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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J3 | K1 | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D15 | E20 | F4 |
| Minimal | A· | B1 | C1 |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| May 8, 2026 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| May 8, 2026 | Health | Health Complaint, Health Standard | 8 | Potential harm | — | Open → |
| Mar 7, 2025 | Fire safety | Fire Safety Standard | 6 | Potential harm | — | Open → |
| Mar 7, 2025 | Health | Health Standard | 11 | Potential harm | — | Open → |
| Oct 18, 2024 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Oct 18, 2024 | Health | Health Complaint, Health Standard | 7 | Potential harm | — | Open → |
| Aug 19, 2024 | Health | Health Complaint | 1 | Immediate jeopardy | — | Open → |
| Mar 8, 2024 | Health | Health Complaint | 2 | Immediate jeopardy | — | Open → |
| Jan 13, 2024 | Health | Health Complaint | 2 | Immediate jeopardy | — | Open → |
| Nov 27, 2023 | Health | Infection Control | 0 | No citations | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Aug 19, 2024 | Civil money penalty (fine) | $54,618 | — | 675371|Fine|113158 |
| Mar 8, 2024 | Civil money penalty (fine) | $17,128 | — | 675371|Fine|112510 |
| Jan 13, 2024 | Civil money penalty (fine) | $20,391 | — | 675371|Fine|112165 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J3 | K1 | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D15 | E20 | F4 |
| Minimal | A· | B1 | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| May 8, 2026 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 9, 2026 | |
| May 8, 2026 | K-0343 | Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 9, 2026 | |
| May 8, 2026 | K-0345 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
118 facilities in 1 states. CMS chain ID 719.
Chain average overall rating (CMS): 2.2
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| 1102 River Road Holdings LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Apr 1, 2025 |
| Tx SNF Holdings ,LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | Apr 1, 2025 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| 1102 River Road Holdings LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Apr 1, 2025 |
| Tx SNF Holdings ,LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | Apr 1, 2025 |
| Virgil Foley | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2025 |
| Nochum Freund | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2025 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Avir at Beaumont 4195 Milam Street, Beaumont, TX 77707 CCN 455001Abuse icon | 214 | Aug 24, 2026 | 582 IJ2 open | $40k | |
| Avir at New Braunfels |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Cibolo Creek 1440 River Rd, Boerne, TX 78006 CCN 676240 | 0.1 km | 120 | Sep 5, 2025 | 334 IJ | $14k | |
| Carechoice of Boerne 200 E Ryan St, Boerne, TX 78006 CCN 675678 | 1.7 km | 74 | May 28, 2026 | 392 IJ | $34k | |
| Town and Country Nursing and Rehabilitation Center 625 N Main St, Boerne, TX 78006 CCN 455796 | 2 km | 126 | Jul 31, 2026 | 763 IJ | $151k | |
| Kendall House Wellness & Rehabilitation 1050 Grand Blvd., Boerne, TX 78006 CCN 676228 | 2.2 km | 40 | Jan 23, 2026 | 241 IJ | $88k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 675371 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 675371 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety |
| D · Potential harm Isolated |
| Corrected Jun 9, 2026 |
| May 8, 2026 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 9, 2026 |
| May 8, 2026 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 9, 2026 |
| May 8, 2026 | F-0584 | 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 · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jun 9, 2026 | Complaint |
| May 8, 2026 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 9, 2026 |
| May 8, 2026 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jun 9, 2026 |
| May 8, 2026 | F-0761 | 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 · Medication management | E · Potential harm Pattern | Corrected Jun 9, 2026 |
| May 8, 2026 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jun 9, 2026 |
| May 8, 2026 | F-0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 9, 2026 | Complaint |
| May 8, 2026 | F-0814 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | B · Minimal Pattern | Corrected Jun 9, 2026 |
| Mar 7, 2025 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 10, 2025 |
| Mar 7, 2025 | K-0352 | Properly install and monitor supervisory attachments on automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 10, 2025 |
| Mar 7, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 10, 2025 |
| Mar 7, 2025 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 10, 2025 |
| Mar 7, 2025 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 10, 2025 |
| Mar 7, 2025 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 10, 2025 |
| Mar 7, 2025 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 10, 2025 |
| Mar 7, 2025 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 10, 2025 |
| Mar 7, 2025 | F-0657 | 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 · Clinical care | E · Potential harm Pattern | Corrected Mar 10, 2025 |
| Mar 7, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 10, 2025 |
| Mar 7, 2025 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Mar 10, 2025 |
| Mar 7, 2025 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Mar 10, 2025 |
| Mar 7, 2025 | F-0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Mar 10, 2025 |
| Mar 7, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Mar 10, 2025 |
| Mar 7, 2025 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 10, 2025 |
| Mar 7, 2025 | F-0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 10, 2025 |
| Mar 7, 2025 | F-0814 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | C · Minimal Widespread | Corrected Mar 10, 2025 |
| Oct 18, 2024 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 28, 2024 |
| Oct 18, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 28, 2024 |
| Oct 18, 2024 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 28, 2024 |
| Oct 18, 2024 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 28, 2024 |
| Oct 18, 2024 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 21, 2024 | Complaint |
| Oct 18, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 21, 2024 | Complaint |
| Oct 18, 2024 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 21, 2024 | Complaint |
| Oct 18, 2024 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 21, 2024 | Complaint |
| Oct 18, 2024 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Oct 21, 2024 | Complaint |
| Oct 18, 2024 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Oct 21, 2024 | Complaint |
| Oct 18, 2024 | F-0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 21, 2024 | Complaint |
| Aug 19, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Corrected Aug 21, 2024 | Complaint |
| Mar 8, 2024 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | K · Immediate jeopardy Pattern | Past non-compliance Jan 12, 2024 | Complaint |
| Mar 8, 2024 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Mar 9, 2024 | Complaint |
| Jan 13, 2024 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | J · Immediate jeopardy Isolated | Corrected Jan 14, 2024 | Complaint |
| Jan 13, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Corrected Jan 14, 2024 | Complaint |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.58 (case-mix index 1.28).
| Laura Givens | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2025 |
| Aaron Travitsky | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2025 |
| 1102 River Road Property Owner LLC | Organization | Mortgage / security interest | 5% OR GREATER SECURITY INTEREST | not provided | Apr 1, 2025 |
| Welltower Inc | Organization | Mortgage / security interest | 5% OR GREATER SECURITY INTEREST | not provided | Apr 1, 2025 |
| Welltower Nnn Group, LLC | Organization | Mortgage / security interest | 5% OR GREATER SECURITY INTEREST | not provided | Apr 1, 2025 |
| Welltower Op LLC | Organization | Mortgage / security interest | 5% OR GREATER SECURITY INTEREST | not provided | Apr 1, 2025 |
| 1102 River Road Property Owner LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2025 |
| Welltower Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2025 |
| Welltower Nnn Group, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2025 |
| Welltower Op LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2025 |
| Virgil Foley | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2025 |
| Laura Givens | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2025 |
| 154 |
| Jul 10, 2026 |
755 IJ |
| $158k |
| Avir at Rose Trail 930 S Baxter, Tyler, TX 75701 CCN 455429SFF Candidate | 172 | Aug 14, 2026 | 639 IJ3 harm | $484k |
| Avir at Petal Hill 900 S Baxter Ave, Tyler, TX 75701 CCN 455485Abuse icon | 120 | May 13, 2026 | 352 IJ | $26k |
| Avir at Jeffrey Place 820 Jeffrey Dr, Waco, TX 76710 CCN 455489 | 95 | Apr 9, 2026 | 452 IJ | $22k |
| Avir at Temple West 1700 Marlandwood Rd, Temple, TX 76502 CCN 455522 | 104 | Dec 18, 2025 | 312 IJ1 open | $7,257 |
| Avir at Center 280 Moffitt Dr, Center, TX 75935 CCN 455550 | 137 | Jul 23, 2025 | 271 IJ | $9,113 |
| Avir at Graham 1224 Corvadura St, Graham, TX 76450 CCN 455555 | 116 | Aug 14, 2025 | 33 | — |