The nursing home failed to protect residents from abuse and neglect by others. Cited December 2024 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: K
Nursing home report
Avir at New Braunfels
New Braunfels, TX · Medicare-certified · 154 beds
Needs attention
Abuse citationNew ownership (past 12 mo)For-profitChain member
Data as of July 1, 2026
1 of 5 overall
Avir at New Braunfels has a 1 out of 5 overall rating, with a 1-star health inspection rating, 2-star staffing, and 3-star quality measures. It reports 3.36 nurse staffing hours per resident per day versus the 4.1 federal benchmark, $111,820 in fines over the last 24 months, and a recent abuse citation.
Facility ratings
Health inspections
Staffing
3.3572 hrs/resident/day
Quality measures
Last inspection: May 23, 2026Penalties, last 24 months: $111,820recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3572.
Staffing detail
- Registered nurses
- 0.23
- Licensed practical nurses
- 0.98
- Nurse aides
- 2.15
- Weekend nursing
- 3.03
Hours per resident per day.
Total staff turnover: 74%
Registered nurse turnover: 71%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
10.5%14.9%Worsening
Residents with a fall causing major injury
1.7%3.3%Worsening
Residents with pressure ulcers (bedsores)
1.7%2%No change
Residents with a urinary tract infection
0.9%0%Improving
Residents who lost too much weight
2.2%0%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
32.9%11.9%Improving
Residents whose ability to walk got worse
42.8%13.9%Improving
Long-stay residents on antianxiety or sleep medication
41.3%43.4%Worsening
Short-stay residents newly given an antipsychotic
—2.2%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
14.9%7.8%Improving
Residents with depressive symptoms
2.2%2.6%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%99.2%Worsening
Short-stay residents given the seasonal flu vaccine
—100%—
Short-stay residents given the pneumonia vaccine
97%98.1%Improving
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited August 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The nursing home failed to make sure its activities program was led by a qualified professional. Cited May 2026 — limited pattern, potential for harm.
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F-Tag 680 — 42 CFR §483.24 — S/S: E
The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited May 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 550 — 42 CFR §483.10(a) — S/S: E
The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited May 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 804 — 42 CFR §483.60 — S/S: E
Recent history
- OWNERSHIP
The facility reported a change in ownership in the past 12 months.
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
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- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- PENALTY
A federal fine of $16,355 was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $11,901 was recorded.
- PENALTY
A federal fine of $11,700 was recorded.
- PENALTY
A federal fine of $83,564 was recorded.
- PENALTY
A federal fine of $43,687 was recorded.
Penalties & enforcement
On record with Medicare: 5 fines · $163,819 in total fines · 1 payment denial.
- $16,355
Federal fine
Apr 24, 2026
- $11,901
Federal fine
Aug 29, 2025
- $83,564
Federal fine
Dec 22, 2024
- $43,687
Federal fine
May 8, 2024
- 5 days
Medicare/Medicaid payment denial
Dec 2, 2023
- $8,312
Federal fine
Dec 2, 2023
Operator & ownership
Recent ownership change · Oct 1, 2025
Now operated by Avir at New Braunfels, previously Colonial Manor Care Center.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of AVIR HEALTH GROUP · 119 homes · 2.3 stars avg
- Occupancy
- 129.6 residents on an average day (84% of 154 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 50 years
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.