Avir at Kingsland

Nursing Home · Kingsland, TX

CMS overall rating 2/5 Government - Hospital district

CMS certification number676035

Contact & location

3727 W Ranch Rd 1431
Kingsland, TX 78639
Llano County
Phone
(325) 388-4538
ZIP code
78639 – all care providers

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Facility details

Certified beds
122
Residents per day
72.0 (59% occupied)
Ownership
Government - Hospital district
Legal name
Fannin County Hospital Authority
Chain
Avir Health Group (116 facilities, avg 2.3★)
Medicare certified since
August 10, 2004
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 2/5
State avg 2.6
Health inspections★★★★★ 3/5
State avg 2.8
Staffing★★★★★ 1/5
State avg 1.9
Quality measures★★★★★ 3/5
State avg 3.7
Long-stay quality★★★★★ 4/5
Short-stay quality★★★★★ 3/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
2.67 (state 3.39 · U.S. 3.86)
Registered nurses (RN)
0.35 (state 0.43 · U.S. 0.69)
Licensed practical nurses
0.76 (state 0.95 · U.S. 0.86)
Nurse aides
1.56 (state 2.00 · U.S. 2.32)
Weekend total
2.39 (state 2.98 · U.S. 3.42)
Nursing staff turnover
42.5 (state 55.3 · U.S. 45.8)%
RN turnover
50.0 (state 54.6 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
May 28, 2026
Health deficiencies (last cycle)
14.0 (state 9.3 · U.S. 9.3)
From complaints
8
Citations on record (3 years)
20 health · 5 fire safety · includes actual harm
DateCitationSeverityStatus
2026-05-28 Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
F0727 · Nursing and Physician Services Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2026-06-28
2026-05-28 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2026-06-28
2026-05-28 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2026-06-28
2026-05-28 Ensure that residents are fully informed and understand their health status, care and treatments.
F0552 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-06-28
2026-05-28 Keep residents' personal and medical records private and confidential.
F0583 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-06-28
2026-05-28 Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
F0605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-06-28
2026-04-29 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-05-01
2026-01-28 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-01-29
2026-01-28 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-01-29
2026-01-28 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.
F0808 · Nutrition and Dietary Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-01-29
2026-01-28 Provide specialized rehabilitative services by qualified personnel, when ordered for a resident by a doctor.
F0826 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-01-29
2025-10-08 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection
G
Actual harm
Corrected 2025-11-10
2025-10-08 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-11-10
2025-10-08 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.
F0761 · Pharmacy Service Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-12-17
2025-03-13 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-03-27
2025-03-13 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-03-27
2024-01-31 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.
F0761 · Pharmacy Service Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-02-15
2024-01-31 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-02-15
2024-01-31 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-02-15
2024-01-31 Post nurse staffing information every day.
F0732 · Nursing and Physician Services Deficiencies
C
No actual harm, potential for minimal harm
Corrected 2024-02-15

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

No federal fines or payment denials in the last three years.

Ownership & management

NameRoleSince
Fannin County Hospital Authority (organization)5%+ Direct Ownership Interest · 100%
3727 W Ranch Road 1431 Property Owner, LLC (organization)Administrator · NOT APPLICABLE
Ramirez, Roberto (individual)Administrator · NOT APPLICABLE
Syed, Asif (individual)Administrator · NOT APPLICABLE
Welltower NNN Group, LLC (organization)Administrator · NOT APPLICABLE
Welltower Op, LLC (organization)Administrator · NOT APPLICABLE
Sanderson, Clark (individual)Corporate Officer · NOT APPLICABLE
Dagan, Amitai (individual)Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
Goldberger, Abraham (individual)Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
Goldberger, Faigy (individual)Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
3727 W Ranch Road 1431 Holdings LLC (organization)Operational/managerial Control · NOT APPLICABLE
Freund, Nochum (individual)Operational/managerial Control · NOT APPLICABLE
Ramirez, Roberto (individual)Operational/managerial Control · NOT APPLICABLE
Syed, Asif (individual)Operational/managerial Control · NOT APPLICABLE
Travitsky, Aaron (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Avir at Kingsland?

Avir at Kingsland has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.

How many beds does Avir at Kingsland have?

It has 122 certified beds and cares for about 72 residents per day.

Has Avir at Kingsland been fined?

CMS lists no federal fines or payment denials in the last three years.

Who owns Avir at Kingsland?

It is part of Avir Health Group and is classified as government - hospital district. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Avir at Kingsland?

(325) 388-4538. The facility is located at 3727 W Ranch Rd 1431, Kingsland, TX 78639.

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.