Avir at Heritage

Nursing home in San Antonio, TX

Medicare & Medicaid certified3★ overall (CMS)

Call (210) 646-9576 Send a message Map ↗

Public-record details

Address: 5437 Eisenhauer Road, San Antonio, TX 78218
Phone: (210) 646-9576
Listed under: For-profit, No fines in 3 years
Medicare CCN: 675858
Overall star rating: 3 of 5 ★★★☆☆
Health inspection rating: 4 of 5
Staffing rating: 1 of 5
Quality measures rating: 3 of 5
Certified beds: 150
Average residents per day: 94
Ownership: For-profit, corporation
Legal business name: West Wharton County Hospital District
Chain: Avir Health Group (116 facilities)
Certified for: Medicare and Medicaid
First approved by Medicare/Medicaid: Jan 5, 2001
Changed ownership in last 12 months: No
Continuing care retirement community: No
Located inside a hospital: No
Resident or family council: Resident council
Sprinklers in all required areas: Yes

CMS certification number 675858. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Apr 25, 2025. CMS lists 31 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jan 13, 2023 to Jun 4, 2026): 18 from complaint inspections, 0 at the “actual harm” level or higher.

Inspection	Citation	Severity
Jun 4, 2026	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 · complaint inspection	D Potential for more than minimal harm, isolated
Nov 27, 2025	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 · complaint inspection	D Potential for more than minimal harm, isolated
Nov 27, 2025	Provide and implement an infection prevention and control program. Infection Control · complaint inspection	D Potential for more than minimal harm, isolated
Sep 18, 2025	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental · complaint inspection	D Potential for more than minimal harm, isolated
Apr 25, 2025	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning · complaint inspection	D Potential for more than minimal harm, isolated
Apr 25, 2025	Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary · complaint inspection	D Potential for more than minimal harm, isolated
Apr 25, 2025	Provide and implement an infection prevention and control program. Infection Control · complaint inspection	D Potential for more than minimal harm, isolated
Apr 25, 2025	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning · complaint inspection	E Potential for more than minimal harm, pattern
Apr 25, 2025	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary · complaint inspection	E Potential for more than minimal harm, pattern
Apr 8, 2025	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care · complaint inspection	D Potential for more than minimal harm, isolated
Apr 8, 2025	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 · complaint inspection	D Potential for more than minimal harm, isolated
Apr 8, 2025	Provide and implement an infection prevention and control program. Infection Control · complaint inspection	E Potential for more than minimal harm, pattern

Showing the 12 most recent of 31. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day: 3.26 hours
Registered nurse (RN) time per resident per day: 0.16 hours
Nurse aide time per resident per day: 2.06 hours
Total nurse staffing on weekends: 2.80 hours
Nursing staff turnover (yearly): 54%
RN turnover (yearly): 75%
Administrators who left in the past year: 0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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