Legend Oaks Healthcare and Rehabilitation - New Br
Medicare-certified2468 FM 1101, New Braunfels, TX 78130
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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.
Capacity
154 residents
Medicare rating
1 of 5 stars
Location
New Braunfels, TX
Status
Listed in a public registry
821 Us Hwy 81 W, New Braunfels, Texas 78130
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 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
much below average
Combines the three ratings below
Health inspections
much below average
Results of state inspections over three years
Staffing
below average
Nurse hours per resident and staff turnover
Quality of resident care
average
Outcomes like falls, pressure ulcers and rehospitalization
Texas average: 2.7 stars across 1,177 nursing homes. National average: 3.0 stars.
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 21 minutes |
| Registered nurse time per resident, per day | 14 minutesBelow the Texas average |
| Nursing staff who left in the past year | 74%Above the Texas average |
3 administrators have left the home in the past year.
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.
May 23, 2026 · Complaint investigation · 1 citation
Ensure the activities program is directed by a qualified professional.
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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.
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.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Provide safe and appropriate respiratory care for a resident when needed.
Reasonably accommodate the needs and preferences of each resident.
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.
Post nurse staffing information every day.
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.
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
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.
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide and implement an infection prevention and control program.
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.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Assure that each resident’s assessment is updated at least once every 3 months.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide activities to meet all resident's needs.
Provide and implement an infection prevention and control program.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Keep all essential equipment working safely.
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.
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Provide and implement an infection prevention and control program.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Protect each resident from the wrongful use of the resident's belongings or money.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
5 fines totaling $158,095 and 1 Medicare payment denial in the last three years.
821 Us Hwy 81 WNew Braunfels, TX 78130
2468 FM 1101, New Braunfels, TX 78130
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Prices not published
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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.
State inspectors visited on August 29, 2025 and cited 26 health deficiencies, 20 of them from complaint investigations. The Texas average is 9.4.
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.
Yes. Medicare fined Avir at New Braunfels 5 times in the last three years, totaling $158,095.
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.
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.
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.