Avir at Bandera
222 Fm 1077, Bandera, TX 78003 · (830) 796-4077
For profit - Corporation · 118 certified beds
Avir at Bandera has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in May 2026, found 7 citations (the Texas average is 9.4). It was fined 2 times in the last three years, $100,293 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 1 out of 5 stars · Much below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 2 out of 5 stars · Below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 4 out of 5 stars · Above average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 1 out of 5 stars · Much below average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on May 22, 2026 found 7 citations. What an inspection citation means
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.May 22, 2026 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.May 22, 2026 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.May 22, 2026 · F0804 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide and implement an infection prevention and control program.May 22, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.May 22, 2026 · F0921 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.May 22, 2026 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.May 22, 2026 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 7 citations.
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.April 23, 2026 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.February 7, 2026 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.April 5, 2025 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.April 5, 2025 · F0690 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.February 20, 2025 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.June 20, 2024 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Ensure that the resident and his/her doctor meet face-to-face at all required visits.January 27, 2024 · F0712 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
Fines and payment denials
- Fine of $86,444March 21, 2025
- Fine of $13,849June 20, 2024
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Texas average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 2.40 | 3.39 | 3.86 |
| Registered nurses (RN) | 0.36 | 0.43 | 0.69 |
| Licensed practical nurses (LPN) | 0.49 | 0.95 | 0.86 |
| Nurse aides | 1.54 | 2.01 | 2.32 |
| Total nursing staff turnover | 56.7% | 55.3% | 45.8% |
About this home
| Ownership | For profit - Corporation |
| Certified beds | 118 |
| Average residents per day | 82.8 |
| Inside a hospital | Yes |
| Continuing care retirement community | No |
Nursing homes nearby
- Cedar Creek Nursing and Rehabilitation Center Bandera · ★★★★★ 2 out of 5 stars
- Kendall House Wellness & Rehabilitation Boerne · ★★★★★ 4 out of 5 stars
- Carechoice of Boerne Boerne · ★★★★★ 2 out of 5 stars
- Cibolo Creek Boerne · ★★★★★ 2 out of 5 stars
- Town and Country Nursing and Rehabilitation Center Boerne · ★★★★★ 1 out of 5 stars
Compare every nursing home in Bandera, TX · Nursing homes in Texas
Comparing nursing homes?
See whether help at home or assisted living fits better. Answer four questions and we'll suggest where to start: a medical alert, help at home, or assisted living.
Free for families. This isn't medical advice.
Care matcherStep 1 of 7
Who are you looking for help for?
Free for families. Your answers aren't saved.
Data from Medicare (CMS), updated October 2026, from Avir at Bandera on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.