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Nursing HomeMedicaid Investigative

Avir at Killeen

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

5000 Thayer Dr., Killeen, TX 76549120 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.8/5

based on 146 Google reviews

5
4
3
2
1

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8/ 10
critical Risk

Quality Concerns Identified

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

  • Abuse citation on record
  • Low overall rating (1/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (12 vs median 8.0)
  • High staff turnover (69%)
  • High RN turnover (89%)

Bottom 25% in Texas · Critically understaffed (RN) · Worst in AVIR HEALTH GROUP chain · $125,321 in fines · Abuse citation

Source: Medicare data

What this means for your family

This facility offers an exceptional rehabilitation program and a highly professional administrative team that can help navigate the admissions process. However, families must exercise extreme caution regarding the nursing staff, as multiple reports indicate serious issues with hygiene, medication timing, and responsiveness to call lights. We recommend conducting an unannounced visit specifically during a shift change to observe the level of attentive care provided.

Google Reviews

Google Reviews

146 reviews analyzed
Families considering Avir at Killeen should be aware of a significant divide between the highly praised rehabilitation and administrative staff and serious allegations regarding nursing neglect. While many reviewers laud the beautiful facility and the professionalism of the therapy and marketing teams, multiple families have reported critical issues including inadequate hygiene care, delayed medication, and unresponsive call lights.

Quality Themes

Tap a score for details
Food4.0Staff4.0Clean5.0Activities8.0Meds2.0MemoryN/AComms3.0ValueN/A

Strengths

  • Excellent rehabilitation and physical therapy services
  • Professional and helpful administrative and marketing staff
  • Beautiful, modern, and clean facility appearance
  • Friendly and welcoming atmosphere from certain nursing and MDS staff

Concerns

  • Nursing neglect and delayed response to call lights (mentioned by 5 reviewers)
  • Inadequate hygiene and resident care (e.g., soiled linens/diapers) (mentioned by 3 reviewers)
  • Poor communication from nursing station and administration (mentioned by 4 reviewers)
  • Issues with facility cleanliness and pest control (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

234'17(1)'19(16)'21(10)'23(8)'25(80)'26(2)

Distribution

5
92
4
7
3
2
2
7
1
37
62 reviews posted between May 19, 2025May 23, 2025 · 59 were 5-star

How They Respond to Reviews

100%response rate
Generic

The owner uses highly repetitive, templated responses. While they attempt to personalize 5-star reviews by using names, they rely on a single, identical paragraph for almost all recent positive feedback and use a standard 'contact us' script for all negative reviews.

Questions for Your Tour

  • 1We've heard great things about your rehabilitation and physical therapy services; could you tell us more about how that care is integrated into a resident's daily routine?
  • 2How does the nursing team ensure that call lights are answered promptly and that residents' personal hygiene needs are met throughout the shift?
  • 3What specific protocols are in place to ensure medication management is handled accurately and that there is clear communication between the nursing station and family members?
  • 4We noticed the facility looks very modern and clean; what are your current processes for maintaining cleanliness and managing pest control in the resident rooms?
  • 5Could you describe what a typical day looks like for residents, including meal times and any social activities or group events available?
  • 6In the event of a medical emergency after hours, what is the specific process for notifying the family and coordinating with outside physicians?

Personalized based on this facility's data


Key Review Excerpts

I got back on my feet, literally, thanks to these people. Great rehab, food and staff. People care about you!

Rehab patient · 2025★★★★★

The staff is so friendly and welcoming. They take great care their residents.

Long-term resident's family · 2025☆☆☆☆

The nursing staff leaves residents in their beds while they scream for help. Residents go hours without getting changed and receiving medication.

Long-term resident's family · 2025☆☆☆☆
Source: 146 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.31hrs
42%
Registered nurses for medical care
Total Nursing
3.12hrs
76%
All nurses + aides combined
Staff Turnover
67%
Lower is better (< 30% = good)
RN Turnover
63%
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 · 17 measures

Medicare Rating
3/ 5
Better Than Avg

14

measures

Mixed Results

3

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility0.9%
Better than Avg
Here
0.9%
US
19.4%
TX
14.2%
Bell
16.0%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility1.1%
Better than Avg
Here
1.1%
US
15.3%
TX
14.9%
Bell
15.2%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility2.3%
Better than Avg
Here
2.3%
US
14.4%
TX
16.1%
Bell
15.2%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility9.3%
Better than Avg
Here
9.3%
US
19.5%
TX
18.4%
Bell
22.1%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
TX
2.5%
Bell
3.9%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
TX
96.9%
Bell
89.7%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
81.8%
TX
89.2%
Bell
75.2%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility97.4%
Better than Avg
Here
97.4%
US
79.7%
TX
88.0%
Bell
74.8%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.7%
Mixed vs Avgs
Here
1.7%
US
1.6%
TX
1.5%
Bell
3.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

15deficiencies
7penalties
Well above state avg (9.1)
30 complaint-triggered
$125,321 in fines

This facility shows significant quality concerns with 27 complaint-triggered deficiencies, indicating families have repeatedly reported problems. The most persistent issues involve resident safety and accident prevention, medication management, and protection from abuse and neglect. Problems with daily care assistance, proper treatment delivery, and resident rights also recur frequently across multiple surveys. While the facility has addressed most deficiencies, the pattern of ongoing complaints suggests systemic care quality challenges that families should carefully consider.

Mar 6, 2026Complaint
2
0755MinorCorrected

Pharmacy Service Deficiencies

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

0761MinorCorrected

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.

Feb 26, 2026Complaint
1
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.

Dec 29, 2025Complaint
2
0656MinorCorrected

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.

0677MinorCorrected

Quality of Life and Care Deficiencies

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

Dec 3, 2025Complaint
1
0602ModerateCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

Sep 2, 2025Complaint
1
0689MinorCorrected

Quality of Life and Care Deficiencies

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

Aug 11, 2025Complaint
2
0558MinorCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Federal Penalties

Fine

Jun 26, 2025

$12,428

Fine

Nov 25, 2024

$8,992

Payment Denial

May 13, 2024

2-day denial

Fine

Mar 13, 2024

$13,583

Fine

Nov 11, 2023

$14,730

Fine

Oct 21, 2023

$15,827

Fine

Jul 21, 2023

$72,189

Ownership & Operations

Who Operates This Facility

Owner / Operator

Coryell County Memorial Hospital Authority

Organization Type

for profit

Management Company

5000 THAYER DRIVE OPCO LLC

Administrator

SAVANNAH NORTH

Chain Affiliation

Chain Name

Avir Health Group

Chain Size

117 facilities nationwide

Chain avg rating: 2.3/5 · Rank 57 of 90 (Worst)

Ownership & Management

Owners

City of Ennis

Owner · Organization

100%

Key personnel

Anderson, JenniferW-2 Managing EmployeeBarnes, StephenOfficer / DirectorBell Nursing Operations LLCManager
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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