57/100
Average
Avir At Bandera
222 Fm 1077, Bandera, TX 78003
- Certified beds
- 118
- Occupancy
- 70%
- Ownership
- For-profit
- Accepts
- Medicare + Medicaid
What to ask about before you visit
These are findings in the public CMS record for this home. They are not our opinion, each one comes straight from a federal inspection or enforcement file.
$100,293 in federal fines
CMS has fined this facility across 2 penalty action(s).
Our read on Avir At Bandera
Avir At Bandera runs on about 2.40 nurse staffing hours per resident day, roughly 38 percent under the national average of 3.86, and weekend coverage drops about 10 percent below its own weekday level. That thin staffing shows up in a 56.7 percent annual turnover rate, well above the 45.8 percent national figure, and in CMS's staffing rating of one star out of five even as its quality measure score sits at four. The inspection record is the harder problem: 20 deficiencies, two at harm or jeopardy level, one abuse-related, plus $100,293 in fines across two penalties. A for-profit corporation operates the 118-bed home. Two stars on health inspections, and that May 2026 inspection is recent.
Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.
How this grade was calculated
Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.
A full pentagon is full marks. The shape shows what kind of good or bad a home is, two homes can share a score and look nothing alike.
Inspection safety
30/30Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
- →No citations recorded in the last 3 years
Staffing
8/30Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
- →2.68 total nurse hours per resident per day (national median 3.77)
- →0.36 RN hours per resident per day
- →Weekend staffing drops 10% against weekdays
Staff stability
5/15How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
- →57% of nursing staff left in the last year
Resident outcomes
12/15The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
- →4 of 5 stars on the CMS quality-measure rating
Enforcement history
2/10Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
- →$100,293 in federal fines across 2 action(s)
Staffing, against the national average
Full detailHours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Recent inspection findings
Last standard health inspection: May 22, 2026 (5 months ago). No citations were recorded.
No health-inspection citations on record for this facility in the current CMS release.
Who owns this home
Full recordPart of AVIR HEALTH GROUP, which operates 118 homes. Staffing budgets are usually set at chain level, not in the building.
What families say
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Common questions about Avir At Bandera
What is the ElderGrade for Avir At Bandera? +
Avir At Bandera holds an ElderGrade of C (57 out of 100), which we describe as "average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
How many nursing hours does each resident get at Avir At Bandera? +
Residents receive an average of 2.40 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Has Avir At Bandera been cited for harming residents? +
No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.
Does Avir At Bandera accept Medicaid? +
Yes, Avir At Bandera is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.
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