Avir at Killeen
5000 Thayer Dr · Killeen, TX · 76549 · 2542216380
120 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 (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $21,420 in fines in the last 24 months.
- 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.
1 immediate-jeopardy citation 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.
3 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.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
67% 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: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.12 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.31 | 0.55–0.75 |
| Weekend hours / resident-day | 2.75 | ≈ weekday level |
| Nursing turnover / year | 67% | median 45% |
| Fines (3-yr window) | 6 · $137,749 |
Inspection citations (59 in the current record)
-
Potential for harm · E April 1, 2026 · found via complaint
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected April 2, 2026 · Quality of Life and Care
-
Potential for harm · D April 1, 2026 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 2, 2026 · Quality of Life and Care
-
Potential for harm · E April 1, 2026 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected April 2, 2026 · Nutrition and Dietary
-
Potential for harm · D March 6, 2026 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected March 7, 2026 · Pharmacy Service
-
Potential for harm · D March 6, 2026 · found via complaint
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 March 7, 2026 · Pharmacy Service
-
Potential for harm · D February 26, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected February 27, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D December 29, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected December 30, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D December 29, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected December 30, 2025 · Quality of Life and Care
-
Potential for harm · E December 3, 2025 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected January 2, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D September 2, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 3, 2025 · Quality of Life and Care
-
Potential for harm · D August 11, 2025 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected August 12, 2025 · Resident Rights
-
Potential for harm · D August 11, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected August 12, 2025 · Infection Control
-
Immediate jeopardy · J June 26, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 27, 2025 · Quality of Life and Care
-
Potential for harm · D June 26, 2025 · found via complaint
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected June 27, 2025 · Resident Rights
-
Potential for harm · D April 17, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 18, 2025 · Resident Rights
-
Potential for harm · D April 17, 2025
Keep residents' personal and medical records private and confidential.
Corrected April 18, 2025 · Resident Rights
-
Potential for harm · E April 17, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected April 18, 2025 · Quality of Life and Care
-
Potential for harm · D April 17, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 18, 2025 · Pharmacy Service
-
Actual harm · H November 25, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected November 26, 2024 · Quality of Life and Care
-
Potential for harm · E November 25, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected November 26, 2024 · Quality of Life and Care
-
Potential for harm · E November 25, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected November 26, 2024 · Infection Control
-
Potential for harm · D June 20, 2024 · found via complaint
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 June 2, 2024 · Nursing and Physician Services
-
Potential for harm · D May 21, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected May 22, 2024 · Quality of Life and Care
-
Immediate jeopardy · J May 13, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected June 14, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
Immediate jeopardy · K March 13, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 14, 2024 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| June 26, 2025 | Fine | $12,428 |
| November 25, 2024 | Fine | $8,992 |
| May 13, 2024 | Payment Denial | 2 days |
| March 13, 2024 | Fine | $13,583 |
| November 11, 2023 | Fine | $14,730 |
| October 21, 2023 | Fine | $15,827 |
| July 21, 2023 | Fine | $72,189 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676438 · certified since January 25, 2018. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.