Nursing home
Avir at New Braunfels
821 Us Hwy 81 W, New Braunfels, TX 78130 · Map
For profit - Limited Liability company · Part of Avir Health Group (90 facilities) · 154 certified beds
Avir at New Braunfels is a Medicare-certified nursing home in New Braunfels, Texas. CMS rates it 1 out of 5 stars overall (2/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.40 hours per resident per day, below the Texas average of 3.40. Its most recent inspection on Aug 29, 2025 cited 24 deficiencies.
- 5 fines totaling $374,761In CMS records: 6 total penalties, 1 Medicare payment denial.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Avir at New Braunfels 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) | 3.40 | 3.40 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.22 | 0.44 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.10 | 2.01 | 2.34 | above avg |
| Nursing staff turnover | 61.9% | 51.5% | 46.4% | above avg |
| Deficiencies cited, last inspection | 24.0 | 9.1 | 9.5 | above 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: 5 fines totaling $374,761, 6 total penalties, 1 Medicare payment denial.
What inspectors found at Avir at New Braunfels
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
Honor 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.
Resident Rights Deficiencies · Jan 30, 2026 · Full report (PDF) - Potential for harm
Employ 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.
Administration Deficiencies · Jan 30, 2026 · Full report (PDF) - Potential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Jan 30, 2026 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Dec 31, 2025 · Full report (PDF) - Potential for harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · Dec 31, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Nutrition and Dietary Deficiencies · Dec 31, 2025 · Full report (PDF) - Potential for harm
Ensure 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.
Pharmacy Service Deficiencies · Dec 31, 2025 · Full report (PDF) - Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Dec 31, 2025 · Full report (PDF) - Potential for harm
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Dec 31, 2025 · Full report (PDF) - Minimal
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · Dec 31, 2025 · Full report (PDF) - Potential for harm
Ensure 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.
Pharmacy Service Deficiencies · Nov 24, 2025 · Full report (PDF) - Potential for harm
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · Nov 24, 2025 · 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
- 821 Us Hwy 81 W
New Braunfels, TX 78130 - CMS certification #
- 455020
- Ownership
- For profit - Limited Liability company
- Certified beds
- 154
- Avg residents/day
- 117.4
- Provider type
- Medicare and Medicaid
- First certified
- 1976-06-01
- 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 New Braunfels using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Resolute Health Hospital, New Braunfels. 0.5 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Legend Oaks Healthcare and Rehabilitation - New BR, New Braunfels. 1.0 mile away, straight line.
- Nearest home health agency office
- Carter Healthcare, New Braunfels. 1.0 mile away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- H-E-B Pharmacy. 0.9 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 78130 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- New Braunfels Kidney Disease Clinic, New Braunfels, 0.8 miles away, straight line (has a shift starting after 5 pm; CMS rating 3 of 5 stars)
Davita New Braunfels Dialysis, New Braunfels, 1.1 miles away, straight line (CMS rating 3 of 5 stars)
Nna San Marcos, San Marcos, 12.1 miles away, straight line (has a shift starting after 5 pm; CMS rating 4 of 5 stars) - Hospice
- 97 Medicare hospices tell CMS they serve ZIP code 78130.
New Beginnings Hospice LLC, office in New Braunfels, 1.1 miles away, straight line
Embrace Hospice, office in New Braunfels, 2.6 miles away, straight line
Edenhospice, office in New Braunfels, 2.9 miles away, straight line - Nearest geriatric medicine practice
- Rise Up Rehab, LLC, San Antonio. 27.5 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)
- FEMA National Risk Index
- Overall: relatively high. By hazard: hurricane relatively low, inland flooding very high, wildfire relatively low, 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 | Only cases that look tied to an earlier operator (not shown) |
| 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 | Not shown: FEMA rates wildfire risk here relatively low |
| 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 | Could not read the site |
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Frequently asked questions
Is Avir at New Braunfels a good nursing home?
CMS gives Avir at New Braunfels an overall rating of 1 out of 5 stars, including 2/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Avir at New Braunfels staffed?
Avir at New Braunfels reports 3.40 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has Avir at New Braunfels had inspection problems?
Its most recent CMS inspection cited 24 deficiencies.
How many beds does Avir at New Braunfels have?
Avir at New Braunfels is certified for 154 beds.