Quick answers
- Where is Avir at Adams?
- 3011 W Adams Ave, Temple, TX 76504, in Bell County, Texas.
- What is the phone number of Avir at Adams?
- (254) 773-1626, as listed by Medicare (CMS).
- What is the Medicare star rating of Avir at Adams?
- Medicare overall rating: 2 out of 5 stars (CMS data updated 2026-10-01).
- Has Avir at Adams been fined?
- Medicare lists 1 fine totaling $10,519.
- What did inspectors find at Avir at Adams?
- In its last three inspection cycles (March 23, 2023 to July 21, 2026), Medicare lists 47 health citations; the most serious was level J. 2 were level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (March 23, 2023 to July 21, 2026), Avir at Adams had 47 health citations; the most serious was level J (immediate jeopardy to resident health or safety). 2 of them were level G or higher (actual harm or immediate jeopardy). It was fined $10,519 in total (1 fine, the latest on January 3, 2026). Nurse staffing is 3.14 hours per resident per day; the Texas average is 3.42 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: June 19, 2025 — 21 health citations
Inspections in this cycle: June 19, 2025 (standard health inspection); January 3, 2026 (complaint investigation); January 14, 2026 (complaint investigation); June 5, 2026 (complaint investigation); June 29, 2026 (complaint investigation); July 21, 2026 (complaint investigation).
F0600 Level J
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
immediate jeopardy to resident health or safety; isolated (a few residents) · Freedom from Abuse, Neglect, and Exploitation Deficiencies
F0607 Level J
“Develop and implement policies and procedures to prevent abuse, neglect, and theft.”
immediate jeopardy to resident health or safety; isolated (a few residents) · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Show 19 less serious citations (levels A to F)
F0925 Level E
“Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.”
F0926 Level E
“Have policies on smoking.”
F0584 Level E
“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.”
F0679 Level E
“Provide activities to meet all resident's needs.”
F0686 Level E
“Provide appropriate pressure ulcer care and prevent new ulcers from developing.”
F0726 Level E
“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.”
F0755 Level E
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0842 Level E
“Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.”
F0925 Level E
“Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.”
F0761 Level D
“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.”
F0628 Level D
“Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0583 Level D
“Keep residents' personal and medical records private and confidential.”
F0641 Level D
“Ensure each resident receives an accurate assessment.”
F0677 Level D
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
Previous cycle: May 17, 2024 — 19 health citations
Inspections in this cycle: May 17, 2024 (standard health inspection); December 11, 2024 (complaint investigation); January 17, 2025 (complaint investigation); June 16, 2025 (complaint investigation).
Show 19 citations (levels A to F, no actual harm)
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0676 Level E
“Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.”
F0550 Level E
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0755 Level E
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0550 Level E
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0584 Level E
“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.”
F0656 Level E
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0758 Level E
“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.”
F0759 Level E
“Ensure medication error rates are not 5 percent or greater.”
F0761 Level E
“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.”
F0804 Level E
“Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.”
F0805 Level E
“Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0558 Level D
“Reasonably accommodate the needs and preferences of each resident.”
F0627 Level D
“Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.”
F0812 Level D
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0697 Level D
“Provide safe, appropriate pain management for a resident who requires such services.”
F0791 Level D
“Provide or obtain dental services for each resident.”
F0732 Level C
“Post nurse staffing information every day.”
Earlier cycle: March 23, 2023 — 7 health citations
Inspections in this cycle: March 23, 2023 (standard health inspection); November 13, 2023 (complaint investigation); December 5, 2023 (infection control inspection).
Show 7 citations (levels A to F, no actual harm)
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0584 Level E
“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.”
F0803 Level E
“Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.”
F0806 Level E
“Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.”
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (13)
K0923 Level E
“Have proper medical gas storage and administration areas.”
K0222 Level D
“Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.”
K0351 Level F
“Install an approved automatic sprinkler system.”
K0372 Level F
“Ensure smoke barriers are constructed to a 1 hour fire resistance rating.”
K0712 Level F
“Have simulated fire drills held at unexpected times.”
K0918 Level F
“Have generator or other power source capable of supplying service within 10 seconds.”
K0353 Level E
“Inspect, test, and maintain automatic sprinkler systems.”
K0741 Level E
“Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.”
K0321 Level D
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
K0345 Level F
“Have approved installation, maintenance and testing program for fire alarm systems.”
K0918 Level F
“Have generator or other power source capable of supplying service within 10 seconds.”
K0291 Level E
“Install emergency lighting that can last at least 1 1/2 hours.”
K0342 Level E
“Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.”
Fines and payment denials
Total fines over about the last three years: $10,519 (1 fine). A payment denial means Medicare stopped paying for new admissions for a time.
| Date | Penalty | Amount or length |
|---|---|---|
| January 3, 2026 | Fine | $10,519 |
Source: Medicare (CMS) Penalties file, data updated October 1, 2026.
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | Texas | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.24 | 0.44 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.67 | 0.94 | 0.86 |
| Nurse aide hours per resident per day | 2.22 | 2.03 | 2.35 |
| Total nurse staff hours per resident per day | 3.14 | 3.42 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 2.78 | 2.99 | 3.43 |
| RN hours per resident per day on the weekend | 0.16 | 0.35 | 0.48 |
| Nursing staff turnover (per year) | 65.3% | 50.8% | 45.3% |
| RN turnover (per year) | 50.0% | 49.8% | 42.5% |
| Administrators who left in the last year | 0.0 | 0.6 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Part of a group of 118 nursing homes: Avir Health Group.
Legal business name: 3011 W Adams Opco LLC.
Owners and managers Medicare lists (10)
| Name | Role | Share | Since |
|---|---|---|---|
| 3011 W Adams Holdings LLC | Direct owner | NOT APPLICABLE | October 1, 2025 |
| Ana TX Holdings, LLC | Indirect owner | NOT APPLICABLE | October 1, 2025 |
| Graf Holdings LLC | Indirect owner | NOT APPLICABLE | October 1, 2025 |
| TX SNF Holdings III LLC | Indirect owner | NOT APPLICABLE | October 1, 2025 |
| TX SNF Holdings Member, LLC | Indirect owner | NOT APPLICABLE | October 1, 2025 |
| Dagan, Amitai | Indirect owner | NOT APPLICABLE | October 1, 2025 |
| Freund, Nochum | Indirect owner | NOT APPLICABLE | October 1, 2025 |
| Goldberger, Abraham | Indirect owner | NOT APPLICABLE | October 1, 2025 |
| Goldberger, Faigy | Indirect owner | NOT APPLICABLE | October 1, 2025 |
| Travitsky, Aaron | Indirect owner | NOT APPLICABLE | October 1, 2025 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 118 |
| Average residents per day | 75.5 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – corporation |
| Group or chain (affiliated entity) | Avir Health Group |
| Legal business name | 3011 W Adams Opco LLC |
| First approved by Medicare/Medicaid | 1996-05-18 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | Yes |
| Address | 3011 W Adams Ave, Temple, TX 76504 |
| County | Bell County |
| State | Texas |
| Phone | (254) 773‑1626 |
| CMS Certification Number | 675587 |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Avir at Western Hills0.3 mi · Temple, TX · 3 of 5 stars
- Baylor Scott & White Continuing Care Hospital Skil0.9 mi · Temple, TX · 5 of 5 stars
- Wellington Rehabilitation and Healthcare1.7 mi · Temple, TX · 4 of 5 stars
- Avir at Weston2.1 mi · Temple, TX · 1 of 5 stars
- William R Courtney Texas State Veterans Home2.5 mi · Temple, TX · 2 of 5 stars
Nearest hospital emergency rooms
- Baylor Scott & White Medical Center - Temple2.0 mi · Temple, TX · Acute Care Hospital
- Temple VA Medical Center (VA Central Texas Healthcare System)2.5 mi · Temple, TX · Federal/VA Acute Care Hospital
- Seton Medical Center Harker Heights16 mi · Harker Heights, TX · Acute Care Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13