Avir At Bandera in Bandera, Bandera County, Texas

Bandera, Bandera County, Texas 78003

Status Medicare and Medicaid certifiedMedicare CCN 676233

HHSC license rosteras of November 9, 2026CMS nursing home filerelease October 28, 2026; processing date October 1, 2026CMS processing date for this home October 1, 2026

Verify on TULIP View on Medicare.gov

Location and contact

Address: 222 Fm 1077
Bandera, TX 78003
Open map (OpenStreetMap)
Phone: (830) 796-4077
HHSC facility ID: 103936
License number: 307397

Medicare ratings

Star ratings below are copied from the CMS Provider Information file (official release October 28, 2026; processing date October 1, 2026). They are not assigned by NursingCareLookup. See how to read ratings and CMS Five-Star documentation.

Overall: 1 of 5Overall: 1 of 5 stars
Health inspection: 2 of 5Health inspection: 2 of 5 stars
Staffing: 1 of 5Staffing: 1 of 5 stars
Quality measures: 4 of 5Quality measures: 4 of 5 stars
Long-stay quality measures: 5 of 5Long-stay quality measures: 5 of 5 stars
Short-stay quality measures: 4 of 5Short-stay quality measures: 4 of 5 stars

Staffing hours

Hours are the facility’s reported nurse staffing hours per resident per day from the CMS file. The Texas average is computed on this site from Texas rows in that same file that include a numeric value. It is not copied from another website. Method: Methodology.

Staffing hours per resident per day
Measure	This facility	Texas average (this site)
Total nurse staffing	2.82 hours	3.42 hours n=1,152
Registered nurse	0.47 hours	0.44 hours
LPN	0.52 hours	0.95 hours
Nurse aide	1.83 hours	2.03 hours
Weekend nurse staffing	2.42 hours	2.99 hours

0.59 hours below this site’s computed Texas average.

Total nursing staff turnover: 58.9% (Texas average computed on this site: 50.8%, n=1,096)
RN turnover: 80%
Average residents per day: 74.1
Certified beds (CMS): 118

Penalties in the CMS Provider Information file: 2 finestotaling $100,293; 2 total penalties. These are the figures CMS published in this release. Confirm current figures on Medicare.gov.

Fines and payment denials

Individual fines and payment denials below come from the CMS Penalties file (official release October 28, 2026; processing date October 1, 2026). Dates and amounts are copied as published. They can lag later actions or successful appeals. Confirm current figures on Medicare.gov.

CMS fines and payment denials
Date	Type	Fine amount	Payment denial
March 21, 2025	Fine · Fine ID 113731	$86,444	—
June 20, 2024	Fine · Fine ID 112973	$13,849	—

MDS quality measures

These figures are the four-quarter averages published in the CMS MDS Quality Measures file (official release October 28, 2026; measure period 2025Q3-2026Q2; processing date October 1, 2026). They are not a grade this site assigned. A “used in Five-Star” flag is the published CMS field that says whether that measure feeds the quality-measure star rating. Quarterly scores are collapsed under each measure. Official definitions are on the CMS Five-Star page.

CMS MDS quality measures, four-quarter averages
Measure	Stay	Four-quarter average	Used in Five-Star QM rating
Percentage of long-stay residents whose need for help with daily activities has increased Quarterly scores Q1 15.3% · Q2 15.5% · Q3 16.4% · Q4 3.7% · Period 2025Q3-2026Q2 · Measure code 401	Long Stay	12.9%	Yes, as published by CMS
Percentage of long-stay residents with a catheter inserted and left in their bladder Quarterly scores Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · Period 2025Q3-2026Q2 · Measure code 406	Long Stay	0.0%	Yes, as published by CMS
Percentage of long-stay residents with a urinary tract infection Quarterly scores Q1 0.0% · Q2 0.0% · Q3 2.6% · Q4 0.0% · Period 2025Q3-2026Q2 · Measure code 407	Long Stay	0.7%	Yes, as published by CMS
Percentage of long-stay residents experiencing one or more falls with major injury Quarterly scores Q1 8.1% · Q2 5.2% · Q3 3.8% · Q4 3.9% · Period 2025Q3-2026Q2 · Measure code 410	Long Stay	5.2%	Yes, as published by CMS
Percentage of long-stay residents whose ability to walk independently worsened Quarterly scores Q1 13.5% · Q2 16.0% · Q3 13.4% · Q4 1.9% · Period 2025Q3-2026Q2 · Measure code 451	Long Stay	11.5%	Yes, as published by CMS
Percentage of long-stay residents with pressure ulcers Quarterly scores Q1 2.5% · Q2 3.6% · Q3 4.4% · Q4 2.9% · Period 2025Q3-2026Q2 · Measure code 479	Long Stay	3.4%	Yes, as published by CMS
Percentage of long-stay residents who received an antipsychotic medication Quarterly scores Q1 2.0% · Q2 5.9% · Q3 5.8% · Q4 4.8% · Period 2025Q3-2026Q2 · Measure code 481	Long Stay	4.6%	Yes, as published by CMS
Percentage of long-stay residents who lose too much weight Quarterly scores Q1 0.0% · Q2 0.0% · Q3 1.6% · Q4 1.8% · Period 2025Q3-2026Q2 · Measure code 404	Long Stay	0.8%	No, as published by CMS
Percentage of long-stay residents who have depressive symptoms Quarterly scores Q1 9.1% · Q2 5.6% · Q3 0.0% · Q4 0.0% · Period 2025Q3-2026Q2 · Measure code 408	Long Stay	3.5%	No, as published by CMS
Percentage of long-stay residents who were physically restrained Quarterly scores Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · Period 2025Q3-2026Q2 · Measure code 409	Long Stay	0.0%	No, as published by CMS
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Quarterly scores Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · Period 2025Q3-2026Q2 · Measure code 415	Long Stay	100.0%	No, as published by CMS
Percentage of long-stay residents who received an antianxiety or hypnotic medication Quarterly scores Q1 19.7% · Q2 10.0% · Q3 9.4% · Q4 7.0% · Period 2025Q3-2026Q2 · Measure code 452	Long Stay	11.6%	No, as published by CMS
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Quarterly scores Q1 — (CMS footnote 28) · Q2 — (CMS footnote 28) · Q3 — (CMS footnote 28) · Q4 — (CMS footnote 28) · Period 2025Q3-2026Q2 · Measure code 454	Long Stay	100.0%	No, as published by CMS
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Quarterly scores Q1 15.4% · Q2 7.5% · Q3 17.9% · Q4 6.0% · Period 2025Q3-2026Q2 · Measure code 480	Long Stay	11.8%	No, as published by CMS
Percentage of short-stay residents who newly received an antipsychotic medication Quarterly scores Q1 2.4% · Q2 2.8% · Q3 0.0% · Q4 0.0% · Period 2025Q3-2026Q2 · Measure code 434	Short Stay	1.2%	Yes, as published by CMS
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Quarterly scores Q1 98.6% · Q2 98.5% · Q3 98.3% · Q4 98.4% · Period 2025Q3-2026Q2 · Measure code 430	Short Stay	98.5%	No, as published by CMS
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Quarterly scores Q1 — (CMS footnote 28) · Q2 — (CMS footnote 28) · Q3 — (CMS footnote 28) · Q4 — (CMS footnote 28) · Period 2025Q3-2026Q2 · Measure code 472	Short Stay	98.3%	No, as published by CMS

Inspection citations

20 health citations in the CMS file (7 from complaint surveys). Highest scope/severity letter in the file: K — Pattern, immediate jeopardy.

The list below is drawn from the CMS Health Deficiencies file. We show the tag, a plain-language reading of the scope and severity letter, whether the survey was a standard or complaint survey, the survey date, and whether CMS recorded a correction. We do not reprint the official deficiency narrative here. Read that text on TULIP or Medicare.gov. A facility may appeal a finding; a successful appeal can alter or remove a citation.

Scope and severity letters (A–L)

CMS assigns one letter from a grid of scope (how widely a problem was found) and severity (how serious the harm was or could be). The short labels below are our wording of that grid, not a different rating system.

Scope and severity letters used in CMS health citations
Severity	Isolated	Pattern	Widespread
Potential for minimal harm	A	B	C
No actual harm, potential for more than minimal harm	D	E	F
Actual harm	G	H	I
Immediate jeopardy	J	K	L

2026 — 9 citations

Tag 0921E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: May 22, 2026

CMS records a correction date (June 16, 2026)

More detail

Environmental Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0880E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: May 22, 2026

CMS records a correction date (June 16, 2026)

More detail

Infection Control Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0812D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: May 22, 2026

CMS records a correction date (June 16, 2026)

More detail

Nutrition and Dietary Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0804E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: May 22, 2026

CMS records a correction date (June 16, 2026)

More detail

Nutrition and Dietary Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0690D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: May 22, 2026

CMS records a correction date (June 16, 2026)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0689E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: May 22, 2026

CMS records a correction date (June 16, 2026)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0656E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: May 22, 2026

CMS records a correction date (June 16, 2026)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0812D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: April 23, 2026

CMS records a correction date (May 7, 2026)

More detail

Nutrition and Dietary Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0609D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: February 7, 2026

CMS records a correction date (February 20, 2026)

More detail

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

2025 — 7 citations

Tag 0690K

K — Pattern, immediate jeopardy

Complaint survey

Survey date: April 5, 2025

CMS records a correction date (April 6, 2025)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0580D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: April 5, 2025

CMS records a correction date (April 6, 2025)

More detail

Resident Rights Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0684E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: March 21, 2025

CMS records a correction date (March 22, 2025)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0679E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: March 21, 2025

CMS records a correction date (March 22, 2025)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0677D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: March 21, 2025

CMS records a correction date (March 22, 2025)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0656E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: March 21, 2025

CMS records a correction date (March 22, 2025)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0842D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: February 20, 2025

CMS records a correction date (February 21, 2025)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

2024 — 4 citations

Tag 0689J

J — Isolated, immediate jeopardy

Complaint survey

Survey date: June 20, 2024

Past non-compliance, as recorded by CMS (June 5, 2024)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0842F

F — Widespread, potential for more than minimal harm

Standard survey

Survey date: January 27, 2024

CMS records a correction date (January 28, 2024)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0712F

F — Widespread, potential for more than minimal harm

Complaint survey, Standard survey

Survey date: January 27, 2024

CMS records a correction date (January 28, 2024)

More detail

Nursing and Physician Services Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0677E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: January 27, 2024

CMS records a correction date (January 28, 2024)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

License and identity (HHSC)

License effective: October 7, 2025
License expires: April 1, 2028
Initial license date: September 2, 2009
Facility licensed: Yes
Facility certified (HHSC): Yes
Service type: MEDICARE/MEDICAID
Total licensed capacity: 118 beds
Bed mix (HHSC): Licensed only 0; Medicaid only 0; Medicare only 19; Medicare/Medicaid 99; ICF/IID 0
Alzheimer capacity: 0
Administrator: Mariah Dominguez
Management company: 222 Fm 1077 Opco LLC

Ownership

Ownership below comes from the CMS file when a row joined on this home’s Medicare number. HHSC also records an owner and entity type; those appear after the CMS data. The HHSC entity type “HOSPITAL DISTRICT/AUTHORITY” is very common in the state roster and may not describe day-to-day control. It is not used as a headline here.

CMS ownership type: For profit - Corporation · Affiliated / chain name in the file: AVIR HEALTH GROUP (118 facilities in the chain, as listed)

CMS ownership records
Name	Role	Type	Share	Associated
HOOPER, GRADY	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 12/01/2015
222 FM 1077 OPCO, LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 10/01/2025
DOMINGUEZ, MARIAH	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 09/15/2025
FREUND, NOCHUM	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 10/01/2025
TRAVITSKY, AARON	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 10/01/2025
DAGAN, AMITAI	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	Individual	NOT APPLICABLE	since 03/10/2026
GOLDBERGER, ABRAHAM	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	Individual	NOT APPLICABLE	since 04/02/2026
GOLDBERGER, FAIGY	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	Individual	NOT APPLICABLE	since 04/02/2026
222 FM 1077 OPCO, LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 03/10/2026
222 FM 1077 PROPERTY OWNER, LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 10/01/2025
WELLTOWER INC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 10/01/2025
WELLTOWER NNN GROUP, LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 10/01/2025

3 more CMS ownership records

Additional CMS ownership records
Name	Role	Type	Share	Associated
WELLTOWER OP LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 10/01/2025
DOMINGUEZ, MARIAH	ADP OF THE SNF	Individual	NOT APPLICABLE	since 09/15/2025
JAAFAR, SALEH	ADP OF THE SNF	Individual	NOT APPLICABLE	since 04/01/2019

HHSC owner fields

Owner (HHSC): Hamilton County Hospital District
Type of entity (HHSC): HOSPITAL DISTRICT/AUTHORITY

Public data compiled by NursingCareLookup, not an endorsement or a recommendation, and not medical or legal advice. This site is not affiliated with HHSC, CMS, or Medicare. Figures can lag events at the facility, including surveys, corrections, and successful appeals (an appeal can alter or remove a citation). Verify current facts on TULIP and Medicare.gov, and visit in person before you decide. HHSC roster as of November 9, 2026 (America/Chicago). CMS file: official release October 28, 2026; processing date October 1, 2026.