Avir at San Antonio
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 130 Google reviews

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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (1/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (24 vs median 8.0)
- High staff turnover (60%)
- High RN turnover (100%)
Bottom 25% in Texas · Critically understaffed (RN) · Worst in SUMMIT LTC chain · $39,971 in fines
What this means for your family
This facility has a history of providing wonderful, compassionate care, especially under certain management periods. However, recent reviews indicate a troubling trend of understaffing and medical neglect, so families should closely monitor medication administration and hygiene during visits.
Google Reviews
Google Reviews
130 reviews on Google“AVIR AT SAN ANTONIO (formerly Sunrise Nursing) receives praise for its caring, attentive nursing staff and a pleasant environment for many long-term residents. However, families should be aware of significant concerns regarding severe understaffing, inconsistent responsiveness to call lights, and reports of unpleasant odors in certain areas.”
Quality Themes
Tap a score for detailsStrengths
- Attentive and caring nursing staff
- Friendly and professional administration
- Clean and well-maintained environment in many wings
- Engaging activities and social programs
Concerns
- Severe nursing understaffing (mentioned by 3 reviewers)
- Unpleasant odors (urine/foul smells) in hallways (mentioned by 3 reviewers)
- Difficulty accessing facility/unresponsive front desk (mentioned by 3 reviewers)
- Slow response to call lights (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 101 analyzed
How They Respond to Reviews
The owner uses highly templated, formulaic responses that rely on standard corporate phrasing. While they acknowledge the feedback, they fail to address the specific details of the complaints, such as understaffing or missing personal items.
Questions for Your Tour
- 1We've heard wonderful things about how attentive and caring the nursing staff is; how do you ensure that level of care remains consistent during shift changes?
- 2Could you walk us through your process for managing medications to ensure everything is handled accurately and timely?
- 3What steps are being taken to ensure the facility stays fresh and well-maintained, particularly in the common hallways?
- 4How do you ensure that call lights are answered promptly, even during the busier times of the day?
- 5What kind of social programs or engaging daily activities do you have planned to help residents stay connected with one another?
- 6In the event of a medical emergency after hours, what is the specific protocol for notifying the family and coordinating care?
Personalized based on this facility's data
Key Review Excerpts
“The administrative, medical, kitchen and housekeeping staff were always helpful, friendly, and kind. And the Marketing Director, Ms Pauline Barrera, was exceptional!”
“My father in law has been in this facility for over 2 years; but these past months have been the best since sunrise hired a new management team… he mentions to me how they always address his concerns he even spoke about them changing the food menu and how he now enjoys the food.”
“My mother was housed there in February of 2025 in good health with the diagnosis of having Parkinson's disease but by the 27th of March was in very bad condition, had not been দেখিতে her medicine for her high blood pressure and was told that she had to wait, not only tht but refused to change her adult diaper hers or her roommates and was left soiled for hours at a time.”
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 · 17 measures
7
measures
8
measures
2
measures
Residents needing more daily help over time
Residents whose walking got worse
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on anti-anxiety or sleep medication
Residents whose bladder or bowel control got worse
Residents on antipsychotic medication
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
AVIR at San Antonio shows concerning patterns with families filing 8 complaints triggering inspections, most recently citing poor living conditions and abuse reporting failures. The facility repeatedly struggles with care planning, infection control, and food safety across multiple surveys. One recent care planning deficiency remains uncorrected as of December 2024, suggesting ongoing issues despite the facility's efforts to address other violations.
Dec 18, 2025Complaint1
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.
Sep 20, 2025Complaint2
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.
Aug 30, 2025Routine21
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Administration Deficiencies
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
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.
Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Resident Rights Deficiencies
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
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.
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
May 29, 2025Complaint1
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
May 8, 2025Complaint3
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
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 20, 2025Complaint1
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Federal Penalties
Fine
Aug 30, 2025
$12,735
Fine
Aug 30, 2025
$17,200
Fine
Jul 26, 2024
$10,036
Ownership & Operations
Who Operates This Facility
50 Briggs Ave Opco LLC
for profit
SUMMIT LTC MANAGEMENT LLC
GABRIELA SIMON
Chain Affiliation
Summit Ltc
6 facilities nationwide
Chain avg rating: 2.0/5 · Rank 8 of 9 (Worst)
Ownership & Management
Owners
Undisclosed
Ownership Data Not Available · Organization
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
130 reviews from families & visitors
Official Website
Visit avirhg.com
Medicare data downloads
Original nursing home datasets
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