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Nursing HomeMedicaid Investigative

Avir at San Antonio

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

50 Briggs Ave., South San Antonio · San Antonio, TX 78224119 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.0/5

based on 130 Google reviews

5
4
3
2
1
Avir at San Antonio Nursing Home in San Antonio, TX — Street View
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6/ 10
high Risk

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

Source: Medicare data

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 details
Food3.0Staff6.0Clean5.0Activities8.0Meds2.0MemoryN/AComms4.0ValueN/A

Strengths

  • 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

234'16(4)'18(1)'20(19)'22(12)'24(17)'26(8)

Distribution · 101 analyzed

5
67
4
9
3
3
2
2
1
20

How They Respond to Reviews

27%response rate
Generic

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!

Long-term resident's family · 2023★★★★★

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.

Long-term resident's family · 2022★★★★★

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.

Long-term resident's family · 2025☆☆☆☆
Source: 130 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.09hrs
12%
Registered nurses for medical care
Total Nursing
2.70hrs
66%
All nurses + aides combined
Staff Turnover
61%
Lower is better (< 30% = good)

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
1/ 5
Better Than Avg

7

measures

Worse Than Avg

8

measures

Mixed Results

2

measures

Long-Stay Residents
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility28.9%
Worse than Avg
Here
28.9%
US
14.4%
TX
16.1%
Bexar
15.9%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility28.2%
Worse than Avg
Here
28.2%
US
15.3%
TX
14.9%
Bexar
13.9%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.6%
Better than Avg
Here
0.6%
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 anti-anxiety or sleep medication

↓ Lower is better
This Facility12.3%
Better than Avg
Here
12.3%
US
19.5%
TX
18.4%
Bexar
22.8%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility10.4%
Better than Avg
Here
10.4%
US
19.4%
TX
14.2%
Bexar
17.2%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility17.1%
Worse than Avg
Here
17.1%
US
15.4%
TX
9.4%
Bexar
10.1%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility62.5%
Worse than Avg
Here
62.5%
US
81.8%
TX
89.2%
Bexar
82.0%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility68.4%
Worse than Avg
Here
68.4%
US
79.7%
TX
88.0%
Bexar
85.0%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility2.2%
Worse than Avg
Here
2.2%
US
1.6%
TX
1.5%
Bexar
2.0%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

23deficiencies
3penalties
Well above state avg (9.1)
8 complaint-triggered
$39,971 in fines

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, 2025Complaint
1
0657Potential for harm · IsolatedCorrected

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, 2025Complaint
2
0584Actual harm · IsolatedCorrected

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.

0609Potential for harm · IsolatedCorrected

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, 2025Routine
21
0689Immediate jeopardy · PatternResolved (past non-compliance)

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0605Potential for harm · PatternCorrected

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.

0609Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0684Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0773Potential for harm · PatternCorrected

Administration Deficiencies

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

0814Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Dispose of garbage and refuse properly.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0511Potential for harm · PatternCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0918Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0580Potential for harm · IsolatedCorrected

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.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0655Potential for harm · IsolatedCorrected

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

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.

0688Potential for harm · IsolatedCorrected

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.

0812Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

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

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0741Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0929Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

0577Minimal · WidespreadCorrected

Resident Rights Deficiencies

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

0842Minimal · WidespreadCorrected

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.

0628Minimal · PatternCorrected

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

May 29, 2025Complaint
1
0628Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

May 8, 2025Complaint
3
0641Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

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 20, 2025Complaint
1
0684Potential for harm · PatternCorrected

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

Owner / Operator

50 Briggs Ave Opco LLC

Organization Type

for profit

Management Company

SUMMIT LTC MANAGEMENT LLC

Administrator

GABRIELA SIMON

Chain Affiliation

Chain Name

Summit Ltc

Chain Size

6 facilities nationwide

Chain avg rating: 2.0/5 · Rank 8 of 9 (Worst)

Ownership & Management

Owners

Undisclosed

Ownership Data Not Available · Organization

Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

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.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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