Avir at Bandera: Staffing, Turnover, and Inspection Record
Avir at Bandera is a 118-bed for-profit nursing home in Bandera, Texas, part of Avir Health Group. In the CMS August 2026 release it reported 1.54 nurse aide hours per resident per day, 23% below the Texas average of 2.00, and 56.7% nursing staff turnover (Texas average 55.3%).
Avir at Bandera
222 FM 1077Bandera, TX 78003
Bandera County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Avir at Bandera, nurse aides logged 1.54 hours per resident per day, 23% below the Texas average. With about 83 residents a day, that works out to roughly 128 aide hours a day, or about 16 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 10% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.54 | 2.00 | 2.32 |
| Licensed practical nurses | 0.49 | 0.95 | 0.86 |
| Registered nurses | 0.36 | 0.43 | 0.69 |
| All nursing staff | 2.40 | 3.39 | 3.86 |
| All nursing staff, weekends | 2.16 | 2.98 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
56.7% of nursing staff at Avir at Bandera left over the year CMS measured, against a Texas average of 55.3% and a US average of 45.8%. Registered nurse turnover was 80.0%. 1 administrator left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on May 22, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 9 health deficiencies (Texas average 9.3). CMS lists 2 fines totaling $100,293 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Mar 21, 2025 | Fine | $86,444 |
| Jun 20, 2024 | Fine | $13,849 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Avir at Bandera holds 1 of 5 overall; the Texas average is 2.6.
About Avir at Bandera
- Ownership: For profit - Corporation
- Chain: Avir Health Group, 116 homes
- Legal name: Hamilton County Hospital District
- Medicare and Medicaid certified since: Sep 2, 2009
- Located inside a hospital
- Councils: resident council
- Area: urban
Nursing homes near Avir at Bandera
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Cedar Creek Nursing and Rehabilitation Center Bandera | 1.3 | 62 | 1.64 | 3.35 | 94.4% | 2 | None |
| Avir at Comfort Comfort | 19.9 | 76 | 1.89 | 3.77 | 59.4% | 5 | None |
| Kendall House Wellness & Rehabilitation Boerne · staffing data not validated | 20.3 | 40 | — | — | 68.1% | 3 | $88,390 |
| Town and Country Nursing and Rehabilitation Center Boerne | 20.7 | 126 | 1.87 | 3.33 | 65.9% | 1 | $150,922 |
| Carechoice of Boerne Boerne | 20.7 | 74 | 1.35 | 2.70 | 41.2% | 2 | $33,937 |
| River Hills Health and Rehabilitation Center Kerrville | 20.8 | 150 | 1.83 | 3.11 | 75.9% | 1 | $112,133 |
| Avir at Boerne Boerne | 21.5 | 96 | 2.08 | 3.17 | 67.7% | 1 | $133,341 |
| Cibolo Creek Boerne | 21.5 | 120 | 1.54 | 3.00 | 60.8% | 2 | $13,627 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.