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Medicare-certifiedSkilled Nursing

Avir at New Braunfels

New Braunfels, Texas1 of 5 Medicare stars
(830) 625-7526

About Avir at New Braunfels

Avir at New Braunfels is a for profit - limited liability company nursing home in New Braunfels, TX with 154 certified beds, holding a 1-star overall CMS rating.

Community at a glance

Capacity

154 residents

Medicare rating

1 of 5 stars

Location

New Braunfels, TX

Status

Listed in a public registry

Care & services offered

Skilled Nursing

Contact & location

821 Us Hwy 81 W, New Braunfels, Texas 78130

(830) 625-7526

Medicare inspection and quality record

From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov

  • Medicare flags Avir at New Braunfels for a citation related to abuse of residents in its recent inspections.
  • Avir at New Braunfels changed ownership in the last 12 months. Ratings may reflect the previous owner.

Medicare rates Avir at New Braunfels 1 out of 5 stars overall, which it describes as much below average. The average across Texas's nursing homes is 2.7 stars.

At its most recent standard inspection, on August 29, 2025, state inspectors cited 26 health deficiencies (the Texas average is 9.4).

Nurses and nurse aides spend 3 hours 21 minutes with each resident a day, about the same as the Texas average.

Medicare fined Avir at New Braunfels 5 times in the last three years, $158,095 in total.

Overall

1 of 5

much below average

Combines the three ratings below

Health inspections

1 of 5

much below average

Results of state inspections over three years

Staffing

2 of 5

below average

Nurse hours per resident and staff turnover

Quality of resident care

3 of 5

average

Outcomes like falls, pressure ulcers and rehospitalization

Texas average: 2.7 stars across 1,177 nursing homes. National average: 3.0 stars.

Staffing

MeasureThis home
Nurse and aide time per resident, per day3 hours 21 minutes
Registered nurse time per resident, per day14 minutesBelow the Texas average
Nursing staff who left in the past year74%Above the Texas average

3 administrators have left the home in the past year.

Inspections

47 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.

July 10, 2026 · Complaint investigation · 1 citation

  • Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Jul 31, 2026

May 23, 2026 · Complaint investigation · 1 citation

  • Ensure the activities program is directed by a qualified professional.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected Jun 21, 2026
May 15, 2026 · Complaint investigation · 3 citations+
  • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryFrom a complaintCorrected Jun 14, 2026
  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Jun 14, 2026
  • Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

    Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryFrom a complaintCorrected Jun 14, 2026
April 24, 2026 · Complaint investigation · 1 citation+
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Immediate danger to residents, a few residents (level J)Freedom from Abuse, Neglect, and ExploitationFrom a complaintAlready fixed before the inspection
January 30, 2026 · Complaint investigation · 3 citations+
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Jan 31, 2026
  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Jan 31, 2026
  • 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.

    Risk of harm, no one hurt, a few residents (level D)AdministrationFrom a complaintCorrected Feb 4, 2026
December 31, 2025 · Complaint investigation · 7 citations+
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryFrom a complaintCorrected Jan 1, 2026
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryFrom a complaintCorrected Jan 1, 2026
  • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryFrom a complaintCorrected Jan 1, 2026
  • Provide safe and appropriate respiratory care for a resident when needed.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jan 1, 2026
  • Reasonably accommodate the needs and preferences of each resident.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Jan 1, 2026
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Jan 1, 2026
  • Post nurse staffing information every day.

    Minimal harm or risk, widespread (level C)Nursing and Physician ServicesFrom a complaintCorrected Jan 1, 2026
November 24, 2025 · Complaint investigation · 4 citations+
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceFrom a complaintCorrected Nov 26, 2025
  • Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Nov 26, 2025
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Nov 26, 2025
  • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Risk of harm, no one hurt, a few residents (level D)EnvironmentalFrom a complaintCorrected Dec 24, 2025
August 29, 2025 · Standard inspection · 6 citations+
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Immediate danger to residents, a few residents (level J)Quality of Life and CareCorrected Aug 30, 2025
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Sep 26, 2025
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Sep 26, 2025
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Sep 26, 2025
  • Assure that each resident’s assessment is updated at least once every 3 months.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Aug 30, 2025
  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Sep 26, 2025
August 13, 2025 · Complaint investigation · 1 citation+
  • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Risk of harm, no one hurt, a pattern (level E)EnvironmentalFrom a complaintCorrected Sep 30, 2025
July 10, 2025 · Complaint investigation · 2 citations+
  • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Aug 10, 2025
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Aug 10, 2025
March 10, 2025 · Complaint investigation · 1 citation+
  • Provide activities to meet all resident's needs.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected Apr 10, 2025
January 30, 2025 · Complaint investigation · 1 citation+
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected Jan 30, 2025
December 22, 2024 · Complaint investigation · 2 citations+
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Immediate danger to residents, a pattern (level K)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Dec 23, 2024
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceFrom a complaintCorrected Dec 23, 2024
June 28, 2024 · Standard inspection · 7 citations+
  • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Risk of harm, no one hurt, a pattern (level E)EnvironmentalCorrected Jul 31, 2024
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Jul 31, 2024
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Jul 31, 2024
  • Keep all essential equipment working safely.

    Risk of harm, no one hurt, a pattern (level E)EnvironmentalCorrected Aug 7, 2024
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Jul 31, 2024
  • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jul 31, 2024
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Jul 31, 2024
May 8, 2024 · Complaint investigation · 2 citations+
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintCorrected May 16, 2024
  • Protect each resident from the wrongful use of the resident's belongings or money.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected May 16, 2024
December 2, 2023 · Complaint investigation · 5 citations+
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintCorrected Jan 3, 2024
  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintAlready fixed by Sep 1, 2023
  • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Jan 3, 2024
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Nursing and Physician ServicesFrom a complaintAlready fixed by Sep 1, 2023
  • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintAlready fixed by Sep 1, 2023

Fines and payment denials

5 fines totaling $158,095 and 1 Medicare payment denial in the last three years.

  • 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, 5 days

About the home, per Medicare

Ownership
For profit - Limited Liability company
Legal business name
821 US Highway 81 W Opco LLC
Medicare-certified beds
154
Average residents per day
130
Accepts
Medicare and Medicaid
First certified
June 1, 1976
Part of a chain
Avir Health Group, 118 homes (chain average 2.3 stars)
Inside a hospital
No
Continuing care retirement community
No
Resident or family council
Resident
Sprinklers in all required areas
Yes
CMS Certification Number
455020

Location

821 Us Hwy 81 WNew Braunfels, TX 78130

Senior living near New Braunfels

Eden Home

State licensed

631 Lakeview Blvd, New Braunfels, TX 78130

Assisted LivingMemory CareSkilled Nursing
3 of 5Medicare rating, on-site nursing home
Medicare & Medicaid certifiedSprinkler systemsResident & family councilContinuing care retirement community+2 more

Call for pricing

Prices not published

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Questions about Avir at New Braunfels

What is Avir at New Braunfels's Medicare star rating?+

Medicare rates Avir at New Braunfels 1 out of 5 stars overall (much below average). Health inspections: 1 stars. Staffing: 2 stars. Quality of resident care: 3 stars. Source: CMS Care Compare, data as of September 1, 2026.

How did Avir at New Braunfels do on its last inspection?+

State inspectors visited on August 29, 2025 and cited 26 health deficiencies, 20 of them from complaint investigations. The Texas average is 9.4.

How much nursing care does each resident get at Avir at New Braunfels?+

Nurses and aides spend 3 hours 21 minutes with each resident per day, including 14 minutes from registered nurses. 74% of nursing staff left over the past year.

Has Avir at New Braunfels been fined by Medicare?+

Yes. Medicare fined Avir at New Braunfels 5 times in the last three years, totaling $158,095.

Does Medicare cover skilled nursing?+

Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.

How much does a nursing home cost?+

A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.

What is the CMS star rating?+

Medicare rates nursing homes 1–5 stars on health inspections, staffing, and quality measures. We show these ratings so you can compare quality at a glance.

Senior living in New Braunfels Skilled Nursing in Texas Skilled Nursing guide Information last updated October 2026