Nursing Home Alerts

Avir at Heritage

5437 Eisenhauer Road, San Antonio, TX 78218

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Avir at Heritage is a nursing home in San Antonio, Texas. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.

This page uses data from the Centers for Medicare & Medicaid Services (CMS), published on October 28, 2026. CMS updates its data about once a month.

CMS star ratings

Facts from CMS

Phone
(210) 646-9576
Last standard health inspection
June 19, 2026 (4 months ago)
Certified beds
150
Residents per day, on average
100.1
Ownership type
For profit - Corporation
Legal business name
West Wharton County Hospital District
Chain
Avir Health Group
Takes part in
Medicare and Medicaid

More health citations than the Texas average (37 vs 28).

Inspections, fines and changes

This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.

  1. CMS update of October 28, 2026

    • Star rating

      The CMS quality measures star rating changed from 3 of 5 to 2 of 5.

  2. CMS update of October 8, 2026

    • Star rating

      The CMS overall star rating changed from 3 of 5 to 1 of 5.

    • Star rating

      The CMS health inspection star rating changed from 4 of 5 to 2 of 5.

  3. 1 citation

    Health inspection on August 21, 2026

    CMS lists this as a complaint inspection.

    • Citation F0573. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

      CMS lists it as corrected on August 22, 2026.

    See this home on CMS Care Compare

  4. CMS update of June 24, 2026

    • Ownership

      CMS ownership records list new owners for this home.

  5. 14 citations

    Health inspection on June 19, 2026

    CMS lists this as a standard inspection.

    • Citation F0550. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

      CMS lists it as corrected on June 20, 2026.

    • Citation F0755. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      CMS lists it as corrected on June 20, 2026.

      CMS has cited this home for F0755 3 times since 2024.

    • Citation F0809. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

      CMS lists it as corrected on June 20, 2026.

    • Citation F0812. Severity E: potential for more than minimal harm, pattern.

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

      CMS lists it as corrected on June 20, 2026.

      CMS has cited this home for F0812 2 times since 2025.

    • Citation F0880. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on June 20, 2026.

      CMS has cited this home for F0880 5 times since 2025.

    • Citation F0552. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that residents are fully informed and understand their health status, care and treatments.

      CMS lists it as corrected on June 20, 2026.

      CMS has cited this home for F0552 2 times since 2025.

    • Citation F0558. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Reasonably accommodate the needs and preferences of each resident.

      CMS lists it as corrected on June 20, 2026.

    • Citation F0641. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure each resident receives an accurate assessment.

      CMS lists it as corrected on June 20, 2026.

    • Citation F0655. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

      CMS lists it as corrected on June 20, 2026.

    • Citation F0656. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

      CMS lists it as corrected on June 20, 2026.

      CMS has cited this home for F0656 2 times since 2025.

    • Citation F0695. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide safe and appropriate respiratory care for a resident when needed.

      CMS lists it as corrected on June 20, 2026.

    • Citation F0761. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on June 20, 2026.

      CMS has cited this home for F0761 2 times since 2024.

    • Citation F0883. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop and implement policies and procedures for flu and pneumonia vaccinations.

      CMS lists it as corrected on June 20, 2026.

    • Citation F0925. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

      CMS lists it as corrected on June 20, 2026.

    See this home on CMS Care Compare

  6. 4 citations

    Fire safety inspection on June 19, 2026

    CMS lists this as a standard inspection.

    • Citation E0039. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Conduct testing and exercise requirements.

      CMS lists it as corrected on June 18, 2026.

    • Citation K0511. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Have properly installed electrical wiring and gas equipment.

      CMS lists it as corrected on June 18, 2026.

    • Citation K0923. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Have proper medical gas storage and administration areas.

      CMS lists it as corrected on June 18, 2026.

      CMS has cited this home for K0923 2 times since 2025.

    • Citation K0353. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.

      CMS lists it as corrected on June 18, 2026.

      CMS has cited this home for K0353 2 times since 2025.

    See this home on CMS Care Compare

  7. 1 citation

    Health inspection on June 4, 2026

    CMS lists this as a complaint inspection.

    • Citation F0842. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

      CMS lists it as corrected on June 5, 2026.

      CMS has cited this home for F0842 3 times since 2024.

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  8. CMS update of May 27, 2026

    • Star rating

      The CMS overall star rating changed from 2 of 5 to 3 of 5.

    • Star rating

      The CMS health inspection star rating changed from 3 of 5 to 4 of 5.

    • Name

      CMS lists a new name for this home. It was HERITAGE NURSING & REHABILITATION.

    • Ownership

      CMS lists this home under a new chain.

  9. CMS update of April 29, 2026

    • Star rating

      The CMS overall star rating changed from 3 of 5 to 2 of 5.

    • Star rating

      The CMS staffing star rating changed from 2 of 5 to 1 of 5.

  10. 2 citations

    Health inspection on November 27, 2025

    CMS lists this as a complaint inspection.

    • Citation F0656. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

      CMS lists it as corrected on November 28, 2025.

    • Citation F0880. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on November 28, 2025.

    See this home on CMS Care Compare

  11. CMS update of November 20, 2025

    • Star rating

      The CMS overall star rating changed from 2 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

      The CMS staffing star rating changed from 1 of 5 to 2 of 5.

  12. 1 citation

    Health inspection on September 18, 2025

    CMS lists this as a complaint inspection.

    • Citation F0921. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

      CMS lists it as corrected on September 19, 2025.

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  13. CMS update of May 28, 2025

    • Star rating

      The CMS overall star rating changed from 3 of 5 to 2 of 5.

    • Star rating

      The CMS health inspection star rating changed from 4 of 5 to 3 of 5.

  14. CMS update of April 30, 2025

    • Star rating

      The CMS quality measures star rating changed from 4 of 5 to 3 of 5.

  15. 5 citations

    Health inspection on April 25, 2025

    CMS lists this as a standard inspection and a complaint inspection.

    • Citation F0657. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

      CMS lists it as corrected on April 26, 2025.

    • Citation F0812. Severity E: potential for more than minimal harm, pattern.

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

      CMS lists it as corrected on April 26, 2025.

    • Citation F0644. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

      CMS lists it as corrected on April 26, 2025.

    • Citation F0805. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

      CMS lists it as corrected on April 26, 2025.

    • Citation F0880. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on April 26, 2025.

    See this home on CMS Care Compare

  16. 8 citations

    Fire safety inspection on April 25, 2025

    CMS lists this as a standard inspection.

    • Citation E0004. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Develop and maintain an Emergency Preparedness Program (EP).

      CMS lists it as corrected on April 24, 2025.

    • Citation K0901. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.

      CMS lists it as corrected on April 24, 2025.

    • Citation K0918. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have generator or other power source capable of supplying service within 10 seconds.

      CMS lists it as corrected on April 24, 2025.

    • Citation K0211. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Keep aisles, corridors, and exits free of obstruction in case of emergency.

      CMS lists it as corrected on April 24, 2025.

    • Citation K0351. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Install an approved automatic sprinkler system.

      CMS lists it as corrected on April 24, 2025.

    • Citation K0353. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.

      CMS lists it as corrected on April 24, 2025.

    • Citation K0355. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Properly select, install, inspect, or maintain portable fire extinguishes.

      CMS lists it as corrected on April 24, 2025.

    • Citation K0923. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Have proper medical gas storage and administration areas.

      CMS lists it as corrected on April 24, 2025.

    See this home on CMS Care Compare

  17. 3 citations

    Health inspection on April 8, 2025

    CMS lists this as a complaint inspection.

    • Citation F0880. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on April 9, 2025.

    • Citation F0686. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate pressure ulcer care and prevent new ulcers from developing.

      CMS lists it as corrected on April 9, 2025.

    • Citation F0842. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

      CMS lists it as corrected on April 9, 2025.

    See this home on CMS Care Compare

  18. 4 citations

    Health inspection on March 19, 2025

    CMS lists this as a complaint inspection.

    • Citation F0552. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that residents are fully informed and understand their health status, care and treatments.

      CMS lists it as corrected on March 20, 2025.

    • Citation F0554. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Allow residents to self-administer drugs if determined clinically appropriate.

      CMS lists it as corrected on March 20, 2025.

    • Citation F0755. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      CMS lists it as corrected on March 20, 2025.

    • Citation F0849. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

      CMS lists it as corrected on March 20, 2025.

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  19. CMS update of February 26, 2025

    • Star rating

      The CMS overall star rating changed from 2 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

      The CMS health inspection star rating changed from 3 of 5 to 4 of 5.

  20. 1 citation

    Health inspection on February 14, 2025

    CMS lists this as a complaint inspection.

    • Citation F0880. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on February 15, 2025.

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  21. CMS update of October 30, 2024

    • Star rating

      The CMS overall star rating changed from 3 of 5 to 2 of 5.

    • Star rating

      The CMS quality measures star rating changed from 5 of 5 to 4 of 5.

  22. CMS update of April 25, 2024

    • Star rating

      The CMS overall star rating changed from 2 of 5 to 3 of 5.

    • Star rating

      The CMS health inspection star rating changed from 2 of 5 to 3 of 5.

  23. 4 citations

    Health inspection on February 23, 2024

    CMS lists this as a standard inspection.

    • Citation F0755. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      CMS lists it as corrected on February 24, 2024.

    • Citation F0804. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

      CMS lists it as corrected on February 24, 2024.

    • Citation F0761. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on February 24, 2024.

    • Citation F0577. Severity C: potential for minimal harm, widespread.

      The rule CMS cited: Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

      CMS lists it as corrected on February 24, 2024.

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  24. 1 citation

    Health inspection on February 2, 2024

    CMS lists this as a complaint inspection.

    • Citation F0842. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

      CMS lists it as corrected on February 3, 2024.

    See this home on CMS Care Compare

Owners and managers

CMS lists these owners and managers for this home. Names are as CMS writes them.

Questions

When was Avir at Heritage last inspected?

CMS lists June 19, 2026 as the date of its most recent standard health inspection.

How many citations (violations) does Avir at Heritage have?

CMS lists 37 health citations since February 2, 2024. CMS also calls these deficiencies.

Has Avir at Heritage been fined?

CMS lists no fines for this home in the past three years.

What is the CMS star rating of Avir at Heritage?

Its CMS overall star rating is 1 of 5.

Is Avir at Heritage a Special Focus Facility?

No. CMS does not list it as a Special Focus Facility or a candidate.

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