Avir at New Braunfels
Nursing home in New Braunfels, TX
Medicare & Medicaid certified1★ overall (CMS)CMS abuse icon
Public-record details
- Address
- 821 Us Hwy 81 W, New Braunfels, TX 78130
- Phone
- (830) 625-7526
- Listed under
- For-profit
- Medicare CCN
- 455020
- Overall star rating
- 1 of 5 ★☆☆☆☆
- Health inspection rating
- 1 of 5
- Staffing rating
- 2 of 5
- Quality measures rating
- 3 of 5
- Certified beds
- 154
- Average residents per day
- 130
- Ownership
- For-profit, limited Liability company
- Legal business name
- 821 US Highway 81 W Opco LLC
- Chain
- Avir Health Group (116 facilities)
- Certified for
- Medicare and Medicaid
- First approved by Medicare/Medicaid
- Jun 1, 1976
- Changed ownership in last 12 months
- Yes
- Continuing care retirement community
- No
- Located inside a hospital
- No
- Resident or family council
- Resident council
- Sprinklers in all required areas
- Yes
Inspection record
Most recent standard health inspection: Aug 29, 2025. CMS lists 53 health citations for this facility across its last three standard inspection cycles and complaint inspections (Apr 14, 2023 to May 23, 2026): 33 from complaint inspections, 5 at the “actual harm” level or higher, including 5 at “immediate jeopardy”. CMS shows its abuse icon for this facility, which it uses for nursing homes cited for abuse at the harm level recently or at the potential-harm level in each of the last two years.
| Inspection | Citation | Severity |
|---|---|---|
| May 23, 2026 | Ensure the activities program is directed by a qualified professional. | E |
| May 15, 2026 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | D |
| May 15, 2026 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E |
| May 15, 2026 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E |
| Apr 24, 2026 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J |
| Jan 30, 2026 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D |
| Jan 30, 2026 | 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. | D |
| Jan 30, 2026 | 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. | E |
| Dec 31, 2025 | Post nurse staffing information every day. | C |
| Dec 31, 2025 | Reasonably accommodate the needs and preferences of each resident. | D |
| Dec 31, 2025 | Provide safe and appropriate respiratory care for a resident when needed. | D |
| Dec 31, 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… | D |
Fines and payment denials
CMS records 5 fines totalling $163,819 and 1 denial of Medicare payment for new admissions in the last three years.
| Apr 24, 2026 | Fine: $16,355 |
| Aug 29, 2025 | Fine: $11,901 |
| Dec 22, 2024 | Fine: $83,564 |
| May 8, 2024 | Fine: $43,687 |
| Dec 2, 2023 | Fine: $8,312 |
| Dec 2, 2023 | Payment denial for 5 days from Dec 29, 2023 |
Staffing
- Total nurse staffing per resident per day
- 3.36 hours
- Registered nurse (RN) time per resident per day
- 0.23 hours
- Nurse aide time per resident per day
- 2.15 hours
- Total nurse staffing on weekends
- 3.03 hours
- Nursing staff turnover (yearly)
- 74%
- RN turnover (yearly)
- 71%
- Administrators who left in the past year
- 3
A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.