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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeTexasAvir at Bandera

Avir at Bandera

222 Fm 1077, Bandera, TX 780038307964077
3/5Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
2/5
Staffing
2/5
Quality
5/5
Beds
118
certified
2 fine(s) totaling $100,293

Key Findings

• CMS rates this facility 3/5 stars (average)

• Has 118 certified beds with an average of 82.8 residents per day (70% occupancy)

• Last health inspection found 7 deficiencies (inspected Mar 21, 2025)

• Has been fined a total of $100,293 across 2 fine(s)

• Total nursing staff: 2.65 hours per resident per day

• Staff turnover rate: 66.7% (high)

• Part of the Touchstone Communities chain (29 facilities)

Avir at Bandera is a 3-star Medicare and Medicaid certified nursing home in Bandera, Texas with 118 certified beds. It has been operating since 2009. The facility scored at average compared to Texas facilities.

Beds
118
Avg Residents/Day
82.8
Ownership
For profit - Partnership
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Sep 2, 2009
Sprinklers
Yes
Council
Both
County
Bandera
Last Inspection
Mar 21, 2025
Deficiencies (Cycle 1)
7
Weighted Score
135.8
Infection Citations
0

Deficiency Citations (15)

F0580Potential for Harm

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

Survey: Apr 5, 2025Corrected: NoCycle: 1
F0690Immediate Jeopardy

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

Survey: Apr 5, 2025Corrected: NoCycle: 1
F0842Potential for Harm

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

Survey: Feb 20, 2025Corrected: NoCycle: 1
F0656Potential for Harm

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

Survey: Mar 21, 2025Corrected: NoCycle: 1
F0677Potential for Harm

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

Survey: Mar 21, 2025Corrected: NoCycle: 1
F0679Potential for Harm

Provide activities to meet all resident's needs.

Survey: Mar 21, 2025Corrected: NoCycle: 1
F0684Potential for Harm

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

Survey: Mar 21, 2025Corrected: NoCycle: 1
F0689Immediate Jeopardy

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

Survey: Jun 20, 2024Corrected: NoCycle: 2
F0677Potential for Harm

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

Survey: Jan 27, 2024Corrected: NoCycle: 2
F0842Potential for Harm

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

Survey: Jan 27, 2024Corrected: NoCycle: 2
F0712Potential for Harm

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

Survey: Jan 27, 2024Corrected: NoCycle: 2
F0644Potential for Harm

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Survey: Nov 10, 2022Corrected: NoCycle: 3
F0656Potential for Harm

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

Survey: Nov 10, 2022Corrected: NoCycle: 3
F0800Potential for Harm

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

Survey: Nov 10, 2022Corrected: NoCycle: 3
F0842Potential for Harm

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

Survey: Nov 10, 2022Corrected: NoCycle: 3
Total Fines
$100,293
Number of Fines
2
Payment Denials
0
Total Penalties
2

Penalty History

FineJun 20, 2024
$13,849
FineMar 21, 2025
$86,444

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide1.60 hrs
National avg: 2.35 hrs
LPN0.57 hrs
National avg: 0.86 hrs
RN0.48 hrs
National avg: 0.68 hrs
Total Nursing2.65 hrs
National avg: 3.89 hrs
Weekend Total2.43 hrs
National avg: 0.00 hrs
Physical Therapist0.01 hrs
National avg: 0.07 hrs
Total Turnover
66.7%
RN Turnover
28.6%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Partnership
Recent Change
No

Owners & Managers (10)

NameRoleTypeOwnership %Since
HAMILTON COUNTY HOSPITAL DISTRICT5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Apr 1, 2019
HERITAGE TC BANDERA LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AApr 1, 2019
CAMPBELL, LESLIEOPERATIONAL/MANAGERIAL CONTROLIndividualN/AApr 1, 2020
CASTILLO, LYNNEAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AApr 1, 2019
CLAYTON, JONATHONOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMay 1, 2023
DOMINGUEZ, MARIAHOPERATIONAL/MANAGERIAL CONTROLIndividualN/ASep 15, 2025
FRIAS, RHONDAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJul 6, 2022
SEHLKE, BRYONOPERATIONAL/MANAGERIAL CONTROLIndividualN/AApr 1, 2019
ZUROVEC, DARRELLOPERATIONAL/MANAGERIAL CONTROLIndividualN/AApr 1, 2019
HOOPER, GRADYCORPORATE OFFICERIndividualN/ADec 1, 2015

Nearby Nursing Homes

All Texas facilities

Cedar Creek Nursing and Rehabilitation Center

Bandera, TX · 62 beds

For profit
Health
Staffing
Quality
1.3 mi

Frequently Asked Questions

What is the CMS rating for Avir at Bandera?▾
Avir at Bandera has an overall CMS rating of 3 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 2/5, and quality measures rating of 5/5. This facility is rated average.
Has Avir at Bandera had any health inspection violations?▾
Avir at Bandera had 7 deficiency citations in its most recent health inspection (Mar 21, 2025). The facility has been fined a total of $100,293 across 2 fine(s).
What are the staffing levels at Avir at Bandera?▾
Avir at Bandera provides 2.65 total nursing staff hours per resident per day, including 0.48 RN hours, 0.57 LPN hours, and 1.60 nurse aide hours. The total staff turnover rate is 66.7%.
How many beds does Avir at Bandera have?▾
Avir at Bandera has 118 certified beds with an average of 82.8 residents per day, resulting in approximately 70% occupancy. The facility is For profit - Partnership owned and is part of the Touchstone Communities chain.
Are there other nursing homes near Avir at Bandera?▾
Yes, there are 1 other nursing home in Bandera, Texas with an average rating of 2.5/5. You can compare all facilities on the Bandera nursing homes page.

Part of Touchstone Communities

This chain operates 29 facilities. View all →