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Nursing HomeMedicaid

Avir at Heritage

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

5437 Eisenhauer Road, Northeast Side · San Antonio, TX 78218150 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
2.0/5

based on 13 Google reviews

5
4
3
2
1
Avir at Heritage Nursing Home in San Antonio, TX — Street View
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What this means for your family

Avir at Heritage falls in the middle range of Medicare quality ratings. This means baseline standards are met, but there is room for improvement. Strengths include location described as 'great' by one reviewer. Some reviewers note concerns about sexual assault of a 94-year-old resident by staff member. A personal tour and conversation with current residents' families will give you the best picture of daily life here.

Google Reviews

Google Reviews

13 reviews on Google
This facility has severe, documented safety and care failures including sexual assault, medication errors, neglect leading to falls and infections, and high staff turnover. Multiple families report their loved ones suffered serious harm here, and the facility filed for bankruptcy. Under no circumstances should you consider this facility for your loved one.

Quality Themes

Tap a score for details
FoodN/AStaff1.0Clean1.0Activities2.0Meds1.0Memory1.0Comms2.0ValueN/A

Strengths

  • Location described as 'great' by one reviewer

Concerns

  • Sexual assault of a 94-year-old resident by staff member
  • Medication overdosing (hydrocodone) to sedate residents
  • Severe neglect leading to UTIs from unchanged soiled undergarments
  • Multiple falls resulting in injuries including broken hip and facial lacerations
  • Strong urine odor throughout facility indicating widespread hygiene issues
  • Call lights ignored for extended periods (25+ minutes)
  • Filed for Chapter 11 bankruptcy
  • Extreme staff turnover (3 administrators, 2-3 directors in 15 months)
  • Months-long periods with no activities director
  • Staff ignoring safety hazards (water spill left for over an hour)
  • Dehydration and neglected personal hygiene (overgrown infected nails)

Rating Trends

2341.0'16(3)4.03.3'18(4)2.01.0'20(2)1.01.0'23(1)1.0'25(1)

Distribution · 15 analyzed

5
0
4
5
3
0
2
1
1
9

Review Pace

0.1/ month

decelerating over 74mo


How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1Given the recent concerns regarding staff supervision and resident safety, what specific protocols have you implemented to ensure 24/7 oversight and protect residents from potential harm?
  • 2I noticed the facility has a lower staffing rating; how do you ensure that residents receive timely assistance with personal hygiene and incontinence care to maintain their dignity and health?
  • 3Can you walk me through your current medication management process, specifically how you track dosages and prevent errors for residents prescribed pain management or sedative medications?
  • 4With the recent reports of falls and injuries, what physical environment changes or monitoring systems do you have in place to prevent accidents and ensure resident mobility safety?
  • 5How are you addressing the feedback regarding the facility's cleanliness and odor control to ensure a fresh and sanitary living environment for all residents?
  • 6What does a typical daily activity schedule look like for residents, and how do you encourage participation for those who might otherwise spend most of their time in their rooms?

Personalized based on this facility's data


Key Review Excerpts

Finally, at 94 y.o.a, while as helpless as a 3 mo. old baby, she was raped by a staff member

Documents the most severe safety failure possible in a care facility · Sep 2016☆☆☆☆

These people overdosed my mother on hydrocodone just to keep from being bothered with her

Reveals dangerous medication practices used to control residents · Oct 2022☆☆☆☆

Very Strong urine aroma smacking your sense of retch... This smells like neglect

Indicates systemic hygiene and care failures throughout the facility · Jun 2018☆☆☆☆
Source: 13 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.24hrs
32%
Registered nurses for medical care
Total Nursing
3.36hrs
82%
All nurses + aides combined

Both 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 · 17 measures

Medicare Rating
3/ 5
Better Than Avg

14

measures

Worse Than Avg

3

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.7%
Better than Avg
Here
0.7%
US
12.1%
TX
2.5%
Bexar
2.0%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on antipsychotic medication

↓ Lower is better
This Facility4.5%
Better than Avg
Here
4.5%
US
15.4%
TX
9.4%
Bexar
10.5%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility12.1%
Better than Avg
Here
12.1%
US
19.5%
TX
18.4%
Bexar
21.9%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility22.8%
Worse than Avg
Here
22.8%
US
19.4%
TX
14.2%
Bexar
17.2%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
TX
96.9%
Bexar
94.0%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
TX
98.0%
Bexar
98.1%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility98.9%
Better than Avg
Here
98.9%
US
81.8%
TX
89.2%
Bexar
81.0%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility91.1%
Better than Avg
Here
91.1%
US
79.7%
TX
88.0%
Bexar
84.4%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.8%
Better than Avg
Here
0.8%
US
1.6%
TX
1.5%
Bexar
2.1%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

8deficiencies
Near state avg (9.1)
18 complaint-triggered

Families have filed multiple complaints triggering nearly half of the 41 deficiencies found across 11 surveys at this facility. The most recurring problems involve infection control (appearing in five separate surveys), medication management, and care planning issues. While the facility has correction dates for all deficiencies, the persistent pattern of infection control violations and high volume of family-initiated complaints suggest ongoing quality concerns that warrant careful consideration before placement.

Nov 27, 2025Complaint
2
0656Potential for harm · IsolatedCorrected

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Sep 18, 2025Complaint
1
0921Potential for harm · IsolatedCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Apr 25, 2025Routine
8
0004Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0901Potential for harm · WidespreadCorrected

Electrical Deficiencies

Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0211Potential for harm · PatternCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0351Potential for harm · PatternCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0355Potential for harm · PatternCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0923Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

Apr 25, 2025Complaint
5
0657Potential for harm · PatternCorrected

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.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0644Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

0805Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Apr 8, 2025Complaint
3
0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Mar 19, 2025Complaint
4
0552Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Ensure that residents are fully informed and understand their health status, care and treatments.

0554Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Allow residents to self-administer drugs if determined clinically appropriate.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0849Potential for harm · IsolatedCorrected

Administration Deficiencies

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.

Ownership & Operations

Who Operates This Facility

Owner / Operator

West Wharton County Hospital District

Organization Type

for profit

Management Company

5437 EISENHAUER RD OPCO LLC

Administrator

BRADLEY SCOTT

Chain Affiliation

Chain Name

Avir Health Group

Chain Size

117 facilities nationwide

Chain avg rating: 2.8/5 · Rank 10 of 27

Ownership & Management

Owners

Crank, Timothy

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Key personnel

Thompson, JohnnyOfficer / DirectorRegnecy Ihs of Woodlake LLCManagerCalvo, LourdesManagerCampbell, LeslieManagerCastillo, LynneaManager
Source: Medicare provider data

Contact

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

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