The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited June 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 550 — 42 CFR §483.10(a) — S/S: E
Nursing home report
Avir at Heritage
SAN ANTONIO, TX · Medicare-certified · 150 beds
Needs attention
For-profitChain member
Data as of September 1, 2026
1 of 5 overall
Avir at Heritage in San Antonio has a 1-star overall rating, the lowest overall rating, with a 1-star staffing rating and 3.26 nurse hours per resident day below the 4.1 federal benchmark. It has no fines in the last 24 months; its health inspection rating is 2 stars and quality measures rating is 3 stars.
Facility ratings
Health inspections
Staffing
3.2612 hrs/resident/day
Quality measures
Last inspection: June 19, 2026Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2612.
Staffing detail
- Registered nurses
- 0.16
- Licensed practical nurses
- 1.04
- Nurse aides
- 2.06
- Weekend nursing
- 2.80
Hours per resident per day.
Total staff turnover: 54%
Registered nurse turnover: 75%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
2.4%2.6%No change
Residents with a fall causing major injury
0%1.4%Worsening
Residents with pressure ulcers (bedsores)
4.3%2.8%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
0%11.3%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
17%19.1%Worsening
Residents whose ability to walk got worse
—16.2%—
Long-stay residents on antianxiety or sleep medication
12.5%7.5%Improving
Short-stay residents newly given an antipsychotic
0%4.3%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
20.1%22%Worsening
Residents with depressive symptoms
1.2%0%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—91.1%—
Short-stay residents given the pneumonia vaccine
99.2%95.3%Worsening
What the inspectors found
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited June 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 755 — 42 CFR §483.45 — S/S: E
The home failed to make sure residents were served meals and snacks at times that fit their needs, preferences, and requests. Cited June 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 809 — 42 CFR §483.60 — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited June 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited June 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 14 health deficiencies.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
Operator & ownership
Recent ownership change · Apr 1, 2019
Now operated by Avir at Heritage, previously Paramount Senior Care Centers at San Antonio.
- Ownership
- For profit - Corporation
- Chain
- Part of AVIR HEALTH GROUP · 118 homes · 2.3 stars avg
- Occupancy
- 93.6 residents on an average day (62% of 150 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 25 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.