Avir at Heritage
5437 Eisenhauer Rd · San Antonio, TX · 78218 · 2106469576
150 certified beds For profit - Corporation Chain: Avir Health Group
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
RN staffing in the bottom 10% nationally
0.24 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 4 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.36 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.24 | 0.55–0.75 |
| Weekend hours / resident-day | 2.90 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | none |
Inspection citations (30 in the current record)
-
Potential for harm · D November 27, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected November 28, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D November 27, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected November 28, 2025 · Infection Control
-
Potential for harm · D September 18, 2025 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected September 19, 2025 · Environmental
-
Potential for harm · D April 25, 2025 · found via complaint
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected April 26, 2025 · Resident Assessment and Care Planning
-
Potential for harm · E April 25, 2025 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected April 26, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D April 25, 2025 · found via complaint
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected April 26, 2025 · Nutrition and Dietary
-
Potential for harm · E April 25, 2025 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 26, 2025 · Nutrition and Dietary
-
Potential for harm · D April 25, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected April 26, 2025 · Infection Control
-
Potential for harm · D April 8, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 9, 2025 · Quality of Life and Care
-
Potential for harm · D April 8, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected April 9, 2025 · Resident Assessment and Care Planning
-
Potential for harm · E April 8, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected April 9, 2025 · Infection Control
-
Potential for harm · D March 19, 2025 · found via complaint
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected March 20, 2025 · Resident Rights
-
Potential for harm · D March 19, 2025 · found via complaint
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected March 20, 2025 · Resident Rights
-
Potential for harm · D March 19, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected March 20, 2025 · Pharmacy Service
-
Potential for harm · D March 19, 2025 · found via complaint
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.
Corrected March 20, 2025 · Administration
-
Potential for harm · D February 14, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected February 15, 2025 · Infection Control
-
Potential for harm · E February 23, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected February 24, 2024 · Pharmacy Service
-
Potential for harm · D February 23, 2024
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.
Corrected February 24, 2024 · Pharmacy Service
-
Potential for harm · E February 23, 2024
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected February 24, 2024 · Nutrition and Dietary
-
No harm found · C February 23, 2024
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected February 24, 2024 · Resident Rights
-
Potential for harm · D February 2, 2024 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected February 3, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D January 13, 2023
Honor 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.
Corrected January 14, 2023 · Resident Rights
-
Potential for harm · D January 13, 2023
Honor 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.
Corrected January 14, 2023 · Resident Rights
-
Potential for harm · D January 13, 2023
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected January 14, 2023 · Resident Assessment and Care Planning
-
Potential for harm · D January 13, 2023
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected January 14, 2023 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675858 · certified since January 5, 2001. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.