Nursing homeFAID #14071

Avir At Boerne

1102 River Road, BOERNE, TX, 78006

(830) 249-2799

96 licensed beds

CMS rates Avir At Boerne 1 out of 5 overall. Federal inspectors issued 45 citations across 12 inspections in the last three years, with $92,137 in fines. Listing last updated 2026-11-06.

★★★★★1/5CMS Five-Star overall2/5 health inspections1/5 staffing4/5 quality measuresSource: CMS Care Compare

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Address

1102 River Road

Boerne, TX 78006

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Public record summary

What we can show you for free.

Bed capacity

CMS facility ID

675371

Care type

Nursing home

County

Kendall

Facility name

Avir At Boerne

Street address

1102 River Road

City / state / ZIP

Boerne, TX 78006

Phone

(830) 249-2799

About this facility — Avir At Boerne

Avir At Boerne is a Medicare/Medicaid-certified skilled nursing facility in Boerne, Texas. It is licensed for 96 beds — below the median for skilled nursing facilities in Texas (120 beds).

It is one of 10 senior care facilities in Boerne and 1,179 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Avir Health Group, a group of 118 facilities on this site.

Federal inspectors have cited Avir At Boerne 45 times across 12 inspections in the last three years, including 7 food-safety citations, and CMS has imposed $92,137 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

Avir Health Group

Ownership type

For profit - Limited Liability company

Registered owners & officers

1102 River Road Holdings Llc

Direct owner — 100% stake — since 2025

Tx Snf Holdings ,llc

Indirect owner — 100% stake — since 2025

1102 River Road Property Owner Llc

Security-interest holder · Additional disclosable party — since 2025

Foley, Virgil

Operational control · Additional disclosable party — since 2025

Freund, Nochum

Operational control — since 2025

Givens, Laura

Operational control · Additional disclosable party — since 2025

Travitsky, Aaron

Operational control — since 2025

Welltower Inc

Security-interest holder · Additional disclosable party — since 2025

Welltower Nnn Group, Llc

Security-interest holder · Additional disclosable party — since 2025

Welltower Op Llc

Security-interest holder · Additional disclosable party — since 2025

Regulatory standing

Licensed / certified since

1994-06-15

CMS overall rating

1 of 5 stars

Health deficiencies

8 at the last standard inspection

Federal fines

$92,137 total

Last standard inspection

2026-05-08

Nurse staffing

3.3 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$298 per day (≈ $9,060/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

82% Medicaid · 9% Medicare · 8% private/other

Occupancy

57% (fiscal year 2023)

Vs. state median

8% above the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 7 food-safety citations on its three-year record — flagged below among the inspections.

2026-05-08Health inspectionComplaint-triggered8 citations

F-0550

D · No harm found

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2026-06-09

F-0584

E · No harm foundFrom a 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.

Corrected 2026-06-09

F-0689

D · No harm found

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2026-06-09

F-0755

D · No harm found

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2026-06-09

F-0761

E · No harm found

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.

Corrected 2026-06-09

F-0812

E · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2026-06-09

F-0814

B · No harm foundFood safety

Dispose of garbage and refuse properly.

Corrected 2026-06-09

F-0925

E · No harm foundFrom a complaint

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2026-06-09

2025-03-07Health inspection11 citations

F-0609

D · No harm found

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-03-10

F-0610

D · No harm found

Respond appropriately to all alleged violations.

Corrected 2025-03-10

F-0657

E · No harm found

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2025-03-10

F-0684

D · No harm found

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-03-10

F-0804

D · No harm foundFood safety

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2025-03-10

F-0812

E · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-03-10

F-0813

D · No harm foundFood safety

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Corrected 2025-03-10

F-0814

C · No harm foundFood safety

Dispose of garbage and refuse properly.

Corrected 2025-03-10

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-03-10

F-0908

E · No harm found

Keep all essential equipment working safely.

Corrected 2025-03-10

F-0921

E · No harm found

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2025-03-10

7 earlier / fire-safety inspections (26 citations)

2024-10-18Health inspectionComplaint-triggered7 citations

F-0558

D · No harm foundFrom a complaint

Reasonably accommodate the needs and preferences of each resident.

Corrected 2024-10-21

F-0689

D · No harm foundFrom a complaint

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-10-21

F-0690

D · No harm foundFrom a 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.

Corrected 2024-10-21

F-0695

D · No harm foundFrom a complaint

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-10-21

F-0755

E · No harm foundFrom a complaint

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-10-21

F-0812

E · No harm foundFood safetyFrom a complaint

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-10-21

F-0921

E · No harm foundFrom a complaint

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2024-10-21

2024-08-19Health inspectionComplaint-triggered1 citation

F-0689

J · Immediate jeopardyFrom a complaint

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-08-21

2024-03-08Health inspectionComplaint-triggered2 citations

F-0600

K · Immediate jeopardyFrom a complaint

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-01-12

F-0609

E · No harm foundFrom a complaint

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-03-09

2024-01-13Health inspectionComplaint-triggered2 citations

F-0580

J · Immediate jeopardyFrom a complaint

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2024-01-14

F-0684

J · Immediate jeopardyFrom a complaint

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-01-14

2026-05-08Fire-safety inspection4 citations

K-0293

D · No harm found

Have properly located and lighted "Exit" signs.

Corrected 2026-06-09

K-0343

E · No harm found

Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

Corrected 2026-06-09

K-0345

D · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2026-06-09

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2026-06-09

2025-03-07Fire-safety inspection6 citations

K-0351

E · No harm found

Install an approved automatic sprinkler system.

Corrected 2025-03-10

K-0352

F · No harm found

Properly install and monitor supervisory attachments on automatic sprinkler systems.

Corrected 2025-03-10

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-03-10

K-0372

E · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2025-03-10

K-0511

E · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2025-03-10

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-03-10

2024-10-18Fire-safety inspection4 citations

K-0211

E · No harm found

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2024-10-28

K-0353

E · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-10-28

K-0372

E · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-10-28

K-0511

E · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2024-10-28

Federal penalties

2024-08-19Fine$54,618

2024-03-08Fine$17,128

2024-01-13Fine$20,391

Total fines$92,137

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 675371.

Quality of care & staffing

How it compares in Texas.

Inspection citations, 3 years

More than 73% of nursing homes in the state

State median: 33

Federal fines, 3 years

$92,137

More than 86% of nursing homes in the state

State median: $15,642

Nurse staffing, hours per resident per day

3.3

Higher than 46% of nursing homes in the state

State median: 3.3

Nursing staff turnover, annual

65%

Higher than 85% of nursing homes in the state

State median: 50%

Resident outcomes

On 19 federal quality measures, this facility does better than the Texas average on 9 and worse on 8. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	21.1%	15.8%	13.5%	Worse than state
Lose too much weight	1.4%	2.9%	5.1%	Better than state
With a catheter inserted and left in their bladder	0.0%	0.3%	0.7%	Better than state
With a urinary tract infection	1.2%	0.8%	1.5%	Worse than state
Have depressive symptoms	0.0%	2.3%	13.5%	Better than state
Were physically restrained	0.0%	0.0%	0.1%	Better than state
Experiencing one or more falls with major injury	2.8%	3.2%	3.2%	Better than state
Assessed and appropriately given the pneumococcal vaccine	74.3%	96.4%	93.7%	Worse than state
Ability to walk independently worsened	11.3%	12.9%	12.7%	Better than state
Received an antianxiety or hypnotic medication	31.9%	17.8%	19.5%	Worse than state
Assessed and appropriately given the seasonal influenza vaccine	94.2%	97.0%	95.3%	Near state average
With pressure ulcers	3.1%	3.7%	4.5%	Better than state
With new or worsened bowel or bladder incontinence	21.0%	12.5%	18.3%	Worse than state
Received an antipsychotic medication	36.1%	9.8%	15.4%	Worse than state
Hospitalizations per 1000 long-stay resident days	0.86	2.05	1.81	Better than state
Outpatient emergency department visits per 1000 long-stay resident days	1.81	1.97	1.69	Near state average

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	73.2%	88.7%	82.3%	Worse than state
Newly received an antipsychotic medication	2.9%	1.4%	1.5%	Worse than state
Were assessed and appropriately given the seasonal influenza vaccine	95.0%	85.4%	80.1%	Better than state

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

F-0689 3 inspections. Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-0812 3 inspections. Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
K-0353 3 inspections. Inspect, test, and maintain automatic sprinkler systems.
F-0755 2 inspections. Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F-0814 2 inspections. Dispose of garbage and refuse properly.
F-0609 2 inspections. Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

What its owners also hold

Tx Snf Holdings ,llc has an ownership stake on file at 4 nursing homes, averaging 2.5 of 5 on CMS's overall rating.

Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.

Verify & compare

Where to check, and what's nearby.

Who to contact in Texas

Licensing: Texas Health and Human Services
File a complaint: 800-458-9858 · Online
Long-Term Care Ombudsman: 800-252-2412. A free advocate for residents and families.
Adult Protective Services: 800-252-5400. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

South Texas Spine and Surgical Hospital, about 19 miles.
Bandera Family Hospital, about 19 miles.
Methodist Hospital Stone Oak, about 19 miles. CMS rating 4 of 5.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Cibolo Creek, Boerne, less than 0.1 miles. CMS rating 2 of 5.
Carechoice of Boerne, Boerne, about 1.1 miles. CMS rating 2 of 5.
Town and Country Nursing and Rehabilitation Center, Boerne, about 1.3 miles. CMS rating 3 of 5.
Kendall House Wellness & Rehabilitation, Boerne, about 1.3 miles. CMS rating 4 of 5.
Estates At Shavano Park, Shavano Park, about 17 miles. CMS rating 2 of 5.

Inside your report

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Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 45 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Citations, owner history, lawsuits — decoded into one PDF.

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered