Avir At Bandera
Nursing home · 222 FM 1077, Bandera, TX 78003 · Bandera County
Prices
Texas HHSC publishes no prices or facility websites, so we show none. Ask the facility directly.
Facility
- Type
- Nursing home · Nursing · MEDICARE/MEDICAID · certified
- Capacity
- 118
- State license
- 103936
- Medicare CCN
- 676233
- Licensed entity
- HAMILTON COUNTY HOSPITAL DISTRICT
- Chain
- AVIR HEALTH GROUP
- Ownership
- For profit - Corporation
- Phone
- (830) 796-4077
- Nurse staffing
- 2.40 hours per resident per day; 56.7% nursing staff turnover
- Medicare ratings
- Inspections 2★ · Staffing 1★ · Quality 4★
- Official record
- Texas HHSC provider search (TULIP)
- Official record
- Medicare Care Compare
Penalties
- Mar 21, 2025 — Fine ($86,444)
- Jun 20, 2024 — Fine ($13,849)
Inspection findings
-
May 22, 2026 Health · 10 findings
-
Not serious
Scope/severity E
F0656 Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected Jun 16, 2026 · CMS health inspection
-
Not serious
Scope/severity E
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Jun 16, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0690 Quality of Life and Care Deficiencies
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 Jun 16, 2026 · CMS health inspection
-
Not serious
Scope/severity E
F0804 Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected Jun 16, 2026 · CMS health inspection
-
Not serious
Scope/severity D
F0812 Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected Jun 16, 2026 · CMS health inspection
-
Not serious
Scope/severity E
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Jun 16, 2026 · CMS health inspection
-
Not serious
Scope/severity E
F0921 Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected Jun 16, 2026 · CMS health inspection
-
Not serious
Scope/severity E
K0324 Smoke Deficiencies
Provide properly protected cooking facilities.
Corrected Jun 8, 2026 · CMS fire safety
-
Not serious
Scope/severity E
K0712 Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Corrected Jun 8, 2026 · CMS fire safety
-
Not serious
Scope/severity F
K0918 Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Corrected Jun 8, 2026 · CMS fire safety
-
Not serious
Scope/severity E
-
Apr 23, 2026 Health · 1 finding
-
Not serious
Scope/severity D
Complaint
F0812 Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 7, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Feb 7, 2026 Health · 1 finding
-
Not serious
Scope/severity D
Complaint
F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected Feb 20, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Apr 5, 2025 Health · 2 findings
-
Not serious
Scope/severity D
Complaint
F0580 Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected Apr 6, 2025 · CMS health inspection
-
Serious
Scope/severity K
Complaint
F0690 Quality of Life and Care Deficiencies
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 Apr 6, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Mar 21, 2025 Health · 7 findings
-
Not serious
Scope/severity E
F0656 Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected Mar 22, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0677 Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected Mar 22, 2025 · CMS health inspection
-
Not serious
Scope/severity E
F0679 Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Corrected Mar 22, 2025 · CMS health inspection
-
Not serious
Scope/severity E
F0684 Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Mar 22, 2025 · CMS health inspection
-
Not serious
Scope/severity E
K0343 Smoke Deficiencies
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
Corrected Apr 21, 2025 · CMS fire safety
-
Not serious
Scope/severity E
K0353 Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Corrected Apr 21, 2025 · CMS fire safety
-
Not serious
Scope/severity E
K0355 Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected Mar 24, 2025 · CMS fire safety
-
Not serious
Scope/severity E
-
Feb 20, 2025 Fire Safety · 3 findings
-
Not serious
Scope/severity F
Complaint
E0037 Emergency Preparedness Deficiencies
Establish staff and initial training requirements.
Corrected Feb 21, 2025 · CMS fire safety
-
Not serious
Scope/severity D
Complaint
F0842 Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected Feb 21, 2025 · CMS health inspection
-
Not serious
Scope/severity F
Complaint
K0353 Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Corrected Feb 21, 2025 · CMS fire safety
-
Not serious
Scope/severity F
Complaint
-
Jun 20, 2024 Health · 1 finding
-
Serious
Scope/severity J
Complaint
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Jun 5, 2024 · CMS health inspection
-
Serious
Scope/severity J
Complaint
-
Jan 27, 2024 Health · 8 findings
-
Not serious
Scope/severity E
F0677 Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected Jan 28, 2024 · CMS health inspection
-
Not serious
Scope/severity F
Complaint
F0712 Nursing and Physician Services Deficiencies
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected Jan 28, 2024 · CMS health inspection
-
Not serious
Scope/severity F
F0842 Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected Jan 28, 2024 · CMS health inspection
-
Not serious
Scope/severity E
K0222 Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected Jan 29, 2024 · CMS fire safety
-
Not serious
Scope/severity D
K0321 Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected Jan 28, 2024 · CMS fire safety
-
Not serious
Scope/severity D
K0351 Smoke Deficiencies
Install an approved automatic sprinkler system.
Corrected Feb 16, 2024 · CMS fire safety
-
Not serious
Scope/severity F
K0511 Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Corrected Jan 28, 2024 · CMS fire safety
-
Not serious
Scope/severity F
K0918 Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Corrected Jan 28, 2024 · CMS fire safety
-
Not serious
Scope/severity E
Owners and managers (as published by CMS)
- DAGAN, AMITAI — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 03/10/2026
- DOMINGUEZ, MARIAH — adp of the snf, NOT APPLICABLE, since 09/15/2025
- DOMINGUEZ, MARIAH — operational/managerial control, NOT APPLICABLE, since 09/15/2025
- FREUND, NOCHUM — operational/managerial control, NOT APPLICABLE, since 10/01/2025
- GOLDBERGER, ABRAHAM — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 04/02/2026
- GOLDBERGER, FAIGY — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 04/02/2026
- HOOPER, GRADY — corporate officer, NOT APPLICABLE, since 12/01/2015
- JAAFAR, SALEH — adp of the snf, NOT APPLICABLE, since 04/01/2019
- TRAVITSKY, AARON — operational/managerial control, NOT APPLICABLE, since 10/01/2025
- 222 FM 1077 OPCO, LLC — operational/managerial control, NOT APPLICABLE, since 10/01/2025
- 222 FM 1077 OPCO, LLC — adp of the snf, NOT APPLICABLE, since 03/10/2026
- 222 FM 1077 PROPERTY OWNER, LLC — adp of the snf, NOT APPLICABLE, since 10/01/2025
- WELLTOWER INC — adp of the snf, NOT APPLICABLE, since 10/01/2025
- WELLTOWER NNN GROUP, LLC — adp of the snf, NOT APPLICABLE, since 10/01/2025
- WELLTOWER OP, LLC — adp of the snf, NOT APPLICABLE, since 10/01/2025
Sources: Texas Health and Human Services Commission, Long-term Care Regulation (directory and closures) and CMS Care Compare (nursing homes). “Harm or jeopardy level” is CMS scope/severity G–L. About this data.