AVIR AT BANDERA – BANDERA, TX

CMS Verified | 2026-03-01

Avir At Bandera

222 FM 1077, Bandera, TX 78003
(830) 796-4077
118 beds
All Bandera facilities
3.0*
Overall
2.0*
Health Inspection
5.0*
Quality Care
2.0*
Staffing
73.06
Score /100
#6877
National Rank

#6877
of 14703 facilities
National
53.2% position
#451
of 1177 in TX
State Rank
#1
of 2 in Bandera
County Rank
#1
of 2 in Bandera
City Rank
#1
of 2 in ZIP 78003
ZIP Rank






About Avir At BanderaAvir At Bandera is located at 222 Fm 1077, Bandera, TX, reachable at (830) 796-4077. This For profit – Partnership facility operates 118.0 certified beds and serves an average of 82 residents per day. It is part of the Avir Health Group network (90 facilities nationwide). Medicare and Medicaid services have been provided since 2009-09-02. The facility currently holds a average (3-star) overall CMS rating.
Facility

Avir At Bandera

Address

222 Fm 1077, Bandera, TX 78003

Care Offered
  • Long-Term Care
  • Rehab / Short-Term Care
Medicare & Medicaid
  • Accepts Medicare
  • Accepts Medicaid
Facility Details
  • 118 Certified Beds
  • Ownership: For profit – Partnership
  • Resident Council: Both
  • Automatic Sprinklers: Yes
  • Network: AVIR HEALTH GROUP

Quick Verdict

Overall Quality
⚠️ Average (3★) overall rating
Health Inspection
⚠️ Below Average (2★) health inspection
Staffing
⚠️ Below Average (2★) staffing rating
Quality of Care
✅ Excellent (5★) quality of care
Compliance
❌ 10 fine(s) over 5 years
5-Year Trend
Improving over 5 years
73.06
Composite quality score out of 100 – how we calculate this
0 – Poor50 – Average100 – Best

#6877 of 14703 nationally – #451 of 1177 in Texas

Who Is This Facility Best For?

Avir At Bandera offers a mid-range care option in Bandera, TX. It scores well for both long-term residents and short-stay rehabilitation patients. Families should inquire about nurse-to-resident ratios, as the CMS Staffing Rating is currently 2 out of 5.

Overall Rating 2022-2026

Total Nurse Hours/Day 2022-2026

Current Ratings (2026)

Overall Rating

3 / 5
Health Inspection

2 / 5
Staffing Rating

2 / 5
Quality Measures (QM)

5 / 5
Long-Stay QM Rating

5 / 5
Short-Stay QM Rating

4 / 5

5-Year Rating Trends

Overall Rating

Health Inspection Rating

Quality of Care (QM)

Staffing Rating

Average Residents per Day

Occupancy % (Residents / Beds)

Staffing InsightAvir At Bandera currently provides 2 hours 39 minutes of total nurse staffing per resident per day, including 29 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating of 2 out of 5 is below average — a point worth discussing with facility management before admission. Total nursing staff turnover is high at 66.7%, which can affect care continuity.

Current Staffing Hours Per Resident Per Day (2026)

Total Nurse Staffing2 hours 39 minutes
Nurse Aide Hours1 hour 36 minutes
Licensed Practical Nurse (LPN) Hours34 minutes
Registered Nurse (RN) Hours29 minutes
Physical Therapist Hours1 minute

National average total nurse staffing is approximately 3.5 hours per day

Weekend Staffing Hours Per Resident Per Day (2026)

Weekend Total Nurse Hours2 hours 26 minutes
Weekend Registered Nurse (RN) Hours19 minutes

Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.

5-Year Staffing Trends

Total Nurse Hours/Day

Registered Nurse (RN) Hours/Day

Licensed Practical Nurse (LPN) Hours/Day

Nurse Aide Hours/Day

Total Staff Turnover %

Registered Nurse (RN) Turnover %

Compliance SummaryIn the current reporting period, the facility received 2 fine(s) totaling $100,293. 9 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings.
Number of Fines (current period) 2
Total Fines Amount $100293.0
Payment Denials 0
Total Penalties 2
Abuse Flag on Record N
Total Weighted Health Survey Score 133.75 (lower = better)

Substantiated Complaints / Year

Fines Issued ($) / Year

Composite Quality Rankings

#6,877
of 14,703
National
Top 47%
#451
TX State
Top 38% in TX
#1
of 2
️ Bandera County
Best in county
#1
of 2
️ Bandera
Best in city
#1
of 2
ZIP 78003
Best in ZIP

Nationally, Avir At Bandera ranks 6877th out of 14,703 facilities (composite score: 73.1/100), placing it in the above average nationwide. Within TX, it ranks 451st out of 1,177 nursing homes. In Bandera, it ranks 1st out of 2 facilities. Among facilities sharing its ZIP code, it ranks 1st of 2. For 2026 staffing: total nurse hours rank #13,894 nationally and RN hours rank #9,163 nationally (#322 in TX).

How do we calculate these rankings?

Total Nurse Staffing – Year-by-Year National and State Ranks

Year Hours/Day National Rank TX State Rank Note
2022 2.99 #11,810 / 14,703 #801 / 1,177 ⚠️ Bottom 25%
2023 3.14 #10,975 / 14,703 #673 / 1,177 Below average
2024 2.79 #13,372 / 14,703 #951 / 1,177 ⚠️ Bottom 10%
2025 2.78 #13,689 / 14,703 #1,040 / 1,177 ⚠️ Bottom 10%
2026 2.65 #13,894 / 14,703 #1,079 / 1,177 ⚠️ Bottom 10%

Registered Nurse (RN) Hours – Year-by-Year National and State Ranks

Year Hours/Day National Rank TX State Rank Note
2022 0.29 #12,632 / 14,703 #724 / 1,177 ⚠️ Bottom 25%
2023 0.34 #11,405 / 14,703 #495 / 1,177 ⚠️ Bottom 25%
2024 0.32 #12,046 / 14,703 #604 / 1,177 ⚠️ Bottom 25%
2025 0.28 #12,872 / 14,703 #807 / 1,177 ⚠️ Bottom 25%
2026 0.48 #9,163 / 14,703 #322 / 1,177 Below average

Total Nurse Rank – National (lower number = better)

Registered Nurse Rank – National (lower number = better)

Frequently Asked Questions

Avir At Bandera is certified as a Medicare and Medicaid facility and has been approved to provide these services since 2009-09-02. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (830) 796-4077 or your local Medicaid office to verify current eligibility.

Avir At Bandera holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 3 out of 5 stars. This is made up of three components: Health Inspection (2★), Staffing (2★), and Quality of Resident Care (5★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 73.1/100, placing it #6877 of 14703 facilities nationally and #451 of 1177 in Texas. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Avir At Bandera receives a reported average of 2 hours 39 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 29 minutes; Licensed Practical Nurse (LPN) — 34 minutes; Nurse Aide — 1 hour 36 minutes. On weekends, total nurse staffing is 2 hours 26 minutes per resident per day. The CMS Staffing Rating for this facility is 2 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 66.7%. Families are encouraged to ask about current staffing schedules during their facility visit.

In the current reporting period, the facility received 2 fine(s) totaling $100,293. 9 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 2 fine(s) totaling $100,293, and 0 Medicare payment denial(s). Total penalties: 2. The Total Weighted Health Survey Score is 133.75 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Avir At Bandera ranks 6877th out of 14,703 facilities (composite score: 73.1/100), placing it in the above average nationwide. Within TX, it ranks 451st out of 1,177 nursing homes. In Bandera, it ranks 1st out of 2 facilities. Among facilities sharing its ZIP code, it ranks 1st of 2. For 2026 staffing: total nurse hours rank #13,894 nationally and RN hours rank #9,163 nationally (#322 in TX). Our composite quality score of 73.1/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Bandera, visit: https://nursinghomesnearme.org/texas/bandera/

Contact and Location

ADR
Address

222 FM 1077, Bandera, TX 78003
Get directions on Google Maps

TEL
LLC
Legal Name

HAMILTON COUNTY HOSPITAL DISTRICT

MAP
Browse by Location

All Texas ·
Bandera County ·
Bandera ·
ZIP 78003

Facility Details

Number of Certified Beds 118
Average Residents / Day 82 (70% occupancy)
Ownership Type For profit – Partnership
Provider Type Medicare and Medicaid
County Bandera County, TX
City Bandera, TX
ZIP Code 78003
Approved Since September 2, 2009
Resident Council ✅ Yes
Automatic Sprinklers ✅ All required areas
Ownership Changed (12 mo.) No
CMS Certification Number 676233
Data Processing Date March 1, 2026
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.
Data: CMS Nursing Home Compare – Processing Date: 2026-03-01 –
Rankings across 14703 U.S. facilities –
Ranking Methodology
NursingHomesNearMe.org

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