Avir at Converse
7700 Mesquite Pass · Converse, TX · 78109 · 2106500551
100 certified beds For profit - Limited Liability company Chain: Avir Health Group
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $23,845 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
Red flags
4 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
76% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.31 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.41 | 0.55–0.75 |
| Weekend hours / resident-day | 2.76 | ≈ weekday level |
| Nursing turnover / year | 76% | median 45% |
| Fines (3-yr window) | 2 · $43,845 |
Inspection citations (45 in the current record)
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Potential for harm · D March 6, 2026 · found via complaint
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.
Corrected March 9, 2026 · Pharmacy Service
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Potential for harm · E February 5, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Corrected February 6, 2026 · Infection Control
-
Potential for harm · D September 4, 2025 · found via complaint
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.
Corrected September 7, 2025 · Pharmacy Service
-
Potential for harm · D April 4, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected April 10, 2025 · Resident Rights
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Potential for harm · D April 4, 2025
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected April 8, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 4, 2025
Ensure each resident receives an accurate assessment.
Corrected April 8, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 4, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 8, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 4, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected April 10, 2025 · Quality of Life and Care
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Potential for harm · D April 4, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected April 10, 2025 · Quality of Life and Care
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Potential for harm · E April 4, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 7, 2025 · Pharmacy Service
-
Potential for harm · E April 4, 2025
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.
Corrected April 7, 2025 · Pharmacy Service
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Potential for harm · D April 4, 2025
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected April 10, 2025 · Nutrition and Dietary
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Potential for harm · D April 4, 2025
Provide and implement an infection prevention and control program.
Corrected April 10, 2025 · Infection Control
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Potential for harm · E April 4, 2025
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Corrected April 22, 2025 · Administration
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Potential for harm · E April 4, 2025
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Corrected April 22, 2025 · Administration
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Potential for harm · E April 4, 2025
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Corrected April 22, 2025 · Administration
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Potential for harm · E April 4, 2025
Provide training in compliance and ethics.
Corrected April 22, 2025 · Administration
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Potential for harm · E April 4, 2025
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected April 22, 2025 · Nursing and Physician Services
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Potential for harm · E April 4, 2025
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Corrected April 22, 2025 · Administration
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Potential for harm · D March 28, 2025 · found via complaint
Keep residents' personal and medical records private and confidential.
Corrected April 30, 2025 · Resident Rights
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Potential for harm · E March 28, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected April 30, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 23, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 23, 2025 · Resident Assessment and Care Planning
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Potential for harm · D September 6, 2024 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected October 1, 2024 · Quality of Life and Care
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Immediate jeopardy · J July 27, 2024 · found via complaint
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected July 28, 2024 · Quality of Life and Care
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Potential for harm · D May 22, 2024 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected May 24, 2024 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 27, 2024 | Fine | $23,845 |
| February 25, 2024 | Fine | $20,000 |
| February 25, 2024 | Payment Denial | 15 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675452 · certified since February 24, 1995. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.