All states › Texas › New Braunfels › Avir at New Braunfels
821 Us Hwy 81 W New Braunfels, TX 78130 · Comal County
All 5 nursing homes in New Braunfels, TX (5 take Medicaid)
CMS certification number 455020 · See this home on Medicare Care Compare
Is Avir at New Braunfels 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 New Braunfels as of October 2026.
CMS rates it 1 out of 5 stars overall, below the Texas average of 2.8.
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.
Staffing
Nursing staff spend about 3.29 hours per resident per day at Avir at New Braunfels, about the same as the Texas median of 3.30 (US median: 3.72). About 0.29 of those hours are from registered nurses. On weekends it falls to 2.93 hours, 11% below its all-week average. 66.4% of nursing staff left within a year (Texas median 50.2%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there. 2 administrators left in the past year.
About this nursing home
Paying for care at Avir at New Braunfels: Medicare and Medicaid
Avir at New Braunfels 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.
Health inspections
The most recent standard inspection was on August 29, 2025 and found 6 deficiencies, plus 20 from complaint inspections in the same period. In total, inspectors issued 54 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 54 citations at Avir at New Braunfels across 17 inspection dates, 34 of them from complaint investigations. 5 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on April 24, 2026 (complaint inspection). The most common areas cited were nutrition and dietary (9) and resident assessment and care planning (9). The most serious was cited under the CMS rule to "protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody" (tag F0600, level K, December 22, 2024). 3 citations were under CMS's abuse, neglect and exploitation rules.
July 10, 2026 · 1 citation · includes complaint inspection
DProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
May 23, 2026 · 1 citation · includes complaint inspection
EEnsure the activities program is directed by a qualified professional.
May 15, 2026 · 3 citations · includes complaint inspection
EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
DProvide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
April 24, 2026 · 1 citation, includes immediate jeopardy · includes complaint inspection
JProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
January 30, 2026 · 3 citations · includes complaint inspection
EHonor 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.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DEmploy 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.
December 31, 2025 · 7 citations · includes complaint inspection
EEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DReasonably accommodate the needs and preferences of each resident.
DProvide safe and appropriate respiratory care for a resident when needed.
DEnsure 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.
CPost nurse staffing information every day.
November 24, 2025 · 4 citations · includes complaint inspection
EEnsure 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.
DHonor 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.
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
DMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
August 29, 2025 · 6 citations, includes immediate jeopardy
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EProvide and implement an infection prevention and control program.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DAssure that each resident’s assessment is updated at least once every 3 months.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DEnsure 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.
August 13, 2025 · 1 citation · includes complaint inspection
EMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
July 10, 2025 · 2 citations · includes complaint inspection
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
March 10, 2025 · 1 citation · includes complaint inspection
EProvide activities to meet all resident's needs.
January 30, 2025 · 1 citation · includes complaint inspection
DProvide and implement an infection prevention and control program.
December 22, 2024 · 2 citations, includes immediate jeopardy · includes complaint inspection
KProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
June 28, 2024 · 7 citations
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
EEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EKeep all essential equipment working safely.
EMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
DProvide and implement an infection prevention and control program.
May 8, 2024 · 2 citations, includes immediate jeopardy · includes complaint inspection
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProtect each resident from the wrongful use of the resident's belongings or money.
December 2, 2023 · 5 citations, includes immediate jeopardy · includes complaint inspection
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
April 14, 2023 · 7 citations
EEnsure 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.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EProvide and implement an infection prevention and control program.
EConduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
DKeep residents' personal and medical records private and confidential.
DAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Questions to ask on a tour of Avir at New Braunfels
- Inspectors cited the home at the immediate-jeopardy level on December 22, 2024 under the rule on freedom from abuse, neglect, and exploitation. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on April 24, 2026. How are staff trained, and how are concerns reported?
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Nursing staff turnover was 66.4% a year. How many of the staff come from agencies?
- Ownership changed in the last 12 months. What has changed for residents and staff since then?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- 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
6 penalties in the last three years, including $158,095 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Apr 24, 2026 | Fine | $10,631 |
| Aug 29, 2025 | Fine | $11,901 |
| Dec 22, 2024 | Fine | $83,564 |
| May 8, 2024 | Fine | $43,687 |
| Dec 2, 2023 | Fine | $8,312 |
| Dec 2, 2023 | Payment Denial | 5 days of payments denied |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 1/5 | 4/5 |
| August 2026 | 1/5 | 1/5 | 2/5 | 3/5 |
Add this rating badge to your websiteFree. Shows Avir at New Braunfels's Medicare star rating and updates itself.
Size and colour
Preview
Paste it where the badge should appear: in WordPress, a Custom HTML block or a footer widget; on other sites, any spot that accepts HTML. The badge updates itself when CMS publishes new ratings.
Location
Hospitals near Avir at New Braunfels
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
-
0.6 mi
Resolute Health Hospital New BraunfelsEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 16m for patients treated and sent home
-
12.2 mi
CHRISTUS Santa Rosa Hospital-San Marcos San MarcosEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 23m for patients treated and sent home
-
13.2 mi
Guadalupe Regional Medical Center SeguinEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 3h 14m 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
More nursing homes near Avir at New Braunfels › All nursing homes in New Braunfels ›
Compare Avir at New Braunfels with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Sundance Inn Health Center · New Braunfels · 4 stars · 1.3 mi
- Legend Oaks Healthcare and Rehabilitation - New · New Braunfels · 3 stars · 1.0 mi
- Eden Home · New Braunfels · 3 stars · 2.9 mi
- Kirkwood Manor · New Braunfels · 2 stars · 4.8 mi
Other Avir Health Group nursing homes in Texas
- Avir at Beeville · Beeville · 5 stars
- Avir at Temple East · Temple · 5 stars
- Avir at Courtyard · Houston · 5 stars
- Avir at Haskell · Haskell · 5 stars
- Avir at Pampa · Pampa · 5 stars
- Avir at Paris · Paris · 5 stars
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.