Nursing HomeInspections

Avir at Boerne

Nursing home in Boerne, TX

Medicare & Medicaid certified1★ overall (CMS)

Call (830) 249-2799Send a messageMap ↗

Public-record details

Address
1102 River Road, Boerne, TX 78006
Phone
(830) 249-2799
Listed under
For-profit
Medicare CCN
675371
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
3 of 5
Quality measures rating
3 of 5
Certified beds
96
Average residents per day
68
Ownership
For-profit, limited Liability company
Legal business name
1102 River Road Opco LLC
Chain
Avir Health Group (116 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jun 15, 1994
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 675371. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: May 8, 2026. CMS lists 38 health citations for this facility across its last three standard inspection cycles and complaint inspections (Sep 1, 2023 to May 8, 2026): 21 from complaint inspections, 8 at the “actual harm” level or higher, including 8 at “immediate jeopardy”.

InspectionCitationSeverity
May 8, 2026Dispose of garbage and refuse properly.
Nutrition and Dietary		B
Potential for minimal harm, pattern
May 8, 2026Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights		D
Potential for more than minimal harm, isolated
May 8, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
May 8, 2026Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service		D
Potential for more than minimal harm, isolated
May 8, 2026Honor 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 · complaint inspection		E
Potential for more than minimal harm, pattern
May 8, 2026Ensure 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…
Pharmacy Service		E
Potential for more than minimal harm, pattern
May 8, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		E
Potential for more than minimal harm, pattern
May 8, 2026Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental · complaint inspection		E
Potential for more than minimal harm, pattern
Mar 7, 2025Dispose of garbage and refuse properly.
Nutrition and Dietary		C
Potential for minimal harm, widespread
Mar 7, 2025Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated
Mar 7, 2025Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated
Mar 7, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 38. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 4 fines totalling $133,341 in the last three years.

Aug 19, 2024Fine: $54,618
Mar 8, 2024Fine: $17,128
Jan 13, 2024Fine: $20,391
Sep 1, 2023Fine: $41,204

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.17 hours
Registered nurse (RN) time per resident per day
0.28 hours
Nurse aide time per resident per day
2.08 hours
Total nurse staffing on weekends
2.90 hours
Nursing staff turnover (yearly)
68%
RN turnover (yearly)
40%
Administrators who left in the past year
2

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

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.

Other nursing homes in Boerne

Kendall House Wellness & Rehabilitation1050 Grand Blvd. · Boerne, TX 78006 · (830) 816-4100 · Nonprofit22 health citations in 3 inspection cycles · last standard inspection Jan 23, 2026 · $88,390 in CMS fines (3 yrs)Medicare & Medicaid certified3★ overall (CMS)Carechoice of Boerne200 E Ryan St · Boerne, TX 78006 · (830) 249-2594 · For-profit30 health citations in 3 inspection cycles · last standard inspection Feb 14, 2026 · $33,937 in CMS fines (3 yrs)Medicare & Medicaid certified2★ overall (CMS)Cibolo Creek1440 River Rd · Boerne, TX 78006 · (830) 816-5095 · Government-owned26 health citations in 3 inspection cycles · last standard inspection Sep 5, 2025 · $13,627 in CMS fines (3 yrs)Medicare & Medicaid certified2★ overall (CMS)Town and Country Nursing and Rehabilitation Center625 N Main St · Boerne, TX 78006 · (830) 249-3085 · Government-owned57 health citations in 3 inspection cycles · last standard inspection May 22, 2025 · $150,922 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)

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