Avir at Western Hills

512 Draper Dr · Temple, TX · 76504 · 2547427500

120 certified beds For profit - Corporation Chain: Avir Health Group Part of a CCRC

Why this verdict

  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (2 citations).
  • 3 citations involved actual harm to residents.
  • Inspection results have improved across recent cycles.

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Red flags

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.

Total nurse staffing below 3.0 hours per resident-day

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

Score breakdown

Inspection record 30% of score 41
Serious harm & abuse 20% 22
Staffing 20% 50
Federal penalties 15% 61
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: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day2.903.48 min · 4.1 strong
RN hours / resident-day0.380.55–0.75
Weekend hours / resident-day2.70≈ weekday level
Nursing turnover / year52%median 45%
Fines (3-yr window)2 · $16,562

Inspection citations (32 in the current record)

  • Potential for harm · E December 29, 2025 · found via complaint

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    Corrected January 23, 2026 · Resident Rights

  • Potential for harm · E December 29, 2025 · found via complaint

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Corrected January 23, 2026 · Nutrition and Dietary

  • Immediate jeopardy · J November 20, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected November 14, 2025 · Quality of Life and Care

  • Immediate jeopardy · J July 2, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Past Non-Compliance · Quality of Life and Care

  • Potential for harm · D May 8, 2025

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Corrected May 9, 2025 · Nutrition and Dietary

  • Potential for harm · E May 8, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected May 9, 2025 · Nutrition and Dietary

  • Potential for harm · D May 8, 2025

    Provide and implement an infection prevention and control program.

    Corrected May 9, 2025 · Infection Control

  • No harm found · C May 8, 2025

    Post nurse staffing information every day.

    Corrected May 9, 2025 · Nursing and Physician Services

  • Potential for harm · D April 30, 2025 · found via complaint

    Protect each resident from the wrongful use of the resident's belongings or money.

    Corrected April 28, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Actual harm · G January 22, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected February 8, 2025 · Quality of Life and Care

  • Potential for harm · D January 22, 2025 · found via complaint

    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 January 23, 2025 · Resident Rights

  • Potential for harm · E January 22, 2025 · found via complaint

    Protect each resident from the wrongful use of the resident's belongings or money.

    Corrected January 30, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E January 22, 2025 · found via complaint

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected January 30, 2025 · Pharmacy Service

  • Potential for harm · E January 22, 2025 · found via complaint

    Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

    Corrected January 31, 2025 · Nutrition and Dietary

  • Potential for harm · D October 16, 2024 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected November 4, 2024 · Quality of Life and Care

  • Potential for harm · D March 21, 2024

    Allow residents to self-administer drugs if determined clinically appropriate.

    Corrected April 18, 2024 · Resident Rights

  • Potential for harm · E March 21, 2024

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected April 18, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D March 21, 2024

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

    Corrected April 18, 2024 · Resident Assessment and Care Planning

  • Potential for harm · F March 21, 2024

    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.

    Corrected April 18, 2024 · Nursing and Physician Services

  • Potential for harm · E March 21, 2024

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    Corrected April 18, 2024 · Pharmacy Service

  • Potential for harm · E March 21, 2024

    Ensure medication error rates are not 5 percent or greater.

    Corrected April 18, 2024 · Pharmacy Service

  • Potential for harm · E March 21, 2024

    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 April 18, 2024 · Pharmacy Service

  • Potential for harm · E March 21, 2024

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected April 18, 2024 · Nutrition and Dietary

  • No harm found · C March 21, 2024

    Post nurse staffing information every day.

    Corrected April 18, 2024 · Nursing and Physician Services

  • Actual harm · H June 20, 2023 · found via complaint

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected July 14, 2023 · Resident Rights

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
November 20, 2025Fine$8,281
July 2, 2025Fine$8,281

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 455785 · certified since December 2, 1988. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.