Nursing Care Index

Avir At Comfort

Comfort, Kendall County, Texas · CCN 675871 · For-profit (LLC) · part of Avir Health Group (116 facilities, chain average 2.3 stars)

CMS rates Avir At Comfort 5 of 5 overall as of August 2026. 76 certified beds, 32 residents a day on average. 36 citations on record from the current inspection cycles; no fines on record.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★★★★★ 5 of 5
Health inspections★★★★☆ 4 of 5
Staffing★★★★☆ 4 of 5
Quality measures★★★★★ 5 of 5
Quality: long-stay / short-stay5 / — of 5

Staffing

Total nurse staffing3.77464 hours per resident per day
Registered nurses0.64868 hours per resident per day
Weekend total2.83956 hours per resident per day
Nursing staff turnover59.4%
Administrators who left0

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2026-05-27
complaint survey
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · tag F0656
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-06-30
2026-05-27
complaint survey
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · tag F0679
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-06-30
2025-08-22 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.
Nursing and Physician Services Deficiencies · tag F0727
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2025-08-31
2025-08-22 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-08-25
2025-04-18
complaint survey
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · tag F0725
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2025-04-25
2025-04-18
complaint survey
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · tag F0656
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-04-25
2024-07-10 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.
Nursing and Physician Services Deficiencies · tag F0727
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-07-31
2024-07-10 Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · tag F0558
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-07-31
2024-07-10 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-07-31
2024-07-10 Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Resident Rights Deficiencies · tag F0577
C No actual harm, with potential for minimal harm; widespread Deficient, Provider has date of correction
2024-07-31
2024-07-10 Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · tag F0732
C No actual harm, with potential for minimal harm; widespread Deficient, Provider has date of correction
2024-07-31
2024-03-01
complaint survey
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · tag F0655
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-03-29
2024-03-01
complaint survey
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-03-29
2023-06-08 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2023-07-07
2023-06-08 Observe each nurse aide's job performance and give regular training.
Nursing and Physician Services Deficiencies · tag F0730
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-07-10
2023-06-08 Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Administration Deficiencies · tag F0940
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-07-10
2023-06-08 Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Administration Deficiencies · tag F0941
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-07-19
2023-06-08 Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Resident Rights Deficiencies · tag F0942
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-07-19
2023-06-08 Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0943
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-07-19
2023-06-08 Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Infection Control Deficiencies · tag F0945
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-07-19
2023-06-08 Provide training in compliance and ethics.
Administration Deficiencies · tag F0946
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-07-19
2023-06-08 Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Nursing and Physician Services Deficiencies · tag F0947
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-07-19
2023-06-08 Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning Deficiencies · tag F0636
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-07-05
2023-06-08 Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning Deficiencies · tag F0637
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-07-05
2023-06-08 Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning Deficiencies · tag F0640
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-07-05
2023-06-08 Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · tag F0641
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-07-05
2023-06-08 Ensure a qualified health professional conducts resident assessments.
Resident Assessment and Care Planning Deficiencies · tag F0642
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-07-05
2023-06-08 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · tag F0655
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-07-05
2023-06-08 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · tag F0656
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-07-05
2023-06-08 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 · tag F0690
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-07-05
2023-06-08 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.
Nursing and Physician Services Deficiencies · tag F0727
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-07-27
2023-06-08 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · tag F0755
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-07-07
2023-06-08 Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · tag F0760
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-07-07
2023-06-08 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 · tag F0761
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-07-07
2023-06-08 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · tag F0842
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-07-05
2023-06-08 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.
Administration Deficiencies · tag F0849
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-07-05

Fines and payment denials

No fines or payment denials on record since 2023.

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
Hamilton County Hospital District
Organization
5% or greater direct ownership interest100%2021-02-10
615 Faltin St Opco, LLC
Organization
adp of the snf2026-02-04
615 Faltin St Property Owner LLC
Organization
adp of the snf2025-10-01
Welltower Inc.
Organization
adp of the snf2025-10-01
Welltower Nnn Group, LLC
Organization
adp of the snf2025-10-01
Welltower Op, LLC
Organization
adp of the snf2025-10-01
615 Faltin St Opco, LLC
Organization
operational/managerial control2025-10-01
Foley, Heather
Individual
adp of the snf2023-09-01
Givens, Laura
Individual
adp of the snf2021-02-10
Hooper, Grady
Individual
corporate officer2021-02-10
Dagan, Amitai
Individual
individual is an owner, partner or trustee of any adp of the snf2026-03-16
Goldberger, Abraham
Individual
individual is an owner, partner or trustee of any adp of the snf2026-03-16
Goldberger, Faigy
Individual
individual is an owner, partner or trustee of any adp of the snf2026-03-16
Freund, Nochum
Individual
operational/managerial control2025-10-01
Travitsky, Aaron
Individual
operational/managerial control2025-10-01

What changed

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Kendall County.