nursing home in Boerne, TX
Avir at Boerne
1102 River Road, Boerne, TX 78006 · (830) 249-2799
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★3
- Quality measures★★★★★3
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Avir at Boerne at a glance
Avir at Boerne is a 96-bed for-profit nursing home in Boerne, Texas (Kendall County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Texas average of 2.7.
Residents receive about 3.2 hours of nursing care per day (0.3 of them from registered nurses), worse than the state average of 3.4 hours.
Its most recent standard health inspection (May 8, 2026) found 8 health citations. The Texas average is 9.4.
Federal regulators fined it 3 times in the past three years, totaling $92,137.
Nursing staff turnover is 67.7% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 96
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Avir Health Group
- Medicare-certified since
- June 15, 1994
- Resident/family council
- Resident
- County
- Kendall County
- CMS Certification Number
- 675371
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 2.7 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 1.9 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 3.7 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 3 / 5 | 4 / 5 | 3.8 / 5 | Worse |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.17 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.28 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.08 hrs | 2.01 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.90 hrs | 2.98 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 67.7% | 55.3% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 40% | 54.6% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 2 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 8 | 9 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 2 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 239.8 | 102 | 80.6 | Worse |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 3 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $92,137 | $44,141 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 3 | 2 | 1 | Worse |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 96 | 113 | 107 | |
| Average residents per day | 68 | 76 | 86 | |
| Occupancy | 70.5% | 67.6% | 80.9% |
Long-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 2.9% | 3.3% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 3.2% | 3.8% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 31.2% | 9.6% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 1.3% | 0.8% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.3% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 22.4% | 15.8% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 11.5% | 14% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 1.9% | 3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 0% | 2.4% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 39.4% | 18% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 22% | 13.4% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 98% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 74.5% | 96.6% | 93.6% | Worse |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 5.4% | 1.5% | 1.6% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 72.2% | 88.9% | 82% | Worse |
Inspection citations
State inspectors cited this home for 38 health deficiencies and 14 fire safety deficiencies in the inspection records CMS currently publishes. 8 citations involved actual harm, including 8 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| May 8, 2026 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected June 9, 2026 |
| May 8, 2026 Fire safety | Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. Smoke Deficiencies · Tag K0343 | E Potential harm, pattern | Corrected June 9, 2026 |
| May 8, 2026 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | D Potential harm, isolated | Corrected June 9, 2026 |
| May 8, 2026 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | D Potential harm, isolated | Corrected June 9, 2026 |
| May 8, 2026 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected June 9, 2026 |
| May 8, 2026 Complaint | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Tag F0925 | E Potential harm, pattern | Corrected June 9, 2026 |
| May 8, 2026 Complaint | 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 · Tag F0584 | E Potential harm, pattern | Corrected June 9, 2026 |
| May 8, 2026 Standard | 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 · Tag F0761 | E Potential harm, pattern | Corrected June 9, 2026 |
| May 8, 2026 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected June 9, 2026 |
| May 8, 2026 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected June 9, 2026 |
| May 8, 2026 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected June 9, 2026 |
| May 8, 2026 Standard | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Tag F0814 | B No harm, pattern | Corrected June 9, 2026 |
| March 7, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected March 10, 2025 |
| March 7, 2025 Fire safety | Properly install and monitor supervisory attachments on automatic sprinkler systems. Smoke Deficiencies · Tag K0352 | F Potential harm, widespread | Corrected March 10, 2025 |
| March 7, 2025 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected March 10, 2025 |
| March 7, 2025 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | E Potential harm, pattern | Corrected March 10, 2025 |
| March 7, 2025 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected March 10, 2025 |
| March 7, 2025 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | E Potential harm, pattern | Corrected March 10, 2025 |
| March 7, 2025 Standard | 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 · Tag F0657 | E Potential harm, pattern | Corrected March 10, 2025 |
| March 7, 2025 Standard | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Tag F0921 | E Potential harm, pattern | Corrected March 10, 2025 |
| March 7, 2025 Standard | Keep all essential equipment working safely. Environmental Deficiencies · Tag F0908 | E Potential harm, pattern | Corrected March 10, 2025 |
| March 7, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected March 10, 2025 |
| March 7, 2025 Standard | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected March 10, 2025 |
| March 7, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected March 10, 2025 |
| March 7, 2025 Standard | Have a policy regarding use and storage of foods brought to residents by family and other visitors. Nutrition and Dietary Deficiencies · Tag F0813 | D Potential harm, isolated | Corrected March 10, 2025 |
| March 7, 2025 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | D Potential harm, isolated | Corrected March 10, 2025 |
| March 7, 2025 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected March 10, 2025 |
| March 7, 2025 Standard | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected March 10, 2025 |
| March 7, 2025 Standard | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Tag F0814 | C No harm, widespread | Corrected March 10, 2025 |
| October 18, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected October 28, 2024 |
| October 18, 2024 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | E Potential harm, pattern | Corrected October 28, 2024 |
| October 18, 2024 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | E Potential harm, pattern | Corrected October 28, 2024 |
| October 18, 2024 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected October 28, 2024 |
| October 18, 2024 Complaint | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Tag F0921 | E Potential harm, pattern | Corrected October 21, 2024 |
| October 18, 2024 Complaint | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected October 21, 2024 |
| October 18, 2024 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | E Potential harm, pattern | Corrected October 21, 2024 |
| October 18, 2024 Complaint | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | D Potential harm, isolated | Corrected October 21, 2024 |
| October 18, 2024 Complaint | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected October 21, 2024 |
| October 18, 2024 Complaint | 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 · Tag F0690 | D Potential harm, isolated | Corrected October 21, 2024 |
| October 18, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected October 21, 2024 |
| August 19, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | J Immediate jeopardy, isolated | Corrected August 21, 2024 |
| March 8, 2024 Complaint | 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 · Tag F0600 | K Immediate jeopardy, pattern | Corrected January 12, 2024 |
| March 8, 2024 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | E Potential harm, pattern | Corrected March 9, 2024 |
| January 13, 2024 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | J Immediate jeopardy, isolated | Corrected January 14, 2024 |
| January 13, 2024 Complaint | 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 · Tag F0580 | J Immediate jeopardy, isolated | Corrected January 14, 2024 |
| September 1, 2023 Complaint | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of Life and Care Deficiencies · Tag F0740 | K Immediate jeopardy, pattern | Corrected September 2, 2023 |
| September 1, 2023 Complaint | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0604 | K Immediate jeopardy, pattern | Corrected September 2, 2023 |
| September 1, 2023 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | K Immediate jeopardy, pattern | Corrected September 2, 2023 |
| September 1, 2023 Complaint | 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 · Tag F0600 | K Immediate jeopardy, pattern | Corrected September 2, 2023 |
| September 1, 2023 Complaint | Provide medically-related social services to help each resident achieve the highest possible quality of life. Quality of Life and Care Deficiencies · Tag F0745 | F Potential harm, widespread | Corrected September 2, 2023 |
| September 1, 2023 Complaint | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | D Potential harm, isolated | Corrected September 2, 2023 |
| September 1, 2023 Complaint | 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 · Tag F0656 | D Potential harm, isolated | Corrected September 2, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 3 federal penalties in the past three years, including $92,137 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| August 19, 2024 | Fine | $54,618 |
| March 8, 2024 | Fine | $17,128 |
| January 13, 2024 | Fine | $20,391 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| 1102 RIVER ROAD HOLDINGS LLC Organization | 5% or greater direct ownership interest | 100% | 04/01/2025 |
| TX SNF HOLDINGS ,LLC Organization | 5% or greater indirect ownership interest | 100% | 04/01/2025 |
| 1102 RIVER ROAD PROPERTY OWNER LLC Organization | 5% or greater security interest | NOT APPLICABLE | 04/01/2025 |
| WELLTOWER INC Organization | 5% or greater security interest | NOT APPLICABLE | 04/01/2025 |
| WELLTOWER NNN GROUP, LLC Organization | 5% or greater security interest | NOT APPLICABLE | 04/01/2025 |
| WELLTOWER OP, LLC Organization | 5% or greater security interest | NOT APPLICABLE | 04/01/2025 |
| 1102 RIVER ROAD PROPERTY OWNER LLC Organization | adp of the snf | NOT APPLICABLE | 04/01/2025 |
| FOLEY, VIRGIL Individual | adp of the snf | NOT APPLICABLE | 04/01/2025 |
| GIVENS, LAURA Individual | adp of the snf | NOT APPLICABLE | 04/01/2025 |
| WELLTOWER INC Organization | adp of the snf | NOT APPLICABLE | 04/01/2025 |
| WELLTOWER NNN GROUP, LLC Organization | adp of the snf | NOT APPLICABLE | 04/01/2025 |
| WELLTOWER OP, LLC Organization | adp of the snf | NOT APPLICABLE | 04/01/2025 |
| FOLEY, VIRGIL Individual | operational/managerial control | NOT APPLICABLE | 04/01/2025 |
| FREUND, NOCHUM Individual | operational/managerial control | NOT APPLICABLE | 04/01/2025 |
| GIVENS, LAURA Individual | operational/managerial control | NOT APPLICABLE | 04/01/2025 |
| TRAVITSKY, AARON Individual | operational/managerial control | NOT APPLICABLE | 04/01/2025 |
Other nursing homes near Avir at Boerne
- ★★★★★2Below average
Carechoice of Boerne
200 E Ryan St, Boerne, TX 78006 · 1.1 mi
For-profit · 74 beds · Part of Charleston Healthcare Group
★★★★★2Below averageTown and Country Nursing and Rehabilitation Center
625 N Main St, Boerne, TX 78006 · 1.3 mi
Government · 126 beds · Part of Wellsential Health
★★★★★1Much below averageKendall House Wellness & Rehabilitation
1050 Grand Blvd., Boerne, TX 78006 · 1.3 mi
Non-profit · 40 beds
★★★★★4Above average- ★★★★★3Average
Coronado at Stone Oak
19638 Stone Oak Parkway, San Antonio, TX 78258 · 17.1 mi
For-profit · 112 beds · Part of Cantex Continuing Care
- CMS high performer
★★★★★5Much above average
Frequently asked questions
What is Avir at Boerne's rating?
Avir at Boerne has 1 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.
How many inspection citations did Avir at Boerne receive?
Its most recent standard health inspection found 8 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Avir at Boerne accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Avir at Boerne?
It is for profit - limited liability company and part of Avir Health Group. The ownership section on this page lists the owners and managers reported to CMS.
Where is Avir at Boerne and how do I contact it?
Avir at Boerne is at 1102 River Road, Boerne, TX 78006. Phone: (830) 249-2799.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.