Avir at New Braunfels
A nursing home in New Braunfels, Texas 78130
821 Us Hwy 81 W, New Braunfels, Texas 78130. (830) 625-7526.
- Cited for abuse (CMS flag)
- Changed ownership in the last 12 months
Watch and the shortlist are kept with a free account, on every device. Your watch list. CMS’s own record is on Care Compare.
The short answer
Record last released by CMS on Oct 28, 2026.
- 1of 5 CMS’s overall rating
- 26 health citations at the latest inspection cycle Texas average: 9.6
- 3.29 nurse hours per resident per day Texas average: 3.42
- 5 fines in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean8
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Immediate jeopardy
- CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
26 health citations at the latest inspection cycle
The Texas average is 9.6.
Last standard inspection Aug 29, 2025.
Most serious in three years: immediate jeopardy to health or safety (J), at a complaint inspection on Apr 24, 2026
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
47 citations in 14 months of the last 36. Last cited Jul 2026. Most serious: immediate jeopardy to health or safety (J). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 47 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 34 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Jul 10, 2026: complaint inspection1 citation
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Provide the required documentation or notification related to the resident’s needs, appeal rights, or bed-hold policies.
May 23, 2026: complaint inspection1 citation
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Ensure the activities program is directed by a qualified professional.
May 15, 2026: complaint inspection3 citations
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
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Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Apr 24, 2026: complaint inspection1 citation
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Jan 30, 2026: complaint inspection3 citations
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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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.
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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, 2025: complaint inspection7 citations
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Reasonably accommodate the needs and preferences of each resident.
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Provide safe and appropriate respiratory care for a resident when needed.
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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.
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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.
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Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Post nurse staffing information every day.
Nov 24, 2025: complaint inspection4 citations
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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.
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Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
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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.
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Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Aug 29, 2025: standard inspection6 citations
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Assure that each resident’s assessment is updated at least once every 3 months.
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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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.
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Provide and implement an infection prevention and control program.
Aug 13, 2025: complaint inspection1 citation
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Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Jul 10, 2025: complaint inspection2 citations
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Mar 10, 2025: complaint inspection1 citation
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Provide activities to meet all resident’s needs.
Jan 30, 2025: complaint inspection1 citation
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Provide and implement an infection prevention and control program.
Dec 22, 2024: complaint inspection2 citations
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Jun 28, 2024: standard inspection7 citations
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Create and put into place a plan for meeting the resident’s most immediate needs within 48 hours of being admitted
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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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.
-
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
-
Provide and implement an infection prevention and control program.
-
Keep all essential equipment working safely.
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Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
May 8, 2024: complaint inspection2 citations
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Protect each resident from the wrongful use of the resident’s belongings or money.
Dec 2, 2023: complaint inspection5 citations
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident’s well being.
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Jun 1, 1976.
- Not on CMS’s special focus list.
- CMS marks it with its abuse icon: cited for abuse or neglect that harmed a resident.
- Changed ownership in the last 12 months.
- CMS lists its ownership as for profit, limited liability company.
- 154 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 5 fines in the last three years, $158,095 in all.
- 1 Medicare payment denial in the last three years.
- 34 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Apr 24, 2026 | Fine | $10,631 |
| Aug 29, 2025 | Fine | $11,901 |
| Dec 22, 2024 | Fine | $83,564 |
| May 8, 2024 | Fine | $43,687 |
| Dec 2, 2023 | Medicare payment denial | Not given |
| Dec 2, 2023 | Fine | $8,312 |
Who does the caring?
3.29 nurse hours per resident per day
The Texas average is 3.42.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Texas average |
|---|---|---|
| Nurse hours per resident per day | 3.29 | 3.42 |
| Of which registered nurses | 0.29 | 0.44 |
| At weekends | 2.93 | 2.99 |
| Nursing staff turnover | 66.4% | 50.8% |
| Registered nurse turnover | 62.5% | 49.8% |
| Administrators who left | 2 | Not given |
Who owns it?
- 821 Us Highway 81 W Holdings LLC owns 100% directly since Oct 1, 2025.
- 10 owners or officers are people: Faigy Goldberger (owns 5% or more through other companies, 92%); Nochum Freund (owns 5% or more through other companies, 42.86%); Amitai Dagan (owns 5% or more through other companies, 28.57%); Aaron Travitsky (owns 5% or more through other companies, 28.57%); Abraham Goldberger (owns 5% or more through other companies, 8%); Gary L Allen (runs it (operational or managerial control)); Gary L Allen (additional disclosable party (controls, leases property to, or provides services to the home)); Aaron Travitsky (runs it (operational or managerial control)); James Chudleigh (runs it (operational or managerial control)); James Chudleigh (additional disclosable party (controls, leases property to, or provides services to the home)).
- Part of Avir Health Group (118 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- A real-estate investment trust is among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| TX SNF Holdings Member, LLC | Owns 5% or more through other companies | 100% | Oct 1, 2025 |
| 821 Us Highway 81 W Holdings LLC | Owns 5% or more directly | 100% | Oct 1, 2025 |
| TX SNF Holdings III LLC | Owns 5% or more through other companies | 100% | Oct 1, 2025 |
| GRAF Holdings LLC | Owns 5% or more through other companies | 65% | Oct 1, 2025 |
| Ana TX Holdings, LLC | Owns 5% or more through other companies | 35% | Oct 1, 2025 |
| 821 Us Highway 81 W Property Owner LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Oct 1, 2025 | |
| Welltower Nnn Group, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Oct 1, 2025 | |
| Welltower Op LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Oct 1, 2025 | |
| Welltower Inc. | Additional disclosable party (controls, leases property to, or provides services to the home) | Oct 1, 2025 |
How do residents fare?
- CMS rates its quality measures 4 of 5 (Texas average 3.8).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 1 of 5 |
| Health inspections | 1 of 5 |
| Staffing | 1 of 5 |
| Quality measures | 4 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 13.5 miles, this one had the 1st most health citations at the latest inspection cycle (26; the middle value was 11).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Avir at New Braunfels This nursing home | 26 | |
| Legend Oaks Healthcare and Rehabilitation - New Br | 1.0 | 8 |
| Sundance Inn Health Center | 1.3 | 10 |
| Eden Home | 2.9 | 15 |
| Kirkwood Manor | 4.8 | 14 |
| Cypress Healthcare and Rehabilitation Center | 11.8 | 9 |
| Avir at Walnut Springs | 12.1 | 7 |
| Hays Nursing and Rehabilitation Center | 12.4 | 6 |
| Avir at Seguin | 13.2 | 13 |
| Guadalupe Valley Nursing and Rehabilitation Center | 13.4 | 20 |
| Windsor Nursing and Rehabilitation Center of Segui | 13.4 | 7 |
| River Bend Healthcare | 13.5 | 12 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
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Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.