Texas › Bandera County › Bandera
Avir At Bandera
222 Fm 1077, Bandera, TX 78003
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Avir At Bandera, in Bandera, Texas, is certified for 118 beds under for-profit, corporation ownership and belongs to the Avir Health Group chain.
CMS gives it 1 of 5 stars overall, below the Texas median of 3; the health inspection rating is 2, staffing 1 and quality measures 4.
Inspectors recorded 20 health deficiencies across the three most recent survey cycles (9, 7, 4 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 16.9 per 100 beds, fewer than the state median of 22.5.
CMS lists 2 penalties in the period covered: fines totalling $100K.
Reported nurse staffing is 2.4 hours per resident per day (0.4 RN), below the Texas median of 3.3; nursing staff turnover is 56.7%.
Compared with county, state and nation
| Measure | This facility | Bandera Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 20 | 40 | 25 | 28.7 |
| Citations per 100 beds | 16.9 | 64.5 | 22.5 | 26.8 |
| Total nurse hours per resident day | 2.4 | 3.3 | 3.3 | 3.9 |
| RN hours per resident day | 0.4 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 56.7% | 94.4% | 52.1% | 45.8% |
| Fines listed | $100,293 | $100,293 | $16,801 | — |
County and state figures are medians across facilities (2 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 22 May 2026, 21 Mar 2025.
Severity mix: J ×1 K ×1 D ×7 E ×9 F ×2
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 22 May 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 16 Jun 2026 |
| 22 May 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 16 Jun 2026 |
| 22 May 2026 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 16 Jun 2026 |
| 22 May 2026 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 16 Jun 2026 |
| 22 May 2026 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard survey | 16 Jun 2026 |
| 22 May 2026 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 16 Jun 2026 |
| 22 May 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 16 Jun 2026 |
| 23 Apr 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Complaint investigation | 7 May 2026 |
| 7 Feb 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 20 Feb 2026 |
| 5 Apr 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | K | Complaint investigation | 6 Apr 2025 |
| 5 Apr 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 6 Apr 2025 |
| 21 Mar 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 22 Mar 2025 |
| 21 Mar 2025 | F0679 | Provide activities to meet all resident's needs. | E | Standard survey | 22 Mar 2025 |
| 21 Mar 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 22 Mar 2025 |
| 21 Mar 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 22 Mar 2025 |
| 20 Feb 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 21 Feb 2025 |
| 20 Jun 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 5 Jun 2024 |
| 27 Jan 2024 | F0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | F | Complaint investigation | 28 Jan 2024 |
| 27 Jan 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | F | Standard survey | 28 Jan 2024 |
| 27 Jan 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 28 Jan 2024 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 21 Mar 2025 | Fine | $86,444 | |
| 20 Jun 2024 | Fine | $13,849 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 56.7%, RNs 80.0%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 14.4% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.7% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.2% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.8% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 13.0% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.3% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 4.8% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: Hamilton County Hospital District. Chain: Avir Health Group (116 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| 222 Fm 1077 Opco, LLC | Operational/managerial control | NOT APPLICABLE | 10/01/2025 |
| 222 Fm 1077 Opco, LLC | Adp of the snf | NOT APPLICABLE | 03/10/2026 |
| 222 Fm 1077 Property Owner, LLC | Adp of the snf | NOT APPLICABLE | 10/01/2025 |
| Welltower Inc | Adp of the snf | NOT APPLICABLE | 10/01/2025 |
| Welltower Nnn Group, LLC | Adp of the snf | NOT APPLICABLE | 10/01/2025 |
| Welltower Op, LLC | Adp of the snf | NOT APPLICABLE | 10/01/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Bandera County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Cedar Creek Nursing and Rehabilitation Center | Bandera | 62 | 2 | 3 | 1 | 40 | 64.5 | — | 29 May 2026 |
All 2 facilities in Bandera County
Questions and answers
How many deficiencies has Avir At Bandera been cited for?
20 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Avir At Bandera been fined?
Yes. CMS lists fines totalling $100K in the period covered.
How does staffing at Avir At Bandera compare?
Reported total nurse staffing is 2.4 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Avir At Bandera?
It is part of the Avir Health Group chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include 222 Fm 1077 Opco, LLC. Individual owners and managers are not listed on this site.
When was Avir At Bandera last inspected?
The most recent survey or investigation in the CMS record is dated 22 May 2026; the most recent standard health survey was 22 May 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.