Avir at New Braunfels
821 Us Hwy 81 W · New Braunfels, TX · 78130 · 8306257526
154 certified beds For profit - Limited Liability company Chain: Avir Health Group
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (2 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $111,619 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
Red flags
2 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$111,619 in federal fines in the last 24 months
3 fines — CMS fines are reserved for verified, serious non-compliance.
RN staffing in the bottom 10% nationally
0.22 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
77% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.23 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.22 | 0.55–0.75 |
| Weekend hours / resident-day | 2.97 | ≈ weekday level |
| Nursing turnover / year | 77% | median 45% |
| Fines (3-yr window) | 5 · $163,618 |
Inspection citations (49 in the current record)
-
Immediate jeopardy · J April 24, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Past Non-Compliance · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D January 30, 2026 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected January 31, 2026 · Resident Rights
-
Potential for harm · E January 30, 2026 · found via 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 January 31, 2026 · Resident Rights
-
Potential for harm · D January 30, 2026 · found via 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 February 4, 2026 · Administration
-
Potential for harm · D December 31, 2025 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected January 1, 2026 · Resident Rights
-
Potential for harm · D December 31, 2025 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected January 1, 2026 · Quality of Life and Care
-
Potential for harm · D December 31, 2025 · found via 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 January 1, 2026 · Pharmacy Service
-
Potential for harm · E December 31, 2025 · found via 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 January 1, 2026 · Nutrition and Dietary
-
Potential for harm · E December 31, 2025 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected January 1, 2026 · Nutrition and Dietary
-
Potential for harm · E December 31, 2025 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 1, 2026 · Nutrition and Dietary
-
No harm found · C December 31, 2025 · found via complaint
Post nurse staffing information every day.
Corrected January 1, 2026 · Nursing and Physician Services
-
Potential for harm · D November 24, 2025 · found via 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 November 26, 2025 · Resident Rights
-
Potential for harm · D November 24, 2025 · found via complaint
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected November 26, 2025 · Resident Assessment and Care Planning
-
Potential for harm · E November 24, 2025 · found via 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 November 26, 2025 · Pharmacy Service
-
Potential for harm · D November 24, 2025 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected December 24, 2025 · Environmental
-
Immediate jeopardy · J August 29, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 30, 2025 · Quality of Life and Care
-
Potential for harm · D August 29, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected September 26, 2025 · Resident Rights
-
Potential for harm · D August 29, 2025
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected August 30, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D August 29, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected September 26, 2025 · Pharmacy Service
-
Potential for harm · D August 29, 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.
Corrected September 26, 2025 · Pharmacy Service
-
Potential for harm · E August 29, 2025
Provide and implement an infection prevention and control program.
Corrected September 26, 2025 · Infection Control
-
Potential for harm · E August 13, 2025 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected September 30, 2025 · Environmental
-
Potential for harm · D July 10, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected August 10, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D July 10, 2025 · found via 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 August 10, 2025 · Quality of Life and Care
-
Potential for harm · E March 10, 2025 · found via complaint
Provide activities to meet all resident's needs.
Corrected April 10, 2025 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| April 24, 2026 | Fine | $16,355 |
| August 29, 2025 | Fine | $11,700 |
| December 22, 2024 | Fine | $83,564 |
| May 8, 2024 | Fine | $43,687 |
| December 2, 2023 | Fine | $8,312 |
| December 2, 2023 | Payment Denial | 5 days |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 455020 · certified since June 1, 1976. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.