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Avir at Heritage
5437 Eisenhauer Road, San Antonio, TX 78218 (opens Google Maps) · Bexar County · (210) 646-9576· 150 certified beds · avg 94 residents/day · certified since Jan 5, 2001 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: AVIR HEALTH GROUP (116 facilities, chain avg rating 2.3★)
4/5
Health inspection rating (on-site)
inspected Apr 25, 2025
0
Serious findings on record
$0
Fines, last 3 years
2.99
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 3/5 · how star ratings work →
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 quality measures from resident assessments and claims.
Inspection findings in the public record
Showing the latest 3 of 31 inspection findings. Open the full record below to read every finding.
The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint F-0842
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 F-0656
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 F-0880
View all 31 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jun 4, 2026 | D · Potential for more than minimal harm, isolated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint · F-0842 |
| Nov 27, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0656 |
| Nov 27, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0880 |
| Sep 18, 2025 | D · Potential for more than minimal harm, isolated | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · from a complaint · F-0921 |
| Apr 25, 2025 | E · Potential for more than minimal harm, pattern | 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 · F-0657 |
| Apr 25, 2025 | E · Potential for more than minimal harm, pattern | 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 · F-0812 |
| Apr 25, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0644 |
| Apr 25, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0805 |
| Apr 25, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0880 |
| Apr 8, 2025 | E · Potential for more than minimal harm, pattern | 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 · F-0880 |
| Apr 8, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0686 |
| Apr 8, 2025 | D · Potential for more than minimal harm, isolated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint · F-0842 |
| Mar 19, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0552 |
| Mar 19, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0554 |
| Mar 19, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0755 |
| Mar 19, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0849 |
| Feb 14, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0880 |
| Feb 23, 2024 | E · Potential for more than minimal harm, pattern | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755 |
| Feb 23, 2024 | E · Potential for more than minimal harm, pattern | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · F-0804 |
| Feb 23, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0761 |
| Feb 23, 2024 | C · Potential for minimal harm, widespread | 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. · F-0577 |
| Feb 2, 2024 | D · Potential for more than minimal harm, isolated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint · F-0842 |
| Jan 13, 2023 | E · Potential for more than minimal harm, pattern | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · F-0804 |
| Jan 13, 2023 | E · Potential for more than minimal harm, pattern | 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. · F-0812 |
| Jan 13, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0578 |
| Jan 13, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584 |
| Jan 13, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0636 |
| Jan 13, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0677 |
| Jan 13, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0687 |
| Jan 13, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. · F-0698 |
| Jan 13, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide routine dental care and 24-hour emergency dental care for residents. · F-0790 |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (4 → 5).
All citationsSerious citations (G–L)
2023
All citations: 9
Serious citations (G–L): 0
2024
All citations: 5
Serious citations (G–L): 0
2025
All citations: 16
Serious citations (G–L): 0
2026
All citations: 1
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 9 | 0 | E |
| 2024 | 5 | 0 | E |
| 2025 | 16 | 0 | E |
| 2026 | 1 | 0 | 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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityTexas averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 2.99
Texas average: 3.46
U.S. average: 3.95
Registered Nurse hours
This facility: 0.15
Texas average: 0.44
U.S. average: 0.69
Weekend total nurse staffing
This facility: 2.57
Texas average: 3.04
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| 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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.26 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 1/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 3/5 · long-stay residents: 4/5 · short-stay residents: 1/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Avir at Heritage. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
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 |
All 14 owning or managing parties CMS has on file are shown — none excluded.
Other facilities in the same chain
CMS lists this facility under the chain Avir Health Group — 116 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
- Avir at Heritage Oaks — Lubbock, TX · overall 1/5
- Avir at Hillsboro — Hillsboro, TX · overall 1/5
- Avir at Houston — Houston, TX · overall 1/5
- Avir at Irving — Irving, TX · overall 5/5
- Avir at Itasca — Itasca, TX · overall 4/5
- Avir at Jacksboro — Jacksboro, TX · overall 4/5
- Avir at Jacksonville — Jacksonville, TX · overall 5/5
- Avir at Jefferson — Jefferson, TX · overall 2/5
Listed by state, then facility name — not a ranking. Showing 8 of the 115 others, continuing from this facility's own place in that list.
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?"
Also worth asking anywhere
- "Your weekend nurse staffing is reported below the Texas midpoint — how does the weekend schedule differ from a weekday?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 54% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 14 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (12 closest of 66 within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| 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 →
Other facilities in the same county
CMS records place this facility in Bexar, TX — 62 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
- Avir at San Antonio — San Antonio, TX · overall 1/5
- Avir at San Knoll — San Antonio, TX · overall 1/5
- Buena Vida Nursing and Rehab-San Antonio — San Antonio, TX · overall 1/5abuseSFF
- Castle Hills Rehabilitation and Care Center — San Antonio, TX · overall 1/5
- Coronado at Stone Oak — San Antonio, TX · overall 5/5
- Estates at Shavano Park — Shavano Park, TX · overall 3/5
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 675858.
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