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Nursing homeFAID #12053

Avir At New Braunfels

821 US HWY 81 W, NEW BRAUNFELS, TX, 78130

(830) 625-7526

154 licensed beds

CMS rates Avir At New Braunfels 1 out of 5 overall. Federal inspectors issued 75 citations across 20 inspections in the last three years, with $158,095 in fines. Listing last updated 2026-11-06.

★★★★★1/5CMS Five-Star overall1/5 health inspections1/5 staffing4/5 quality measuresSource: CMS Care Compare

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Photo via Google · Avir at New Braunfels

Address

821 Us Hwy 81 W

New Braunfels, TX 78130

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Public record summary

What we can show you for free.

Bed capacity

154

CMS facility ID

455020

Care type

Nursing home

County

Comal

Facility name

Avir At New Braunfels

Street address

821 US HWY 81 W

City / state / ZIP

New Braunfels, TX 78130

Phone

(830) 625-7526

Website

avirhg.com

About this facility — Avir At New Braunfels

Avir At New Braunfels is a Medicare/Medicaid-certified skilled nursing facility in New Braunfels, Texas. It is licensed for 154 beds — above the median for skilled nursing facilities in Texas (120 beds).

It is one of 18 senior care facilities in New Braunfels 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 New Braunfels 75 times across 20 inspections in the last three years, including 9 food-safety citations, and CMS has imposed $158,095 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

821 Us Highway 81 W Holdings Llc

Direct owner — 100% stake — since 2025

821 Us Highway 81 W Property Owner Llc

Additional disclosable party — since 2025

Allen, Gary

Operational control · Additional disclosable party — since 2025

Chudleigh, James

Operational control · Additional disclosable party — since 2025

Travitsky, Aaron

Operational control — since 2025

Welltower Inc

Additional disclosable party — since 2025

Welltower Nnn Group, Llc

Additional disclosable party — since 2025

Welltower Op Llc

Additional disclosable party — since 2025

Regulatory standing

Licensed / certified since

1976-06-01

CMS overall rating

1 of 5 stars

Health deficiencies

26 at the last standard inspection

Federal fines

$158,095 total

Last standard inspection

2025-08-29

Nurse staffing

3.3 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$256 per day (≈ $7,780/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

80% Medicaid · 3% Medicare · 17% private/other

Occupancy

79% (fiscal year 2023)

Vs. state median

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

Services & coverage

Licensed beds

154

Medicare

Accepted

Medicaid

Accepted

Wheelchair accessible

entrance and parking

Visiting hours

Daily Open 24 hours

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · 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 9 food-safety citations on its three-year record — flagged below among the inspections.

2026-07-10Health inspectionComplaint-triggered1 citation

F-0628

D · No harm foundFrom a complaint

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

Corrected 2026-07-31

2026-05-23Health inspectionComplaint-triggered1 citation

F-0680

E · No harm foundFrom a complaint

Ensure the activities program is directed by a qualified professional.

Corrected 2026-06-21

18 earlier / fire-safety inspections (73 citations)

2026-05-15Health inspectionComplaint-triggered3 citations

F-0550

E · No harm foundFrom a complaint

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

Corrected 2026-06-14

F-0800

D · No harm foundFood safetyFrom a complaint

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

Corrected 2026-06-14

F-0804

E · No harm foundFood safetyFrom a complaint

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

Corrected 2026-06-14

2026-04-24Health inspectionComplaint-triggered1 citation

F-0600

J · Immediate jeopardyFrom a complaint

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

2026-01-30Health inspectionComplaint-triggered3 citations

F-0550

D · No harm foundFrom a complaint

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

Corrected 2026-01-31

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 2026-01-31

F-0840

D · No harm foundFrom a complaint

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.

Corrected 2026-02-04

2025-12-31Health inspectionComplaint-triggered7 citations

F-0558

D · No harm foundFrom a complaint

Reasonably accommodate the needs and preferences of each resident.

Corrected 2026-01-01

F-0695

D · No harm foundFrom a complaint

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

Corrected 2026-01-01

F-0732

C · No harm foundFrom a complaint

Post nurse staffing information every day.

Corrected 2026-01-01

F-0761

D · No harm foundFrom a complaint

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 2026-01-01

F-0801

E · No harm foundFood safetyFrom a complaint

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.

Corrected 2026-01-01

F-0804

E · No harm foundFood safetyFrom a complaint

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

Corrected 2026-01-01

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 2026-01-01

2025-11-24Health inspectionComplaint-triggered4 citations

F-0584

D · 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 2025-11-26

F-0644

D · No harm foundFrom a complaint

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2025-11-26

F-0761

E · No harm foundFrom a complaint

Corrected 2025-11-26

F-0921

D · 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 2025-12-24

2025-08-29Health inspection6 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 2025-09-26

F-0638

D · No harm found

Assure that each resident’s assessment is updated at least once every 3 months.

Corrected 2025-08-30

F-0689

J · Immediate jeopardy

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

Corrected 2025-08-30

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 2025-09-26

F-0761

D · No harm found

Corrected 2025-09-26

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-09-26

2025-08-13Health inspectionComplaint-triggered1 citation

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 2025-09-30

2025-07-10Health inspectionComplaint-triggered2 citations

F-0656

D · No harm foundFrom a complaint

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-08-10

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 2025-08-10

2025-03-10Health inspectionComplaint-triggered1 citation

F-0679

E · No harm foundFrom a complaint

Provide activities to meet all resident's needs.

Corrected 2025-04-10

2025-01-30Health inspectionComplaint-triggered1 citation

F-0880

D · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2025-01-30

2024-12-22Health 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 2024-12-23

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 2024-12-23

2024-06-28Health inspection7 citations

F-0655

D · No harm found

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2024-07-31

F-0656

E · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-07-31

F-0801

E · No harm foundFood safety

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.

Corrected 2024-07-31

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 2024-07-31

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2024-07-31

F-0908

E · No harm found

Keep all essential equipment working safely.

Corrected 2024-08-07

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 2024-07-31

2024-05-08Health inspectionComplaint-triggered2 citations

F-0602

D · No harm foundFrom a complaint

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2024-05-16

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 2024-05-16

2023-12-02Health inspectionComplaint-triggered5 citations

F-0580

D · No harm foundFrom 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 2023-09-01

F-0657

D · No harm foundFrom a complaint

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

Corrected 2024-01-03

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 2024-01-03

F-0726

D · No harm foundFrom a complaint

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.

Corrected 2023-09-01

F-0842

D · No harm foundFrom a complaint

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2023-09-01

2023-04-14Health inspection7 citations

F-0583

D · No harm found

Keep residents' personal and medical records private and confidential.

Corrected 2023-04-28

F-0636

D · No harm found

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Corrected 2023-04-28

F-0656

D · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-04-28

F-0803

E · No harm foundFood safety

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.

Corrected 2023-04-28

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 2023-04-28

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2023-04-28

F-0944

E · No harm found

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

Corrected 2023-04-28

2025-08-29Fire-safety inspection6 citations

E-0004

F · No harm found

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2025-09-26

E-0032

F · No harm found

Provide primary/alternate means for communication.

Corrected 2025-09-26

K-0222

F · No harm found

Add 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.

Corrected 2025-09-26

K-0353

E · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-09-26

K-0355

E · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2025-09-26

K-0521

C · No harm found

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

2024-06-28Fire-safety inspection12 citations

K-0211

D · No harm found

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

Corrected 2024-07-26

K-0324

D · No harm found

Provide properly protected cooking facilities.

Corrected 2024-07-24

K-0341

E · No harm found

Install a fire alarm system that can be heard throughout the facility.

Corrected 2024-07-29

K-0345

D · No harm found

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

Corrected 2024-07-25

K-0351

E · No harm found

Install an approved automatic sprinkler system.

Corrected 2024-07-25

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-07-25

K-0372

E · No harm found

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

Corrected 2024-07-24

K-0511

E · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2024-07-31

K-0521

C · No harm found

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2024-06-27

K-0741

D · No harm found

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2024-07-24

K-0920

E · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2024-07-24

K-0923

E · No harm found

Have proper medical gas storage and administration areas.

Corrected 2024-07-24

2023-04-14Fire-safety inspection3 citations

K-0344

E · No harm found

Have an alternate power supply for its alarm system.

Corrected 2023-04-14

K-0511

D · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2023-04-29

K-0521

C · No harm found

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2023-04-14

Federal penalties

2026-04-24Fine$10,631

2025-08-29Fine$11,901

2024-12-22Fine$83,564

2024-05-08Fine$43,687

2023-12-02Fine$8,312

2023-12-02Medicare payment denial — 5 days

Total fines$158,095

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 455020.

Quality of care & staffing

How it compares in Texas.

Inspection citations, 3 years

More than 96% of nursing homes in the state

State median: 33

Federal fines, 3 years

$158,095

More than 92% of nursing homes in the state

State median: $15,642

Nurse staffing, hours per resident per day

3.3

Higher than 49% of nursing homes in the state

State median: 3.3

Nursing staff turnover, annual

66%

Higher than 86% of nursing homes in the state

State median: 50%

Resident outcomes

On 21 federal quality measures, this facility does better than the Texas average on 6 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	20.5%	15.8%	13.5%	Worse than state
Lose too much weight	2.1%	2.9%	5.1%	Better than state
With a catheter inserted and left in their bladder	0.4%	0.3%	0.7%	Worse than state
With a urinary tract infection	0.2%	0.8%	1.5%	Better than state
Have depressive symptoms	2.1%	2.3%	13.5%	Near state average
Were physically restrained	0.0%	0.0%	0.1%	Better than state
Experiencing one or more falls with major injury	2.1%	3.2%	3.2%	Better than state
Assessed and appropriately given the pneumococcal vaccine	98.1%	96.4%	93.7%	Near state average
Ability to walk independently worsened	17.6%	12.9%	12.7%	Worse than state
Received an antianxiety or hypnotic medication	40.3%	17.8%	19.5%	Worse than state
Assessed and appropriately given the seasonal influenza vaccine	100.0%	97.0%	95.3%	Near state average
With pressure ulcers	2.1%	3.7%	4.5%	Better than state
With new or worsened bowel or bladder incontinence	14.1%	12.5%	18.3%	Worse than state
Received an antipsychotic medication	15.5%	9.8%	15.4%	Worse than state
Hospitalizations per 1000 long-stay resident days	1.94	2.05	1.81	Near state average
Outpatient emergency department visits per 1000 long-stay resident days	2.31	1.97	1.69	Worse than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	95.5%	88.7%	82.3%	Near state average
Newly received an antipsychotic medication	2.8%	1.4%	1.5%	Worse than state
Were assessed and appropriately given the seasonal influenza vaccine	100.0%	85.4%	80.1%	Better than state
Were rehospitalized after a nursing home admission	26.3%	25.5%	23.4%	Near state average
Had an outpatient emergency department visit	12.7%	12.2%	11.8%	Near state average

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-0880 4 inspections. Provide and implement an infection prevention and control program.
F-0550 3 inspections. Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F-0761 3 inspections. 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.
F-0812 3 inspections. Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F-0921 3 inspections. Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F-0689 3 inspections. Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

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

Resolute Health Hospital, about 0.5 miles. CMS rating 4 of 5.
Christus Santa Rosa Hospital-san Marcos, about 12 miles. CMS rating 4 of 5.
Guadalupe Regional Medical Center, about 13 miles. CMS rating 2 of 5.

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

Nearby facilities with inspection records

Legend Oaks Healthcare and Rehabilitation - New Braunfels, New Braunfels, about 1.0 miles. CMS rating 3 of 5.
Sundance Inn Health Center, New Braunfels, about 1.3 miles. CMS rating 4 of 5.
Eden Home, New Braunfels, about 2.9 miles. CMS rating 3 of 5.
Kirkwood Manor, New Braunfels, about 4.8 miles. CMS rating 2 of 5.
Cypress Healthcare and Rehabilitation Center, San Marcos, about 12 miles. CMS rating 1 of 5.

Visitor reviews

What people say on Google.

3.563 ratings on Google

★Jeremy Smith · 2026-03-02 · via Google
“Staffing issues causing distress to the residents. Kitchen staff having difficulty following ticket orders. Activities cordinator has Activities on weekends which never happens and lots of favoritism. If avir really cares why haven't any actions taken? Rude CNAs and some doesn't even care for the residents and a lot of retaliation been happening. Home of hope logo should be Home of Despair.”

★★★★★Kristy S · 2025-10-28 · via Google
“Such a traumatic transition for my mother with dementia was eased and made me wish I had not waited so long. The team here, especially Autumn eased so much burden and provided much needed emotional and practical support that it far exceeded my expectations. My mother is adjusting well, and her quality of life is vastly improved. I never knew a nursing care facility could be like this, highly prais…”

★★★★★CHRISTIAN MUNOZ · 2025-10-23 · via Google
“The care team at Avir New Braunfels is truly one of the best in New Braunfels. As a Physician group Director, I can truly say that they are dedicated, compassionate, and attentive to every patient's needs. I highly recommend this place to anyone seeking care for their loved ones, specially now that its under new ownership. Autumn in Admissions, Lane, Admin and Bruni the DON are amazing and incred…”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 75 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

Unlock the full file

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

Google Business Profile

Photos, reviews & hours

Displayed with attribution · refreshed on re-run

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