Avir At Boerne
1102 River Road, Boerne, TX 78006 · Kendall County
For-profit · 96 certified beds · 71% occupancy · (830) 249-2799
Avir At Boerne reviews: what the government record shows
The U.S. government (CMS) rates Avir At Boerne 1 out of 5 stars overall, much below average. Its nurse staffing is 3% below the Texas median. Inspectors cited it for 8 immediate-jeopardy findings in recent inspection cycles.
Updated September 2026 from the latest CMS data release. Ellery Care shows the government's own inspection and safety record, not consumer reviews.
At a glance
- CMS overall rating
- 1 of 5 stars
- Nurse staffing
- 3.17 hrs/resident/day (-3% vs TX median)
- Antipsychotic drug use
- 31.2% of long-stay residents (TX median 8.3%)
- Falls with major injury
- 2.9% of long-stay residents (TX median 3%)
- Federal fines (3 yrs)
- $133,341
- Inspection findings
- 38 cited, 8 immediate-jeopardy
- Federal abuse-warning flag
- No
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05.
What this means for your family
Several serious marks on its federal record. Look closely and ask hard questions before deciding.
Concerns
- !CMS rates it just 1 of 5 stars overall.
- !Nurse staffing of 3.17 hrs/resident/day is below the Texas median of 3.27.
- !Cited for 8 immediate-jeopardy findings (the most serious category) in recent inspections.
- !Has paid $133,341 in federal fines in roughly the last three years.
- !Gives antipsychotic drugs to 31.2% of long-stay residents, well above the norm.
Questions to ask on your visit
- ·How many residents does each nurse and aide care for on the day, evening, and overnight shifts?
- ·Can we see the most recent inspection report and the plan of correction?
- ·For any resident on an antipsychotic, is there a documented diagnosis and a plan to reduce it?
Touring in person? Our free nursing-home tour checklist has 30 questions to ask and the red flags to watch for, printable to take with you.
A plain-English read of this home's public record. Not advice — always visit in person.
Common questions about Avir At Boerne
Is Avir At Boerne a good nursing home?
Avir At Boerne in Boerne, Texas holds a 1 of 5 star CMS overall rating. Several serious marks on its federal record. Look closely and ask hard questions before deciding.
How is Avir At Boerne staffed?
Avir At Boerne reports 3.17 nurse hours per resident per day, below the Texas median of 3.27 hours per resident per day.
Has Avir At Boerne been fined or flagged for abuse?
Avir At Boerne has paid approximately $133,341 in federal fines in roughly the last three years, and does not currently carry a federal abuse-warning flag.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. Stars are CMS's own five-star ratings.
Nurse staffing
Staffing is the single strongest predictor of nursing home quality, and the number pay-to-play referral sites rarely show you.
3.17 nurse hours per resident per day. 3% below the Texas median of 3.27.
Nursing staff turnover: 67.7% · RN turnover: 40%
Safety & compliance flags
No CMS warning flags on record.
Recent inspection findings
The specific problems state inspectors cited, the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.
- Potential for harmTag F0584 · May 8, 2026ComplaintCorrected Jun 9, 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.
Resident Rights Deficiencies
- Potential for harmTag F0761 · May 8, 2026Corrected Jun 9, 2026
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.
Pharmacy Service Deficiencies
- Potential for harmTag F0812 · May 8, 2026Corrected Jun 9, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0925 · May 8, 2026ComplaintCorrected Jun 9, 2026
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies
- Potential for harmTag F0550 · May 8, 2026Corrected Jun 9, 2026
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
- Potential for harmTag F0689 · May 8, 2026Corrected Jun 9, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
- Potential for harmTag F0755 · May 8, 2026Corrected Jun 9, 2026
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
- Minimal harmTag F0814 · May 8, 2026Corrected Jun 9, 2026
Dispose of garbage and refuse properly.
Nutrition and Dietary Deficiencies
- Immediate jeopardyTag F0689 · Aug 19, 2024ComplaintCorrected Aug 21, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
- Potential for harmTag F0657 · Mar 7, 2025Corrected Mar 10, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies
Showing the 10 most recent and serious of 38 findings. See the full inspection history on Medicare.gov.
Antipsychotic drug use
The share of long-stay residents given antipsychotic medication. These drugs are sometimes used to sedate residents with dementia, a practice CMS and resident advocates watch closely. Lower is better.
This is far above both the Texas and national norm. It is worth asking the staff directly why, and whether every prescription has a documented medical reason and a plan to reduce it.
Source: CMS MDS Quality Measures, long-stay antipsychotic measure, retrieved 2026-09-05. See the Texas study
Preventable harm
Two injuries that good staffing and attentive care are meant to prevent: serious falls and pressure ulcers (bedsores). These are the outcomes families fear most, and they rarely appear on referral sites. Lower is better on both.
The serious-fall rate here is above the national median. It is worth asking how the home prevents falls and whether recent injuries prompted any changes.
Source: CMS MDS Quality Measures, long-stay falls and pressure-ulcer measures, period 2025Q2-2026Q1, retrieved 2026-09-05. Texas falls study · bedsore study
Federal fines and penalties
Money CMS has fined this home, plus other federal penalties, over roughly the last three years. Fines follow serious or repeated violations.
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. See the most-fined homes in Texas
Ownership
This home is for-profit (for profit - limited liability company). It is part of the Avir Health Group chain, which operates 116 facilities, with a chain-average CMS rating of 2.3 stars.