Avir at Bandera
Nursing home in Bandera, Texas, CMS certification number 676233
222 FM 1077, Bandera, TX 78003 · Bandera County
- CMS overall rating
- 1 of 5 stars
- Certified beds
- 118
- Certified for
- Medicare and Medicaid
- Last standard inspection
- May 22, 2026
- Deficiencies at that inspection
- 9
- Fines in 3 years
- $100,293 (2)
Does Avir at Bandera take Medicare and Medicaid?
Yes to both. Avir at Bandera is certified for Medicare and Medicaid. Medicare can pay for a short skilled stay after a qualifying hospital stay; Medicaid can pay for long-term care once you qualify.
Certification isn't a promise of an open bed. Ask how many Medicaid beds it has free and whether it keeps residents who move from Medicare to Medicaid. Our guide explains what Medicare pays for.
CMS star ratings
CMS rates every certified nursing home from 1 to 5 stars. The overall rating starts from health inspections, then moves up or down for staffing and quality. These come from the CMS Provider Information, October 2026 release.
| Measure | CMS stars |
|---|---|
| Overall | 1 of 5 |
| Health inspections | 2 of 5 |
| Staffing | 1 of 5 |
| Quality of resident care | 4 of 5 |
| Long-stay quality | 5 of 5 |
| Short-stay quality | 4 of 5 |
Nurse staffing hours and turnover
These are the hours Avir at Bandera reported to CMS, split across residents and days. More hours per resident usually means more hands at the bedside.
- Total nurse hours per resident per day
- 2.82
- Registered nurse hours
- 0.47
- Licensed practical nurse hours
- 0.52
- Nurse aide hours
- 1.83
- Weekend total hours
- 2.42
- Nursing staff turnover
- 58.9%
- Registered nurse turnover
- 80%
- Administrators who left
- 1
Health inspections and complaints
Inspectors last made a standard visit on May 22, 2026 and cited 9 deficiencies, plus 2 from complaint visits.
The visit before, on March 21, 2025, found 4.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS fined Avir at Bandera 2 times in the past 3 years, for $100,293 in total.
Beds and residents
On an average day 74.1 residents live here, about 63% of its 118 certified beds.
- Certified beds
- 118
- Average residents per day
- 74.1
- Certified since
- September 2, 2009
- Inside a hospital
- Yes
- Resident or family council
- Resident
Who owns Avir at Bandera
- Legal business name
- Hamilton County Hospital District
- Ownership type
- For profit - Corporation
- Chain
- 118 homes nationally under Avir Health Group, 2.2-star chain average
Other nursing homes near Avir at Bandera
- Cedar Creek Nursing and Rehabilitation Center159 Montague Ave, Bandera 78003
- Avir at Comfort615 Faltin St., Comfort 78013
- Kendall House Wellness & Rehabilitation1050 Grand Blvd., Boerne 78006
- Town and Country Nursing and Rehabilitation Center625 N Main St, Boerne 78006
- Carechoice of Boerne200 E Ryan St, Boerne 78006
Who inspects nursing homes in Texas
Texas's state survey agency licenses nursing homes and carries out the federal inspections for CMS. A home must keep its state licence and meet the federal rules to take Medicare or Medicaid.
Compare all nursing homes in Texas, or see how assisted living and nursing homes differ.
Is this your facility?
If you run Avir at Bandera, email contact@assistedlivingaccess.com from your work address. We can add your own rates, photos and contact details next to the state record, or take the listing down.
Questions about Avir at Bandera
What is the CMS star rating of Avir at Bandera?
1 out of 5 stars overall.
Does Avir at Bandera accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at Avir at Bandera?
9 cited at the last standard visit.
Who owns Avir at Bandera?
Hamilton County Hospital District, for profit - corporation.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.