Texas › Kendall County › Boerne
Avir At Boerne
1102 River Road, Boerne, TX 78006
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 Boerne is a For-profit, limited liability company nursing home in Boerne, Texas, certified for 96 beds and caring for about 68 residents a day.
CMS gives it 1 of 5 stars overall, below the Texas median of 3; the health inspection rating is 1, staffing 3 and quality measures 3.
Inspectors recorded 38 health deficiencies across the three most recent survey cycles (8, 12, 18 by cycle, most recent first), 8 of them at the actual-harm or immediate-jeopardy level. That is 39.6 per 100 beds, more than the state median of 22.5.
CMS lists 4 penalties in the period covered: fines totalling $133K.
Reported nurse staffing is 3.2 hours per resident per day (0.3 RN), close to the Texas median of 3.3; nursing staff turnover is 67.7%.
Compared with county, state and nation
| Measure | This facility | Kendall Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 38 | 36 | 25 | 28.7 |
| Citations per 100 beds | 39.6 | 45.2 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.2 | 3.2 | 3.3 | 3.9 |
| RN hours per resident day | 0.3 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 67.7% | 65.9% | 52.1% | 45.8% |
| Fines listed | $133,341 | $88,390 | $16,801 | — |
County and state figures are medians across facilities (6 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: 8 May 2026, 7 Mar 2025.
Severity mix: J ×3 K ×5 D ×15 E ×12 F ×1 B ×1 C ×1
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 |
|---|---|---|---|---|---|
| 8 May 2026 | F0584 | 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. | E | Complaint investigation | 9 Jun 2026 |
| 8 May 2026 | F0761 | 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. | E | Standard survey | 9 Jun 2026 |
| 8 May 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 9 Jun 2026 |
| 8 May 2026 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Complaint investigation | 9 Jun 2026 |
| 8 May 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 9 Jun 2026 |
| 8 May 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 9 Jun 2026 |
| 8 May 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 9 Jun 2026 |
| 8 May 2026 | F0814 | Dispose of garbage and refuse properly. | B | Standard survey | 9 Jun 2026 |
| 7 Mar 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 10 Mar 2025 |
| 7 Mar 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 10 Mar 2025 |
| 7 Mar 2025 | F0908 | Keep all essential equipment working safely. | E | Standard survey | 10 Mar 2025 |
| 7 Mar 2025 | 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 | 10 Mar 2025 |
| 7 Mar 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 10 Mar 2025 |
| 7 Mar 2025 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 10 Mar 2025 |
| 7 Mar 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 10 Mar 2025 |
| 7 Mar 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Standard survey | 10 Mar 2025 |
| 7 Mar 2025 | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | Standard survey | 10 Mar 2025 |
| 7 Mar 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 10 Mar 2025 |
| 7 Mar 2025 | F0814 | Dispose of garbage and refuse properly. | C | Standard survey | 10 Mar 2025 |
| 18 Oct 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 21 Oct 2024 |
| 18 Oct 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 21 Oct 2024 |
| 18 Oct 2024 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Complaint investigation | 21 Oct 2024 |
| 18 Oct 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 21 Oct 2024 |
| 18 Oct 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 21 Oct 2024 |
| 18 Oct 2024 | 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 | Complaint investigation | 21 Oct 2024 |
| 18 Oct 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 21 Oct 2024 |
| 19 Aug 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 21 Aug 2024 |
| 8 Mar 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | Complaint investigation | 12 Jan 2024 |
| 8 Mar 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint investigation | 9 Mar 2024 |
| 13 Jan 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | J | Complaint investigation | 14 Jan 2024 |
| 13 Jan 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint investigation | 14 Jan 2024 |
| 1 Sep 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | Complaint investigation | 2 Sep 2023 |
| 1 Sep 2023 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | K | Complaint investigation | 2 Sep 2023 |
| 1 Sep 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | Complaint investigation | 2 Sep 2023 |
| 1 Sep 2023 | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | K | Complaint investigation | 2 Sep 2023 |
| 1 Sep 2023 | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | F | Complaint investigation | 2 Sep 2023 |
| 1 Sep 2023 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 2 Sep 2023 |
| 1 Sep 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 2 Sep 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 19 Aug 2024 | Fine | $54,618 | |
| 8 Mar 2024 | Fine | $17,128 | |
| 13 Jan 2024 | Fine | $20,391 | |
| 1 Sep 2023 | Fine | $41,204 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 67.7%, RNs 40.0%; 2 administrators 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 | 22.4% | 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 | 1.3% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.9% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 5.4% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 11.5% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.2% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 31.2% | 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, limited liability company. Legal business name: 1102 River Road Opco Llc. Chain: Avir Health Group (116 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| 1102 River Road Holdings LLC | 5% or greater direct ownership interest | 100% | 04/01/2025 |
| Tx SNF Holdings ,LLC | 5% or greater indirect ownership interest | 100% | 04/01/2025 |
| 1102 River Road Property Owner LLC | 5% or greater security interest | NOT APPLICABLE | 04/01/2025 |
| Welltower Inc | 5% or greater security interest | NOT APPLICABLE | 04/01/2025 |
| Welltower Nnn Group, LLC | 5% or greater security interest | NOT APPLICABLE | 04/01/2025 |
| Welltower Op, LLC | 5% or greater security interest | NOT APPLICABLE | 04/01/2025 |
| 1102 River Road Property Owner LLC | Adp of the snf | NOT APPLICABLE | 04/01/2025 |
| Welltower Inc | Adp of the snf | NOT APPLICABLE | 04/01/2025 |
| Welltower Nnn Group, LLC | Adp of the snf | NOT APPLICABLE | 04/01/2025 |
| Welltower Op, LLC | Adp of the snf | NOT APPLICABLE | 04/01/2025 |
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 Kendall County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Avir At Comfort | Comfort | 76 | 5 | 4 | 4 | 36 | 47.4 | — | 27 May 2026 |
| Kendall House Wellness & Rehabilitation | Boerne | 40 | 3 | 4 | 1 | 22 | 55.0 | $88K | 23 Jan 2026 |
| Carechoice of Boerne | Boerne | 74 | 2 | 3 | 1 | 30 | 40.5 | $34K | 28 May 2026 |
| Cibolo Creek | Boerne | 120 | 2 | 2 | 2 | 26 | 21.7 | $14K | 5 Sep 2025 |
| Town and Country Nursing and Rehabilitation Center | Boerne | 126 | 1 | 2 | 1 | 57 | 45.2 | $151K | 24 Apr 2026 |
All 6 facilities in Kendall County
Questions and answers
How many deficiencies has Avir At Boerne been cited for?
38 health deficiencies across the three most recent survey cycles, 8 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Avir At Boerne been fined?
Yes. CMS lists fines totalling $133K in the period covered.
How does staffing at Avir At Boerne compare?
Reported total nurse staffing is 3.2 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Avir At Boerne?
It is part of the Avir Health Group chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include 1102 River Road Holdings LLC and Tx SNF Holdings ,LLC. Individual owners and managers are not listed on this site.
When was Avir At Boerne last inspected?
The most recent survey or investigation in the CMS record is dated 8 May 2026; the most recent standard health survey was 8 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.