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Nursing HomeMedicaid Investigative

Avir at Adams

On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.

3011 W Adams Ave, Temple, TX 76504118 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.2/5

based on 53 Google reviews

5
4
3
2
1
Avir at Adams Nursing Home in Temple, TX — Street View
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10/ 10
critical Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Special Focus Facility (under heightened CMS scrutiny)
  • Abuse citation on record
  • Low overall rating (1/5 stars)
  • Low staffing rating (2/5 stars)
  • Above-median deficiencies (18 vs median 8.0)
  • High staff turnover (63%)

Bottom 25% in Texas · Critically understaffed (RN) · Worst in SLP OPERATIONS chain · $99,748 in fines · Special Focus Facility (CMS) · Abuse citation

Source: Medicare data

What this means for your family

This facility shows strong potential due to a highly praised therapy team and recent management changes aimed at improvement. However, you must verify their current communication protocols, as several families have struggled significantly to get updates via phone.

Google Reviews

Google Reviews

53 reviews analyzed
Families should note that this facility is currently in a period of transition, with many recent reviews praising new management for improvements in cleanliness and staff attitude. However, significant concerns persist regarding communication failures, specifically difficulty reaching staff by phone, and serious allegations of safety risks and neglect in certain instances.

Quality Themes

Tap a score for details
Food2.0Staff6.0Clean5.0Activities9.0MedsN/AMemoryN/AComms1.0ValueN/A

Strengths

  • Compassionate and caring therapy team
  • Engaging community events and activities
  • Recent improvements in facility cleanliness
  • Friendly and attentive nursing staff

Concerns

  • Difficulty reaching staff via telephone (mentioned by 4 reviewers)
  • Inconsistent staffing and CNA shortages (mentioned by 2 reviewers)
  • Safety and fall risk management issues (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'13(1)'17(5)'21(6)'23(6)'25(5)'26(1)

Distribution

5
23
4
2
3
1
2
0
1
18

How They Respond to Reviews

13%response rate
Generic

The owner uses highly repetitive, templated responses that vary only by the reviewer's name. Negative reviews are met with a standardized apology and a referral to a compliance line, while positive reviews use a fixed script regarding their dedication to healthcare.

Questions for Your Tour

  • 1I've heard wonderful things about your therapy team and the community events you host; could you tell me more about the types of activities residents participate in weekly?
  • 2Since communication is so important for us, what is the best way for family members to get quick updates or reach the nursing team during the day?
  • 3With the recent improvements in cleanliness, what are your current protocols for maintaining a sanitary environment in the resident rooms?
  • 4How does the nursing staff manage fall prevention and safety monitoring for residents who may be at a higher risk?
  • 5Could you walk me through the dining experience, specifically regarding how meal menus are planned and how you ensure nutritional needs are met?
  • 6In the event of a medical emergency during the night, what is the specific process for notifying the family and coordinating care?

Personalized based on this facility's data


Key Review Excerpts

The staff treated my brother with such care. Staff tended to his every need. I hadn't seen my brother smile so much in just the short time he was there.

Rehab patient's family · 2024★★★★★

4 days of me trying to call them, 4 days of no answers. That is unacceptable as a nursing home. Do not put your people here if you want any updates on their health.

Family member · 2024☆☆☆☆

The caregivers and staff go above and beyond to ensure that the residents feel comfortable and valued. The facility is huge, but at the same time warm and welcoming.

Long-term resident's family · 2024★★★★★
Source: 53 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.23hrs
30%
Registered nurses for medical care
Total Nursing
2.70hrs
66%
All nurses + aides combined
Staff Turnover
64%
Lower is better (< 30% = good)
RN Turnover
40%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 16 measures

Medicare Rating
3/ 5
Better Than Avg

8

measures

Worse Than Avg

3

measures

Mixed Results

5

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility33.2%
Worse than Avg
Here
33.2%
US
19.5%
TX
18.4%
Bell
20.5%
😔

Residents with depression symptoms

↓ Lower is better
This Facility2.4%
Better than Avg
Here
2.4%
US
12.1%
TX
2.5%
Bell
3.7%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility98.6%
Better than Avg
Here
98.6%
US
93.4%
TX
96.9%
Bell
89.8%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility15.1%
Mixed vs Avgs
Here
15.1%
US
15.4%
TX
9.4%
Bell
8.0%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility14.9%
Mixed vs Avgs
Here
14.9%
US
19.4%
TX
14.2%
Bell
15.1%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility18.1%
Worse than Avg
Here
18.1%
US
14.4%
TX
16.1%
Bell
14.2%
Short-Stay Residents (Rehab / Post-Acute)
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility13.3%
Worse than Avg
Here
13.3%
US
1.6%
TX
1.5%
Bell
2.5%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility86.6%
Mixed vs Avgs
Here
86.6%
US
81.8%
TX
89.2%
Bell
76.0%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

18deficiencies
2penalties
Well above state avg (9.1)
19 complaint-triggered
$99,748 in fines

AVIR at Adams has concerning patterns of recurring deficiencies, with families filing 19 complaints that triggered inspections. The facility repeatedly struggles with food safety and handling, resident rights violations, and medication management issues that persist across multiple surveys. Recent complaints involve serious concerns about abuse protection and discharge planning. While all deficiencies show correction dates, the recurring nature of problems in core care areas suggests ongoing quality issues families should carefully consider.

Jan 14, 2026Complaint
1
0550MinorCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Jan 3, 2026Complaint
3
0600SevereCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0607SevereCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

0609MinorCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

Jun 19, 2025Routine
14
0584ModerateCorrected

Resident Rights Deficiencies

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.

0679ModerateCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0686ModerateCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0726ModerateCorrected

Nursing and Physician Services Deficiencies

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.

0755ModerateCorrected

Pharmacy Service Deficiencies

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

0812ModerateCorrected

Nutrition and Dietary Deficiencies

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

0842ModerateCorrected

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.

0925ModerateCorrected

Environmental Deficiencies

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

0923ModerateCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0583MinorCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

0641MinorCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0677MinorCorrected

Quality of Life and Care Deficiencies

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

0684MinorCorrected

Quality of Life and Care Deficiencies

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

0222MinorCorrected

Egress Deficiencies

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.

Jun 16, 2025Complaint
2
0558MinorCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0627MinorCorrected

Resident Rights Deficiencies

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

Jan 17, 2025Complaint
1
0676ModerateCorrected

Quality of Life and Care Deficiencies

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Dec 11, 2024Complaint
3
0550ModerateCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0755ModerateCorrected

Pharmacy Service Deficiencies

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

0812MinorCorrected

Nutrition and Dietary Deficiencies

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

Federal Penalties

Fine

Jan 3, 2026

$15,940

Fine

Sep 23, 2023

$8,879

Ownership & Operations

Who Operates This Facility

Owner / Operator

3011 W Adams Opco LLC

Organization Type

for profit

Administrator

LASHON S HARRIS-BATES

Chain Affiliation

Chain Name

Avir Health Group

Chain Size

117 facilities nationwide

Chain avg rating: 2.3/5 · Rank 15 of 21 (Worst)

Ownership & Management

Owners

Undisclosed

Ownership Data Not Available · Organization

Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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