Government - Hospital district · 120 certified beds · CMS number 675153
Avir at Keller, Keller, TX
CMS records 21 health deficiencies at Avir at Keller in Keller, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Dec 3, 2025. The highest severity cited is J (immediate jeopardy to resident health or safety). 2 citations were at the immediate jeopardy level, 2 of them recorded as past non-compliance (fixed before the inspection). CMS lists 2 fines totaling $22,608 in the last three years.
- 21deficiencies, 3 cycles (TX median 25)
- 6in the latest cycle (TX median 8)
- Jhighest severity · Immediate jeopardy
- $22,608fines, last 3 years
- 5CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Avir at Keller as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Avir at Keller may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (6 deficiencies)
Standard inspection Dec 3, 2025. CMS counts 6 health deficiencies and 2 fire safety deficiencies in this cycle.
Jul 29, 2026 · Complaint inspection
1 deficiency, highest D
F684 · Quality of care
Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Plan of correction, no correction date yet
Mar 28, 2026 · Complaint inspection
1 deficiency, highest D
F641 · Accurate resident assessments
Requirement cited (CMS): Ensure each resident receives an accurate assessment.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 15, 2026
Dec 3, 2025 · Standard inspection
3 deficiencies, highest D
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 4, 2025
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 4, 2025
F554 · Taking one's own medications
Requirement cited (CMS): Allow residents to self-administer drugs if determined clinically appropriate.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 4, 2025
Nov 19, 2025 · Complaint inspection
1 deficiency, highest J
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Past non-compliance (fixed before the inspection)
Previous cycle: 7 deficiencies (standard inspection Aug 29, 2024)
Standard inspection Aug 29, 2024. CMS counts 7 health deficiencies and 3 fire safety deficiencies in this cycle.
Feb 20, 2025 · Complaint inspection
2 deficiencies, highest D
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 1, 2025
F694 · IV fluid administration
Requirement cited (CMS): Provide for the safe, appropriate administration of IV fluids for a resident when needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 1, 2025
Nov 13, 2024 · Complaint inspection
1 deficiency, highest D
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 20, 2024
Oct 24, 2024 · Complaint inspection
2 deficiencies, highest D
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 20, 2024
F684 · Quality of care
Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 20, 2024
Aug 29, 2024 · Standard + complaint inspection
2 deficiencies, highest E
F695 · Respiratory and oxygen care
Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 23, 2024
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Sep 23, 2024
Earlier cycle: 8 deficiencies (standard inspection Jul 20, 2023)
Standard inspection Jul 20, 2023. CMS counts 8 health deficiencies and 5 fire safety deficiencies in this cycle.
Mar 19, 2024 · Complaint inspection
1 deficiency, highest D
F644 · Coordinating with PASARR screening
Requirement cited (CMS): Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 19, 2024
Oct 24, 2023 · Complaint inspection
1 deficiency, highest J
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Past non-compliance (fixed before the inspection), Sep 30, 2023
Jul 20, 2023 · Standard inspection
6 deficiencies, highest E
F914 · Visual privacy in bedrooms
Requirement cited (CMS): Provide bedrooms that don't allow residents to see each other when privacy is needed.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Aug 31, 2023
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 11, 2023
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Aug 11, 2023
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 11, 2023
F609 · Reporting suspected abuse and crimes
Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 23, 2023
F607 · Abuse prevention policies
Requirement cited (CMS): Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 23, 2023
Tags cited in more than one inspection
4 tags cited on more than one inspection date at Avir at Keller; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F689 Accident prevention and supervision | 3 | Nov 19, 2025 (PNC); Nov 13, 2024; Oct 24, 2023 (PNC) |
| F880 Infection prevention and control program | 3 | Feb 20, 2025; Oct 24, 2024; Jul 20, 2023 |
| F684 Quality of care | 2 | Jul 29, 2026; Oct 24, 2024 |
| F761 Drug labeling and secure storage | 2 | Dec 3, 2025; Jul 20, 2023 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Nov 19, 2025 | Fine | $15,162 |
| Oct 24, 2023 | Fine | $7,446 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.18 h (about the same as the Texas median of 3.27 h)
- RN hours per resident per day
- 0.62 h (above the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.83 h
- Nursing staff turnover
- 45.3% (Texas median 52.1%)
- Administrators who left
- 1
- CMS overall rating
- 5 of 5
- Health inspection rating
- 4 of 5
- Staffing rating
- 2 of 5
- Quality measure rating
- 5 of 5
CMS figures for Avir at Keller, copied as published; Texas medians are ours.
Facility details
- Address
- 1150 Whitley Road, Keller, TX 76248
- Phone
- (817) 431-2518
- County
- Tarrant
- Accepts
- Medicare and Medicaid
- Ownership
- Government - Hospital district
- Chain (CMS)
- Advanced Healthcare Solutions
- Certified beds
- 120
- Average residents per day
- 113
- In Medicare/Medicaid since
- Jul 1, 1993
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
Questions to ask on a visit
Based on the tags cited most often here.
- How does the home assess each resident's fall risk and plan to prevent falls? (F689, cited 3 times)
- How do staff track and report infections among residents? (F880, cited 3 times)
- How does the home make sure doctor's orders are followed consistently across shifts? (F684, cited 2 times)
- How are medications stored and secured on each unit? (F761, cited 2 times)
Other nursing homes in Keller and the same chain
- Legend Oaks Healthcare and Rehabilitation - Fort W
Keller · 26 deficiencies - Keller Oaks Healthcare Center
Keller · 20 deficiencies - Greenville Health & Rehabilitation Center
Greenville · 90 deficiencies - El Paso Health & Rehabilitation Center
El Paso · 55 deficiencies - Sulphur Springs Health and Rehabilitation
Sulphur Springs · 52 deficiencies - Winfield Rehab & Nursing
Crockett · 48 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.