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Data / Nursing homes / Texas / Avir at New Braunfels

Avir at New Braunfels, New Braunfels, TX: 1 star rating, fined $158,095 across 5 fines and had 1 payment denial

Avir at New Braunfels in New Braunfels, TX is owned by 821 US Highway 81 W Holdings LLC, is rated 1 of 5 stars by Medicare, and was fined $158,095 across 5 fines and had 1 payment denial in the three years to October 1, 2026. CMS lists 47 health citations from inspections in that time, the latest survey on July 10, 2026, and 5 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.

Watch this facility's inspections and finesGet every facility this owner runsGet nursing homes in Texas
Address
821 Us Hwy 81 W, New Braunfels, TX 78130
Overall rating
1 of 5 stars
Health inspection rating
1 of 5
Staffing rating
1 of 5
Quality measure rating
4 of 5
Certified beds
154
Residents per day
138 on average
Ownership type
For profit, limited liability company
Legal business name
821 US Highway 81 W OPCO LLC
Chain
Avir Health Group, 118 facilities
Abuse icon
CMS shows an abuse icon on Care Compare
Fines
$158,095 across 5 fines, three years to October 1, 2026
Payment denials
1
Health citations
47, of which 5 with actual harm or immediate jeopardy
Latest survey
July 10, 2026
CMS Certification Number
455020
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
April 24, 2026Fine$10,631Not listeddata.cms.gov
August 29, 2025Fine$11,901Not listeddata.cms.gov
December 22, 2024Fine$83,564Not listeddata.cms.gov
May 8, 2024Fine$43,687Not listeddata.cms.gov
December 2, 2023Fine$8,312Not listeddata.cms.gov
December 2, 2023Payment denialNot listedDecember 29, 20235data.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
July 10, 2026F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 31, 2026data.cms.gov
May 23, 2026F680Ensure the activities program is directed by a qualified professional.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 21, 2026data.cms.gov
May 15, 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 14, 2026data.cms.gov
May 15, 2026F800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 14, 2026data.cms.gov
May 15, 2026F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 14, 2026data.cms.gov
April 24, 2026F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.J: isolated, immediate jeopardyPast noncompliancedata.cms.gov
January 30, 2026F840Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 4, 2026data.cms.gov
January 30, 2026F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 31, 2026data.cms.gov
January 30, 2026F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 31, 2026data.cms.gov
December 31, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 1, 2026data.cms.gov
December 31, 2025F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 1, 2026data.cms.gov
December 31, 2025F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 1, 2026data.cms.gov
December 31, 2025F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 1, 2026data.cms.gov
December 31, 2025F732Post nurse staffing information every day.C: widespread, minimal harm potentialCorrectedJanuary 1, 2026data.cms.gov
December 31, 2025F695Provide safe and appropriate respiratory care for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 1, 2026data.cms.gov
December 31, 2025F558Reasonably accommodate the needs and preferences of each resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 1, 2026data.cms.gov
November 24, 2025F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 24, 2025data.cms.gov
November 24, 2025F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 26, 2025data.cms.gov
November 24, 2025F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 26, 2025data.cms.gov
November 24, 2025F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 26, 2025data.cms.gov
August 29, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J: isolated, immediate jeopardyCorrectedAugust 30, 2025data.cms.gov
August 29, 2025F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 26, 2025data.cms.gov
August 29, 2025F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 26, 2025data.cms.gov
August 29, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 26, 2025data.cms.gov
August 29, 2025F638Assure that each resident’s assessment is updated at least once every 3 months.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 30, 2025data.cms.gov
August 29, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 26, 2025data.cms.gov
August 13, 2025F921Make 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 harmCorrectedSeptember 30, 2025data.cms.gov
July 10, 2025F690Provide 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 harmCorrectedAugust 10, 2025data.cms.gov
July 10, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 10, 2025data.cms.gov
March 10, 2025F679Provide activities to meet all resident's needs.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 10, 2025data.cms.gov
January 30, 2025F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 30, 2025data.cms.gov
December 22, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.K: pattern, immediate jeopardyCorrectedDecember 23, 2024data.cms.gov
December 22, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 23, 2024data.cms.gov
June 28, 2024F921Make 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 harmCorrectedJuly 31, 2024data.cms.gov
June 28, 2024F908Keep all essential equipment working safely.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 7, 2024data.cms.gov
June 28, 2024F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 31, 2024data.cms.gov
June 28, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 31, 2024data.cms.gov
June 28, 2024F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 31, 2024data.cms.gov
June 28, 2024F656Develop 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 harmCorrectedJuly 31, 2024data.cms.gov
June 28, 2024F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 31, 2024data.cms.gov
May 8, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J: isolated, immediate jeopardyCorrectedMay 16, 2024data.cms.gov
May 8, 2024F602Protect each resident from the wrongful use of the resident's belongings or money.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 16, 2024data.cms.gov
December 2, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J: isolated, immediate jeopardyCorrectedJanuary 3, 2024data.cms.gov
December 2, 2023F842Safeguard 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 harmPast noncomplianceSeptember 1, 2023data.cms.gov
December 2, 2023F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.D: isolated, no actual harm, potential for more than minimal harmPast noncomplianceSeptember 1, 2023data.cms.gov
December 2, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 3, 2024data.cms.gov
December 2, 2023F580Immediately 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 harmPast noncomplianceSeptember 1, 2023data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 5 individual or personal trusts (3 managers, 2 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
821 US Highway 81 W Holdings LLCDirect owner100%October 1, 2025data.cms.gov
821 US Highway 81 W 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.