Avir at Veterans Memorial
Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.
based on 209 Google reviews
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What this means for your family
This facility offers an excellent admissions experience and highly skilled physical therapy. However, due to multiple documented instances of call lights being ignored and hygiene neglect, families should implement a rigorous visitation schedule to personally verify that hygiene and medication needs are being met.
Google Reviews
Google Reviews
209 reviews on Google“Families often praise the facility for its warm, professional admissions process and the compassionate nature of specific staff members like Zoe and Ronda. However, there are serious, recurring allegations regarding neglect, including failure to respond to call lights and inadequate hygiene care. While many find the building clean and the therapy programs effective, the presence of severe reports of patient neglect and medication errors necessitates extreme caution and frequent family oversight.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate and professional admissions staff
- Effective physical therapy and rehabilitation
- Clean and well-maintained facility environment
- Friendly and welcoming atmosphere
Concerns
- Failure to respond to call lights and emergency buttons (mentioned by 5 reviewers)
- Neglect regarding hygiene and incontinence care (mentioned by 4 reviewers)
- Medication errors and management issues (mentioned by 3 reviewers)
- Inconsistent cleanliness in patient rooms and hallways (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 204 analyzed
How They Respond to Reviews
The owner relies heavily on a small set of pre-written templates. Positive reviews receive a standard 'wonderful review' script, while negative reviews receive a standardized apology that fails to address specific allegations of neglect or abuse.
Questions for Your Tour
- 1We've heard wonderful things about how welcoming the admissions team is; how do you help new residents and their families transition into the community?
- 2What specific protocols are in place to ensure that call lights and emergency buttons are responded to promptly at all hours?
- 3How does the nursing team manage medication administration to ensure accuracy and prevent any errors?
- 4Could you tell us more about the daily dining experience and how the menu is planned to ensure residents enjoy their meals?
- 5What steps are taken by the housekeeping staff to ensure that resident rooms and common hallways are kept consistently clean?
- 6How does the facility approach personal hygiene and incontinence care to ensure every resident's dignity is maintained?
Personalized based on this facility's data
Key Review Excerpts
“The difference is night and day. While no facility is perfect, this is as good as it gets. My dad gets good care. The staff seem to care about him.”
“My grandmother was transferred here directly from the hospital, and the transition was handled dangerously poorly. When she arrived, the facility did not have her medical records or pain medication orders.”
“The staff are so warm and friendly. Therapy dis a great job to get me to be able to go home and I'm grateful to them”
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
11
measures
3
measures
3
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents needing more daily help over time
Residents on anti-anxiety or sleep medication
Residents vaccinated for pneumonia
Residents whose bladder or bowel control got worse
Residents who lost too much weight
Short-stay residents vaccinated for the flu
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
Families have filed multiple complaints against this facility, with concerns spanning recent years including a serious safety issue in late 2024. The most recurring problems involve medication management, fire safety systems, and basic care planning. While the facility has correction dates for all deficiencies, the pattern of repeated issues across medication services and safety systems, combined with ongoing family complaints, suggests persistent operational challenges that warrant careful consideration.
Oct 31, 2025Complaint3
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Apr 15, 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 and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Jan 31, 2025Routine6
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
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.
Jan 3, 2025Complaint1
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.
Dec 8, 2023Routine6
Smoke Deficiencies
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Egress Deficiencies
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Dec 8, 2023Complaint1
Environmental Deficiencies
Provide bedrooms that don't allow residents to see each other when privacy is needed.
Federal Penalties
Fine
Oct 31, 2025
$21,645
Ownership & Operations
Who Operates This Facility
1424 Fallbrook Dr Opco LLC
for profit
CAPSTONE HC MANAGEMENT LLC
SHANAE P WILBERT
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
209 reviews from families & visitors
Official Website
Visit avirhg.com
Medicare data downloads
Original nursing home datasets
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