Quick answers
- Where is Avir at Converse?
- 7700 Mesquite Pass, Converse, TX 78109, in Bexar County, Texas.
- What is the phone number of Avir at Converse?
- (210) 650-0551, as listed by Medicare (CMS).
- What is the Medicare star rating of Avir at Converse?
- Medicare overall rating: 1 out of 5 stars (CMS data updated 2026-10-01).
- Has Avir at Converse been fined?
- Medicare lists 2 fines totaling $43,845 and 1 payment denial.
- What did inspectors find at Avir at Converse?
- In its last three inspection cycles (February 25, 2024 to June 4, 2026), Medicare lists 49 health citations; the most serious was level J. 4 were level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (February 25, 2024 to June 4, 2026), Avir at Converse had 49 health citations; the most serious was level J (immediate jeopardy to resident health or safety). 4 of them were level G or higher (actual harm or immediate jeopardy). It was fined $43,845 in total (2 fines, the latest on July 27, 2024) and had 1 Medicare payment denial. Nurse staffing is 2.92 hours per resident per day; the Texas average is 3.42 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: June 4, 2026 — 9 health citations
Inspections in this cycle: February 5, 2026 (complaint investigation); March 6, 2026 (complaint investigation); June 4, 2026 (standard health inspection).
Show 9 citations (levels A to F, no actual harm)
F0644 Level E
“Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0584 Level D
“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.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0657 Level D
“Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”
F0806 Level D
“Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.”
F0812 Level D
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0842 Level D
“Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.”
F0761 Level D
“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.”
Previous cycle: April 4, 2025 — 20 health citations
Inspections in this cycle: March 23, 2025 (complaint investigation); March 28, 2025 (complaint investigation); April 4, 2025 (standard health inspection); September 4, 2025 (complaint investigation).
Show 20 citations (levels A to F, no actual harm)
F0755 Level E
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0761 Level E
“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.”
F0940 Level E
“Develop, implement, and/or maintain an effective training program for all new and existing staff members.”
F0941 Level E
“Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.”
F0944 Level E
“Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.”
F0946 Level E
“Provide training in compliance and ethics.”
F0947 Level E
“Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.”
F0949 Level E
“Provide behavior health training consistent with the requirements and as determined by a facility assessment.”
F0842 Level E
“Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.”
F0761 Level D
“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.”
F0558 Level D
“Reasonably accommodate the needs and preferences of each resident.”
F0640 Level D
“Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.”
F0641 Level D
“Ensure each resident receives an accurate assessment.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0690 Level D
“Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.”
F0695 Level D
“Provide safe and appropriate respiratory care for a resident when needed.”
F0813 Level D
“Have a policy regarding use and storage of foods brought to residents by family and other visitors.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
F0583 Level D
“Keep residents' personal and medical records private and confidential.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
Earlier cycle: February 25, 2024 — 20 health citations
Inspections in this cycle: February 25, 2024 (complaint investigation); February 25, 2024 (standard health inspection); April 9, 2024 (complaint investigation); May 22, 2024 (complaint investigation); July 27, 2024 (complaint investigation); September 6, 2024 (complaint investigation).
F0678 Level J
“Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.”
immediate jeopardy to resident health or safety; isolated (a few residents) · Quality of Life and Care Deficiencies
F0689 Level J
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
immediate jeopardy to resident health or safety; isolated (a few residents) · Quality of Life and Care Deficiencies
F0578 Level J
“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.”
immediate jeopardy to resident health or safety; isolated (a few residents) · Resident Rights Deficiencies
F0678 Level J
“Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.”
immediate jeopardy to resident health or safety; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 16 less serious citations (levels A to F)
F0656 Level E
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0690 Level D
“Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.”
F0842 Level D
“Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.”
F0583 Level D
“Keep residents' personal and medical records private and confidential.”
F0641 Level D
“Ensure each resident receives an accurate assessment.”
F0761 Level D
“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.”
F0584 Level D
“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.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0641 Level D
“Ensure each resident receives an accurate assessment.”
F0644 Level D
“Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.”
F0657 Level D
“Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0695 Level D
“Provide safe and appropriate respiratory care for a resident when needed.”
F0842 Level D
“Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (16)
K0293 Level E
“Have properly located and lighted "Exit" signs.”
K0372 Level E
“Ensure smoke barriers are constructed to a 1 hour fire resistance rating.”
K0353 Level D
“Inspect, test, and maintain automatic sprinkler systems.”
E0031 Level F
“Provide emergency officials' contact information.”
K0211 Level E
“Keep aisles, corridors, and exits free of obstruction in case of emergency.”
K0222 Level E
“Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.”
K0351 Level E
“Install an approved automatic sprinkler system.”
K0712 Level E
“Have simulated fire drills held at unexpected times.”
K0918 Level E
“Have generator or other power source capable of supplying service within 10 seconds.”
K0281 Level D
“Install proper backup exit lighting.”
K0324 Level D
“Provide properly protected cooking facilities.”
K0353 Level D
“Inspect, test, and maintain automatic sprinkler systems.”
K0355 Level D
“Properly select, install, inspect, or maintain portable fire extinguishes.”
K0923 Level D
“Have proper medical gas storage and administration areas.”
K0352 Level F
“Properly install and monitor supervisory attachments on automatic sprinkler systems.”
K0321 Level D
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
Fines and payment denials
Total fines over about the last three years: $43,845 (2 fines). A payment denial means Medicare stopped paying for new admissions for a time.
| Date | Penalty | Amount or length |
|---|---|---|
| July 27, 2024 | Fine | $23,845 |
| February 25, 2024 | Fine | $20,000 |
| February 25, 2024 | Payment denial | from March 26, 2024, 15 days |
Source: Medicare (CMS) Penalties file, data updated October 1, 2026.
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | Texas | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.28 | 0.44 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.88 | 0.94 | 0.86 |
| Nurse aide hours per resident per day | 1.77 | 2.03 | 2.35 |
| Total nurse staff hours per resident per day | 2.92 | 3.42 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 2.59 | 2.99 | 3.43 |
| RN hours per resident per day on the weekend | 0.27 | 0.35 | 0.48 |
| Nursing staff turnover (per year) | 57.1% | 50.8% | 45.3% |
| RN turnover (per year) | 40.0% | 49.8% | 42.5% |
| Administrators who left in the last year | 0.0 | 0.6 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Part of a group of 118 nursing homes: Avir Health Group.
Legal business name: McCulloch County Hospital District.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 100 |
| Average residents per day | 57.7 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – limited liability company |
| Group or chain (affiliated entity) | Avir Health Group |
| Legal business name | McCulloch County Hospital District |
| First approved by Medicare/Medicaid | 1995-02-24 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 7700 Mesquite Pass, Converse, TX 78109 |
| County | Bexar County |
| State | Texas |
| Phone | (210) 650‑0551 |
| CMS Certification Number | 675452 |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Army Residence Community0.9 mi · San Antonio, TX · 5 of 5 stars
- Crestway Nursing & Rehabilitation0.9 mi · San Antonio, TX · 1 of 5 stars
- Advanced Rehabilitation & Healthcare of Live Oak1.5 mi · Live Oak, TX · 3 of 5 stars
- Avir at Heritage2.8 mi · San Antonio, TX · 1 of 5 stars
- Windcrest Nursing and Rehabilitation3.5 mi · Windcrest, TX · 1 of 5 stars
Nearest hospital emergency rooms
- Brooke Army Medical Center (FT Sam Houston)7.0 mi · Fort Sam Houston, TX · Military Hospital (Department of Defense)
- Baptist Neighborhood Hospital Thousand Oaks9.0 mi · San Antonio, TX · Acute Care Hospital
- Methodist Hospital Stone Oak9.9 mi · San Antonio, TX · Acute Care Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13