Avir at Keeneland

700 S Bowie Dr · Weatherford, TX · 76086 · 8175942715

72 certified beds For profit - Corporation Chain: Avir Health Group

Why this verdict

  • Staffing levels are well below research benchmarks for safe care.
  • No federal fines or payment denials in CMS’s 3-year window.
  • Inspection results have improved across recent cycles.

The composite number cleared 78 points, but Recommended is gated: staffing below the Recommended bar. That rule is part of the published method.

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Red flags

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

2.55 reported hours vs the 3.48 minimum CMS's own staffing study recommends.

68% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 76
Serious harm & abuse 20% 100
Staffing 20% 34
Federal penalties 15% 100
Trend 10% 83
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 4 of 5 Inspections: 5 of 5 Staffing: 1 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day2.553.48 min · 4.1 strong
RN hours / resident-day0.230.55–0.75
Weekend hours / resident-day2.42≈ weekday level
Nursing turnover / year68%median 45%
Fines (3-yr window)none

Inspection citations (13 in the current record)

  • Potential for harm · D March 31, 2025 · found via complaint

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected May 11, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E December 19, 2024 · found via complaint

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    Corrected January 10, 2025 · Quality of Life and Care

  • Potential for harm · D December 19, 2024 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected January 10, 2025 · Infection Control

  • No harm found · C December 19, 2024 · found via complaint

    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

    Corrected January 10, 2025 · Nutrition and Dietary

  • Potential for harm · E October 25, 2023

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    Corrected November 2, 2023 · Resident Rights

  • Potential for harm · D October 25, 2023

    Ensure each resident receives an accurate assessment.

    Corrected November 2, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D October 25, 2023

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected November 2, 2023 · Resident Assessment and Care Planning

  • Potential for harm · E October 25, 2023

    Provide activities to meet all resident's needs.

    Corrected November 2, 2023 · Quality of Life and Care

  • Potential for harm · D October 25, 2023

    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.

    Corrected November 2, 2023 · Pharmacy Service

  • No harm found · C October 25, 2023

    Post nurse staffing information every day.

    Corrected November 2, 2023 · Nursing and Physician Services

  • Potential for harm · D August 11, 2022

    Ensure each resident receives an accurate assessment.

    Corrected August 12, 2022 · Resident Assessment and Care Planning

  • Potential for harm · D August 11, 2022

    Ensure medication error rates are not 5 percent or greater.

    Corrected October 6, 2022 · Pharmacy Service

  • Potential for harm · D August 11, 2022

    Provide and implement an infection prevention and control program.

    Corrected October 6, 2022 · Infection Control

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 675708 · certified since July 30, 1997. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.