Elder Care Record

Texas › Kendall County › Comfort

Avir At Comfort

615 Faltin St., Comfort, TX 78013

CCN 675871 · For-profit, limited liability company · 76 certified beds · chain Avir Health Group

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

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.

Certified for 76 beds, Avir At Comfort serves Comfort in Kendall County, Texas and has taken Medicare and Medicaid residents since 2001.

CMS gives it 5 of 5 stars overall, above the Texas median of 3; the health inspection rating is 4, staffing 4 and quality measures 5.

Inspectors recorded 36 health deficiencies across the three most recent survey cycles (4, 7, 25 by cycle, most recent first), none at the actual-harm level. That is 47.4 per 100 beds, more than the state median of 22.5.

CMS lists no fines or payment denials against the facility in the period covered.

Reported nurse staffing is 3.8 hours per resident per day (0.6 RN), close to the Texas median of 3.3; nursing staff turnover is 59.4%.

36health deficiencies, 3 survey cyclesnone at actual-harm level
$0fines listed by CMS0 penalties in period
3.8nurse hours per resident per daystate median 3.3
43%occupancy (residents ÷ beds)32 residents a day

Compared with county, state and nation

MeasureThis facilityKendall Co. medianTexas medianUS average
Overall star rating5233.0
Health citations, 3 cycles36362528.7
Citations per 100 beds47.445.222.526.8
Total nurse hours per resident day3.83.23.33.9
RN hours per resident day0.60.40.40.7
Nursing staff turnover59.4%65.9%52.1%45.8%
Fines listed$0$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

Cycle 1 (latest)4
Cycle 27
Cycle 325

Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 22 Aug 2025, 10 Jul 2024.

Severity mix: D ×20 E ×11 F ×3 C ×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)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
27 May 2026F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EComplaint investigation30 Jun 2026
27 May 2026F0679Provide activities to meet all resident's needs.EComplaint investigation30 Jun 2026
22 Aug 2025F0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.FStandard survey31 Aug 2025
22 Aug 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey25 Aug 2025
18 Apr 2025F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FComplaint investigation25 Apr 2025
18 Apr 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation25 Apr 2025
10 Jul 2024F0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.EStandard survey31 Jul 2024
10 Jul 2024F0558Reasonably accommodate the needs and preferences of each resident.DStandard survey31 Jul 2024
10 Jul 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard survey31 Jul 2024
10 Jul 2024F0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.CStandard survey31 Jul 2024
10 Jul 2024F0732Post nurse staffing information every day.CStandard survey31 Jul 2024
1 Mar 2024F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDComplaint investigation29 Mar 2024
1 Mar 2024F0880Provide and implement an infection prevention and control program.DComplaint investigation29 Mar 2024
8 Jun 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey7 Jul 2023
8 Jun 2023F0730Observe each nurse aide's job performance and give regular training.EStandard survey10 Jul 2023
8 Jun 2023F0940Develop, implement, and/or maintain an effective training program for all new and existing staff members.EStandard survey10 Jul 2023
8 Jun 2023F0941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.EStandard survey19 Jul 2023
8 Jun 2023F0942Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.EStandard survey19 Jul 2023
8 Jun 2023F0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.EStandard survey19 Jul 2023
8 Jun 2023F0945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.EStandard survey19 Jul 2023
8 Jun 2023F0946Provide training in compliance and ethics.EStandard survey19 Jul 2023
8 Jun 2023F0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.EStandard survey19 Jul 2023
8 Jun 2023F0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.DStandard survey5 Jul 2023
8 Jun 2023F0637Assess the resident when there is a significant change in conditionDStandard survey5 Jul 2023
8 Jun 2023F0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.DStandard survey5 Jul 2023
8 Jun 2023F0641Ensure each resident receives an accurate assessment.DStandard survey5 Jul 2023
8 Jun 2023F0642Ensure a qualified health professional conducts resident assessments.DStandard survey5 Jul 2023
8 Jun 2023F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard survey5 Jul 2023
8 Jun 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey5 Jul 2023
8 Jun 2023F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey5 Jul 2023
8 Jun 2023F0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.DStandard survey27 Jul 2023
8 Jun 2023F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey7 Jul 2023
8 Jun 2023F0760Ensure that residents are free from significant medication errors.DStandard survey7 Jul 2023
8 Jun 2023F0761Ensure 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.DStandard survey7 Jul 2023
8 Jun 2023F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey5 Jul 2023
8 Jun 2023F0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.DStandard survey5 Jul 2023

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing3.77 h
Nurse aides1.89 h
LPN1.24 h
RN0.65 h
Weekend total2.84 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 59.4%, RNs —; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityTexas medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay32.0%14.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.0%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.0%0.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay1.6%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.0%0.7%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay26.1%12.4%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay0.0%3.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay7.2%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: Hamilton County Hospital District. Chain: Avir Health Group (116 facilities).

OrganisationRole in the CMS recordInterestSince
Hamilton County Hospital District5% or greater direct ownership interest100%02/10/2021
615 Faltin St Opco, LLCOperational/managerial controlNOT APPLICABLE10/01/2025
615 Faltin St Opco, LLCAdp of the snfNOT APPLICABLE02/04/2026
615 Faltin St Property Owner LLCAdp of the snfNOT APPLICABLE10/01/2025
Welltower IncAdp of the snfNOT APPLICABLE10/01/2025
Welltower Nnn Group, LLCAdp of the snfNOT APPLICABLE10/01/2025
Welltower Op, LLCAdp of the snfNOT APPLICABLE10/01/2025

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

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Kendall House Wellness & RehabilitationBoerne403412255.0$88K23 Jan 2026
Carechoice of BoerneBoerne742313040.5$34K28 May 2026
Cibolo CreekBoerne1202222621.7$14K5 Sep 2025
Avir At BoerneBoerne961133839.6$133K8 May 2026
Town and Country Nursing and Rehabilitation CenterBoerne1261215745.2$151K24 Apr 2026

All 6 facilities in Kendall County

Questions and answers

How many deficiencies has Avir At Comfort been cited for?

36 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.

Has Avir At Comfort been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Avir At Comfort compare?

Reported total nurse staffing is 3.8 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.

Who operates Avir At Comfort?

It is part of the Avir Health Group chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Hamilton County Hospital District and 615 Faltin St Opco, LLC. Individual owners and managers are not listed on this site.

When was Avir At Comfort last inspected?

The most recent survey or investigation in the CMS record is dated 27 May 2026; the most recent standard health survey was 22 Aug 2025.

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.