Avir at Bandera
222 Fm 1077 · Bandera, TX · 78003 · 8307964077
118 certified beds For profit - Partnership Chain: Avir Health Group
Why this verdict
- Federal penalties on record: $86,444 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
2 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
$86,444 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
Total nurse staffing below 3.0 hours per resident-day
2.61 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 3 of 5 Staffing: 1 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 2.61 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.39 | 0.55–0.75 |
| Weekend hours / resident-day | 2.32 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 2 · $100,293 |
Inspection citations (17 in the current record)
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Potential for harm · D April 23, 2026 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 7, 2026 · Nutrition and Dietary
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Potential for harm · D February 7, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected February 20, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · K April 5, 2025 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected April 6, 2025 · Quality of Life and Care
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Potential for harm · D April 5, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected April 6, 2025 · Resident Rights
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Potential for harm · E March 21, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 22, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 21, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected March 22, 2025 · Quality of Life and Care
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Potential for harm · E March 21, 2025
Provide activities to meet all resident's needs.
Corrected March 22, 2025 · Quality of Life and Care
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Potential for harm · E March 21, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 22, 2025 · Quality of Life and Care
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Potential for harm · D February 20, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected February 21, 2025 · Resident Assessment and Care Planning
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Immediate jeopardy · J June 20, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 5, 2024 · Quality of Life and Care
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Potential for harm · E January 27, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected January 28, 2024 · Quality of Life and Care
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Potential for harm · F January 27, 2024
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected January 28, 2024 · Resident Assessment and Care Planning
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Potential for harm · F January 27, 2024 · found via complaint
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected January 28, 2024 · Nursing and Physician Services
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Potential for harm · D November 10, 2022
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected November 22, 2022 · Resident Assessment and Care Planning
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Potential for harm · D November 10, 2022
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected November 22, 2022 · Resident Assessment and Care Planning
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Potential for harm · E November 10, 2022
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Corrected November 22, 2022 · Nutrition and Dietary
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Potential for harm · E November 10, 2022
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected November 22, 2022 · Resident Assessment and Care Planning
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 21, 2025 | Fine | $86,444 |
| June 20, 2024 | Fine | $13,849 |
Better-scoring options nearby
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676233 · certified since September 2, 2009. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.