AVIR AT BANDERA

222 FM 1077, BANDERA, TX 78003 · CCN 676233 · 118 certified beds · Data as of 2026-07-01

CMS overall1 of 5CMS inspections2 of 5CMS staffing1 of 5CMS quality4 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 2 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

Serious inspection findings

2025-04-05 IMMEDIATE JEOPARDY (tag F0690, severity K)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
2024-06-20 IMMEDIATE JEOPARDY (tag F0689, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Staffing, from payroll records

Nursing hours / resident / day

2.04

state median 2.67

Weekend staffing gap

−11%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.18

registered nurses only

Contract (agency) staff

0%

share of all nursing hours

Days with zero RN hours reported

6

with residents present

Nursing staff turnover

57%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

2 enforcement action(s), totaling $100,293 in fines.

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

Ownership

Ownership type: For profit - Corporation. Part of the AVIR HEALTH GROUP chain.

Other facilities under the same ownership, with their CMS overall ratings:

Full citation history

By severity: Potential for more than minimal harm: 18 · Immediate jeopardy: 2

Survey dateTagCategorySeverityCorrected
2026-05-22F0656Resident Assessment and Care Planning DeficienciesEnot recorded
2026-05-22F0689Quality of Life and Care DeficienciesEnot recorded
2026-05-22F0690Quality of Life and Care DeficienciesDnot recorded
2026-05-22F0804Nutrition and Dietary DeficienciesEnot recorded
2026-05-22F0812Nutrition and Dietary DeficienciesDnot recorded
2026-05-22F0880Infection Control DeficienciesEnot recorded
2026-05-22F0921Environmental DeficienciesEnot recorded
2026-04-23F0812Nutrition and Dietary DeficienciesDnot recorded
2026-02-07F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2025-04-05F0580Resident Rights DeficienciesDnot recorded
2025-04-05F0690Quality of Life and Care DeficienciesKnot recorded
2025-03-21F0656Resident Assessment and Care Planning DeficienciesEnot recorded
2025-03-21F0677Quality of Life and Care DeficienciesDnot recorded
2025-03-21F0679Quality of Life and Care DeficienciesEnot recorded
2025-03-21F0684Quality of Life and Care DeficienciesEnot recorded
2025-02-20F0842Resident Assessment and Care Planning DeficienciesDnot recorded
2024-06-20F0689Quality of Life and Care DeficienciesJnot recorded
2024-01-27F0677Quality of Life and Care DeficienciesEnot recorded
2024-01-27F0712Nursing and Physician Services DeficienciesFnot recorded
2024-01-27F0842Resident Assessment and Care Planning DeficienciesFnot recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “AVIR AT BANDERA, BANDERA” at medicare.gov/care-compare.