Avir at Bandera

Nursing Home · Bandera, TX

CMS overall rating 1/5 For profit - Corporation

CMS certification number676233

Contact & location

222 FM 1077
Bandera, TX 78003
Bandera County
Phone
(830) 796-4077
ZIP code
78003 – all care providers

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Facility details

Certified beds
118
Residents per day
82.8 (70% occupied)
Ownership
For profit - Corporation
Legal name
Hamilton County Hospital District
Chain
Avir Health Group (116 facilities, avg 2.3★)
Medicare certified since
September 2, 2009
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 1/5
State avg 2.6
Health inspections★★★★★ 2/5
State avg 2.8
Staffing★★★★★ 1/5
State avg 1.9
Quality measures★★★★★ 4/5
State avg 3.7
Long-stay quality★★★★★ 5/5
Short-stay quality★★★★★ 3/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
2.40 (state 3.39 · U.S. 3.86)
Registered nurses (RN)
0.36 (state 0.43 · U.S. 0.69)
Licensed practical nurses
0.49 (state 0.95 · U.S. 0.86)
Nurse aides
1.54 (state 2.00 · U.S. 2.32)
Weekend total
2.16 (state 2.98 · U.S. 3.42)
Nursing staff turnover
56.7 (state 55.3 · U.S. 45.8)%
RN turnover
80.0 (state 54.6 · U.S. 42.9)%
Administrators who left
1 in the last year

Inspections

Last standard inspection
May 22, 2026
Health deficiencies (last cycle)
9.0 (state 9.3 · U.S. 9.3)
From complaints
2
Citations on record (3 years)
20 health · 13 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-05-22 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2026-06-16
2026-05-22 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2026-06-16
2026-05-22 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2026-06-16
2026-05-22 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2026-06-16
2026-05-22 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F0921 · Environmental Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2026-06-16
2026-05-22 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-06-16
2026-05-22 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-06-16
2026-04-23 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-05-07
2026-02-07 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-02-20
2025-04-05 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies · complaint inspection
K
Immediate jeopardy to resident health or safety
Corrected 2025-04-06
2025-04-05 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-04-06
2025-03-21 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-03-22
2025-03-21 Provide activities to meet all resident's needs.
F0679 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-03-22
2025-03-21 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-03-22
2025-03-21 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-03-22
2025-02-20 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-02-21
2024-06-20 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
J
Immediate jeopardy to resident health or safety
Corrected 2024-06-05
2024-01-27 Ensure that the resident and his/her doctor meet face-to-face at all required visits.
F0712 · Nursing and Physician Services Deficiencies · complaint inspection
F
No actual harm, potential for more than minimal harm
Corrected 2024-01-28
2024-01-27 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2024-01-28
2024-01-27 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-01-28

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

2 penalties in the last three years, including $100,293 in fines.

DateTypeAmount
2025-03-21Fine$86,444
2024-06-20Fine$13,849

Ownership & management

NameRoleSince
222 FM 1077 Opco, LLC (organization)Administrator · NOT APPLICABLE
222 FM 1077 Property Owner, LLC (organization)Administrator · NOT APPLICABLE
Dominguez, Mariah (individual)Administrator · NOT APPLICABLE
Jaafar, Saleh (individual)Administrator · NOT APPLICABLE
Welltower INC (organization)Administrator · NOT APPLICABLE
Welltower NNN Group, LLC (organization)Administrator · NOT APPLICABLE
Welltower Op, LLC (organization)Administrator · NOT APPLICABLE
Hooper, Grady (individual)Corporate Officer · NOT APPLICABLE
Dagan, Amitai (individual)Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
Goldberger, Abraham (individual)Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
Goldberger, Faigy (individual)Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE
222 FM 1077 Opco, LLC (organization)Operational/managerial Control · NOT APPLICABLE
Dominguez, Mariah (individual)Operational/managerial Control · NOT APPLICABLE
Freund, Nochum (individual)Operational/managerial Control · NOT APPLICABLE
Travitsky, Aaron (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Avir at Bandera?

Avir at Bandera has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.

How many beds does Avir at Bandera have?

It has 118 certified beds and cares for about 83 residents per day.

Has Avir at Bandera been fined?

Yes. CMS lists 2 penalties totaling $100,293 in the last three years.

Who owns Avir at Bandera?

It is part of Avir Health Group and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Avir at Bandera?

(830) 796-4077. The facility is located at 222 FM 1077, Bandera, TX 78003.

Other nursing homes in Bandera

Compare all nursing homes in Bandera, TX →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.