Avir At Bandera has received an F grade based on CMS data, with a score of 37/100 — placing it among the lowest-rated nursing facilities in Texas. Families considering this Bandera facility should carefully review its inspection history and quality metrics.
With 2.65 total nurse hours per resident per day, Avir At Bandera falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.
Recent CMS inspections identified 15 deficiencies at Avir At Bandera, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 2.65 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.48 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.57 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 1.60 | 2.4 | Below Average |
| Weekend Total Nursing | 2.43 | 3.8 | Below Average |
| Weekend RN Hours | 0.32 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0690 Severity KProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to preventApr 4, 2025 · Quality of Life and Care Deficiencies
- Tag 0580 Severity DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Apr 4, 2025 · Resident Rights Deficiencies
- Tag 0656 Severity EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Mar 20, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0679 Severity EProvide activities to meet all resident's needs.Mar 20, 2025 · Quality of Life and Care Deficiencies
- Tag 0684 Severity EProvide appropriate treatment and care according to orders, resident’s preferences and goals.Mar 20, 2025 · Quality of Life and Care Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 1.6% | 4.5% | Better |
| Falls with major injury | 5.6% | 3.0% | Worse |
| On antipsychotic medication | 3.7% | 14.5% | Better |
| Urinary tract infections | 0.3% | 2.5% | Better |
| ADL decline (daily activities) | 8.7% | 14.0% | Better |
| Excessive weight loss | 0.4% | 7.5% | Better |
| New/worsened incontinence | 13.9% | 45.0% | Better |
⚠️ Penalties & Fines
2 penalties recorded by CMS
Total fines: $100,293
How This Grade Was Calculated
This facility's grade of F is based on a score of 37 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 3★ → 24 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 2★ → 8 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
- Penalty deductions: -10 pts
- Fine deductions: -10 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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