Avir at Kerrville: Falsified Medical Records - TX
The November 2025 complaint inspection found that LVN A, a licensed vocational nurse, had permitted RN B, a registered nurse who was new to the facility, to make entries in residents' clinical records using LVN A's credentials rather than her own. Those entries now sit in medical charts attributed to someone who did not write them.
The director of nursing did not hedge when inspectors asked about it. She said it was never okay to document under someone else. She said it was falsifying documentation. She said it could get someone in trouble.
She also told inspectors what she told human resources: she did not want RN B back in the building after this happened.
What makes the finding harder to dismiss is the explanation that accompanied it. LVN A's stated purpose was not charting. According to the director of nursing, LVN A was not training RN B on nursing skills at all. He was training her on the computer — on how to use the facility's documentation system. Whatever that training involved, it produced entries in resident records that carry the wrong name.
Medical records in a nursing home are not administrative paperwork. They are the document a physician consults when deciding whether to change a medication. They are what a night-shift nurse reads at 2 a.m. when a resident's condition changes and the person who assessed them hours earlier is gone. They are what a family reads when they want to know what happened to their mother on a given afternoon. When those records say LVN A made an entry, every person who later relies on that record assumes LVN A made it, with LVN A's training, judgment, and direct observation of the resident.
RN B made it. Or someone did. The record does not reflect that accurately.
The facility's own charting and documentation policy, dated July 2017, states that entries may only be recorded in a resident's clinical record by the licensed personnel who are actually making them, in accordance with state law, and that documentation must be complete and accurate. The entries at issue were neither.
Federal inspectors cited this as a deficiency under F0842, which covers medical record accuracy and completeness. The level of harm was cited as minimal harm or potential for actual harm, and the number of residents affected was listed as few.
That designation does not mean the records were corrected. It does not mean the affected entries were flagged or annotated to reflect who actually authored them. The inspection report does not say either of those things happened. What it says is that the director of nursing told HR she did not want RN B back, and that LVN A was not supposed to be training anyone on clinical skills in the first place.
There is a version of this story where a well-meaning but poorly supervised orientation goes sideways, where nobody intended harm, where the trainee simply sat at a logged-in terminal and typed what the supervising nurse told her to type. That version may be true. It does not change what is in the chart.
Somewhere in Avir at Kerrville's medical records, there are entries written by one person and signed by another. The director of nursing knows it. Inspectors documented it. The residents whose records contain those entries almost certainly do not know it, and neither do the family members who may have requested copies of those records, trusting them to be accurate.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Avir At Kerrville from 2025-11-21 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: August 28, 2026 · Our methodology
Avir at Kerrville in Kerrville, TX was cited for violations during a health inspection on November 21, 2025.
Those entries now sit in medical charts attributed to someone who did not write them.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.