Avir at Coronado
Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.
based on 41 Google reviews
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What this means for your family
While some individual nurses are noted for being exceptionally compassionate, the facility has a pattern of serious concerns regarding neglect, loss of personal property, and poor administrative communication. If you choose this facility, you must implement a rigorous system for checking your loved one's physical condition and monitoring their personal belongings daily.
Google Reviews
Google Reviews
41 reviews analyzed“Families considering Avir at Coronado should be aware of significant reports regarding neglect, including skin wounds, bruising, and loss of personal belongings. While some residents and families praise specific compassionate nurses and a caring atmosphere, there are recurring, serious allegations of understaffing, poor management, and lack of communication from administration.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate individual nursing staff
- Organized resident activities
- Professional wound care services
- Welcoming atmosphere for some residents
Concerns
- Reports of physical neglect and skin wounds (mentioned by 3 reviewers)
- Loss of personal belongings and clothing (mentioned by 3 reviewers)
- Poor communication from administration and staff (mentioned by 4 reviewers)
- Staffing shortages and overworked aides (mentioned by 3 reviewers)
- Facility maintenance and plumbing issues (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution
How They Respond to Reviews
This facility rarely responds to reviews.
Questions for Your Tour
- 1We've heard wonderful things about the compassion of your nursing staff; how do you ensure that level of care remains consistent even during busy shifts?
- 2With the variety of resident activities mentioned by some families, could you walk us through what a typical weekly schedule looks like for someone living here?
- 3How does the administration handle communication with families to ensure we are always updated on our loved one's well-being and any changes in their care?
- 4What specific protocols are in place to ensure that personal belongings and clothing are tracked and kept safe for all residents?
- 5Regarding medical care, how does the facility manage wound care services and what is the process for notifying us if a new skin concern arises?
- 6How do you manage the dining experience and meal service to ensure the food is both nutritious and enjoyable for the residents?
Personalized based on this facility's data
Key Review Excerpts
“The most compassionate care and respect towards each resident is something money can't buy. I would without a doubt choose this facility for my loved one.”
“I received a warm welcome from Coronado staff and residents. Coronado offers physical therapy and WoundCare. The cleaning staff serves each room each day.”
“My mother has been there since the early days of Covid. I believe many of the staff do care, but I also think the aides may be overworked and underpaid because they don’t seem to take much care.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 16 measures
9
measures
5
measures
2
measures
Residents on anti-anxiety or sleep medication
Residents vaccinated for pneumonia
Residents with depression symptoms
Residents on antipsychotic medication
Residents who lost too much weight
Residents needing more daily help over time
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility shows a concerning pattern of repeated complaints from families, with 29 of 54 deficiencies triggered by reports of problems. The most recurring issues involve care planning and resident assessments, medication management, and infection control practices. While all deficiencies show correction dates, the frequency of complaints and repeated problems in core care areas like medication safety and care planning suggest ongoing quality concerns that families should carefully evaluate.
Oct 15, 2025Complaint1
Pharmacy Service Deficiencies
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.
Jul 10, 2025Complaint2
Resident Assessment and Care Planning Deficiencies
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 Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Feb 19, 2025Routine11
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Emergency Preparedness Deficiencies
Conduct risk assessment and an All-Hazards approach.
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Nutrition and Dietary Deficiencies
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Resident Rights Deficiencies
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.
Pharmacy Service Deficiencies
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Feb 19, 2025Complaint1
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Dec 20, 2024Complaint4
Resident Rights Deficiencies
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.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Oct 13, 2024Complaint1
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Federal Penalties
Fine
Oct 13, 2024
$171,377
Fine
Apr 9, 2024
$13,242
Ownership & Operations
Who Operates This Facility
Winniestowell Hospital District
for profit
1751 N 15TH ST OPCO LLC
CARL R MOCK
Chain Affiliation
Avir Health Group
117 facilities nationwide
Chain avg rating: 2.3/5 · Rank 14 of 21
Ownership & Management
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
41 reviews from families & visitors
Official Website
Visit avirhg.com
Medicare data downloads
Original nursing home datasets
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