TexasComfort

Avir at Comfort

615 Faltin St., Comfort, TX 78013 · Kendall County · 76 certified beds · avg 32 residents/day · certified since Apr 26, 2001

Part of chain: AVIR HEALTH GROUP (116 facilities, chain avg rating 2.3★)

4/5
Health inspection rating (on-site)
0
Serious findings on record
$0
Fines, last 3 years
4.31
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (36)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

DateSeverityWhat the facility was cited for
May 27, 2026E · Potential for harm, repeatedThe facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint
May 27, 2026E · Potential for harm, repeatedThe facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. · from a complaint
Aug 22, 2025F · Potential for harm, facility-wideThe facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing.
Aug 22, 2025D · Potential for harm, one-offThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Apr 18, 2025F · Potential for harm, facility-wideThe facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · from a complaint
Apr 18, 2025D · Potential for harm, one-offThe facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint
Jul 10, 2024E · Potential for harm, repeatedThe facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing.
Jul 10, 2024D · Potential for harm, one-offThe facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups.
Jul 10, 2024D · Potential for harm, one-offThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jul 10, 2024C · Minimal risk, facility-wideThe facility did not make its inspection results easy for residents to see, or made it hard for residents to contact advocacy agencies like the ombudsman.
Jul 10, 2024C · Minimal risk, facility-wideThe facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day.
Mar 1, 2024D · Potential for harm, one-offThe facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. · from a complaint
Mar 1, 2024D · Potential for harm, one-offThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint
Jun 8, 2023F · Potential for harm, facility-wideThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jun 8, 2023E · Potential for harm, repeatedThe facility did not observe each nurse aide's job performance or provide regular training as required.
Jun 8, 2023E · Potential for harm, repeatedThe facility did not develop, carry out, or maintain an effective training program for all new and existing staff members.
Jun 8, 2023E · Potential for harm, repeatedThe facility did not develop or maintain an effective training program for its direct care staff, including training on how to communicate effectively with residents.
Jun 8, 2023E · Potential for harm, repeatedThe facility did not educate its staff on residents' rights and the facility's responsibilities toward residents. Staff can only respect rights they've been taught about.
Jun 8, 2023E · Potential for harm, repeatedThe facility did not train its staff on dementia care and on recognizing and reporting abuse, neglect, and exploitation.
Jun 8, 2023E · Potential for harm, repeatedThe facility did not include required infection control training — with written standards, policies, and procedures — as part of its infection prevention program.
Jun 8, 2023E · Potential for harm, repeatedThe facility did not provide its staff with training in compliance and ethics — teaching employees the laws and ethical standards that govern how residents must be treated.
Jun 8, 2023E · Potential for harm, repeatedThe facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention.
Jun 8, 2023D · Potential for harm, one-offThe facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that.
Jun 8, 2023D · Potential for harm, one-offThe facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way.
Jun 8, 2023D · Potential for harm, one-offThe facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require.
Jun 8, 2023D · Potential for harm, one-offThe facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Jun 8, 2023D · Potential for harm, one-offThe facility did not make sure resident assessments were done by a qualified health professional. Assessments guide all of a resident's care, so the person doing them must be properly trained.
Jun 8, 2023D · Potential for harm, one-offThe facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable.
Jun 8, 2023D · Potential for harm, one-offThe facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Jun 8, 2023D · Potential for harm, one-offThe facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Jun 8, 2023D · Potential for harm, one-offThe facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing.
Jun 8, 2023D · Potential for harm, one-offThe facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Jun 8, 2023D · Potential for harm, one-offThe facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Jun 8, 2023D · Potential for harm, one-offThe facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Jun 8, 2023D · Potential for harm, one-offThe facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Jun 8, 2023D · Potential for harm, one-offThe facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (5 → 2).

YearCitationsSerious (G–L)Worst severity that year
2023230F
202470E
202540F
202620E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

MeasureThis facilityTexas avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)4.313.463.95top 10% in Texas; top 29% in the U.S.
Registered Nurse hours0.740.440.69top 7% in Texas; top 32% in the U.S.
Weekend total nurse staffing3.253.043.50top 26% in Texas; bottom 44% in the U.S.
Weekend RN hours (not acuity-adjusted)0.590.340.48top 8% in Texas; top 24% in the U.S.
Total nursing staff turnover (%)59.455.345.8bottom 34% in Texas; bottom 17% in the U.S.
RN turnover (%)0.054.642.9

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.77, RN 0.65, weekend 2.84. Staffing rating: 4/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: —/5

Who owns this facility

For profit - Limited Liability company

Owner / managerTypeRoleStakeSince
Hamilton County Hospital DistrictOrganization5% or Greater Direct Ownership Interest100%02/10/2021
615 Faltin St Opco, LLCOrganizationOperational/Managerial ControlNOT APPLICABLE10/01/2025
615 Faltin St Opco, LLCOrganizationADP of the SNFNOT APPLICABLE02/04/2026
615 Faltin St Property Owner LLCOrganizationADP of the SNFNOT APPLICABLE10/01/2025
Dagan, AmitaiIndividualIndividual Is an Owner, Partner or Trustee of Any ADP of the SNFNOT APPLICABLE03/16/2026
Foley, HeatherIndividualADP of the SNFNOT APPLICABLE09/01/2023
Freund, NochumIndividualOperational/Managerial ControlNOT APPLICABLE10/01/2025
Givens, LauraIndividualADP of the SNFNOT APPLICABLE02/10/2021
Goldberger, AbrahamIndividualIndividual Is an Owner, Partner or Trustee of Any ADP of the SNFNOT APPLICABLE03/16/2026
Goldberger, FaigyIndividualIndividual Is an Owner, Partner or Trustee of Any ADP of the SNFNOT APPLICABLE03/16/2026
Hooper, GradyIndividualCorporate OfficerNOT APPLICABLE02/10/2021
Travitsky, AaronIndividualOperational/Managerial ControlNOT APPLICABLE10/01/2025
Welltower INCOrganizationADP of the SNFNOT APPLICABLE10/01/2025
Welltower NNN Group, LLCOrganizationADP of the SNFNOT APPLICABLE10/01/2025
Welltower Op, LLCOrganizationADP of the SNFNOT APPLICABLE10/01/2025

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

Nearby facilities (within 20 miles)

FacilityDistanceCityOverallInspectionFlags
River Hills Health and Rehabilitation Center13.5 miKerrville, TX★☆☆☆☆1/5
Avir at Kerrville14.3 miKerrville, TX★☆☆☆☆1/5
Arbor View Nursing & Rehabilitation14.6 miKerrville, TX★☆☆☆☆1/5abuseSFF
Town and Country Nursing and Rehabilitation Center15.8 miBoerne, TX★☆☆☆☆2/5
Carechoice of Boerne16.0 miBoerne, TX★★☆☆☆3/5
Hilltop Village Nursing and Rehabilitation16.6 miKerrville, TX★★☆☆☆3/5
Avir at Boerne17.1 miBoerne, TX★☆☆☆☆1/5
Cibolo Creek17.1 miBoerne, TX★★☆☆☆2/5
Kendall House Wellness & Rehabilitation17.2 miBoerne, TX★★★☆☆4/5
Cedar Creek Nursing and Rehabilitation Center19.6 miBandera, TX★★☆☆☆3/5

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Facility data as of CMS processing date 2026-08-01. CCN 675871.