Quick answers
- Where is Avir at Keller?
- 1150 Whitley Road, Keller, TX 76248, in Tarrant County, Texas.
- What is the phone number of Avir at Keller?
- (817) 431-2518, as listed by Medicare (CMS).
- What is the Medicare star rating of Avir at Keller?
- Medicare overall rating: 4 out of 5 stars (CMS data updated 2026-10-01).
- Has Avir at Keller been fined?
- Medicare lists 2 fines totaling $22,608.
- What did inspectors find at Avir at Keller?
- In its last three inspection cycles (July 20, 2023 to August 25, 2026), Medicare lists 23 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 (July 20, 2023 to August 25, 2026), Avir at Keller had 23 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 $22,608 in total (2 fines, the latest on November 19, 2025). Nurse staffing is 3.18 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: December 3, 2025 — 8 health citations
Inspections in this cycle: November 19, 2025 (complaint investigation); December 3, 2025 (standard health inspection); March 28, 2026 (complaint investigation); July 29, 2026 (complaint investigation); August 12, 2026 (complaint investigation); August 25, 2026 (complaint investigation).
F0689 Level J
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
immediate jeopardy to resident health or safety; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 7 less serious citations (levels A to F)
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.”
F0657 Level D
“Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0641 Level D
“Ensure each resident receives an accurate assessment.”
F0554 Level D
“Allow residents to self-administer drugs if determined clinically appropriate.”
F0755 Level D
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
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.”
Previous cycle: August 29, 2024 — 7 health citations
Inspections in this cycle: August 29, 2024 (standard health inspection); October 24, 2024 (complaint investigation); November 13, 2024 (complaint investigation); February 20, 2025 (complaint investigation).
Show 7 citations (levels A to F, no actual harm)
F0677 Level E
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0694 Level D
“Provide for the safe, appropriate administration of IV fluids for a resident when needed.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
F0695 Level D
“Provide safe and appropriate respiratory care for a resident when needed.”
Earlier cycle: July 20, 2023 — 8 health citations
Inspections in this cycle: July 20, 2023 (standard health inspection); October 24, 2023 (complaint investigation); November 22, 2023 (infection control inspection); March 19, 2024 (complaint investigation); August 29, 2024 (complaint investigation).
F0689 Level J
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
immediate jeopardy to resident health or safety; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 7 less serious citations (levels A to F)
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0914 Level E
“Provide bedrooms that don't allow residents to see each other when privacy is needed.”
F0644 Level D
“Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.”
F0607 Level D
“Develop and implement policies and procedures to prevent abuse, neglect, and theft.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
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.”
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 (10)
K0281 Level E
“Install proper backup exit lighting.”
K0293 Level E
“Have properly located and lighted "Exit" signs.”
K0223 Level E
“Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.”
K0321 Level E
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
K0353 Level C
“Inspect, test, and maintain automatic sprinkler systems.”
K0761 Level F
“To conduct inspection, testing and maintenance of fire doors by qualified individuals.”
K0916 Level F
“Have a battery powered remote alarm panel in a location accessible by operating personnel.”
K0222 Level E
“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.”
K0342 Level C
“Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.”
K0754 Level C
“Provide properly sized and located linen or trash receptacles.”
Fines and payment denials
Total fines over about the last three years: $22,608 (2 fines). A payment denial means Medicare stopped paying for new admissions for a time.
| Date | Penalty | Amount or length |
|---|---|---|
| November 19, 2025 | Fine | $15,162 |
| October 24, 2023 | Fine | $7,446 |
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 | 0.64 | 0.44 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.88 | 0.94 | 0.86 |
| Nurse aide hours per resident per day | 1.66 | 2.03 | 2.35 |
| Total nurse staff hours per resident per day | 3.18 | 3.42 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 2.79 | 2.99 | 3.43 |
| RN hours per resident per day on the weekend | 0.43 | 0.35 | 0.48 |
| Nursing staff turnover (per year) | 48.5% | 50.8% | 45.3% |
| RN turnover (per year) | 57.1% | 49.8% | 42.5% |
| Administrators who left in the last year | 1.0 | 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 28 nursing homes: Advanced Healthcare Solutions.
Legal business name: Palo Pinto County Hospital District.
Owners and managers Medicare lists (2)
| Name | Role | Share | Since |
|---|---|---|---|
| Palo Pinto County Hospital District | Indirect owner | — | October 1, 2014 |
| Advanced HCS LLC | Management company (operational or managerial control) | NOT APPLICABLE | October 1, 2014 |
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 | 120 |
| Average residents per day | 112.6 |
| Takes part in | Medicare and Medicaid |
| Ownership | Government – hospital district |
| Group or chain (affiliated entity) | Advanced Healthcare Solutions |
| Legal business name | Palo Pinto County Hospital District |
| First approved by Medicare/Medicaid | 1993-07-01 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 1150 Whitley Road, Keller, TX 76248 |
| County | Tarrant County |
| State | Texas |
| Phone | (817) 431‑2518 |
| CMS Certification Number | 675153 |
| 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).
- The Harrison at Heritage2.0 mi · Fort Worth, TX · 3 of 5 stars
- Legend Oaks Healthcare and Rehabilitation - Fort W2.6 mi · Keller, TX · 1 of 5 stars
- Green Valley Healthcare and Rehabilitation Center2.9 mi · Fort Worth, TX · 2 of 5 stars
- North Pointe Nursing and Rehabilitation3.4 mi · Watauga, TX · 1 of 5 stars
- Discovery Village at Southlake3.7 mi · Southlake, TX · 5 of 5 stars
Nearest hospital emergency rooms
- Texas Health Harris Methodist Hospital Alliance3.5 mi · Fort Worth, TX · Acute Care Hospital
- Medical City Alliance3.6 mi · Fort Worth, TX · Acute Care Hospital
- Saint Camillus Medical Center6.1 mi · Hurst, 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