Avir at Converse

Bexar · TX · For profit - Limited Liability company · AVIR HEALTH GROUP chain · 100 certified beds · CCN 675452 · MCCULLOCH COUNTY HOSPITAL DISTRICT


Avir at Converse operates 100 certified beds in CONVERSE, Texas. Its Medicare and Medicaid certification dates to 1995-02-24. It averages 55.4 residents a day.

What harm was found in the violations cited at Avir at Converse?

CMS lists 50 health-inspection deficiencies for Avir at Converse, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-06-04.

Survey dateTagDeficiencySeverity
2026-06-04F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.E
2026-06-04F0584, F0656, F0657, F0806, F0812, F0842Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2026-03-06F0761Ensure 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.D
2026-02-05F0880Provide and implement an infection prevention and control program.E
2025-09-04F0761Ensure 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.D
2025-04-04F0755, F0761, F0940, F0941, F0944, F0946, F0947, F0949Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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. / Develop, implement, and/or maintain an effective training program for all new and existing staff members. / Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. / Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. / Provide training in compliance and ethics. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. / Provide behavior health training consistent with the requirements and as determined by a facility assessment.E
2025-04-04F0558, F0640, F0641, F0656, F0690, F0695, F0813, F0880Reasonably accommodate the needs and preferences of each resident. / Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. / Ensure each resident receives an accurate assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide safe and appropriate respiratory care for a resident when needed. / Have a policy regarding use and storage of foods brought to residents by family and other visitors. / Provide and implement an infection prevention and control program.D
2025-03-28F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E
2025-03-28F0583Keep residents' personal and medical records private and confidential.D
2025-03-23F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D
2024-09-06F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D
2024-07-27F0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.J
2024-05-22F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2024-04-09F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2024-04-09F0583, F0641, F0761Keep residents' personal and medical records private and confidential. / Ensure each resident receives an accurate assessment. / 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.D
2024-02-25F0578, F0678Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. / Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.J
2024-02-25F0656, F0812Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2024-02-25F0584, F0609, F0641, F0644, F0657, F0689, F0695, F0842, F0880Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Ensure each resident receives an accurate assessment. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe and appropriate respiratory care for a resident when needed. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program.D
2023-08-18F0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.D

Why was Avir at Converse fined 2 times?

DateTypeAmount
2024-07-27Fine$23,845
2024-02-25Fine$20,000

Has Avir at Converse had payment denied by Medicare?

Payment denial startLength in days
2024-03-2615

How is Avir at Converse staffed relative to the TX average?

MeasureThis facilityTX average
Total nurse staffing hours per resident per day3.000533.38539
Total nursing staff turnover (%)67.255.3
Average number of residents per day55.475.8

Who owns Avir at Converse, and what chain is it in?

Avir at Converse is registered with CMS as For profit - Limited Liability company, operates under the legal business name MCCULLOCH COUNTY HOSPITAL DISTRICT and belongs to the AVIR HEALTH GROUP chain.

RoleOwnerAssociation date
MANAGING CONTROL - GOVERNING BODYJONES, TIMOTHYsince 09/01/2020
CORPORATE DIRECTORJONES, TIMOTHYsince 03/01/2015
OPERATIONAL/MANAGERIAL CONTROLGIVENS, LAURA, JONES, TIMOTHY, KESTERSON, LISAsince 01/01/2024
ADP OF THE SNFGIVENS, LAURA, JONES, TIMOTHY, KESTERSON, LISAsince 01/01/2024

Were you or a family member harmed at Avir at Converse?