Avir at New Braunfels
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 60 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 (1/5 stars)
- Low staffing rating (2/5 stars)
- Above-median deficiencies (24 vs median 8.0)
- High staff turnover (62%)
- High RN turnover (67%)
Bottom 25% in Texas · Critically understaffed (RN) · Above average staffing · Worst in AVIR HEALTH GROUP chain · $374,761 in fines
What this means for your family
This facility has a dedicated core of nursing and administrative staff that many families find incredibly supportive, especially during dementia transitions. However, you must investigate the facility's current hygiene and maintenance standards personally, as multiple recent reports highlight issues with cleanliness and pests.
Google Reviews
Google Reviews
60 reviews analyzed“Families considering Avir should note that while many reviewers praise specific nursing and administrative staff for being compassionate and professional, there are serious, recurring allegations regarding cleanliness and hygiene. While some long-term residents have had excellent experiences with the care team, others have reported significant issues with odors, pests, and neglected maintenance.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate nursing and administrative staff
- Smooth transitions for dementia and rehab patients
- Responsive administration and admissions team
- Supportive environment for long-term residents
Concerns
- Poor facility cleanliness and hygiene (mentioned by 3 reviewers)
- Staffing shortages and inconsistent response times (mentioned by 2 reviewers)
- Maintenance and pest issues (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution
How They Respond to Reviews
The owner relies heavily on templated, repetitive phrases that vary only slightly depending on the star rating. While they attempt to personalize some responses with names, the core messaging remains a collection of pre-written mission statements.
Questions for Your Tour
- 1We've heard wonderful things about the compassion of your nursing and administrative teams; how does that culture of care translate to the daily interactions with residents?
- 2What specific steps is the facility taking to ensure the highest standards of cleanliness and facility maintenance for the residents?
- 3With the recent health inspections, what specific improvements or new protocols have been implemented to address the areas noted in the CMS reports?
- 4How do you ensure consistent communication between the nursing staff and family members, especially during changes in a resident's condition?
- 5Can you describe the protocol for handling medical emergencies or urgent care needs during the overnight hours?
- 6What kind of daily activities or social programs are available to help residents stay engaged and connected with one another?
Personalized based on this facility's data
Key Review Excerpts
“The team here, especially Autumn eased so much burden and provided much needed emotional and practical support that it far exceeded my expectations.”
“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.”
“The staff is friendly, the place is clean and well kept, as are the residents.”
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
9
measures
3
measures
5
measures
Residents on anti-anxiety or sleep medication
Residents needing more daily help over time
Residents whose walking got worse
Residents with depression symptoms
Residents on antipsychotic medication
Residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
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 shows concerning patterns with 72 deficiencies across 16 surveys, and families have filed numerous complaints triggering over half of these violations. The most recurring issues involve accident prevention and safety hazards, medication management problems, and dining service deficiencies including food safety and staffing. Recent serious incidents include abuse protection violations and resident rights issues, with some deficiencies from early 2026 still lacking correction plans, suggesting ongoing systemic problems that may not be adequately addressed.
Jan 30, 2026Complaint3
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.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Administration Deficiencies
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.
Dec 31, 2025Complaint7
Nutrition and Dietary Deficiencies
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.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Pharmacy Service Deficiencies
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.
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Nov 24, 2025Complaint4
Pharmacy Service Deficiencies
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.
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.
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Aug 29, 2025Routine12
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Emergency Preparedness Deficiencies
Provide primary/alternate means for communication.
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Assessment and Care Planning Deficiencies
Assure that each resident’s assessment is updated at least once every 3 months.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
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.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Aug 13, 2025Complaint1
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Jul 10, 2025Complaint2
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 appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Federal Penalties
Fine
Aug 29, 2025
$11,700
Fine
Dec 22, 2024
$83,564
Fine
May 8, 2024
$43,687
Fine
Dec 2, 2023
$8,312
Payment Denial
Dec 2, 2023
5-day denial
Ownership & Operations
Who Operates This Facility
821 Us Highway 81 W Opco LLC
for profit
SLP OPERATIONS LLC
GARY ALLEN
Chain Affiliation
Avir Health Group
117 facilities nationwide
Chain avg rating: 2.3/5 · Rank 78 of 90 (Worst)
Ownership & Management
Owners
821 Us Highway 81 W Holdings LLC
Owner · Organization
TX Snf Holdings III 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
60 reviews from families & visitors
Official Website
Visit avirhg.com
Medicare data downloads
Original nursing home datasets
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