Avir at Kerrville
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 47 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (1/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (32 vs median 8.0)
Bottom 25% in Texas · Critically understaffed (RN) · Above average staffing · Worst in AVIR HEALTH GROUP chain · $26,313 in fines
What this means for your family
The facility's exceptional cleanliness and high-quality therapy services make it an excellent choice for rehabilitation. However, families should closely monitor administrative communications and ask about current staffing levels to ensure consistent care during shifts.
Google Reviews
Google Reviews
47 reviews on Google“AVIR AT KERRVILLE is widely praised for its modern, beautiful, and exceptionally clean facility that offers a high-end, resort-like atmosphere. While the nursing and therapy staff receive high marks for being compassionate and professional, families should be cautious regarding potential staffing shortages and administrative communication issues regarding billing and refunds.”
Quality Themes
Strengths
- Modern, clean, and beautiful facility
- Compassionate and professional nursing staff
- Effective rehabilitation and physical therapy
- Welcoming and friendly atmosphere
Concerns
- Staffing shortages and overworked personnel (mentioned by 2 reviewers)
- Administrative and billing communication issues (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 46 analyzed
How They Respond to Reviews
The owner uses highly repetitive, template-based responses that follow a predictable structure of thanking the reviewer and expressing appreciation. While they occasionally use the reviewer's name, the core of the message is almost always a copy-paste sentiment.
Questions for Your Tour
- 1It is so wonderful to see how modern and beautiful the facility looks; how do you ensure the cleanliness of the common areas is maintained throughout the day?
- 2We noticed some mentions of great care from the nursing team, but how do you ensure there is enough staff available to provide that same level of attention during busy shifts?
- 3If a medical emergency were to happen in the middle of the night, what is the specific protocol for notifying the family and getting immediate care?
- 4How does the administration handle communication with families regarding billing or changes in care plans to ensure everyone stays on the same page?
- 5What kind of daily activities or social outings do you have planned to help residents stay engaged and connected with each other?
- 6We are very interested in the rehabilitation services here; can you tell us more about how the physical therapy team works with residents to meet their specific mobility goals?
Personalized based on this facility's data
Key Review Excerpts
“My 90 year old mother is currently a patient here. She is doing remarkably well getting around very well with her walker now. She has physical therapy everyday which is fabulous.”
“This place is more like a high-end resort than a Rehabilitation therapy/ long care home. Thank you all for caring and being good at your jobs.”
“My mother died here on July 6th, the nurses were overworked, but professional and kind. We paid a month in advance with the assurity we would be refunded any days not used, which was $5,000. worth. After 9 phone calls, and 3 emails I have not heard a word.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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 · 17 measures
6
measures
5
measures
6
measures
Residents whose walking got worse
Residents needing more daily help over time
Residents on antipsychotic medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents who lost too much weight
Residents on anti-anxiety or sleep medication
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility shows a concerning pattern with 32 complaint-triggered deficiencies out of 51 total, indicating families have repeatedly filed reports about problems. The most recurring issues involve resident assessments and care planning, medication management, and infection control. Problems persist across multiple surveys with the same deficiency types appearing repeatedly from 2024 through 2026, suggesting ongoing struggles to maintain consistent quality standards despite reported corrections.
Mar 19, 2026Complaint2
Administration Deficiencies
Hire a qualified full-time social worker in a facility with more than 120 beds.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Feb 6, 2026Complaint4
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.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Jan 14, 2026Complaint2
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
Dec 12, 2025Complaint3
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
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.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Nov 21, 2025Complaint3
Quality of Life and Care Deficiencies
Ensure the activities program is directed by a qualified professional.
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.
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.
Jun 27, 2025Routine13
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
Environmental Deficiencies
Keep all essential equipment working safely.
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
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
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Federal Penalties
Fine
Dec 12, 2025
$17,200
Fine
Apr 6, 2025
$9,113
Ownership & Operations
Who Operates This Facility
West Wharton County Hospital District
for profit
1555 BANDERA HIGHWAY OPCO LLC
MARCUS HALL
Chain Affiliation
Avir Health Group
117 facilities nationwide
Chain avg rating: 2.3/5 · Rank 88 of 90 (Worst)
Ownership & Management
Owners
Kerrville Healthcare Operations LLC
Owner · Organization
Conquest Healthcare Operations
Owner (parent company) · Organization
Douglas 2016 Family Trust
Owner (parent company) · Organization
Kerr Skilled Property Holdings
Owner (parent company) · Organization
Kerrville Healthcare Operations LLC
Owner (parent company) · Organization
Douglas, Lloyd
Owner (parent company)
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
47 reviews from families & visitors
Official Website
Visit riversiderehabcare.com
Medicare data downloads
Original nursing home datasets
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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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