Avir at Heritage

Name: Avir at Heritage
Address: 5437 Eisenhauer Road, San Antonio, TX, 78218, US
Telephone: 2106469576

5437 Eisenhauer Road, San Antonio, TX 78218 · Bexar County · 150 certified beds · avg 94 residents/day · certified since Jan 5, 2001

Part of chain: AVIR HEALTH GROUP (116 facilities, chain avg rating 2.3★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

2.99

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 3/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (31)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Jun 4, 2026	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint
Nov 27, 2025	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint
Nov 27, 2025	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint
Sep 18, 2025	D · Potential for harm, one-off	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · from a complaint
Apr 25, 2025	E · Potential for harm, repeated	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint
Apr 25, 2025	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint
Apr 25, 2025	D · Potential for harm, one-off	The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. · from a complaint
Apr 25, 2025	D · Potential for harm, one-off	The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems. · from a complaint
Apr 25, 2025	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint
Apr 8, 2025	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint
Apr 8, 2025	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint
Apr 8, 2025	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint
Mar 19, 2025	D · Potential for harm, one-off	The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. · from a complaint
Mar 19, 2025	D · Potential for harm, one-off	The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. · from a complaint
Mar 19, 2025	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint
Mar 19, 2025	D · Potential for harm, one-off	The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life. · from a complaint
Feb 14, 2025	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint
Feb 23, 2024	E · Potential for harm, repeated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Feb 23, 2024	E · Potential for harm, repeated	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
Feb 23, 2024	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Feb 23, 2024	C · Minimal risk, facility-wide	The facility did not make its inspection results easy for residents to see, or made it hard for residents to contact advocacy agencies like the ombudsman.
Feb 2, 2024	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint
Jan 13, 2023	E · Potential for harm, repeated	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
Jan 13, 2023	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jan 13, 2023	D · Potential for harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Jan 13, 2023	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Jan 13, 2023	D · Potential for harm, one-off	The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that.
Jan 13, 2023	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Jan 13, 2023	D · Potential for harm, one-off	The facility did not provide proper foot care for residents. Foot care includes routine care like nail trimming and attention to foot problems, which matter greatly for older adults.
Jan 13, 2023	D · Potential for harm, one-off	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
Jan 13, 2023	D · Potential for harm, one-off	The facility did not provide routine dental care and 24-hour emergency dental care for residents.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (4 → 5).

Year	Citations	Worst severity that year
2023	9	E
2024	5	E
2025	16	E
2026	1	D

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Texas avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	2.99	3.46	3.95	bottom 22% in Texas; bottom 13% in the U.S.
Registered Nurse hours	0.15	0.44	0.69	bottom 2% in Texas; bottom 1% in the U.S.
Weekend total nurse staffing	2.57	3.04	3.50	bottom 20% in Texas; bottom 11% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.11	0.34	0.48	bottom 2% in Texas; bottom 1% in the U.S.
Total nursing staff turnover (%)	54.3	55.3	45.8	bottom 45% in Texas; bottom 26% in the U.S.
RN turnover (%)	75.0	54.6	42.9	bottom 25% in Texas; bottom 9% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.26, RN 0.16, weekend 2.80. Staffing rating: 1/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 3/5 · long-stay residents: 4/5 · short-stay residents: 1/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
5437 Eisenhauer Rd Property Owner, LLC	Organization	ADP of the SNF	NOT APPLICABLE	10/01/2025
5437 Eisenhauser Rd Opco, LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	10/01/2025
5437 Eisenhauser Rd Opco, LLC	Organization	ADP of the SNF	NOT APPLICABLE	03/12/2026
Ana TX Holdings, LLC	Organization	ADP of the SNF	NOT APPLICABLE	10/01/2025
Dagan, Amitai	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	03/13/2026
Freund, Nochum	Individual	Operational/Managerial Control	NOT APPLICABLE	10/01/2025
Goldberger, Abraham	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	03/13/2026
Goldberger, Faigy	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	04/06/2026
Thompson, Johnny	Individual	Corporate Officer	NOT APPLICABLE	11/01/2023
Travitsky, Aaron	Individual	Operational/Managerial Control	NOT APPLICABLE	10/01/2025
Welltower INC	Organization	ADP of the SNF	NOT APPLICABLE	10/01/2025
Welltower NNN Group, LLC	Organization	ADP of the SNF	NOT APPLICABLE	10/01/2025
Welltower Op, LLC	Organization	ADP of the SNF	NOT APPLICABLE	10/01/2025
Zarate, Rudolfo	Individual	ADP of the SNF	NOT APPLICABLE	10/01/2020

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How do you keep residents' medical records accurate, complete, and secure?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
"How do you handle residents who need modified food textures, and how do you make those meals appetizing?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Windcrest Nursing and Rehabilitation	1.8 mi	Windcrest, TX	★☆☆☆☆	2/5
Crestway Nursing & Rehabilitation	1.9 mi	San Antonio, TX	★☆☆☆☆	1/5
Army Residence Community	2.0 mi	San Antonio, TX	★★★★★	5/5
Avir at Converse	2.8 mi	Converse, TX	★☆☆☆☆	2/5
Northeast Rehabilitation and Healthcare Center	3.4 mi	San Antonio, TX	★☆☆☆☆	1/5
Advanced Rehabilitation & Healthcare of Live Oak	4.3 mi	Live Oak, TX	★★★☆☆	2/5
Parklane West Healthcare Center	5.4 mi	San Antonio, TX	★☆☆☆☆	1/5
Broadway Nursing & Rehabilitation	5.7 mi	San Antonio, TX	★☆☆☆☆	2/5
San Antonio Wellness & Rehabilitation	5.8 mi	San Antonio, TX	★★☆☆☆	2/5
The Village at Incarnate Word	6.1 mi	San Antonio, TX	★★★★☆	4/5
Sage Park San Antonio	6.2 mi	San Antonio, TX	★★★☆☆	2/5
Trucare Living Centers - Selma	6.6 mi	Selma, TX	★★☆☆☆	3/5

Compare this facility with the 3 closest →

All facilities in San Antonio →

Facility data as of CMS processing date 2026-08-01. CCN 675858.

The Care File

Visit checklist — Avir at Heritage

5437 Eisenhauer Road, San Antonio, TX 78218 · 2106469576

Health inspection rating 4/5 · CMS overall 3/5· Fines (3y): $0

Questions for the administrator:

☐ "How do you keep residents' medical records accurate, complete, and secure?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
☐ "How do you handle residents who need modified food textures, and how do you make those meals appetizing?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 675858 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)