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Data / Nursing homes / Texas / Avir at Bandera

Avir at Bandera, Bandera, TX: 1 star rating, fined $100,293 across 2 fines

Avir at Bandera in Bandera, TX is run by Hamilton County Hospital District, with no owner listed in the CMS ownership file, is rated 1 of 5 stars by Medicare, and was fined $100,293 across 2 fines in the three years to October 1, 2026. CMS lists 20 health citations from inspections in that time, the latest survey on May 22, 2026, and 2 of them found actual harm or immediate jeopardy.

SpecStream is the live web data engine for teams and agents. It reads the CMS nursing home files every month, and this page is that reading, joined on the CMS Certification Number. Ask for the nursing homes you track by state, owner or rating and new inspection citations and fines arrive in your sheet, CRM, Slack or agent as CMS publishes them.

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Address
222 FM 1077, Bandera, TX 78003
Overall rating
1 of 5 stars
Health inspection rating
2 of 5
Staffing rating
1 of 5
Quality measure rating
4 of 5
Certified beds
118
Residents per day
74 on average
Ownership type
For profit, corporation
Legal business name
Hamilton County Hospital District
Chain
Avir Health Group, 118 facilities
Fines
$100,293 across 2 fines, three years to October 1, 2026
Payment denials
0
Health citations
20, of which 2 with actual harm or immediate jeopardy
Latest survey
May 22, 2026
CMS Certification Number
676233
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
March 21, 2025Fine$86,444Not listeddata.cms.gov
June 20, 2024Fine$13,849Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
May 22, 2026F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 16, 2026data.cms.gov
May 22, 2026F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 16, 2026data.cms.gov
May 22, 2026F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 16, 2026data.cms.gov
May 22, 2026F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 16, 2026data.cms.gov
May 22, 2026F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 16, 2026data.cms.gov
May 22, 2026F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 16, 2026data.cms.gov
May 22, 2026F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 16, 2026data.cms.gov
April 23, 2026F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 7, 2026data.cms.gov
February 7, 2026F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 20, 2026data.cms.gov
April 5, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.K: pattern, immediate jeopardyCorrectedApril 6, 2025data.cms.gov
April 5, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 6, 2025data.cms.gov
March 21, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 22, 2025data.cms.gov
March 21, 2025F679Provide activities to meet all resident's needs.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 22, 2025data.cms.gov
March 21, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 22, 2025data.cms.gov
March 21, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 22, 2025data.cms.gov
February 20, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 21, 2025data.cms.gov
June 20, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J: isolated, immediate jeopardyPast noncomplianceJune 5, 2024data.cms.gov
January 27, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedJanuary 28, 2024data.cms.gov
January 27, 2024F712Ensure that the resident and his/her doctor meet face-to-face at all required visits.F: widespread, no actual harm, potential for more than minimal harmCorrectedJanuary 28, 2024data.cms.gov
January 27, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 28, 2024data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 9 individual or personal trusts (3 managers, 4 officers, directors or trustees, 2 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
222 FM 1077 OPCO, LLCOperational or managerial controlNot listedOctober 1, 2025data.cms.gov
222 FM 1077 OPCO, LLCAdditional disclosable partyNot listedMarch 10, 2026data.cms.gov
222 FM 1077 Property Owner, LLCAdditional disclosable partyNot listedOctober 1, 2025data.cms.gov
Welltower IncAdditional disclosable partyNot listedOctober 1, 2025data.cms.gov
Welltower NNN Group, LLCAdditional disclosable partyNot listedOctober 1, 2025data.cms.gov
Welltower OP LLCAdditional disclosable partyNot listedOctober 1, 2025data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.