Texas › Comal County › New Braunfels
Avir At New Braunfels
821 Us Hwy 81 W, New Braunfels, TX 78130
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 154 beds, Avir At New Braunfels serves New Braunfels in Comal County, Texas and has taken Medicare and Medicaid residents since 1976.
CMS gives it 1 of 5 stars overall, below the Texas median of 3; the health inspection rating is 1, staffing 2 and quality measures 3.
Inspectors recorded 53 health deficiencies across the three most recent survey cycles (26, 13, 14 by cycle, most recent first), 5 of them at the actual-harm or immediate-jeopardy level. That is 34.4 per 100 beds, more than the state median of 22.5.
CMS lists 6 penalties in the period covered: fines totalling $164K and 1 payment denial.
Reported nurse staffing is 3.4 hours per resident per day (0.2 RN), close to the Texas median of 3.3; nursing staff turnover is 73.7%.
CMS flags that the facility carries the CMS abuse icon and changed ownership in the last 12 months.
Compared with county, state and nation
| Measure | This facility | Comal Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 53 | 47 | 25 | 28.7 |
| Citations per 100 beds | 34.4 | 31.5 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.4 | 3.4 | 3.3 | 3.9 |
| RN hours per resident day | 0.2 | 0.5 | 0.4 | 0.7 |
| Nursing staff turnover | 73.7% | 49.5% | 52.1% | 45.8% |
| Fines listed | $163,819 | $29,026 | $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: 29 Aug 2025, 28 Jun 2024.
Severity mix: J ×4 K ×1 D ×26 E ×21 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 |
|---|---|---|---|---|---|
| 23 May 2026 | F0680 | Ensure the activities program is directed by a qualified professional. | E | Complaint investigation | 21 Jun 2026 |
| 15 May 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint investigation | 14 Jun 2026 |
| 15 May 2026 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint investigation | 14 Jun 2026 |
| 15 May 2026 | F0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | D | Complaint investigation | 14 Jun 2026 |
| 24 Apr 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | Past Non-Compliance |
| 30 Jan 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 | 31 Jan 2026 |
| 30 Jan 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 31 Jan 2026 |
| 30 Jan 2026 | F0840 | Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | D | Complaint investigation | 4 Feb 2026 |
| 31 Dec 2025 | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | E | Complaint investigation | 1 Jan 2026 |
| 31 Dec 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint investigation | 1 Jan 2026 |
| 31 Dec 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 1 Jan 2026 |
| 31 Dec 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 1 Jan 2026 |
| 31 Dec 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 1 Jan 2026 |
| 31 Dec 2025 | 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. | D | Complaint investigation | 1 Jan 2026 |
| 31 Dec 2025 | F0732 | Post nurse staffing information every day. | C | Complaint investigation | 1 Jan 2026 |
| 24 Nov 2025 | 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 | Complaint investigation | 26 Nov 2025 |
| 24 Nov 2025 | 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. | D | Complaint investigation | 26 Nov 2025 |
| 24 Nov 2025 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Complaint investigation | 26 Nov 2025 |
| 24 Nov 2025 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Complaint investigation | 24 Dec 2025 |
| 29 Aug 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Standard survey | 30 Aug 2025 |
| 29 Aug 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 26 Sep 2025 |
| 29 Aug 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 26 Sep 2025 |
| 29 Aug 2025 | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | D | Standard survey | 30 Aug 2025 |
| 29 Aug 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 26 Sep 2025 |
| 29 Aug 2025 | 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. | D | Standard survey | 26 Sep 2025 |
| 13 Aug 2025 | 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 | 30 Sep 2025 |
| 10 Jul 2025 | 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 | 10 Aug 2025 |
| 10 Jul 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. | D | Complaint investigation | 10 Aug 2025 |
| 10 Mar 2025 | F0679 | Provide activities to meet all resident's needs. | E | Complaint investigation | 10 Apr 2025 |
| 30 Jan 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 30 Jan 2025 |
| 22 Dec 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 | 23 Dec 2024 |
| 22 Dec 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 | 23 Dec 2024 |
| 28 Jun 2024 | 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 | 31 Jul 2024 |
| 28 Jun 2024 | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | E | Standard survey | 31 Jul 2024 |
| 28 Jun 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 31 Jul 2024 |
| 28 Jun 2024 | F0908 | Keep all essential equipment working safely. | E | Standard survey | 7 Aug 2024 |
| 28 Jun 2024 | 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 | 31 Jul 2024 |
| 28 Jun 2024 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 31 Jul 2024 |
| 28 Jun 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 31 Jul 2024 |
| 8 May 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 16 May 2024 |
| 8 May 2024 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 16 May 2024 |
| 2 Dec 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 3 Jan 2024 |
| 2 Dec 2023 | 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 | 1 Sep 2023 |
| 2 Dec 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 3 Jan 2024 |
| 2 Dec 2023 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Complaint investigation | 1 Sep 2023 |
| 2 Dec 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 1 Sep 2023 |
| 14 Apr 2023 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | Standard survey | 28 Apr 2023 |
| 14 Apr 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 28 Apr 2023 |
| 14 Apr 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 28 Apr 2023 |
| 14 Apr 2023 | F0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | E | Standard survey | 28 Apr 2023 |
| 14 Apr 2023 | F0583 | Keep residents' personal and medical records private and confidential. | D | Standard survey | 28 Apr 2023 |
| 14 Apr 2023 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard survey | 28 Apr 2023 |
| 14 Apr 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 | Standard survey | 28 Apr 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 24 Apr 2026 | Fine | $16,355 | |
| 29 Aug 2025 | Fine | $11,901 | |
| 22 Dec 2024 | Fine | $83,564 | |
| 8 May 2024 | Fine | $43,687 | |
| 2 Dec 2023 | Payment denial | — | 5 days |
| 2 Dec 2023 | Fine | $8,312 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 73.7%, RNs 71.4%; 3 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 | 22.6% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.4% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.4% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.7% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.2% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 22.4% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.3% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 14.3% | 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: 821 Us Highway 81 W Opco Llc. Chain: Avir Health Group (116 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| 821 Us Highway 81 W Holdings LLC | 5% or greater direct ownership interest | 100% | 10/01/2025 |
| 821 Us Highway 81 W 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 Comal County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Eden Home | New Braunfels | 122 | 3 | 3 | 4 | 28 | 23.0 | $45K | 1 May 2026 |
| Legend Oaks Healthcare and Rehabilitation - New Br | New Braunfels | 126 | 3 | 3 | 2 | 38 | 30.2 | — | 20 May 2026 |
| Kirkwood Manor | New Braunfels | 162 | 2 | 2 | 2 | 51 | 31.5 | $29K | 17 Jun 2026 |
| Sundance Inn Health Centerabuse icon | New Braunfels | 128 | 2 | 2 | 2 | 27 | 21.1 | $6K | 30 Apr 2026 |
| The Heights of Bulverde | Spring Branch | 124 | 2 | 2 | 2 | 47 | 37.9 | — | 1 Apr 2026 |
All 6 facilities in Comal County
Questions and answers
How many deficiencies has Avir At New Braunfels been cited for?
53 health deficiencies across the three most recent survey cycles, 5 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Avir At New Braunfels been fined?
Yes. CMS lists fines totalling $164K in the period covered, plus 1 payment denial.
How does staffing at Avir At New Braunfels compare?
Reported total nurse staffing is 3.4 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Avir At New Braunfels?
It is part of the Avir Health Group chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include 821 Us Highway 81 W Holdings LLC. Individual owners and managers are not listed on this site.
When was Avir At New Braunfels last inspected?
The most recent survey or investigation in the CMS record is dated 23 May 2026; the most recent standard health survey was 29 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.