Kerrville · 1.0 mi
River Hills Health and Rehabilitation Center
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View facility →Avir at Kerrville
⌖ Kerrville, TX · Kerr County
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Medicare overall rating 1 of 5 stars
Certified beds130
Medicare / MedicaidMedicare & Medicaid
OwnershipFor-profit (corporation)
About Avir at Kerrville
Avir at Kerrville is a 130-bed for-profit nursing home in Kerrville, TX. Medicare rates it 1 out of 5 stars overall (much below average); the average in Texas is 2.7.
- Inspections: 38 problems at its last full inspection (Jun 2025), more than the Texas average of 9.4. 1 recent citation was for residents being harmed or put in immediate danger.
- Staffing: nurses and aides spend about 3 hr 22 min a day with each resident, about the same as the Texas average of 3 hr 23 min. About 64% of nursing staff left in the past year.
- Fines: $20,467 in federal fines in the last three years.
Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology
Key details
Facility nameAvir At Kerrville
LocationKerr County, Texas
Phone(830) 412-2366
Address1555 Bandera Hwy, Kerrville, TX 78028 · Kerr County
Medicare provider number745050
Ownership typeFor-profit (corporation)
Operating companyAvir Health Group · 118 homes
Investors reported to MedicareReal estate investment trust (REIT): 1555 Bandera Highway Property Owner, Welltower and 2 more What this means
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceJuly 18, 2024 (2 years)
✓ Medicare✓ Medicaid
Certified for Medicaid; ask whether a Medicaid bed is available.
Quality & inspections
Explore this facility's official Medicare inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.
Ratings and inspection data on this page come directly from Medicare's public records and are never altered for any paid listing. Medicare data as of September 2026.
What Medicare found
4 things to ask about in Medicare's inspection, fine and staffing records for this home. 2 care-quality measures are worse than the state average in the rehab and long-term care section below.
About average
- Nurse staffing per resident3 hr 22 min a dayTexas average: 3 hr 23 minAbout average
- Registered nurse time per resident24 min a dayTexas average: 26 minAbout average
Things to ask about
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- Serious health citations1 for actual harmCitations where inspectors found residents were harmed or put in immediate danger, most recently in Dec 2025 (within the past year). All 1 were later corrected.Ask about this
- Fines and penalties2 fines totaling $20,467Federal penalties from the last three years, most recently in Dec 2025 (within the past year). The national average is $30,972 per home.Worth asking about
- Health citations at last inspection38 (Jun 2025)Texas average: 9.4.Worse than state average
- Nursing staff turnover64% a yearTexas average: 55%Worse than state average
Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Texas average. Problems may have been corrected since; ask the home about anything listed here. How we choose these
Short-term rehab or long-term care?
Medicare rates these separately, and many homes are better at one than the other.
Short-term rehab
For a stay of a few weeks after a hospital visit, such as after surgery or a stroke.
- Sent back to the hospital25.5%State average: 25.7%About average
- Needed an emergency room visit14.1%State average: 12.3%About average
- Newly given antipsychotic drugs2.1%State average: 1.5%Worse than average
Physical therapist time: about 4 minutes a day per resident, averaged across all residents, including long-term residents who get little or no therapy. That is about the same as the state average of 4 minutes. It is not one person’s therapy schedule; if rehab is the goal, ask how many therapy sessions a week to expect.
Long-term care
For residents who live at the home for months or years.
- Falls with a major injury5.5%State average: 3.3%Worse than average
- Pressure sores (bedsores)1.6%State average: 3.8%Better than average
- Given antipsychotic drugs2.0%State average: 9.6%Better than average
- Hospital stays per 1,000 resident days2.0State average: 2.2About average
Source: Medicare (CMS) quality measures, compared with the Texas average. Lower is better for every rate shown.
Ratings over time
Its overall Medicare rating is 1 star now, down from 2 stars in October 2025. It has ranged from 1 to 2 stars and changed 1 time.
Overall rating1★
Health inspections1★
Staffing1★
Quality of care2★
Nurse hours per resident per day3.4
20252026
Show the values by year
| Month | Overall | Inspections | Staffing | Quality | Nurse hours |
|---|---|---|---|---|---|
| Oct 2025 | 2 | 1 | 2 | 5 | 3.9 |
| Feb 2026 | 1 | 1 | 1 | 4 | 3.4 |
| Sep 2026 | 1 | 1 | 1 | 2 | 3.4 |
Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology
See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home
From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.
Inspection summary
How this facility compares to state and national averages on CMS-reported problems.
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Three-survey history
Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.
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View facility →Family reviews
No family reviews of this home yet. Reviews are separate from Medicare’s ratings and are checked before they’re published.