All states › Texas › San Antonio › Avir at Heritage
5437 Eisenhauer Road San Antonio, TX 78218 · Bexar County
All 58 nursing homes in San Antonio, TX (53 take Medicaid)
CMS certification number 675858 · See this home on Medicare Care Compare
Is Avir at Heritage a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Avir at Heritage as of October 2026.
CMS rates it 1 out of 5 stars overall, below the Texas average of 2.8.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.16 hours per resident per day at Avir at Heritage, below the Texas median of 3.30 (US median: 3.72). About 0.19 of those hours are from registered nurses. On weekends it falls to 2.53 hours, 20% below its all-week average. Ask how weekends are staffed. 54.8% of nursing staff left within a year (Texas median 50.2%).
About this nursing home
Paying for care at Avir at Heritage: Medicare and Medicaid
Avir at Heritage is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Texas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on June 19, 2026 and found 14 deficiencies, plus 4 from complaint inspections in the same period. In total, inspectors issued 37 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 37 citations at Avir at Heritage across 11 inspection dates, 19 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 36 were "potential for more than minimal harm" (D–F) and 1 was minimal (A–C). The most common areas cited were resident assessment and care planning (9) and resident rights (7). The most serious was cited under the CMS rule to "honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights" (tag F0550, level E, June 19, 2026).
August 21, 2026 · 1 citation · includes complaint inspection
DLet each resident or the resident's legal representative access or purchase copies of all the resident's records.
June 19, 2026 · 14 citations
EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
EEnsure 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.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EProvide and implement an infection prevention and control program.
DEnsure that residents are fully informed and understand their health status, care and treatments.
DReasonably accommodate the needs and preferences of each resident.
DEnsure each resident receives an accurate assessment.
DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide safe and appropriate respiratory care for a resident when needed.
DEnsure 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.
DDevelop and implement policies and procedures for flu and pneumonia vaccinations.
DMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
June 4, 2026 · 1 citation · includes complaint inspection
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
November 27, 2025 · 2 citations · includes complaint inspection
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide and implement an infection prevention and control program.
September 18, 2025 · 1 citation · includes complaint inspection
DMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
April 25, 2025 · 5 citations · includes complaint inspection
EDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
DEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
DProvide and implement an infection prevention and control program.
April 8, 2025 · 3 citations · includes complaint inspection
EProvide and implement an infection prevention and control program.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
March 19, 2025 · 4 citations · includes complaint inspection
DEnsure that residents are fully informed and understand their health status, care and treatments.
DAllow residents to self-administer drugs if determined clinically appropriate.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
February 14, 2025 · 1 citation · includes complaint inspection
DProvide and implement an infection prevention and control program.
February 23, 2024 · 4 citations
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
DEnsure 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.
CAllow residents to easily view the nursing home's survey results and communicate with advocate agencies.
February 2, 2024 · 1 citation · includes complaint inspection
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Questions to ask on a tour of Avir at Heritage
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Weekend staffing is 20% below the all-week average. Who is on duty on Saturday nights?
- CMS rates short-stay quality 1 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
CMS reports no fines or payment denials for this home in the last three years.
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 2/5 | 1/5 | 2/5 |
| August 2026 | 3/5 | 4/5 | 1/5 | 3/5 |
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Location
Hospitals near Avir at Heritage
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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4.1 mi
Brooke Army Medical Center (Ft Sam Houston) Fort Sam HoustonEmergency roomMedian ER visit 2h 48m for patients treated and sent home
- 8.0 mi
-
8.5 mi
Baptist Neighborhood Hospital Thousand Oaks San AntonioEmergency room ★★★★★ Medicare overall 5 of 5Median ER visit 1h 55m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
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Compare Avir at Heritage with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Army Residence Community · San Antonio · 5 stars · 2.0 mi
- St. Francis Nursing Home · San Antonio · 5 stars · 8.7 mi
- The Village at Incarnate Word · San Antonio · 4 stars · 6.1 mi
- San Pedro Manor · San Antonio · 4 stars · 8.5 mi
Other Avir Health Group nursing homes in Texas
- Avir at Beeville · Beeville · 5 stars
- Avir at Temple East · Temple · 5 stars
- Avir at Courtyard · Houston · 5 stars
- Avir at Haskell · Haskell · 5 stars
- Avir at Pampa · Pampa · 5 stars
- Avir at Paris · Paris · 5 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 118 Avir Health Group nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.