Avir At Bandera
222 FM 1077, Bandera, TX, 78003-4765
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 - Partnership · Chain: Avir Health Group
- Certified beds
- 118 · avg 83 residents/day
- Total nursing staff turnover
- 66.7% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 28.6% — lower than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $100,293 total
State licensing & capacity
- License number
- 307397
- Service type
- Medicare/medicaid
- Licensed capacity
- 118 beds
- Bed type breakdown
- 19 Medicare-only · 99 Medicaid/Medicare
- Current license effective
- October 7, 2025
- Current license expires
- April 1, 2028
- Initial license date
- September 2, 2009
Texas HHS licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Hamilton County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- 222 Fm 1077 Opco Llc
- Administrator
- Mariah Dominguez
Texas HHS licensing registry · as of April 16, 2026
About this community
Avir At Bandera is a 118-bed nursing home in Bandera County, Texas, operated under the Avir Health Group chain and managed by 222 Fm 1077 Opco Llc. CMS rates it 3 stars overall, with a 2-star health inspection rating and 2-star staffing rating, offset by a 5-star quality measures rating. Two CMS fines totaling $100,293 have been issued. The facility is running at about 70% of licensed capacity, with 82 of 118 beds occupied on an average day.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here 2 stars. Each resident receives about 159 minutes of nursing care per day — roughly 82 minutes less than at a 4-star-staffing facility in Texas, which sits at 241 minutes. Residents here need more hands-on care than at a typical facility — sicker, or less mobile on average — so those 159 minutes stretch thinner than the raw number suggests. About 32% of Texas nursing homes share this staffing rating.
Roughly 7 in 10 nursing staff left in the past year — above the Texas 75th-percentile cutoff of 60%, meaning turnover here exceeds at least three-quarters of nursing homes in the state. A long-stay resident will likely go through two or three primary caregivers over the course of a year. RN turnover is a different picture: about 3 in 10 registered nurses left, which falls below the state's 25th-percentile cutoff — better than about three-quarters of Texas nursing homes on that specific measure.
Two CMS fines totaling $100,293 have been assessed. The state median fine total across penalized Texas nursing homes is $20,699, and about 30% of Texas facilities have no fines at all. This facility's fine total is roughly five times the state median.
The facility is operating at approximately 70% of its 118 licensed beds, with an average daily census of about 83 residents. That level of vacancy, alongside the staffing and fine signals, is a combination worth examining directly with the facility.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing hours on weekends
Weekend nursing hours here average 2.43 hours per resident per day — lower than the already-below-average weekday figure; ask how staffing levels are maintained Saturday and Sunday.
Details behind the two CMS fines
Two fines totaling $100,293 have been issued; ask what deficiencies triggered them and what specific changes were made in response.
High nursing staff turnover
About 7 in 10 nursing staff left in the past year; ask what drove that rate and how the facility is currently recruiting and retaining direct-care staff.
Why occupancy sits at 70%
Only about 83 of 118 beds are filled on a typical day; ask whether that reflects a recent ownership or operational transition, or something else.
Resident and family council activity
Both a Resident Council and a Family Council are listed; ask how often each meets and how concerns raised there have led to visible changes.
Care planning for higher-needs residents
Residents here require more hands-on care than at a typical facility; ask how care plans are reviewed and updated as a resident's needs change over time.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHS 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.