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Last checked October 26, 2026 · 2,911 nursing homes and 3,257 assisted living licenses in 5 states · CMS data processed September 1, 2026

Home › Texas › Comal County › Avir at New Braunfels

Avir at New Braunfels

821 Us Hwy 81 W, New Braunfels, TX 78130 · CMS Certification Number (CCN) 455020

CMS abuse icon

CMS shows the abuse icon when a nursing home was cited for abuse or neglect at the harm level or above (scope/severity G or higher) on its most recent inspection cycle, or at the potential-harm level (D or higher) on both of its two most recent cycles. CMS data dictionary

At a glance

CMS overall rating
★☆☆☆☆ 1 of 5
Health inspection citations
54 in the last 3 inspection cycles (5 immediate jeopardy, 0 actual harm, 34 from complaints)
Fire safety citations
21
Fines (last 3 years)
5 fines, total $158,095
Payment denials
1
Most recent standard inspection
August 29, 2025
Official record
Medicare Care Compare page for this facility

Source: CMS Nursing Home Provider Information: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

CMS star ratings

CMS rates every Medicare- and Medicaid-certified nursing home from 1 to 5 stars. Health inspection stars are relative to other homes in the same state: the top 10% get 5 stars and the bottom 20% get 1 star. CMS says to use the ratings together with other information, including a visit. Technical Users’ Guide

RatingThis facilityTexas averageU.S. average
Overall★☆☆☆☆ 1 of 52.73
Health inspections★☆☆☆☆ 1 of 52.82.8
Staffing★★☆☆☆ 2 of 51.92.9
Quality measures★★★☆☆ 3 of 53.73.6
Long-stay quality★★★☆☆ 3 of 5Not publishedNot published
Short-stay qualityNot published
Not enough data available to calculate a star rating.
Not publishedNot published

Averages: CMS State and US Averages: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Health inspections

Inspection cycleStandard survey dateHealth citationsFrom standard surveyFrom complaints
Cycle 1 (most recent)August 29, 202526620
Cycle 2June 28, 202421714

CMS weighted health inspection score: 262 (lower is better; it counts citation severity, complaints and repeat revisits). Citations from infection control inspections: Not published. How to read these citations

54 health citations across 17 inspection dates, newest first. The letter is CMS’s scope/severity code: A–C means potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, and J–L immediate jeopardy.

July 10, 2026: 1 citation (Complaint)
SeverityTagWhat was citedTypeStatus
D F-0628 Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 07/31/2026
May 23, 2026: 1 citation (Complaint)
SeverityTagWhat was citedTypeStatus
E F-0680 Ensure the activities program is directed by a qualified professional.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 06/21/2026
May 15, 2026: 3 citations (Complaint)
SeverityTagWhat was citedTypeStatus
E F-0804 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 06/14/2026
D F-0800 Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Nutrition and Dietary Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 06/14/2026
E F-0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 06/14/2026
April 24, 2026: 1 citation (Complaint)
SeverityTagWhat was citedTypeStatus
J F-0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint Past Non-Compliance
January 30, 2026: 3 citations (Complaint)
SeverityTagWhat was citedTypeStatus
D F-0840 Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.
Administration Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 02/04/2026
E F-0584 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 01/31/2026
D F-0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 01/31/2026
December 31, 2025: 7 citations (Complaint)
SeverityTagWhat was citedTypeStatus
E F-0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 01/01/2026
E F-0804 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 01/01/2026
E F-0801 Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Nutrition and Dietary Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 01/01/2026
D F-0761 Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 01/01/2026
C F-0732 Post nurse staffing information every day.
Nursing and Physician Services Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 01/01/2026
D F-0695 Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 01/01/2026
D F-0558 Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 01/01/2026
November 24, 2025: 4 citations (Complaint)
SeverityTagWhat was citedTypeStatus
D F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 12/24/2025
E F-0761 Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 11/26/2025
D F-0644 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 11/26/2025
D F-0584 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 11/26/2025
August 29, 2025: 6 citations (Standard)
SeverityTagWhat was citedTypeStatus
E F-0880 Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Standard Deficient, Provider has date of correction
Corrected 09/26/2025
D F-0761 Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies
Standard Deficient, Provider has date of correction
Corrected 09/26/2025
D F-0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Standard Deficient, Provider has date of correction
Corrected 09/26/2025
J F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Standard Deficient, Provider has date of correction
Corrected 08/30/2025
D F-0638 Assure that each resident’s assessment is updated at least once every 3 months.
Resident Assessment and Care Planning Deficiencies
Standard Deficient, Provider has date of correction
Corrected 08/30/2025
D F-0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Standard Deficient, Provider has date of correction
Corrected 09/26/2025
August 13, 2025: 1 citation (Complaint)
SeverityTagWhat was citedTypeStatus
E F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 09/30/2025
July 10, 2025: 2 citations (Complaint)
SeverityTagWhat was citedTypeStatus
D F-0690 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 08/10/2025
D F-0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 08/10/2025
March 10, 2025: 1 citation (Complaint)
SeverityTagWhat was citedTypeStatus
E F-0679 Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 04/10/2025
January 30, 2025: 1 citation (Complaint)
SeverityTagWhat was citedTypeStatus
D F-0880 Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 01/30/2025
December 22, 2024: 2 citations (Complaint)
SeverityTagWhat was citedTypeStatus
E F-0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 12/23/2024
K F-0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 12/23/2024
June 28, 2024: 7 citations (Standard)
SeverityTagWhat was citedTypeStatus
E F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies
Standard Deficient, Provider has date of correction
Corrected 07/31/2024
E F-0908 Keep all essential equipment working safely.
Environmental Deficiencies
Standard Deficient, Provider has date of correction
Corrected 08/07/2024
D F-0880 Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Standard Deficient, Provider has date of correction
Corrected 07/31/2024
E F-0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Standard Deficient, Provider has date of correction
Corrected 07/31/2024
E F-0801 Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Nutrition and Dietary Deficiencies
Standard Deficient, Provider has date of correction
Corrected 07/31/2024
E F-0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Standard Deficient, Provider has date of correction
Corrected 07/31/2024
D F-0655 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies
Standard Deficient, Provider has date of correction
Corrected 07/31/2024
May 8, 2024: 2 citations (Complaint)
SeverityTagWhat was citedTypeStatus
J F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 05/16/2024
D F-0602 Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 05/16/2024
December 2, 2023: 5 citations (Complaint)
SeverityTagWhat was citedTypeStatus
D F-0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies
Complaint Past Non-Compliance
Corrected 09/01/2023
D F-0726 Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and Physician Services Deficiencies
Complaint Past Non-Compliance
Corrected 09/01/2023
J F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 01/03/2024
D F-0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 01/03/2024
D F-0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies
Complaint Past Non-Compliance
Corrected 09/01/2023
April 14, 2023: 7 citations (Standard)
SeverityTagWhat was citedTypeStatus
E F-0944 Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Administration Deficiencies
Standard Deficient, Provider has date of correction
Corrected 04/28/2023
E F-0880 Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Standard Deficient, Provider has date of correction
Corrected 04/28/2023
E F-0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Standard Deficient, Provider has date of correction
Corrected 04/28/2023
E F-0803 Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nutrition and Dietary Deficiencies
Standard Deficient, Provider has date of correction
Corrected 04/28/2023
D F-0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Standard Deficient, Provider has date of correction
Corrected 04/28/2023
D F-0636 Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning Deficiencies
Standard Deficient, Provider has date of correction
Corrected 04/28/2023
D F-0583 Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies
Standard Deficient, Provider has date of correction
Corrected 04/28/2023

Source: CMS Health Deficiencies: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Fire safety inspections

21 fire safety citations across 3 inspection dates
DateSeverityTagWhat was citedStatus
08/29/2025CK-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Services Deficiencies
No revisit needed
08/29/2025EK-0355Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 09/26/2025
08/29/2025EK-0353Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 09/26/2025
08/29/2025FK-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Egress Deficiencies
Deficient, Provider has date of correction
Corrected 09/26/2025
08/29/2025FE-0032Provide primary/alternate means for communication.
Emergency Preparedness Deficiencies
Deficient, Provider has date of correction
Corrected 09/26/2025
08/29/2025FE-0004Develop and maintain an Emergency Preparedness Program (EP).
Emergency Preparedness Deficiencies
Deficient, Provider has date of correction
Corrected 09/26/2025
06/28/2024EK-0923Have proper medical gas storage and administration areas.
Gas, Vacuum, and Electrical Systems Deficiencies
Deficient, Provider has date of correction
Corrected 07/24/2024
06/28/2024EK-0920Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies
Deficient, Provider has date of correction
Corrected 07/24/2024
06/28/2024DK-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Miscellaneous Deficiencies
Deficient, Provider has date of correction
Corrected 07/24/2024
06/28/2024CK-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Services Deficiencies
Waiver has been granted
Corrected 06/27/2024
06/28/2024EK-0511Have properly installed electrical wiring and gas equipment.
Services Deficiencies
Deficient, Provider has date of correction
Corrected 07/31/2024
06/28/2024EK-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 07/24/2024
06/28/2024FK-0353Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 07/25/2024
06/28/2024EK-0351Install an approved automatic sprinkler system.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 07/25/2024
06/28/2024DK-0345Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 07/25/2024
06/28/2024EK-0341Install a fire alarm system that can be heard throughout the facility.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 07/29/2024
06/28/2024DK-0324Provide properly protected cooking facilities.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 07/24/2024
06/28/2024DK-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies
Deficient, Provider has date of correction
Corrected 07/26/2024
04/14/2023CK-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Services Deficiencies
Waiver has been granted
Corrected 04/14/2023
04/14/2023DK-0511Have properly installed electrical wiring and gas equipment.
Services Deficiencies
Deficient, Provider has date of correction
Corrected 04/29/2023
04/14/2023EK-0344Have an alternate power supply for its alarm system.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 04/14/2023

Automatic sprinklers in all required areas: Yes. CMS does not count fire safety citations in the health inspection star rating.

Source: CMS Fire Safety Deficiencies: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Penalties

DateTypeFine amountPayment denial
April 24, 2026Fine$10,631—
August 29, 2025Fine$11,901—
December 22, 2024Fine$83,564—
May 8, 2024Fine$43,687—
December 2, 2023Fine$8,312—
December 2, 2023Payment Denial—Starting December 29, 2023, 5 days

Source: CMS Penalties: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Staffing

MeasureThis facilityTexas averageU.S. average
Total nurse staff hours per resident per day3.363.393.86
Registered nurse (RN) hours per resident per day0.230.430.69
LPN/LVN hours per resident per day0.98Not publishedNot published
Nurse aide hours per resident per day2.15Not publishedNot published
Total nurse staff hours per resident per day, weekends3.03Not publishedNot published
RN hours per resident per day, weekends0.21Not publishedNot published
Total nursing staff turnover (%)73.755.345.8
Registered nurse turnover (%)71.4Not publishedNot published
Administrators who have left3Not publishedNot published

Reported hours come from the Payroll-Based Journal (PBJ) staffing data that facilities submit to CMS each quarter.

Source: CMS Provider Information; State and US Averages: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Facility details

Legal business name
821 Us Highway 81 W Opco LLC
Ownership type
For profit - Limited Liability company
Chain
Avir Health Group (118 facilities)
Ownership changed in last 12 months
Yes
Certified beds
154
Average residents per day
129.6
Participates in
Medicare and Medicaid
Located inside a hospital
No
Continuing care retirement community
No
Resident and family council
Resident
First approved for Medicare/Medicaid
June 1, 1976
County/parish
Comal

Source: CMS Provider Information: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Owners and managers reported to CMS

10 ownership and management records
NameRoleTypeOwnership %Since
821 US HIGHWAY 81 W HOLDINGS LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%undefined undefined, NaN
ALLEN, GARYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEundefined undefined, NaN
CHUDLEIGH, JAMESOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEundefined undefined, NaN
TRAVITSKY, AARONOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEundefined undefined, NaN
821 US HIGHWAY 81 W PROPERTY OWNER LLCADP OF THE SNFOrganizationNOT APPLICABLEundefined undefined, NaN
WELLTOWER INCADP OF THE SNFOrganizationNOT APPLICABLEundefined undefined, NaN
WELLTOWER NNN GROUP, LLCADP OF THE SNFOrganizationNOT APPLICABLEundefined undefined, NaN
WELLTOWER OP, LLCADP OF THE SNFOrganizationNOT APPLICABLEundefined undefined, NaN
ALLEN, GARYADP OF THE SNFIndividualNOT APPLICABLEundefined undefined, NaN
CHUDLEIGH, JAMESADP OF THE SNFIndividualNOT APPLICABLEundefined undefined, NaN

Source: CMS Ownership: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Check it yourself

Page built from CMS data files processed September 1, 2026 (CMS refreshes monthly). Last checked October 26, 2026. Not a ranking or endorsement.