Nursing homeActive
Avir At Bandera
222 Fm 1077, Bandera, TX 780038307964077118 certified beds · 83 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
8
since 2024
Deficiencies
20
● 0● 18● 2
Penalties · 3 yrs
$100,293
2 fines
Last survey
2026-05-22
Standard
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 2
Staffing 1
Quality 4
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Texas Health and Human Services Commission · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-05-22 | Standard | 070 | CMS-2567 (Care Compare) | — |
| 2026-04-23 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2026-02-07 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-04-05 | Complaint | 011 | CMS-2567 (Care Compare) | — |
| 2025-03-21 | Standard | 040 | CMS-2567 (Care Compare) | — |
| 2025-02-20 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-06-20 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2024-01-27 | Standard | 030 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Texas Health and Human Services Commission publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-06-16Record 676233-20260522-F656
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity EStandard
Care planningFalls
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-06-16Record 676233-20260522-F689
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-16Record 676233-20260522-F690
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-06-16Record 676233-20260522-F804
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-16Record 676233-20260522-F812
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-06-16Record 676233-20260522-F880
F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Scope/severity EStandard
Environment
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-06-16Record 676233-20260522-F921
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-07Record 676233-20260423-F812
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-20Record 676233-20260207-F609
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity KHarm
Care planning
Pattern; immediate jeopardy to resident health or safety.Corrected 2025-04-06Record 676233-20250405-F690
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-06Record 676233-20250405-F580
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-03-22Record 676233-20250321-F656
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-22Record 676233-20250321-F677
F679Provide activities to meet all resident's needs.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-03-22Record 676233-20250321-F679
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-03-22Record 676233-20250321-F684
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-21Record 676233-20250220-F842
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity JHarm
Care planningFalls
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-06-05Record 676233-20240620-F689
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-01-28Record 676233-20240127-F677
F712Ensure that the resident and his/her doctor meet face-to-face at all required visits.Scope/severity FStandard
Staffing
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-01-28Record 676233-20240127-F712
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity FStandard
Care planningRecords
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-01-28Record 676233-20240127-F842
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2025-03-21 | Civil money penalty | $86,444 | CMS · Penalties |
| 2024-06-20 | Civil money penalty | $13,849 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.36
Facility
Texas
National
Texas 0.43 · National 0.69
Total nurse hours per resident day2.40
Facility
Texas
National
Texas 3.39 · National 3.86
Weekend total nurse hours2.16
Facility
Texas
National
Texas 2.98 · National 3.42
Total nursing staff turnover57%
Facility
Texas
National
Texas 55% · National 46%
Registered nurse turnover80%
Facility
Texas
National
Texas 55% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Texas | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 3.3% | 3.8% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 5.2% | 3.3% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 4.8% | 9.6% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.7% | 0.8% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 14.4% | 15.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 0.4% | 3.0% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 13.8% | 18.0% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| 222 Fm 1077 Opco, LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Dominguez, Mariah Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Freund, Nochum Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Travitsky, Aaron Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| 222 Fm 1077 Opco, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| 222 Fm 1077 Property Owner, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Dagan, Amitai Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE | — | — |
| Dominguez, Mariah Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Goldberger, Abraham Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE | — | — |
| Goldberger, Faigy Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE | — | — |
| Hooper, Grady Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Jaafar, Saleh Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Welltower Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Welltower Nnn Group, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Welltower Op, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
Avir Health Group — 116 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Texas.
No county cost figures on file for Bandera.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Cedar Creek Nursing and Rehabilitation Center Bandera | 1.3 mi | 2026-05-29 | 0400 |
| Avir at Comfort Comfort | 19.9 mi | 2026-05-27 | 2110 |
| River Hills Health And Rehabilitation Center Kerrville | 20.8 mi | 2026-06-19 | 0446 |
| Avir at Kerrville Kerrville | 21.7 mi | 2026-07-01 | 3604 |
| Arbor View Nursing & Rehabilitation Kerrville | 22.6 mi | 2026-06-18 | 0426 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |