Avir At Boerne
1102 RIVER ROAD, Boerne, TX, 78006
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: Avir Health Group
- Certified beds
- 96 · avg 63 residents/day
- Total nursing staff turnover
- 62.7% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 60% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 4 fines · $156,748 total
State licensing & capacity
- License number
- 312432
- Service type
- Medicare/medicaid
- Licensed capacity
- 96 beds
- Bed type breakdown
- 13 Medicare-only · 83 Medicaid/Medicare
- Current license effective
- April 1, 2025
- Current license expires
- April 1, 2026
- Initial license date
- June 15, 1994
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- 1102 River Road Opco Llc (Limited Liability Company (LLC))
- Operator / manager
- Thcm, Llc
- Administrator
- V Edward Foley1
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Avir Health Group chain — 90 facilities. Chain-wide average overall rating 2.3 / 5.
Parent entity
tx Snf Holdings ,llc
Disclosed owners (15 on record)
- 1102 River Road Holdings Llc
5% or Greater Direct Ownership Interest · 100% · since 2025
- 1102 River Road Property Owner LlcREIT
5% or Greater Security Interest · 100% · since 2025
- Aaron Travitsky
5% or Greater Indirect Ownership Interest · 10% · since 2025
- Abraham Goldberger
5% or Greater Indirect Ownership Interest · 65% · since 2025
- Amitai Dagan
5% or Greater Indirect Ownership Interest · 10% · since 2025
- Ana tx Holdings, Llc
5% or Greater Indirect Ownership Interest · 35% · since 2025
+ 9 additional owners on the federal record.
Recent change of ownership
April 2025 (1 year ago) · acquired from Riverview Nursing & Rehabilitation
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 37)
- E0921·Mar 7, 2025
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- E0908·Mar 7, 2025
Environmental Deficiencies
Keep all essential equipment working safely.
- D0880·Mar 7, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- C0814·Mar 7, 2025
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
- D0813·Mar 7, 2025
Nutrition and Dietary Deficiencies
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
- E0812·Mar 7, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0804·Mar 7, 2025
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- D0684·Mar 7, 2025
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Federal penalties
By year
- 20243 fines · $116K
- 20231 fine · $41K
Most recent events
- Aug 19, 2024Fine · $78K
- Mar 8, 2024Fine · $17K
- Jan 13, 2024Fine · $20K
- Sep 1, 2023Fine · $41K
Largest single fine on record: $78K.
Fire-safety citations
12 Life-Safety-Code citations on file. Most recent: Mar 7, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Avir At Boerne is a 96-bed nursing home in Boerne, Texas, operated by Avir Health Group. CMS rates it 2 stars overall, with a 1-star health inspection rating. Four fines totaling $156,748 have been levied, and about 6 in 10 nursing staff left in the past year. The facility is running at roughly 66% of licensed capacity. Quality-of-care outcome measures rate 5 stars.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing 2 stars here. Each resident receives about 227 minutes of nursing care per day — roughly 14 minutes less than at a 4-star-staffing facility in Texas. Of that, registered nurses contribute only 20 minutes per resident per day, compared to 37 minutes at a 4-star-staffing Texas facility.
About 6 in 10 nursing staff left in the past year — a high rate relative to Texas peers. A long-stay resident will likely go through two or three primary caregivers over the course of a year.
One administrator has turned over in the past year. That level of leadership change can affect consistency in care coordination and day-to-day operations.
Four CMS fines totaling $156,748 have been assessed. The state median for Texas nursing homes that receive any fines at all is about $20,699; this facility's total is roughly 7.5 times that figure. About 30% of Texas nursing homes have received no fines.
The facility is operating at roughly 66% of its 96 licensed beds. Sixty-three residents per day on average occupy a home licensed for 96.
CMS rates quality-of-care outcome measures at 5 stars for long-stay residents — the highest rating available — while the overall CMS rating stands at 2 stars and the health inspection rating at 1 star.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Health inspection findings
Ask what the 1-star health inspection rating reflects — specifically which deficiencies were cited and what corrective steps have been completed.
Four fines totaling $156,748
Ask what violations triggered these fines and whether CMS has verified that the underlying problems have been resolved.
Nursing staff turnover rate
With roughly 6 in 10 nursing staff leaving last year, ask how the facility assigns consistent caregivers to individual residents.
Administrator change this year
Ask who the current administrator is, how long they have been in the role, and how leadership transitions are communicated to residents and families.
Lower-than-expected occupancy
The facility is at about 66% of licensed capacity — ask whether bed availability reflects recent admissions slowdowns, staffing constraints, or other operational factors.
5-star outcomes alongside low inspection rating
Ask how the facility achieves top-rated quality-of-care outcome measures for long-stay residents while holding a 1-star health inspection rating.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.