Avir at Boerne
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 17 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (2/5 stars)
- Low staffing rating (2/5 stars)
- Above-median deficiencies (11 vs median 8.0)
- High staff turnover (63%)
- High RN turnover (60%)
Below average in Texas · Critically understaffed (RN) · Above average staffing · $156,748 in fines
What this means for your family
The facility appears to be undergoing a positive transformation under new leadership, with many families reporting much higher levels of compassion recently. However, you should specifically investigate the nursing director's communication style and verify recent cleaning protocols, as past reports of unprofessionalism and hygiene issues were severe.
Google Reviews
Google Reviews
17 reviews on Google“Families should note that recent reviews highlight a significant positive shift due to new ownership and administration, with many praising the compassionate staff and improved atmosphere. However, there are serious, critical allegations regarding cleanliness, patient neglect, and unprofessional communication from nursing leadership that must be addressed directly with management.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate and caring nursing staff
- Positive changes under new ownership
- Professional therapy team
- Well-maintained and renovated environment
Concerns
- Unprofessional communication from nursing leadership (mentioned by 2 reviewers)
- Issues with facility cleanliness and hygiene (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 17 analyzed
How They Respond to Reviews
The owner uses highly templated, repetitive language for almost all responses. While they attempt to personalize some 5-star reviews by using the reviewer's name, the core messaging remains a standard set of pre-written phrases.
Questions for Your Tour
- 1I noticed some recent updates to the building; could you tell me more about the recent renovations and how they have improved the resident experience?
- 2How does the nursing leadership ensure that communication remains clear and consistent with family members regarding changes in a resident's care?
- 3What specific protocols are in place to ensure the highest standards of cleanliness and hygiene are maintained throughout the facility daily?
- 4With the recent changes in ownership, what new improvements are being implemented to enhance the staffing levels and care quality?
- 5Can you describe the daily schedule and what types of social activities or outings are available to keep residents engaged?
- 6In the event of a medical emergency during the night, what is the immediate process for notifying the family and coordinating care?
Personalized based on this facility's data
Key Review Excerpts
“New ownership is doing great things at this facility! The new Administrator is the kindest soul and truly strives to ensure her residents have the highest level of care and are treated with empathy and compassion.”
“The nursing director Karen yelled at my uncle and hang up on him many of times for calling to check up on his wife of 57 years.”
“The therapy team is amazing as well. #5Star”
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 · 16 measures
9
measures
5
measures
2
measures
Residents on anti-anxiety or sleep medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for pneumonia
Residents on antipsychotic medication
Residents whose walking got worse
Residents needing more daily help over time
Short-stay residents vaccinated for pneumonia
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 a concerning pattern of complaint-triggered deficiencies, with families filing 20 reports leading to federal violations across multiple areas including abuse protection, accident prevention, and care quality. The most recurring issues involve safety hazards and accident prevention, abuse and neglect protections, and nutrition and food safety problems. While all documented deficiencies show correction dates from the provider, the facility continues experiencing new violations including recent safety and abuse-related complaints, suggesting ongoing systemic challenges with maintaining consistent care standards.
Mar 7, 2025Routine17
Smoke Deficiencies
Properly install and monitor supervisory attachments on automatic sprinkler systems.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Environmental Deficiencies
Keep all essential equipment working safely.
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Smoke Deficiencies
Install an approved automatic sprinkler system.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Oct 18, 2024Complaint7
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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 safe and appropriate respiratory care for a resident when needed.
Oct 18, 2024Routine4
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Aug 19, 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.
Apr 26, 2024Routine8
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Administration Deficiencies
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Mar 8, 2024Complaint2
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Federal Penalties
Fine
Aug 19, 2024
$78,025
Fine
Mar 8, 2024
$17,128
Fine
Jan 13, 2024
$20,391
Fine
Sep 1, 2023
$41,204
Ownership & Operations
Who Operates This Facility
1102 River Road Opco LLC
for profit
THCM, LLC
V EDWARD FOLEY1
Chain Affiliation
Avir Health Group
117 facilities nationwide
Chain avg rating: 2.3/5 · Rank 47 of 90
Ownership & Management
Owners
1102 River Road Holdings LLC
Owner · Organization
TX Snf Holdings ,LLC
Owner (parent company) · Organization
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
17 reviews from families & visitors
Official Website
Visit avirhg.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
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