Nursing homes across Comal County, Texas, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
Legend Oaks in New Braunfels runs a government hospital district operation with 126 certified beds, and the staffing side is where the strain shows. At 3.30 total nurse hours per resident day, it's about 14% under the national average, and weekends drop roughly 13% below its own weekday level, so the thinnest coverage lands exactly when families tend to visit. Turnover sits at 49.5%, above the national 45.8%. The inspection record holds 38 deficiencies, none at harm level but three tied to abuse, with the last survey dated May 2026. Quality measures score well, but the staffing numbers are what temper the overall picture.
Eden Home runs a 122-bed for-profit operation in New Braunfels, and the staffing numbers are its strongest suit: 3.98 nurse hours per resident day, a bit above the national average, with turnover at 38.8%, noticeably better than the 45.8% norm. The catch is that weekends run about 13% leaner than weekdays, so coverage thins out exactly when families tend to visit. What pulls the record down is the inspection side: 28 deficiencies on file, including two at the harm level and two abuse-related, plus a $22,205 fine, with the most recent inspection in March 2026. A two-star health inspection rating against a four-star staffing rating tells you the care hours are there, but the compliance history isn't clean.
Sundance Inn runs 128 certified beds in New Braunfels under corporate for-profit ownership, and its nursing hours sit at 3.58 per resident day, about 7% under the national average of 3.86, with weekend coverage dropping roughly 17% below what the home staffs on weekdays. The inspection record is the bigger concern: 27 deficiencies, two of them serious enough to involve harm or jeopardy, four tied to abuse. Staff turnover lands at 47.1%, slightly above the 45.8% national figure, and the most recent inspection came in August 2025. Quality measures score well, but staffing and inspection results tell a different story about day-to-day conditions.
Kirkwood Manor runs about 18% leaner on nurse staffing than the national average, and weekends dip roughly another 12% below its own weekday levels, so the hours per resident aren't just low on paper, they thin out further when families tend to visit. Turnover sits at 42.3%, slightly better than the national rate, which suggests the problem is how many staff are scheduled rather than whether they stay. The current inspection record carries 49 deficiencies, including one at the harm level and one abuse-related, plus a $29,026 fine. A 2/5 staffing rating and 2/5 on health inspections line up with that record; the 3/5 quality measures are the one place the numbers look steadier. Ask specifically how the weekend shift is covered.
The Heights of Bulverde runs on thinner nursing coverage than most homes nationally, 3.13 hours per resident day against a 3.86 average, and weekends drop about 17% below its own weekday staffing, so the days families visit most are often the leanest. Turnover sits at 55.9% against a national 45.8%, which means many of the aides and nurses on the floor are still learning the building. That inspection record carries 47 deficiencies, including one at the harm level and four tied to abuse, though the most recent visit was in June 2025 and quality measures scored well.
Avir At New Braunfels runs 154 certified beds under for-profit LLC ownership that changed hands within the last year. Nurse staffing sits at 3.36 hours per resident day, roughly 13% below the national average, and weekends dip about 10% below its own weekday levels, meaning coverage is thinnest exactly when families tend to visit. The bigger concern is the inspection record: 53 deficiencies, including 5 at the harm or jeopardy level and 3 tied to abuse, with five fines totaling $163,819. Staff turnover of 73.7% is well above the 45.8% national average, so the people caring for residents are constantly changing.