66/100
Average
Avir At Heritage
5437 Eisenhauer Road, San Antonio, TX 78218
- Certified beds
- 150
- Occupancy
- 62%
- Ownership
- For-profit
- Accepts
- Medicare + Medicaid
Our read on Avir At Heritage
Avir At Heritage runs on thin nursing coverage: 3.26 nurse hours per resident each day, roughly 16 percent under the national figure, and weekends drop about 14 percent below its own weekday levels. That staffing picture is the main reason its CMS staffing rating sits at just one star out of five, even though its last inspection in April 2025 produced no deficiencies at the harm or jeopardy level and nothing abuse-related. Staff turnover of 54.3 percent tops the national average of 45.8 percent, which matters for a 150-bed for-profit home because residents see more unfamiliar faces. The inspection record looks clean on paper, but consistently low hours and high churn are what a family should weigh when deciding.
Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.
How this grade was calculated
Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.
A full pentagon is full marks. The shape shows what kind of good or bad a home is, two homes can share a score and look nothing alike.
Inspection safety
30/30Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
- →No citations recorded in the last 3 years
Staffing
8/30Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
- →2.99 total nurse hours per resident per day (national median 3.77)
- →0.16 RN hours per resident per day
- →Weekend staffing drops 14% against weekdays
Staff stability
9/15How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
- →54% of nursing staff left in the last year
Resident outcomes
9/15The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
- →3 of 5 stars on the CMS quality-measure rating
Enforcement history
10/10Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
- →No federal fines on record
Staffing, against the national average
Full detailHours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Recent inspection findings
Last standard health inspection: June 19, 2026 (4 months ago). No citations were recorded.
No health-inspection citations on record for this facility in the current CMS release.
Who owns this home
Full recordPart of AVIR HEALTH GROUP, which operates 118 homes. Staffing budgets are usually set at chain level, not in the building.
What families say
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Common questions about Avir At Heritage
What is the ElderGrade for Avir At Heritage? +
Avir At Heritage holds an ElderGrade of C (66 out of 100), which we describe as "average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
How many nursing hours does each resident get at Avir At Heritage? +
Residents receive an average of 3.26 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Has Avir At Heritage been cited for harming residents? +
No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.
Does Avir At Heritage accept Medicaid? +
Yes, Avir At Heritage is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.
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