facebook tracking Avir at Bandera, Bandera TX: CMS Ratings & Inspections
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Avir at Bandera

All states › Texas › Bandera › Avir at Bandera

222 Fm 1077 Bandera, TX 78003 · Bandera County

(830) 796-4077

All 2 nursing homes in Bandera, TX (2 take Medicaid)

Accepts Medicare Accepts Medicaid 118 certified beds For profit

CMS certification number 676233 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Avir at Bandera a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Avir at Bandera as of October 2026.

CMS rates it 1 out of 5 stars overall, below the Texas average of 2.8. Inspectors issued 20 citations in the last three years. CMS imposed 2 penalties, including $100,293 in fines, in that time. For short-term rehab patients CMS rates quality 4 out of 5; for long-term residents, 5 out of 5.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

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Compare with the 3 closest homes

Staffing

Nursing staff spend about 2.82 hours per resident per day at Avir at Bandera, below the Texas median of 3.30 (US median: 3.72). About 0.47 of those hours are from registered nurses. On weekends it falls to 2.42 hours, 14% below its all-week average. 58.9% of nursing staff left within a year (Texas median 50.2%).

Nursing care per resident per day 2.82 hours
Below the Texas median of 3.30 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.47 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 2.42 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 58.9% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 80% a year Share of registered nurses who left over a year.
Administrators who left 1 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds118
Residents per day 74 About 63% of beds filled, on average
OwnershipFor profit - Corporation
Payment acceptedMedicare and Medicaid
Certified sinceSeptember 2009
Part of a chainAvir Health Group
Legal business nameHAMILTON COUNTY HOSPITAL DISTRICT
Located in a hospitalYes

Paying for care at Avir at Bandera: Medicare and Medicaid

Avir at Bandera is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Texas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

This home is located in a hospital.

Health inspections

The most recent standard inspection was on May 22, 2026 and found 7 deficiencies, plus 2 from complaint inspections in the same period. In total, inspectors issued 20 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 20 citations at Avir at Bandera across 8 inspection dates, 7 of them from complaint investigations. 2 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on April 5, 2025 (complaint inspection). The most common areas cited were quality of life and care (8) and resident assessment and care planning (4). The most serious was cited under the CMS rule to "provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections" (tag F0690, level K, April 5, 2025). 1 citation was under CMS's abuse, neglect and exploitation rules.

May 22, 2026 · 7 citations

EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (Jun 16, 2026)

EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Jun 16, 2026)

EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0804 · Deficient, Provider has date of correction (Jun 16, 2026)

EProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Jun 16, 2026)

EMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Potential for more than minimal harm · Environmental Deficiencies · Tag F0921 · Deficient, Provider has date of correction (Jun 16, 2026)

DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0690 · Deficient, Provider has date of correction (Jun 16, 2026)

DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Jun 16, 2026)

April 23, 2026 · 1 citation · includes complaint inspection

DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Complaint inspection · Deficient, Provider has date of correction (May 7, 2026)

February 7, 2026 · 1 citation · includes complaint inspection

DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 · Complaint inspection · Deficient, Provider has date of correction (Feb 20, 2026)

April 5, 2025 · 2 citations, includes immediate jeopardy · includes complaint inspection

KProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Immediate jeopardy · Quality of Life and Care Deficiencies · Tag F0690 · Complaint inspection · Deficient, Provider has date of correction (Apr 6, 2025)

DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0580 · Complaint inspection · Deficient, Provider has date of correction (Apr 6, 2025)

March 21, 2025 · 4 citations

EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (Mar 22, 2025)

EProvide activities to meet all resident's needs.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0679 · Deficient, Provider has date of correction (Mar 22, 2025)

EProvide appropriate treatment and care according to orders, resident’s preferences and goals.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Deficient, Provider has date of correction (Mar 22, 2025)

DProvide care and assistance to perform activities of daily living for any resident who is unable.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0677 · Deficient, Provider has date of correction (Mar 22, 2025)

February 20, 2025 · 1 citation · includes complaint inspection

DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0842 · Complaint inspection · Deficient, Provider has date of correction (Feb 21, 2025)

June 20, 2024 · 1 citation, includes immediate jeopardy · includes complaint inspection

JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Immediate jeopardy · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Past Non-Compliance (Jun 5, 2024)

January 27, 2024 · 3 citations · includes complaint inspection

FEnsure that the resident and his/her doctor meet face-to-face at all required visits.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0712 · Complaint inspection · Deficient, Provider has date of correction (Jan 28, 2024)

FSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0842 · Deficient, Provider has date of correction (Jan 28, 2024)

EProvide care and assistance to perform activities of daily living for any resident who is unable.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0677 · Deficient, Provider has date of correction (Jan 28, 2024)

Questions to ask on a tour of Avir at Bandera

  1. Inspectors cited the home at the immediate-jeopardy level on April 5, 2025 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
  2. CMS cited the home under its abuse and neglect rules on February 7, 2026. How are staff trained, and how are concerns reported?
  3. CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  4. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  5. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

2 penalties in the last three years, including $100,293 in fines.

DateTypeAmount or length
Mar 21, 2025 Fine $86,444
Jun 20, 2024 Fine $13,849

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 1/5 2/5 1/5 4/5
August 2026 1/5 2/5 1/5 4/5
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Location

Hospitals near Avir at Bandera

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

  • 23.0 mi
    Peterson Regional Medical Center Kerrville
    Emergency room ★★★★☆ Medicare overall 4 of 5
    Median ER visit 2h 42m for patients treated and sent home

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Cedar Creek Nursing and Rehabilitation Center Bandera · 1.3 mi away ★★☆☆☆ Inspection 3/5 · Staffing 1/5 62 beds · Medicaid
Avir at Comfort Comfort · 19.9 mi away ★★★★☆ Inspection 4/5 · Staffing 3/5 76 beds · Medicaid
Kendall House Wellness & Rehabilitation Boerne · 20.3 mi away ★★★★☆ Inspection 4/5 · Staffing 3/5 40 beds · Medicaid
Town and Country Nursing and Rehabilitation Center Boerne · 20.7 mi away ★★★☆☆ Inspection 2/5 · Staffing 2/5 126 beds · Medicaid
Carechoice of Boerne Boerne · 20.7 mi away ★★☆☆☆ Inspection 3/5 · Staffing 1/5 74 beds · Medicaid

More nursing homes near Avir at Bandera ›   All nursing homes in Bandera ›

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Other Avir Health Group nursing homes in Texas

Affiliation comes from CMS's affiliated-entity data, October 2026. All 118 Avir Health Group nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/texas/bandera/avir-at-bandera/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.