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Nursing HomeMedicaid

Avir at Kingsland

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

3727 W Ranch Rd 1431, Kingsland, TX 78639122 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
4.4/5

based on 97 Google reviews

5
4
3
2
1
Avir at Kingsland Nursing Home in Kingsland, TX — Street View
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What this means for your family

This facility is an excellent choice for families prioritizing compassionate, one-on-one nursing care and effective physical therapy. However, you should proactively ask management about their protocols for odor control and ensure you have a plan for communicating with staff during weekends when coverage may be thinner.

Google Reviews

Google Reviews

97 reviews analyzed
Families often praise the nursing and therapy staff for being compassionate, professional, and attentive to residents' emotional needs. However, there are recurring concerns regarding unpleasant odors in the hallways and inconsistent staffing levels, particularly on weekends. While many visitors find the environment welcoming, some have noted issues with facility cleanliness and the need for better communication from management.

Quality Themes

Tap a score for details
Food3.0Staff9.0Clean4.0Activities8.0MedsN/AMemory2.0Comms4.0ValueN/A

Strengths

  • Compassionate and professional nursing staff
  • Effective and supportive rehabilitation therapy
  • Welcoming and friendly atmosphere for visitors
  • Attentive care for long-term residents

Concerns

  • Unpleasant odors (urine/waste) in hallways (mentioned by 3 reviewers)
  • Inadequate staffing on weekends or holidays (mentioned by 2 reviewers)
  • Difficulty accessing the building/front door delays (mentioned by 2 reviewers)
  • Issues with cleanliness and pests (ants/insects) (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'14(1)'19(1)'22(14)'24(16)'26(1)

Distribution

5
44
4
5
3
8
2
2
1
5

How They Respond to Reviews

13%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1We've heard such wonderful things about the compassion of your nursing staff; how do you ensure that same level of attentive care is maintained during the weekends and holidays?
  • 2What specific steps are being taken to ensure the hallways and common areas remain fresh and clean for residents and visitors?
  • 3Could you tell us more about the dining experience and how the menu is planned to ensure nutritious and appetizing meals?
  • 4How does the facility manage pest control and deep cleaning schedules to keep the environment comfortable?
  • 5What kind of specialized support and daily activities are available specifically for residents in the memory care unit?
  • 6In the event of a medical emergency during the night or over a weekend, what is the protocol for getting immediate care?

Personalized based on this facility's data


Key Review Excerpts

I witnessed a young nursing assistant sit with a lady holding her hand. I give the center 5 stars.

Memory care family member · 2023★★★★★

The staff was great with my Aunt. One nurse in particular was kind and really made my aunt feel safe. At the end of her therapy stay recently, the same nurse helped her and her daughter pack her stuff and load it to the car.

Rehab patient's family · 2025★★★★★

The therapist allowed us to visit while my friend completed some of her training. I am a retired RN and appreciated the care my friend was receiving.

Rehab patient's visitor · 2022★★★★★
Source: 97 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.22hrs
30%
Registered nurses for medical care
Total Nursing
2.48hrs
60%
All nurses + aides combined
Staff Turnover
39%
Lower is better (< 30% = good)
RN Turnover
60%
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

15

measures

Worse Than Avg

2

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.5%
Better than Avg
Here
0.5%
US
12.1%
TX
2.5%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility4.5%
Better than Avg
Here
4.5%
US
15.4%
TX
9.4%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility9.2%
Better than Avg
Here
9.2%
US
19.4%
TX
14.2%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility11.2%
Better than Avg
Here
11.2%
US
19.5%
TX
18.4%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
TX
96.9%
⚖️

Residents who lost too much weight

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
5.3%
TX
3.2%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
79.7%
TX
88.0%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility98.8%
Better than Avg
Here
98.8%
US
81.8%
TX
89.2%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.0%
Better than Avg
Here
1.0%
US
1.6%
TX
1.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

8deficiencies
Near state avg (9.1)
6 complaint-triggered

Families have filed multiple complaints triggering inspections, with deficiencies found in communication with families, medication management, and dietary services. The facility shows recurring issues with fire safety systems and medication errors across several surveys, though all violations have been corrected. Most concerning are repeated problems with notifying families about resident incidents and medication labeling that prompted family complaints in recent years.

Jan 28, 2026Complaint
4
0580MinorCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

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.

0808MinorCorrected

Nutrition and Dietary Deficiencies

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.

0826MinorCorrected

Quality of Life and Care Deficiencies

Provide specialized rehabilitative services by qualified personnel, when ordered for a resident by a doctor.

Nov 11, 2025Complaint
2
0684ModerateCorrected

Quality of Life and Care Deficiencies

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

0580MinorCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Mar 13, 2025Routine
4
0880ModerateCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0759MinorCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0353MinorCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0324MinorCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

Jan 31, 2024Routine
6
0761ModerateCorrected

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.

0804ModerateCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

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.

0324MinorCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0353MinorCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0732MinorCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

Oct 26, 2022Routine
16
0020ModerateCorrected

Emergency Preparedness Deficiencies

Establish policies and procedures including evacuation.

0641ModerateCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0656ModerateCorrected

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.

0680ModerateCorrected

Quality of Life and Care Deficiencies

Ensure the activities program is directed by a qualified professional.

0805ModerateCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

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.

0293ModerateCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0355ModerateCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0585MinorCorrected

Resident Rights Deficiencies

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

0607MinorCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0645MinorCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

0758MinorCorrected

Pharmacy Service Deficiencies

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.

0770MinorCorrected

Administration Deficiencies

Provide timely, quality laboratory services/tests to meet the needs of residents.

0806MinorCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

0324Minor

Smoke Deficiencies

Provide properly protected cooking facilities.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Fannin County Hospital Authority

Organization Type

for profit

Management Company

3727 RANCH RD 1431 OPCO LLC

Administrator

ROBERTO RAMIREZ

Chain Affiliation

Chain Name

Avir Health Group

Chain Size

117 facilities nationwide

Chain avg rating: 2.3/5 · Rank 23 of 90

Ownership & Management

Owners

Fannin County Hospital Authority

Owner · Organization

100%

Dagan, Amitai

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Goldberger, Abraham

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Goldberger, Faigy

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Key personnel

Sanderson, ClarkOfficer / Director3727 W Ranch Road 1431 Holdings LLCManagerFreund, NochumManagerRamirez, RobertoManagerSyed, AsifManager
Source: Medicare provider data

Contact

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References & Resources

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