107
Average residents per day757686
Occupancy63.2%67.6%80.9%

Long-stay residents

This facility2.1%Texas average3.3%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Long-stay residents with a fall causing major injury (lower is better)2.1%3.3%3.2%Better
Long-stay residents with pressure ulcers (lower is better)2.7%3.8%4.6%Better
Long-stay residents given antipsychotic medication (lower is better)9%9.6%15.4%Better
Long-stay residents with a urinary tract infection (lower is better)0.4%0.8%1.6%Better
Long-stay residents with a catheter left in the bladder (lower is better)0.4%0.3%0.8%Better
Long-stay residents needing more help with daily activities (lower is better)13.3%15.8%13.9%Average
Long-stay residents whose walking worsened (lower is better)9.7%14%14.1%Better
Long-stay residents who lose too much weight (lower is better)2.2%3%5.2%Better
Long-stay residents with depressive symptoms (lower is better)1.6%2.4%12.8%Better
Long-stay residents who were physically restrained (lower is better)0%0%0.1%Better
Long-stay residents given anti-anxiety or sleep medication (lower is better)28.5%18%19.5%Worse
Long-stay residents with new or worse incontinence (lower is better)13.9%13.4%19%Better
Long-stay residents given a flu vaccine (higher is better)98.6%98%95.5%Average
Long-stay residents given a pneumonia vaccine (higher is better)96.8%96.6%93.6%Average

Short-stay residents

This facility15.2%Texas average1.5%U.S. average1.6%
Short-stay residents newly given antipsychotic medication: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Short-stay residents newly given antipsychotic medication (lower is better)15.2%1.5%1.6%Worse
Short-stay residents given a pneumonia vaccine (higher is better)74.8%88.9%82%Worse

Inspection citations

State inspectors cited this home for 49 health deficiencies and 13 fire safety deficiencies in the inspection records CMS currently publishes. 4 citations involved actual harm, including 4 rated "immediate jeopardy".

DateCitationSeverityStatus
July 21, 2026
Complaint
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.
Pharmacy Service Deficiencies · Tag F0761
D
Potential harm, isolated
Corrected August 6, 2026
June 29, 2026
Complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies · Tag F0925
E
Potential harm, pattern
Corrected July 2, 2026
June 29, 2026
Complaint
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights Deficiencies · Tag F0628
D
Potential harm, isolated
Corrected July 2, 2026
June 5, 2026
Complaint
Have policies on smoking.
Environmental Deficiencies · Tag F0926
E
Potential harm, pattern
Corrected June 6, 2026
June 5, 2026
Complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected June 6, 2026
January 14, 2026
Complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Tag F0550
D
Potential harm, isolated
Corrected January 15, 2026
January 3, 2026
Complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600
J
Immediate jeopardy, isolated
Corrected January 4, 2026
January 3, 2026
Complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607
J
Immediate jeopardy, isolated
Corrected January 4, 2026
January 3, 2026
Complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609
D
Potential harm, isolated
Corrected January 4, 2026
June 19, 2025
Fire safety
Have proper medical gas storage and administration areas.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923
E
Potential harm, pattern
Corrected July 24, 2025
June 19, 2025
Fire safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Egress Deficiencies · Tag K0222
D
Potential harm, isolated
Corrected July 24, 2025
June 19, 2025
Standard
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
E
Potential harm, pattern
Corrected July 18, 2025
June 19, 2025
Standard
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights Deficiencies · Tag F0584
E
Potential harm, pattern
Corrected July 18, 2025
June 19, 2025
Standard
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · Tag F0679
E
Potential harm, pattern
Corrected July 18, 2025
June 19, 2025
Standard
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Tag F0686
E
Potential harm, pattern
Corrected July 18, 2025
June 19, 2025
Standard
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies · Tag F0925
E
Potential harm, pattern
Corrected July 18, 2025
June 19, 2025
Standard
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Tag F0842
E
Potential harm, pattern
Corrected July 15, 2025
June 19, 2025
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
E
Potential harm, pattern
Corrected July 18, 2025
June 19, 2025
Standard
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and Physician Services Deficiencies · Tag F0726
E
Potential harm, pattern
Corrected July 18, 2025
June 19, 2025
Standard
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Corrected July 15, 2025
June 19, 2025
Standard
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Tag F0677
D
Potential harm, isolated
Corrected July 15, 2025
June 19, 2025
Standard
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Tag F0641
D
Potential harm, isolated
Corrected July 18, 2025
June 19, 2025
Standard
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · Tag F0583
D
Potential harm, isolated
Corrected July 20, 2025
June 16, 2025
Complaint
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Tag F0558
D
Potential harm, isolated
Corrected June 17, 2025
June 16, 2025
Complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Resident Rights Deficiencies · Tag F0627
D
Potential harm, isolated
Corrected June 17, 2025
January 17, 2025
Complaint
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Quality of Life and Care Deficiencies · Tag F0676
E
Potential harm, pattern
Corrected January 18, 2025
December 11, 2024
Complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
E
Potential harm, pattern
Corrected December 16, 2024
December 11, 2024
Complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Tag F0550
E
Potential harm, pattern
Corrected December 16, 2024
December 11, 2024
Complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
D
Potential harm, isolated
Corrected December 16, 2024
May 17, 2024
Fire safety
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918
F
Potential harm, widespread
Corrected March 15, 2025
May 17, 2024
Fire safety
Install an approved automatic sprinkler system.
Smoke Deficiencies · Tag K0351
F
Potential harm, widespread
Corrected March 15, 2025
May 17, 2024
Fire safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Smoke Deficiencies · Tag K0372
F
Potential harm, widespread
Corrected March 3, 2025
May 17, 2024
Fire safety
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies · Tag K0712
F
Potential harm, widespread
Corrected March 3, 2025
May 17, 2024
Fire safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Miscellaneous Deficiencies · Tag K0741
E
Potential harm, pattern
Corrected February 8, 2025
May 17, 2024
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
E
Potential harm, pattern
Corrected February 27, 2025
May 17, 2024
Fire safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies · Tag K0321
D
Potential harm, isolated
Corrected March 3, 2025
May 17, 2024
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
F
Potential harm, widespread
Corrected June 6, 2024
May 17, 2024
Standard
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · Tag F0804
E
Potential harm, pattern
Corrected June 14, 2024
May 17, 2024
Standard
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Tag F0550
E
Potential harm, pattern
Corrected May 22, 2024
May 17, 2024
Standard
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights Deficiencies · Tag F0584
E
Potential harm, pattern
Corrected May 22, 2024
May 17, 2024
Standard
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
E
Potential harm, pattern
Corrected June 30, 2024
May 17, 2024
Standard
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pharmacy Service Deficiencies · Tag F0758
E
Potential harm, pattern
Corrected May 27, 2024
May 17, 2024
Standard
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Tag F0759
E
Potential harm, pattern
Corrected May 22, 2024
May 17, 2024
Standard
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.
Pharmacy Service Deficiencies · Tag F0761
E
Potential harm, pattern
Corrected May 22, 2024
May 17, 2024
Standard
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary Deficiencies · Tag F0805
E
Potential harm, pattern
Corrected June 7, 2024
May 17, 2024
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
E
Potential harm, pattern
Corrected May 22, 2024
May 17, 2024
Standard
Provide or obtain dental services for each resident.
Quality of Life and Care Deficiencies · Tag F0791
D
Potential harm, isolated
Corrected June 13, 2024
May 17, 2024
Standard
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · Tag F0697
D
Potential harm, isolated
Corrected May 26, 2024
May 17, 2024
Standard
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · Tag F0732
C
No harm, widespread
Corrected May 18, 2024
November 13, 2023
Complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Tag F0550
D
Potential harm, isolated
Corrected November 14, 2023
September 23, 2023
Complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
L
Immediate jeopardy, widespread
Corrected September 24, 2023
September 23, 2023
Complaint
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
L
Immediate jeopardy, widespread
Corrected September 24, 2023
March 23, 2023
Fire safety
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies · Tag K0345
F
Potential harm, widespread
Corrected July 14, 2023
March 23, 2023
Fire safety
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918
F
Potential harm, widespread
Corrected July 14, 2023
March 23, 2023
Fire safety
Install emergency lighting that can last at least 1 1/2 hours.
Egress Deficiencies · Tag K0291
E
Potential harm, pattern
Corrected July 6, 2023
March 23, 2023
Fire safety
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Smoke Deficiencies · Tag K0342
E
Potential harm, pattern
Corrected July 14, 2023
March 23, 2023
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
F
Potential harm, widespread
Corrected April 18, 2023
March 23, 2023
Standard
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.
Nutrition and Dietary Deficiencies · Tag F0803
E
Potential harm, pattern
Corrected April 18, 2023
March 23, 2023
Standard
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights Deficiencies · Tag F0584
E
Potential harm, pattern
Corrected April 18, 2023
March 23, 2023
Standard
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary Deficiencies · Tag F0806
E
Potential harm, pattern
Corrected April 18, 2023
March 23, 2023
Standard
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Tag F0550
D
Potential harm, isolated
Corrected April 18, 2023
March 23, 2023
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected April 18, 2023

Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with 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. How to read inspection citations.

Fines and payment denials

CMS reports 2 federal penalties in the past three years, including $19,240 in fines.

DatePenaltyAmount / length
January 3, 2026Fine$10,361
September 23, 2023Fine$8,879

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

NameRoleShareSince
3011 W ADAMS PROPERTY OWNER LLC
Organization
adp of the snfNOT APPLICABLE10/01/2025
HOLLIDAY, MELVIN
Individual
adp of the snfNOT APPLICABLE10/01/2025
HOUSE, JANELLE
Individual
adp of the snfNOT APPLICABLE10/01/2025
WELLTOWER INC
Organization
adp of the snfNOT APPLICABLE10/01/2025
WELLTOWER NNN GROUP, LLC
Organization
adp of the snfNOT APPLICABLE10/01/2025
WELLTOWER OP, LLC
Organization
adp of the snfNOT APPLICABLE10/01/2025
FREUND, NOCHUM
Individual
corporate officerNOT APPLICABLE10/01/2025
3011 W ADAMS HOLDINGS LLC
Organization
direct ownership interestNOT APPLICABLE10/01/2025
ANA TX HOLDINGS, LLC
Organization
indirect ownership interestNOT APPLICABLE10/01/2025
DAGAN, AMITAI
Individual
indirect ownership interestNOT APPLICABLE10/01/2025
FREUND, NOCHUM
Individual
indirect ownership interestNOT APPLICABLE10/01/2025
GOLDBERGER, ABRAHAM
Individual
indirect ownership interestNOT APPLICABLE10/01/2025
GOLDBERGER, FAIGY
Individual
indirect ownership interestNOT APPLICABLE10/01/2025
GRAF HOLDINGS LLC
Organization
indirect ownership interestNOT APPLICABLE10/01/2025
TRAVITSKY, AARON
Individual
indirect ownership interestNOT APPLICABLE10/01/2025
TX SNF HOLDINGS III LLC
Organization
indirect ownership interestNOT APPLICABLE10/01/2025
TX SNF HOLDINGS MEMBER, LLC
Organization
indirect ownership interestNOT APPLICABLE10/01/2025
TRAVITSKY, AARON
Individual
operational/managerial controlNOT APPLICABLE10/01/2025

Other nursing homes near Avir at Adams

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    ★★★★★2Below average
  2. Baylor Scott & White Continuing Care Hospital Skil

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    Non-profit · 23 beds

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    ★★★★★5Much above average
  3. Wellington Rehabilitation and Healthcare

    1802 S 31st, Temple, TX 76504 · 1.7 mi

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    ★★★★★2Below average
  4. Avir at Weston

    2505 S 37th St, Temple, TX 76504 · 2.1 mi

    For-profit · 120 beds · Part of Avir Health Group

    ★★★★★1Much below average
  5. William R Courtney Texas State Veterans Home

    1424 Martin Luther King Jr Lane, Temple, TX 76504 · 2.5 mi

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  6. Avir at Temple West

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Frequently asked questions

What is Avir at Adams's rating?

Avir at Adams has 1 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.

How many inspection citations did Avir at Adams receive?

Its most recent standard health inspection found 21 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.

Does Avir at Adams accept Medicare and Medicaid?

CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.

Who owns Avir at Adams?

It is for profit - corporation and part of Avir Health Group. The ownership section on this page lists the owners and managers reported to CMS.

Where is Avir at Adams and how do I contact it?

Avir at Adams is at 3011 W Adams Ave, Temple, TX 76504. Phone: (254) 773-1626.

About this data

Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.