Nursing home report
BANDERA, TX · Medicare-certified · 118 beds
AVIR AT BANDERA in Bandera, TX has a 1 out of 5 overall rating, with weak staffing at 2.40 nurse hours per resident per day versus the 4.1 federal benchmark and a recent federal penalty. It also has $86,444 in fines over the last 24 months, while its health inspection rating is 2 stars and quality measures are 4 stars.
Health inspections
Staffing
2.3974 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.3974.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The home failed to provide proper bladder and bowel care, including catheter care and steps to prevent urinary tract infections. Cited April 2025 — limited pattern, immediate jeopardy to residents.
F-Tag 690 — 42 CFR §483.25(e) — S/S: K
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited June 2024 — isolated incident, immediate jeopardy to residents.
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to safeguard residents’ private information and keep each resident’s medical records properly maintained. Cited January 2024 — widespread issue, potential for harm.
F-Tag 842 — 42 CFR §483.70 — S/S: F
The home failed to make sure the resident and doctor met face-to-face at all required visits. Cited January 2024 — widespread issue, potential for harm.
F-Tag 712 — 42 CFR §483.30 — S/S: F
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited May 2026 — limited pattern, potential for harm.
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: E
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 7 health deficiencies.
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 1 health deficiency.
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 1 health deficiency.
Health inspection found 2 health deficiencies.
A federal fine of $86,444 was recorded.
Health inspection found 4 health deficiencies.
A federal fine of $13,849 was recorded.
On record with Medicare: 2 fines · $100,293 in total fines.
Federal fine
Mar 21, 2025
Federal fine
Jun 20, 2024
Now operated by Avir at Bandera, previously Bandera Nursing & Rehab Center.
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.
