Avir at Adams
3011 W Adams Ave · Temple, TX · 76504 · 2547731626
118 certified beds For profit - Corporation Chain: Avir Health Group
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (2 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Staffing levels are well below research benchmarks for safe care.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
2 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
RN staffing in the bottom 10% nationally
0.23 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Total nurse staffing below 3.0 hours per resident-day
2.70 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
64% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 2.70 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.23 | 0.55–0.75 |
| Weekend hours / resident-day | 2.46 | ≈ weekday level |
| Nursing turnover / year | 64% | median 45% |
| Fines (3-yr window) | 2 · $24,819 |
Inspection citations (48 in the current record)
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Potential for harm · D January 14, 2026 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected January 15, 2026 · Resident Rights
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Immediate jeopardy · J January 3, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected January 4, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J January 3, 2026 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected January 4, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 3, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected January 4, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 19, 2025
Keep residents' personal and medical records private and confidential.
Corrected July 20, 2025 · Resident Rights
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Potential for harm · E June 19, 2025
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected July 18, 2025 · Resident Rights
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Potential for harm · D June 19, 2025
Ensure each resident receives an accurate assessment.
Corrected July 18, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 19, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected July 15, 2025 · Quality of Life and Care
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Potential for harm · E June 19, 2025
Provide activities to meet all resident's needs.
Corrected July 18, 2025 · Quality of Life and Care
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Potential for harm · D June 19, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 15, 2025 · Quality of Life and Care
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Potential for harm · E June 19, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected July 18, 2025 · Quality of Life and Care
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Potential for harm · E June 19, 2025
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected July 18, 2025 · Nursing and Physician Services
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Potential for harm · E June 19, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected July 18, 2025 · Pharmacy Service
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Potential for harm · E June 19, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 18, 2025 · Nutrition and Dietary
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Potential for harm · E June 19, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected July 15, 2025 · Resident Assessment and Care Planning
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Potential for harm · E June 19, 2025
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected July 18, 2025 · Environmental
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Potential for harm · D June 16, 2025 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected June 17, 2025 · Resident Rights
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Potential for harm · D June 16, 2025 · found via complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected June 17, 2025 · Resident Rights
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Potential for harm · E January 17, 2025 · found via complaint
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected January 18, 2025 · Quality of Life and Care
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Potential for harm · E December 11, 2024 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected December 16, 2024 · Resident Rights
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Potential for harm · E December 11, 2024 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected December 16, 2024 · Pharmacy Service
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Potential for harm · D December 11, 2024 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 16, 2024 · Nutrition and Dietary
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Potential for harm · E May 17, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected May 22, 2024 · Resident Rights
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Potential for harm · E May 17, 2024
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected May 22, 2024 · Resident Rights
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Potential for harm · E May 17, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected June 30, 2024 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 3, 2026 | Fine | $15,940 |
| September 23, 2023 | Fine | $8,879 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675587 · certified since May 18, 1996. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.