Elder Care Record

Texas › Bexar County › Converse

Avir At Converse

7700 Mesquite Pass, Converse, TX 78109

CCN 675452 · For-profit, limited liability company · 100 certified beds · chain Avir Health Group

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Certified for 100 beds, Avir At Converse serves Converse in Bexar County, Texas and has taken Medicare and Medicaid residents since 1995.

CMS gives it 1 of 5 stars overall, below the Texas median of 3; the health inspection rating is 2, staffing 1 and quality measures 2.

Inspectors recorded 50 health deficiencies across the three most recent survey cycles (10, 20, 20 by cycle, most recent first), 4 of them at the actual-harm or immediate-jeopardy level. That is 50.0 per 100 beds, more than the state median of 22.5.

CMS lists 3 penalties in the period covered: fines totalling $44K and 1 payment denial.

Reported nurse staffing is 3.0 hours per resident per day (0.3 RN), close to the Texas median of 3.3; nursing staff turnover is 67.2%.

50health deficiencies, 3 survey cycles4 at actual harm or worse
$44Kfines listed by CMS3 penalties in period
3.0nurse hours per resident per daystate median 3.3
55%occupancy (residents ÷ beds)55 residents a day

Compared with county, state and nation

MeasureThis facilityBexar Co. medianTexas medianUS average
Overall star rating1233.0
Health citations, 3 cycles50382528.7
Citations per 100 beds50.032.622.526.8
Total nurse hours per resident day3.03.33.33.9
RN hours per resident day0.30.40.40.7
Nursing staff turnover67.2%50.0%52.1%45.8%
Fines listed$43,845$15,616$16,801—

County and state figures are medians across facilities (62 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)10
Cycle 220
Cycle 320

Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 4 Jun 2026, 4 Apr 2025.

Severity mix: J ×4 D ×33 E ×13

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
4 Jun 2026F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.EStandard survey24 Jun 2026
4 Jun 2026F0584Honor 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.DStandard survey5 Jun 2026
4 Jun 2026F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey8 Jun 2026
4 Jun 2026F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey16 Jun 2026
4 Jun 2026F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DStandard survey25 Jun 2026
4 Jun 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard survey8 Jun 2026
4 Jun 2026F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey24 Jun 2026
6 Mar 2026F0761Ensure 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.DComplaint investigation9 Mar 2026
5 Feb 2026F0880Provide and implement an infection prevention and control program.EComplaint investigation6 Feb 2026
4 Sep 2025F0761Ensure 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.DComplaint investigation7 Sep 2025
4 Apr 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard survey7 Apr 2025
4 Apr 2025F0761Ensure 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.EStandard survey7 Apr 2025
4 Apr 2025F0940Develop, implement, and/or maintain an effective training program for all new and existing staff members.EStandard survey22 Apr 2025
4 Apr 2025F0941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.EStandard survey22 Apr 2025
4 Apr 2025F0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.EStandard survey22 Apr 2025
4 Apr 2025F0946Provide training in compliance and ethics.EStandard survey22 Apr 2025
4 Apr 2025F0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.EStandard survey22 Apr 2025
4 Apr 2025F0949Provide behavior health training consistent with the requirements and as determined by a facility assessment.EStandard survey22 Apr 2025
4 Apr 2025F0558Reasonably accommodate the needs and preferences of each resident.DStandard survey10 Apr 2025
4 Apr 2025F0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.DStandard survey8 Apr 2025
4 Apr 2025F0641Ensure each resident receives an accurate assessment.DStandard survey8 Apr 2025
4 Apr 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey8 Apr 2025
4 Apr 2025F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey10 Apr 2025
4 Apr 2025F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey10 Apr 2025
4 Apr 2025F0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.DStandard survey10 Apr 2025
4 Apr 2025F0880Provide and implement an infection prevention and control program.DStandard survey10 Apr 2025
28 Mar 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EComplaint investigation30 Apr 2025
28 Mar 2025F0583Keep residents' personal and medical records private and confidential.DComplaint investigation30 Apr 2025
23 Mar 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation23 Apr 2025
6 Sep 2024F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint investigation1 Oct 2024
27 Jul 2024F0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.JComplaint investigation28 Jul 2024
22 May 2024F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation24 May 2024
9 Apr 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint investigation10 Apr 2024
9 Apr 2024F0583Keep residents' personal and medical records private and confidential.DComplaint investigation10 Apr 2024
9 Apr 2024F0641Ensure each resident receives an accurate assessment.DComplaint investigation10 Apr 2024
9 Apr 2024F0761Ensure 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.DComplaint investigation10 Apr 2024
25 Feb 2024F0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.JStandard survey22 Mar 2024
25 Feb 2024F0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.JStandard survey22 Mar 2024
25 Feb 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EComplaint investigation25 Mar 2024
25 Feb 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EComplaint investigation22 Mar 2024
25 Feb 2024F0584Honor 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.DComplaint investigation25 Mar 2024
25 Feb 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation22 Mar 2024
25 Feb 2024F0641Ensure each resident receives an accurate assessment.DComplaint investigation25 Mar 2024
25 Feb 2024F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DComplaint investigation25 Mar 2024
25 Feb 2024F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint investigation22 Mar 2024
25 Feb 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation22 Mar 2024
25 Feb 2024F0695Provide safe and appropriate respiratory care for a resident when needed.DComplaint investigation22 Mar 2024
25 Feb 2024F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation22 Mar 2024
25 Feb 2024F0880Provide and implement an infection prevention and control program.DComplaint investigation22 Mar 2024
18 Aug 2023F0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.DComplaint investigation8 Sep 2023

Penalties

DateTypeAmountDetail
27 Jul 2024Fine$23,845
25 Feb 2024Payment denial—15 days
25 Feb 2024Fine$20,000

Staffing

Total nursing3 h
Nurse aides1.73 h
LPN0.98 h
RN0.29 h
Weekend total2.5 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 67.2%, RNs 80.0%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityTexas medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay22.4%14.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.0%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.6%0.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay2.6%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay1.9%0.7%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay17.5%12.4%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay5.5%3.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay1.1%8.3%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, limited liability company. Legal business name: Mcculloch County Hospital District. Chain: Avir Health Group (116 facilities).

No organisations are listed in the CMS ownership record for this facility.

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Bexar County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Army Residence CommunitySan Antonio915541819.8—5 Jun 2025
Coronado At Stone OakSan Antonio1125432421.4—28 Jan 2026
Lakeside Nursing and Rehabilitation CenterSan Antonio1185422319.5$15K5 Jun 2026
The Mission At Blue Skies of Texas EastSan Antonio805442531.3$17K8 Aug 2025
Morningside ManorSan Antonio1474332617.7$5K11 Apr 2026
Pecan Valley Rehabilitation and HealthcareSan Antonio1244412520.2—29 Apr 2026
Remington Transitional Care of San AntonioSan Antonio604332338.3—15 Dec 2025
San Pedro ManorSan Antonio1504323020.0$24K30 Apr 2026

All 62 facilities in Bexar County

Questions and answers

How many deficiencies has Avir At Converse been cited for?

50 health deficiencies across the three most recent survey cycles, 4 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.

Has Avir At Converse been fined?

Yes. CMS lists fines totalling $44K in the period covered, plus 1 payment denial.

How does staffing at Avir At Converse compare?

Reported total nurse staffing is 3.0 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.

Who operates Avir At Converse?

It is part of the Avir Health Group chain. Ownership type is for-profit, limited liability company. Individual owners and managers are not listed on this site.

When was Avir At Converse last inspected?

The most recent survey or investigation in the CMS record is dated 4 Jun 2026; the most recent standard health survey was 4 Jun 2026.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.