CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 6760352026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

Avir At Kingsland

3727 W Ranch Rd 1431 · Kingsland, TX 78639 · Llano County

CMS OVERALL RATING★★☆☆☆2/5CMS field—not our score or recommendation
Certified beds122CMS provider file
Recent citation rows25current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.

The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.

01 / INSPECTION LEDGER

Survey cycles in this release

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12026-05-28142026-05-281
Cycle 22025-03-1322025-03-132
Cycle 32024-01-3142024-01-312
02 / CITATION DETAIL

25 rows in the current release

1 rows carry G–L scope/severity codes; 0 carry J–L. 6 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2026-05-28 · HEALTHF0552Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Ensure that residents are fully informed and understand their health status, care and treatments.

Correction field: Deficient, Provider has date of correction · 2026-06-28
2026-05-28 · HEALTHF0583Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

Correction field: Deficient, Provider has date of correction · 2026-06-28
2026-05-28 · HEALTHF0605Severity D · isolated; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Correction field: Deficient, Provider has date of correction · 2026-06-28
2026-05-28 · HEALTHF0727Severity E · pattern; potential for more than minimal harm

Nursing and Physician Services Deficiencies

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.

Correction field: Deficient, Provider has date of correction · 2026-06-28
2026-05-28 · HEALTHF0804Severity E · pattern; potential for more than minimal harm

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Correction field: Deficient, Provider has date of correction · 2026-06-28
2026-05-28 · HEALTHF0812Severity E · pattern; potential for more than minimal harm

Nutrition and Dietary Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2026-06-28
2026-05-28 · FIREK0324Severity C · widespread; potential for minimal harm

Smoke Deficiencies

Provide properly protected cooking facilities.

Correction field: Deficient, Provider has no plan of correction
2026-04-29 · HEALTHF0600Severity D · isolated; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Correction field: Deficient, Provider has date of correction · 2026-05-01 · complaint
2026-01-28 · HEALTHF0580Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2026-01-29 · complaint
2026-01-28 · HEALTHF0656Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2026-01-29 · complaint
2026-01-28 · HEALTHF0808Severity D · isolated; potential for more than minimal harm

Nutrition and Dietary Deficiencies

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

Correction field: Deficient, Provider has date of correction · 2026-01-29 · complaint
2026-01-28 · HEALTHF0826Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide specialized rehabilitative services by qualified personnel, when ordered for a resident by a doctor.

Correction field: Deficient, Provider has date of correction · 2026-01-29 · complaint
2025-10-08 · HEALTHF0580Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-11-10 · complaint
2025-10-08 · HEALTHF0684Severity G · isolated actual harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-11-10 · complaint
2025-10-08 · HEALTHF0761Severity D · isolated; potential for more than minimal harm

Pharmacy Service Deficiencies

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.

Correction field: Deficient, Provider has date of correction · 2025-12-17 · complaint
2025-03-13 · HEALTHF0759Severity D · isolated; potential for more than minimal harm

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

Correction field: Deficient, Provider has date of correction · 2025-03-27
2025-03-13 · HEALTHF0880Severity E · pattern; potential for more than minimal harm

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Correction field: Deficient, Provider has date of correction · 2025-03-27
2025-03-13 · FIREK0324Severity C · widespread; potential for minimal harm

Smoke Deficiencies

Provide properly protected cooking facilities.

Correction field: Deficient, Provider has date of correction · 2025-04-17
2025-03-13 · FIREK0353Severity D · isolated; potential for more than minimal harm

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Correction field: Deficient, Provider has date of correction · 2025-04-17
2024-01-31 · HEALTHF0732Severity C · widespread; potential for minimal harm

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

Correction field: Deficient, Provider has date of correction · 2024-02-15
2024-01-31 · HEALTHF0761Severity E · pattern; potential for more than minimal harm

Pharmacy Service Deficiencies

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.

Correction field: Deficient, Provider has date of correction · 2024-02-15
2024-01-31 · HEALTHF0804Severity E · pattern; potential for more than minimal harm

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Correction field: Deficient, Provider has date of correction · 2024-02-15
2024-01-31 · HEALTHF0812Severity E · pattern; potential for more than minimal harm

Nutrition and Dietary Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2024-02-15
2024-01-31 · FIREK0324Severity D · isolated; potential for more than minimal harm

Smoke Deficiencies

Provide properly protected cooking facilities.

Correction field: Deficient, Provider has date of correction · 2024-02-07
03 / ENFORCEMENT FILE

Penalties reported by CMS

Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.

DateTypeFine amountPayment-denial days
No penalty row appeared in the August 2026 penalties file.
04 / OWNERSHIP DISCLOSURES

Who appears in the CMS file

  • FANNIN COUNTY HOSPITAL AUTHORITYOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    100% · since 10/01/2020
  • SANDERSON, CLARKIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 08/01/2025
  • 3727 W RANCH ROAD 1431 HOLDINGS LLCOrganization · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 08/01/2025
  • FREUND, NOCHUMIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 08/01/2025
  • RAMIREZ, ROBERTOIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 02/09/2023
  • SYED, ASIFIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 08/01/2025
  • TRAVITSKY, AARONIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 08/01/2025
  • DAGAN, AMITAIIndividual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
    NOT APPLICABLE · since 11/11/2025
  • GOLDBERGER, ABRAHAMIndividual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
    NOT APPLICABLE · since 11/11/2025
  • GOLDBERGER, FAIGYIndividual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
    NOT APPLICABLE · since 11/11/2025
  • 3727 W RANCH ROAD 1431 PROPERTY OWNER, LLCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 08/01/2025
  • WELLTOWER NNN GROUP, LLCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 08/01/2025
  • WELLTOWER OP, LLCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 08/01/2025
  • RAMIREZ, ROBERTOIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 08/01/2025
  • SYED, ASIFIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 08/01/2025

Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.

05 / CMS STAFFING FIELDS

Reported hours and turnover

Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.

Total nurse hours2.67per resident day
RN hours0.35per resident day
Weekend nurse hours2.39per resident day
Staff turnover42.5%CMS reported field
06 / LOCAL RECORDS

Other published facilities nearby

Open the Texas ledger →

No second facility in the same city met the directory rule.

BEFORE A CARE DECISION

Verify the current record and visit in person.

Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.