Nursing homes › Texas › Avir at Bandera
222 Fm 1077, Bandera, TX 78003 · 8307964077 · 118 certified beds
Per CMS filings, this facility is affiliated with Avir Health Group, a group operating 119 facilities in 1 states. Group record: average rating 2.3/5, 21 abuse citation icons, 3 facilities on the Special Focus list, $7,752,055 in federal fines. This facility rates below its group average (2.3/5).
Total nurse staffing: 2.40 (Texas median: 3.27). RN hours: 0.36. Weekend total: 2.16. Nursing staff turnover: 57%.
All-time on record: 20 deficiency citations, including 2 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 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. | E | Health | Deficient, Provider has no plan of correction |
| 2026-05-22 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Health | Deficient, Provider has no plan of correction |
| 2026-05-22 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Health | Deficient, Provider has no plan of correction |
| 2026-05-22 | Provide and implement an infection prevention and control program. | E | Health | Deficient, Provider has no plan of correction |
| 2026-05-22 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Health | Deficient, Provider has no plan of correction |
| 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. | D | Health | Deficient, Provider has no plan of correction |
| 2026-05-22 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Health | Deficient, Provider has no plan of correction |
| 2026-04-23 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | complaint | corrected 2026-05-07 |
| 2026-02-07 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | 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. | K | complaint | 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. | D | complaint | 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. | E | Health | corrected 2025-03-22 |
| 2025-03-21 | Provide activities to meet all resident's needs. | E | Health | corrected 2025-03-22 |
| 2025-03-21 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Health | corrected 2025-03-22 |
| 2025-03-21 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | 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. | D | complaint | 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. | J | complaint | corrected 2024-06-05 |
| 2024-01-27 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | F | complaint | 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. | F | Health | corrected 2024-01-28 |
| 2024-01-27 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Health | corrected 2024-01-28 |
| Date | Type | Amount |
|---|---|---|
| 2025-03-21 | Fine | $86,444 |
| 2024-06-20 | Fine | $13,849 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| HOOPER, GRADY | Corporate Officer | Individual | NOT APPLICABLE | since 12/01/2015 |
| 222 FM 1077 OPCO, LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 10/01/2025 |
| DOMINGUEZ, MARIAH | Operational/Managerial Control | Individual | NOT APPLICABLE | since 09/15/2025 |
| FREUND, NOCHUM | Operational/Managerial Control | Individual | NOT APPLICABLE | since 10/01/2025 |
| TRAVITSKY, AARON | Operational/Managerial Control | Individual | NOT APPLICABLE | since 10/01/2025 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 676233. Corrections: data@carerecords.org.