Avir at New Braunfels, New Braunfels, Texas
- 54
- Citations from health inspectionsTexas average: 28 a home
- 5
- Residents harmed or put in dangerTexas average: 2.3 a home
- $158,095
- Fines from the federal governmentTexas average: $44,141 a home
- 1 out of 5
- Overall rating in starsTexas average: 2.7
The figures come from Medicare Care Compare files released October 8, 2026 by CMS, the federal Medicare agency. The citations span each home's three most recent inspection cycles plus their complaint visits, going back to March 2017 at the earliest; the fines span about three years, beginning September 2023. Browse the CMS files
17 inspection visits produced 54 citations. Residents were in immediate danger in five findings. Federal fines came to $158,095 (five fines). Once, Medicare stopped paying for new admissions.
The CMS abuse icon is shown for this home. Care Compare adds it after a citation for abuse or neglect. Either a resident was harmed recently, or harm could have resulted over two inspections in a row.
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- The home's overall star rating
- 1 out of 5
- Rating for health inspections
- 1 out of 5
- Rating for staffing
- 2 out of 5
- Rating for quality of care
- 3 out of 5
- Nurse time for each resident
- 3.36 hours each dayThe Texas average is 3.39 hours
- Time from registered nurses
- 0.23 hours each dayThe Texas average is 0.43 hours
- Nursing staff who left during one year
- 73.7%against the Texas average of 55.3%
- Beds that are certified
- 154
- Ownership
- Limited Liability company (for profit)
- Chain
- Avir Health Group, with 118 homes
- Street address
- 821 US Hwy 81 W, New Braunfels, Texas 78130
- County
- Comal
Each inspection's citations
Every citation marks a federal rule inspectors found broken, along with its seriousness and the number of residents affected.
One citation dated July 10, 2026
- F628 Required Transfer Paperwork and Notices: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
One citation dated May 23, 2026
- F680 Qualified Activities Director: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
Three citations dated May 15, 2026
- F804 Food Taste and Temperature: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F800 Nutritious, Tasty, Balanced Meals: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F550 Dignity and Resident Rights: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
One citation dated April 24, 2026
- F600 Freedom From Abuse and Neglect: immediate danger to residents, one or a few residents, found on a complaint visit.
Three citations dated Jan. 30, 2026
- F840 Outside Professionals When Needed: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F550 Dignity and Resident Rights: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Seven citations dated Dec. 31, 2025
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F804 Food Taste and Temperature: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F801 Qualified Kitchen and Dietitian Staff: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F732 Post Daily Nurse Staffing Information: minimal risk to residents, widespread, found on a complaint visit.
- F695 Breathing and Oxygen Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F558 Meeting Residents' Needs and Preferences: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Four citations dated Nov. 24, 2025
- F921 A Safe, Clean Building: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F644 Coordinate Assessments With Mental Health Screening Program: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Six citations dated Aug. 29, 2025
- F880 Infection Prevention and Control: risk of harm, no one found hurt, a pattern, several residents.
- F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, one or a few residents.
- F755 Pharmacy Services: risk of harm, no one found hurt, one or a few residents.
- F689 Accident Hazards and Supervision: immediate danger to residents, one or a few residents.
- F638 Update Assessments Every Three Months: risk of harm, no one found hurt, one or a few residents.
- F550 Dignity and Resident Rights: risk of harm, no one found hurt, one or a few residents.
One citation dated Aug. 13, 2025
- F921 A Safe, Clean Building: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
Two citations dated July 10, 2025
One citation dated March 10, 2025
- F679 Activities That Meet Every Resident's Needs: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
One citation dated Jan. 30, 2025
- F880 Infection Prevention and Control: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Two citations dated Dec. 22, 2024
Seven citations dated June 28, 2024
- F921 A Safe, Clean Building: risk of harm, no one found hurt, a pattern, several residents.
- F908 Keep Essential Equipment Working Safely: risk of harm, no one found hurt, a pattern, several residents.
- F880 Infection Prevention and Control: risk of harm, no one found hurt, one or a few residents.
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, a pattern, several residents.
- F801 Qualified Kitchen and Dietitian Staff: risk of harm, no one found hurt, a pattern, several residents.
- F656 A Complete Care Plan: risk of harm, no one found hurt, a pattern, several residents.
- F655 Baseline Care Plan at Admission: risk of harm, no one found hurt, one or a few residents.
Two citations dated May 8, 2024
- F689 Accident Hazards and Supervision: immediate danger to residents, one or a few residents, found on a complaint visit.
- F602 Protect Residents' Money and Belongings From Misuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Five citations dated Dec. 2, 2023
- F842 Medical Records and Privacy: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F726 Nurses and Aides Have Needed Skills: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F689 Accident Hazards and Supervision: immediate danger to residents, one or a few residents, found on a complaint visit.
- F657 Updating the Care Plan on Time: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F580 Telling the Family About a Change: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Seven citations dated April 14, 2023
- F944 Staff Training on Quality Improvement Program: risk of harm, no one found hurt, a pattern, several residents.
- F880 Infection Prevention and Control: risk of harm, no one found hurt, a pattern, several residents.
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, a pattern, several residents.
- F803 Menus That Meet Nutrition Needs: risk of harm, no one found hurt, a pattern, several residents.
- F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents.
- F636 Complete Assessments at Admission and Yearly: risk of harm, no one found hurt, one or a few residents.
- F583 Keep Resident Records Private: risk of harm, no one found hurt, one or a few residents.
Payment Denials and Fines
| Date | Penalty | Amount |
|---|---|---|
| April 24, 2026 | Fine | $10,631 |
| Aug. 29, 2025 | Fine | $11,901 |
| Dec. 22, 2024 | Fine | $83,564 |
| May 8, 2024 | Fine | $43,687 |
| Dec. 2, 2023 | Fine | $8,312 |
| Dec. 2, 2023 | Payment denial for new admissions | five days |
Ownership and Management of the Home
- The direct 100% owner is 821 US Highway 81 W Holdings LLC.
The CMS Care Compare files, updated every month, provide provider information, health deficiencies, penalties, and ownership. The CMS certification number is 455020. Other homes in Texas.