Nursing home
Avir at Bandera
222 Fm 1077, Bandera, TX 78003 · Map
For profit - Partnership · Part of Avir Health Group (90 facilities) · 118 certified beds
Avir at Bandera is a Medicare-certified nursing home in Bandera, Texas. CMS rates it 3 out of 5 stars overall (2/5 for staffing, 2/5 for health inspections). Nurse staffing is 2.65 hours per resident per day, below the Texas average of 3.40. Its most recent inspection on Mar 21, 2025 cited 6 deficiencies.
- 2 fines totaling $100,293In CMS records: 2 total penalties.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Avir at Bandera compares
This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Texas avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 2.65 | 3.40 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.48 | 0.44 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 1.60 | 2.01 | 2.34 | below avg |
| Nursing staff turnover | 66.7% | 51.5% | 46.4% | above avg |
| Deficiencies cited, last inspection | 6.0 | 9.1 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 2 fines totaling $100,293, 2 total penalties.
What inspectors found at Avir at Bandera
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Feb 7, 2026 · Full report (PDF) - Immediate 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.
Quality of Life and Care Deficiencies · Apr 5, 2025 · Full report (PDF) - Potential for harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Apr 5, 2025 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Mar 21, 2025 · Full report (PDF) - Potential for harm
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · Mar 21, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Mar 21, 2025 · Full report (PDF) - Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Mar 21, 2025 · Full report (PDF) - Potential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Feb 20, 2025 · Full report (PDF) - Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Jun 20, 2024 · Full report (PDF) - Potential for harm
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Nursing and Physician Services Deficiencies · Jan 27, 2024 · Full report (PDF) - Potential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Jan 27, 2024 · Full report (PDF) - Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Jan 27, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 222 Fm 1077
Bandera, TX 78003 - CMS certification #
- 676233
- Ownership
- For profit - Partnership
- Certified beds
- 118
- Avg residents/day
- 82.8
- Provider type
- Medicare and Medicaid
- First certified
- 2009-09-02
- Chain
- Avir Health Group (90 facilities)
- Setting
- Urban
Part of Avir Health Group
Avir Health Group operates 90 nursing facilities across the United States. View all Avir Health Group facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Avir at Bandera using Google Maps.
Other public records
- Website says Transportation
Full public records, with dates and sources
Care and services
From the community’s website
What Avir at Bandera says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Provides transportation.
Beyond life enrichment and our on-site salon, residents at Avir at Bandera also enjoy on-demand meal services, regular religious services for spiritual support, scheduled transportation for appointments and outings, and a dedicated Express Recovery Unit for a faster path back home.
(page, checked Oct 12, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Peterson Regional Medical Center, Kerrville. 23.0 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Cedar Creek Nursing and Rehabilitation Center, Bandera. 1.3 miles away, straight line.
- Nearest home health agency office
- Crest Home Health, Boerne. 20.5 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 1.2 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 78003 as metropolitan (metropolitan high commuting).
- Hospice
- 38 Medicare hospices tell CMS they serve ZIP code 78003.
New Century Hospice Of San Antonio, office in Kerrville, 20.6 miles away, straight line (CMS family survey rating 3 of 5 stars)
Alamo Hospice, office in Boerne, 21.0 miles away, straight line (CMS family survey rating 5 of 5 stars)
Peterson Hospice, office in Kerrville, 22.9 miles away, straight line (CMS family survey rating 5 of 5 stars) - Nearest geriatric medicine practice
- Becky Powers, MD, San Antonio. 26.1 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- Wildfire risk to homes
- In Bandera County, TX, risk to homes is greater than 58% of communities in Texas and 83% of communities nationwide. USDA rates the whole county, not this address. (USDA Forest Service, Wildfire Risk to Communities, April 2026)
- FEMA National Risk Index
- Overall: relatively high. By hazard: hurricane relatively low, inland flooding very high, wildfire relatively moderate, tornado relatively high, heat wave relatively moderate, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | See above |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Avir at Bandera a good nursing home?
CMS gives Avir at Bandera an overall rating of 3 out of 5 stars, including 2/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Avir at Bandera staffed?
Avir at Bandera reports 2.65 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has Avir at Bandera had inspection problems?
Its most recent CMS inspection cited 6 deficiencies.
How many beds does Avir at Bandera have?
Avir at Bandera is certified for 118 beds.