HAMILTON COUNTY HOSPITAL DISTRICT
NPI 1326504465
Skilled Nursing Facility in Bandera, TX

Active since February 13, 2019
3/5
Overall Rating
222 FM 1077, BANDERA, TX 78003(830) 796-4077 Get Directions Write a Review

NPPES record last updated: January 19, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 19, 2026, Feb 13, 2019 (2 updates tracked since 2019).

About Hamilton County Hospital District NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HAMILTON COUNTY HOSPITAL DISTRICT (NPI 1326504465), doing business as Avir At Bandera, is a healthcare organization registered as a skilled nursing facility in Bandera, Texas and active in the NPI registry since February 2019. The organization lists Grady Hooper, Ceo, as its authorized official.

NPPES Registry Identity

NPI1326504465
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameHAMILTON COUNTY HOSPITAL DISTRICT
Location Address222 FM 1077Bandera, TX 78003-4765
Mailing Address222 Fm 1077Bandera, TX 78003-4765
Organization SubpartNo
Authorized OfficialGrady HooperCeo · (254) 386-1950
Enumeration DateFebruary 13, 2019
Last NPPES UpdateJanuary 19, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2026
NPI 1326504465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

222 FM 1077, Bandera, TX 78003

Other Names 1

Doing Business AsAvir At Bandera

Other Identifiers 2

Medicaid5557TX
Medicaid103936TX

Accepted Insurance

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Bandera Nursing & Rehabilitation (CMS certification number 676233), from CMS Care Compare.

Bandera Nursing & Rehabilitation

Nursing home · Bandera, TX
3/5 CMS Overall Rating
OwnershipFor profit - Individual
CMS Certification Number676233
Certified Beds118 beds87 residents per day on average
Medicare & Medicaid Participant SinceSeptember 2, 2009
Resident & Family CouncilResident and family councils
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
4/5
Long-Stay Quality
Quality of care delivered to long-term residents.
4/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
3/5
Staffing
Based on nursing staff hours relative to resident needs.
2/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
42
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 1.75 · LPN 0.82 · RN 0.33
2.9 hrs per resident per day
Weekend Nurse Staffing
2.61 hrs per resident per day
Physical Therapist Staffing
0.02 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
63.8%
Registered Nurse Turnover
20%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
4
Substantiated Complaints
0
Infection-Control Citations
0
Fines
2 totaling $23,377.25
Medicare Payment Denials
0
Total Penalties
2
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapy Assistant
222 FM 1077
BANDERA, TX 78003
Physical Therapy Assistant
222 FM 1077
BANDERA, TX 78003
Skilled Nursing Facility
222 FM 1077
BANDERA, TX 78003
Physical Therapist
222 FM 1077
BANDERA, TX 78003
Physical Therapy Assistant
222 FM 1077
BANDERA, TX 78003
Speech-Language Pathologist
222 FM 1077
BANDERA, TX 78003
Clinic/Center (Adult Day Care)
222 FM 1077
BANDERA, TX 78003
Physical Therapy Assistant
222 FM 1077
BANDERA, TX 78003

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hamilton County Hospital District's NPI number?

The NPI number for Hamilton County Hospital District is 1326504465. It was assigned to this organization in the NPPES registry on February 13, 2019. The provider is doing business as Avir at Bandera.

Where is Hamilton County Hospital District located?

Hamilton County Hospital District is located at 222 Fm 1077, Bandera, TX 78003. The listed phone number is (830) 796-4077.

What is Hamilton County Hospital District's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Is Hamilton County Hospital District a Medicare-certified nursing home?

Yes. Bandera Nursing & Rehabilitation is a Medicare-certified nursing home with 118 certified beds.

What quality rating does Hamilton County Hospital District have?

CMS rates Bandera Nursing & Rehabilitation 3 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Hamilton County Hospital District accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Hamilton County Hospital District as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Hamilton County Hospital District was last updated on January 19, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.