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Avir at Comfort

Open-data reference.

Avir at Comfort is a for profit - limited liability company facility in COMFORT, TX with 76 certified beds and a 4-star overall CMS rating. The facility has 34 deficiency records on file.

615 FALTIN AVE, COMFORT, TX 78013

Phone: 8309953757

Overall Rating

4/5

Health Inspection

4/5

Staffing

1/5

Quality Measures

5/5

Long-Stay Quality

5/5

Facility Information

Provider Number
675871
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
76
Residents
34
In Hospital
No
County
Kendall
Last Inspection
Aug 22, 2025

Staffing Data

RN Hours
0.64 (nat'l avg: 0.68)
LPN Hours
1.02
CNA Hours
1.74
Total Nursing Hours
3.41 (nat'l avg: 3.89)
PT Hours
0.25
Nursing Turnover
45.9%
RN Turnover
60.0%

What the CMS Record Reveals About Avir at Comfort

Avir at Comfort operates 76 certified beds in COMFORT, TX with approximately 34 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (4★), staffing levels (1★), and quality measures (5★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 34 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold. Staffing is reported at 3.41 total nursing hours per resident day (national average 3.89), with RN coverage at 0.64 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Avir at Comfort falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 45.9%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (34 most recent)

F — Widespread - Minimal harm Aug 22, 2025 Tag: 0727

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Category: Nursing and Physician Services Deficiencies

Corrected: Aug 31, 2025

D — Isolated - Minimal harm Aug 22, 2025 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 25, 2025

F — Widespread - Minimal harm Apr 18, 2025 Tag: 0725

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Category: Nursing and Physician Services Deficiencies

Corrected: Apr 25, 2025

D — Isolated - Minimal harm Apr 18, 2025 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 25, 2025

D — Isolated - Minimal harm Jul 10, 2024 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Jul 31, 2024

C — Widespread - No harm Jul 10, 2024 Tag: 0732

Post nurse staffing information every day.

Category: Nursing and Physician Services Deficiencies

Corrected: Jul 31, 2024

E — Pattern - Minimal harm Jul 10, 2024 Tag: 0727

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Category: Nursing and Physician Services Deficiencies

Corrected: Jul 31, 2024

C — Widespread - No harm Jul 10, 2024 Tag: 0577

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Category: Resident Rights Deficiencies

Corrected: Jul 31, 2024

D — Isolated - Minimal harm Jul 10, 2024 Tag: 0558

Reasonably accommodate the needs and preferences of each resident.

Category: Resident Rights Deficiencies

Corrected: Jul 31, 2024

D — Isolated - Minimal harm Mar 1, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Mar 29, 2024

D — Isolated - Minimal harm Mar 1, 2024 Tag: 0655

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 29, 2024

E — Pattern - Minimal harm Jun 8, 2023 Tag: 0946

Provide training in compliance and ethics.

Category: Administration Deficiencies

Corrected: Jul 19, 2023

E — Pattern - Minimal harm Jun 8, 2023 Tag: 0945

Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

Category: Infection Control Deficiencies

Corrected: Jul 19, 2023

E — Pattern - Minimal harm Jun 8, 2023 Tag: 0943

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jul 19, 2023

E — Pattern - Minimal harm Jun 8, 2023 Tag: 0942

Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.

Category: Resident Rights Deficiencies

Corrected: Jul 19, 2023

E — Pattern - Minimal harm Jun 8, 2023 Tag: 0941

Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

Category: Administration Deficiencies

Corrected: Jul 19, 2023

E — Pattern - Minimal harm Jun 8, 2023 Tag: 0940

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

Category: Administration Deficiencies

Corrected: Jul 10, 2023

D — Isolated - Minimal harm Jun 8, 2023 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Jul 7, 2023

E — Pattern - Minimal harm Jun 8, 2023 Tag: 0947

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Category: Nursing and Physician Services Deficiencies

Corrected: Jul 19, 2023

D — Isolated - Minimal harm Jun 8, 2023 Tag: 0849

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Category: Administration Deficiencies

Corrected: Jul 5, 2023

D — Isolated - Minimal harm Jun 8, 2023 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 5, 2023

F — Widespread - Minimal harm Jun 8, 2023 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Jul 7, 2023

D — Isolated - Minimal harm Jun 8, 2023 Tag: 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.

Category: Pharmacy Service Deficiencies

Corrected: Jul 7, 2023

D — Isolated - Minimal harm Jun 8, 2023 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Jul 7, 2023

E — Pattern - Minimal harm Jun 8, 2023 Tag: 0730

Observe each nurse aide's job performance and give regular training.

Category: Nursing and Physician Services Deficiencies

Corrected: Jul 10, 2023

D — Isolated - Minimal harm Jun 8, 2023 Tag: 0727

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Category: Nursing and Physician Services Deficiencies

Corrected: Jul 27, 2023

D — Isolated - Minimal harm Jun 8, 2023 Tag: 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.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 5, 2023

D — Isolated - Minimal harm Jun 8, 2023 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 5, 2023

D — Isolated - Minimal harm Jun 8, 2023 Tag: 0655

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 5, 2023

D — Isolated - Minimal harm Jun 8, 2023 Tag: 0642

Ensure a qualified health professional conducts resident assessments.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 5, 2023

D — Isolated - Minimal harm Jun 8, 2023 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 5, 2023

D — Isolated - Minimal harm Jun 8, 2023 Tag: 0640

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 5, 2023

D — Isolated - Minimal harm Jun 8, 2023 Tag: 0637

Assess the resident when there is a significant change in condition

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 5, 2023

D — Isolated - Minimal harm Jun 8, 2023 Tag: 0636

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 5, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 32.7% Yes
Percentage of long-stay residents who lose too much weight Long Stay 0.9% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.0% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 2.2% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 0.7% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 100.0% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 100.0% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 2.0% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 26.0% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 10.5% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 51.9% No
Percentage of long-stay residents with pressure ulcers Long Stay 0.0% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 30.9% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 8.3% Yes

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for Avir at Comfort?
Avir at Comfort has an overall CMS rating of 4 out of 5 stars. This rating combines health inspection results (4★), staffing levels (1★), and quality measures (5★).
What are the staffing levels at Avir at Comfort?
Avir at Comfort reports 3.41 total nursing hours per resident day (national average: 3.89). RN hours are 0.64 per resident day (national average: 0.68). Nursing staff turnover is 45.9%.
How many beds does Avir at Comfort have?
Avir at Comfort has 76 certified beds with approximately 34 residents. The facility is located at 615 FALTIN AVE, COMFORT, TX 78013.
Does Avir at Comfort have any deficiencies on record?
Yes, Avir at Comfort has 34 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has Avir at Comfort received any fines or penalties?
No, Avir at Comfort has no fines or penalties on record.
Who owns Avir at Comfort?
Avir at Comfort is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was Avir at Comfort last inspected?
The most recent health inspection for Avir at Comfort was on Aug 22, 2025. The facility received a health inspection rating of 4 out of 5 stars.
What quality measures are tracked for Avir at Comfort?
Avir at Comfort is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial