Avir at Bandera
Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.
based on 69 Google reviews
Watch Avir at Bandera
Get an email when new inspections, ratings, or penalties are published for this facility.
We’ll only email you about this — no spam, unsubscribe anytime.
What this means for your family
This facility is an excellent choice for rehabilitation, particularly if your loved one requires intensive physical therapy. While recent years show exceptional care and cleanliness, you should verify that current administrative protocols are robust, as older reviews noted issues with follow-up on serious concerns.
Google Reviews
Google Reviews
69 reviews analyzed“AVIR AT BANDERA is highly regarded for its exceptional physical therapy services and a consistently friendly, professional nursing staff. While many families praise the cleanliness and the compassionate care provided to long-term residents, some past experiences highlight serious concerns regarding medical oversight and administrative responsiveness.”
Quality Themes
Tap a score for detailsStrengths
- Exceptional physical therapy and rehab services
- Friendly and professional nursing staff
- Clean and well-maintained facility
- Strong sense of security and safety
Concerns
- Historical issues with medical oversight and hygiene (mentioned by 2 reviewers)
- Administrative responsiveness to complaints (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution
How They Respond to Reviews
The owner relies heavily on a small set of pre-written templates and mission statements to respond to reviews. While some responses include the reviewer's name, they rarely address the specific details or unique anecdotes provided in the reviews.
Questions for Your Tour
- 1I noticed how much the management team engages with feedback online; how does the administration typically handle and resolve concerns raised by families?
- 2We've heard great things about the physical therapy and rehab services here; could you tell us more about how that program supports resident recovery?
- 3What specific steps are being taken to ensure the highest standards of hygiene and medical oversight are maintained throughout the facility?
- 4Could you describe the dining experience and what kind of variety is available on the daily menus for residents?
- 5How does the nursing team manage medical emergencies or changes in a resident's condition during the overnight hours?
- 6What kind of daily activities or social events are organized to keep the residents engaged and connected with one another?
Personalized based on this facility's data
Key Review Excerpts
“Their physical therapy is hands down the best I have ever been to.”
“The care she gets is wonderful and the communication with me is top notch and very much appreciated.”
“Many nursing homes I have visited in have the distinct odor of urine permeating the air. Not so here.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
14
measures
2
measures
1
measures
Residents on antipsychotic medication
Residents vaccinated for pneumonia
Residents whose bladder or bowel control got worse
Residents with depression symptoms
Residents who lost too much weight
Residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has faced significant challenges with 27 deficiencies across 6 surveys, including 7 complaint-triggered issues where families filed reports. The most recurring problems involve fire safety systems, care planning and medical records, and daily care assistance. Recent complaints in 2025 addressed serious concerns including bowel/bladder care and failure to notify families of incidents, though the facility has provided correction dates for all identified issues.
Feb 7, 2026Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Apr 5, 2025Complaint4
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Mar 21, 2025Routine7
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Smoke Deficiencies
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Feb 20, 2025Complaint3
Emergency Preparedness Deficiencies
Establish staff and initial training requirements.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Jun 20, 2024Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jan 27, 2024Routine7
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Egress Deficiencies
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.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Install an approved automatic sprinkler system.
Federal Penalties
Fine
Mar 21, 2025
$86,444
Fine
Jun 20, 2024
$13,849
Ownership & Operations
Who Operates This Facility
Hamilton County Hospital District
for profit
222 FM 1077 OPCO LLC
MARIAH DOMINGUEZ
Chain Affiliation
Avir Health Group
117 facilities nationwide
Chain avg rating: 2.3/5 · Rank 18 of 90
Ownership & Management
Owners
Crank, Timothy
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
69 reviews from families & visitors
Official Website
Visit avirhg.com
Medicare data downloads
Original nursing home datasets
EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.
Nearby Alternatives