For profit - Limited Liability company · 100 certified beds · CMS number 675452
Avir at Converse, Converse, TX
CMS records 49 health deficiencies at Avir at Converse in Converse, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Jun 4, 2026. The highest severity cited is J (immediate jeopardy to resident health or safety). 4 citations were at the immediate jeopardy level. CMS lists 2 fines totaling $43,845 and 1 payment denial in the last three years.
- 49deficiencies, 3 cycles (TX median 25)
- 10in the latest cycle (TX median 8)
- Jhighest severity · Immediate jeopardy
- $43,845fines, last 3 years
- 1CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Avir at Converse as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Avir at Converse may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (10 deficiencies)
Standard inspection Jun 4, 2026. CMS counts 10 health deficiencies and 3 fire safety deficiencies in this cycle.
Jun 4, 2026 · Standard inspection
7 deficiencies, highest E
F842 · Complete, confidential medical records
Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 24, 2026
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 8, 2026
F806 · Allergies, preferences, and meal substitutes
Requirement cited (CMS): Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 25, 2026
F657 · Care plan timing and team review
Requirement cited (CMS): Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 16, 2026
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 8, 2026
F644 · Coordinating with PASARR screening
Requirement cited (CMS): Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 24, 2026
F584 · Safe, clean, homelike surroundings
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 5, 2026
Mar 6, 2026 · Complaint inspection
1 deficiency, highest D
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 9, 2026
Feb 5, 2026 · Complaint inspection
1 deficiency, highest E
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 6, 2026
Sep 4, 2025 · Complaint inspection
1 deficiency, highest D
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 7, 2025
Previous cycle: 20 deficiencies (standard inspection Apr 4, 2025)
Standard inspection Apr 4, 2025. CMS counts 20 health deficiencies and 11 fire safety deficiencies in this cycle.
Apr 4, 2025 · Standard inspection
16 deficiencies, highest E
F949 · Behavioral health training
Requirement cited (CMS): Provide behavior health training consistent with the requirements and as determined by a facility assessment.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 22, 2025
F947 · Ongoing nurse aide training
Requirement cited (CMS): Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 22, 2025
F946 · Compliance and ethics training
Requirement cited (CMS): Provide training in compliance and ethics.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 22, 2025
F944 · Quality program training
Requirement cited (CMS): Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 22, 2025
F941 · Communication training for caregivers
Requirement cited (CMS): Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 22, 2025
F940 · Staff training program
Requirement cited (CMS): Develop, implement, and/or maintain an effective training program for all new and existing staff members.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 22, 2025
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 10, 2025
F813 · Food brought in by visitors
Requirement cited (CMS): Have a policy regarding use and storage of foods brought to residents by family and other visitors.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 10, 2025
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 7, 2025
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 7, 2025
F695 · Respiratory and oxygen care
Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 10, 2025
F690 · Bladder, bowel, and catheter care
Requirement cited (CMS): Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 10, 2025
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 8, 2025
F641 · Accurate resident assessments
Requirement cited (CMS): Ensure each resident receives an accurate assessment.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 8, 2025
F640 · Submitting assessment data on time
Requirement cited (CMS): Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 8, 2025
F558 · Accommodating individual needs and preferences
Requirement cited (CMS): Reasonably accommodate the needs and preferences of each resident.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 10, 2025
Mar 28, 2025 · Complaint inspection
2 deficiencies, highest E
F842 · Complete, confidential medical records
Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 30, 2025
F583 · Personal privacy and confidential records
Requirement cited (CMS): Keep residents' personal and medical records private and confidential.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 30, 2025
Mar 23, 2025 · Complaint inspection
1 deficiency, highest D
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 23, 2025
Sep 6, 2024 · Complaint inspection
1 deficiency, highest D
F690 · Bladder, bowel, and catheter care
Requirement cited (CMS): Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 1, 2024
Earlier cycle: 19 deficiencies (standard inspection Feb 25, 2024)
Standard inspection Feb 25, 2024. CMS counts 19 health deficiencies and 2 fire safety deficiencies in this cycle.
Jul 27, 2024 · Complaint inspection
1 deficiency, highest J
F678 · CPR and basic life support
Requirement cited (CMS): Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Jul 28, 2024
May 22, 2024 · Complaint inspection
1 deficiency, highest D
F842 · Complete, confidential medical records
Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 24, 2024
Apr 9, 2024 · Complaint inspection
4 deficiencies, highest J
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 10, 2024
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Apr 10, 2024
F641 · Accurate resident assessments
Requirement cited (CMS): Ensure each resident receives an accurate assessment.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 10, 2024
F583 · Personal privacy and confidential records
Requirement cited (CMS): Keep residents' personal and medical records private and confidential.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 10, 2024
Feb 25, 2024 · Standard + complaint inspection
13 deficiencies, highest J
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 22, 2024
F842 · Complete, confidential medical records
Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 22, 2024
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 22, 2024
F695 · Respiratory and oxygen care
Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 22, 2024
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 22, 2024
F678 · CPR and basic life support
Requirement cited (CMS): Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Mar 22, 2024
F657 · Care plan timing and team review
Requirement cited (CMS): Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 22, 2024
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 25, 2024
F644 · Coordinating with PASARR screening
Requirement cited (CMS): Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 25, 2024
F641 · Accurate resident assessments
Requirement cited (CMS): Ensure each resident receives an accurate assessment.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 25, 2024
F609 · Reporting suspected abuse and crimes
Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 22, 2024
F584 · Safe, clean, homelike surroundings
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 25, 2024
F578 · Refusing treatment and advance directives
Requirement cited (CMS): 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.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Mar 22, 2024
Tags cited in more than one inspection
14 tags cited on more than one inspection date at Avir at Converse; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F656 Comprehensive person-centered care plan | 4 | Jun 4, 2026; Apr 4, 2025; Mar 23, 2025; Feb 25, 2024 |
| F761 Drug labeling and secure storage | 4 | Mar 6, 2026; Sep 4, 2025; Apr 4, 2025; Apr 9, 2024 |
| F842 Complete, confidential medical records | 4 | Jun 4, 2026; Mar 28, 2025; May 22, 2024; Feb 25, 2024 |
| F641 Accurate resident assessments | 3 | Apr 4, 2025; Apr 9, 2024; Feb 25, 2024 |
| F880 Infection prevention and control program | 3 | Feb 5, 2026; Apr 4, 2025; Feb 25, 2024 |
| F583 Personal privacy and confidential records | 2 | Mar 28, 2025; Apr 9, 2024 |
| F584 Safe, clean, homelike surroundings | 2 | Jun 4, 2026; Feb 25, 2024 |
| F644 Coordinating with PASARR screening | 2 | Jun 4, 2026; Feb 25, 2024 |
| F657 Care plan timing and team review | 2 | Jun 4, 2026; Feb 25, 2024 |
| F678 CPR and basic life support | 2 | Jul 27, 2024; Feb 25, 2024 |
| F689 Accident prevention and supervision | 2 | Apr 9, 2024; Feb 25, 2024 |
| F690 Bladder, bowel, and catheter care | 2 | Apr 4, 2025; Sep 6, 2024 |
| F695 Respiratory and oxygen care | 2 | Apr 4, 2025; Feb 25, 2024 |
| F812 Food safety and sanitation | 2 | Jun 4, 2026; Feb 25, 2024 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Jul 27, 2024 | Fine | $23,845 |
| Feb 25, 2024 | Fine | $20,000 |
| Feb 25, 2024 | Payment Denial | 15 days from Mar 26, 2024 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.00 h (below the Texas median of 3.27 h)
- RN hours per resident per day
- 0.29 h (below the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.50 h
- Nursing staff turnover
- 67.2% (Texas median 52.1%)
- Administrators who left
- 0
- CMS overall rating
- 1 of 5
- Health inspection rating
- 2 of 5
- Staffing rating
- 1 of 5
- Quality measure rating
- 2 of 5
CMS figures for Avir at Converse, copied as published; Texas medians are ours.
Facility details
- Address
- 7700 Mesquite Pass, Converse, TX 78109
- Phone
- (210) 650-0551
- County
- Bexar
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Chain (CMS)
- Avir Health Group
- Certified beds
- 100
- Average residents per day
- 55.4
- In Medicare/Medicaid since
- Feb 24, 1995
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
Questions to ask on a visit
Based on the tags cited most often here.
- How are a resident's goals and preferences written into the care plan? (F656, cited 4 times)
- How are medications stored and secured on each unit? (F761, cited 4 times)
- Does the home use electronic health records, and can families get access through a portal? (F842, cited 4 times)
- How does the home check that resident assessments match what staff actually observe? (F641, cited 3 times)
Other nursing homes in Converse and the same chain
- Avir at El Paso
El Paso · 93 deficiencies - Avir at Patriot
El Paso · 78 deficiencies - Avir at Cowhorn Creek
Texarkana · 68 deficiencies - Avir at Kerrville
Kerrville · 67 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.