nursing home in Kingsland, TX
Avir at Kingsland
3727 W Ranch Rd 1431, Kingsland, TX 78639 · (325) 388-4538
★★★★★2
Below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★1
- Quality measures★★★★★3
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Avir at Kingsland at a glance
Avir at Kingsland is a 122-bed government nursing home in Kingsland, Texas (Llano County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the Texas average of 2.7.
Residents receive about 2.7 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 (May 28, 2026) found 14 health citations. The Texas average is 9.4.
It has not received a federal fine in the past three years.
Nursing staff turnover is 42.5% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- Government - Hospital District
- Beds
- 122
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Avir Health Group
- Medicare-certified since
- August 10, 2004
- Resident/family council
- Resident
- County
- Llano County
- CMS Certification Number
- 676035
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 2.7 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 2.8 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 1.9 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 3.7 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 4 / 5 | 4 / 5 | 3.8 / 5 | Average |
| Short-stay (rehab) quality rating (higher is better) | 3 / 5 | 3.2 / 5 | 3.3 / 5 | Average |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 2.67 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.35 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.56 hrs | 2.01 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.39 hrs | 2.98 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 42.5% | 55.3% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 50% | 54.6% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 14 | 9 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 8 | 4 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 66 | 102 | 80.6 | Better |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $44,141 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 2 | 1 | Better |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 122 | 113 | 107 | |
| Average residents per day | 72 | 76 | 86 | |
| Occupancy | 59% | 67.6% | 80.9% |
Long-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 4.4% | 3.3% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 2.6% | 3.8% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 6.7% | 9.6% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0.9% | 0.8% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.3% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 14.7% | 15.8% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 14.8% | 14% | 14.1% | Average |
| Long-stay residents who lose too much weight (lower is better) | 2% | 3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 0.9% | 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) | 15.3% | 18% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 10.9% | 13.4% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 98% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 96.6% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 1.5% | 1.5% | 1.6% | Average |
| Short-stay residents given a flu vaccine (higher is better) | 100% | 88% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 95.3% | 88.9% | 82% | Better |
Inspection citations
State inspectors cited this home for 20 health deficiencies and 5 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| May 28, 2026 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | C No harm, widespread | Deficient, Provider has no plan of correction |
| May 28, 2026 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 June 28, 2026 |
| May 28, 2026 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 28, 2026 |
| May 28, 2026 Standard | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Nursing and Physician Services Deficiencies · Tag F0727 | E Potential harm, pattern | Corrected June 28, 2026 |
| May 28, 2026 Standard | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Tag F0552 | D Potential harm, isolated | Corrected June 28, 2026 |
| May 28, 2026 Standard | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0605 | D Potential harm, isolated | Corrected June 28, 2026 |
| May 28, 2026 Standard | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Tag F0583 | D Potential harm, isolated | Corrected June 28, 2026 |
| April 29, 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 | D Potential harm, isolated | Corrected May 1, 2026 |
| January 28, 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 January 29, 2026 |
| January 28, 2026 Complaint | Provide specialized rehabilitative services by qualified personnel, when ordered for a resident by a doctor. Quality of Life and Care Deficiencies · Tag F0826 | D Potential harm, isolated | Corrected January 29, 2026 |
| January 28, 2026 Complaint | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. Nutrition and Dietary Deficiencies · Tag F0808 | D Potential harm, isolated | Corrected January 29, 2026 |
| January 28, 2026 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected January 29, 2026 |
| October 8, 2025 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | G Actual harm, isolated | Corrected November 10, 2025 |
| October 8, 2025 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected November 10, 2025 |
| October 8, 2025 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 December 17, 2025 |
| March 13, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected April 17, 2025 |
| March 13, 2025 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | C No harm, widespread | Corrected April 17, 2025 |
| March 13, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected March 27, 2025 |
| March 13, 2025 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected March 27, 2025 |
| January 31, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected February 15, 2024 |
| January 31, 2024 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | D Potential harm, isolated | Corrected February 7, 2024 |
| January 31, 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 February 15, 2024 |
| January 31, 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 February 15, 2024 |
| January 31, 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 | E Potential harm, pattern | Corrected February 15, 2024 |
| January 31, 2024 Standard | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Tag F0732 | C No harm, widespread | Corrected February 15, 2024 |
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 no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| FANNIN COUNTY HOSPITAL AUTHORITY Organization | 5% or greater direct ownership interest | 100% | 10/01/2020 |
| 3727 W RANCH ROAD 1431 PROPERTY OWNER, LLC Organization | adp of the snf | NOT APPLICABLE | 08/01/2025 |
| RAMIREZ, ROBERTO Individual | adp of the snf | NOT APPLICABLE | 08/01/2025 |
| SYED, ASIF Individual | adp of the snf | NOT APPLICABLE | 08/01/2025 |
| WELLTOWER NNN GROUP, LLC Organization | adp of the snf | NOT APPLICABLE | 08/01/2025 |
| WELLTOWER OP, LLC Organization | adp of the snf | NOT APPLICABLE | 08/01/2025 |
| SANDERSON, CLARK Individual | corporate officer | NOT APPLICABLE | 08/01/2025 |
| DAGAN, AMITAI Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 11/11/2025 |
| GOLDBERGER, ABRAHAM Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 11/11/2025 |
| GOLDBERGER, FAIGY Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 11/11/2025 |
| 3727 W RANCH ROAD 1431 HOLDINGS LLC Organization | operational/managerial control | NOT APPLICABLE | 08/01/2025 |
| FREUND, NOCHUM Individual | operational/managerial control | NOT APPLICABLE | 08/01/2025 |
| RAMIREZ, ROBERTO Individual | operational/managerial control | NOT APPLICABLE | 02/09/2023 |
| SYED, ASIF Individual | operational/managerial control | NOT APPLICABLE | 08/01/2025 |
| TRAVITSKY, AARON Individual | operational/managerial control | NOT APPLICABLE | 08/01/2025 |
Other nursing homes near Avir at Kingsland
The Brixton at Horseshoe Bay
15101 West Fm 2147, Horseshoe Bay, TX 78657 · 11.2 mi
For-profit · 120 beds · Part of Oakbend Medical Center
★★★★★4Above averageGranite Mesa Health Center
1401 Max Copeland Dr, Marble Falls, TX 78654 · 12.9 mi
For-profit · 124 beds · Part of The Ensign Group
★★★★★2Below averageLlano Nursing and Rehabilitation Center
800 W Haynie St, Llano, TX 78643 · 14.4 mi
For-profit · 96 beds · Part of Slp Operations
★★★★★1Much below averageAvir at Burnet
507 W Jackson St, Burnet, TX 78611 · 14.5 mi
For-profit · 112 beds · Part of Avir Health Group
★★★★★3AverageBertram Nursing and Rehabilitation
540 E State Hwy 29, Bertram, TX 78605 · 24.1 mi
For-profit · 74 beds · Part of Creative Solutions in Healthcare
★★★★★4Above averageAvir at Johnson City
206 Haley Rd, Johnson City, TX 78636 · 28.1 mi
For-profit · 60 beds · Part of Avir Health Group
★★★★★1Much below average
Frequently asked questions
What is Avir at Kingsland's rating?
Avir at Kingsland has 2 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 Kingsland receive?
Its most recent standard health inspection found 14 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Avir at Kingsland 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 Kingsland?
It is government - hospital district and part of Avir Health Group. The ownership section on this page lists the owners and managers reported to CMS.
Where is Avir at Kingsland and how do I contact it?
Avir at Kingsland is at 3727 W Ranch Rd 1431, Kingsland, TX 78639. Phone: (325) 388-4538.
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.