Nursing homes › Texas › Avir at Converse
7700 Mesquite Pass, Converse, TX 78109 · 2106500551 · 100 certified beds
Per CMS filings, this facility is affiliated with Avir Health Group, a group operating 119 facilities in 1 states. Group record: average rating 2.3/5, 21 abuse citation icons, 3 facilities on the Special Focus list, $7,752,055 in federal fines. This facility rates below its group average (2.3/5).
Total nurse staffing: 3.00 (Texas median: 3.27). RN hours: 0.29. Weekend total: 2.50. Nursing staff turnover: 67%.
All-time on record: 50 deficiency citations, including 4 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-06-04 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | E | Health | corrected 2026-06-24 |
| 2026-06-04 | Honor 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. | D | Health | corrected 2026-06-05 |
| 2026-06-04 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2026-06-08 |
| 2026-06-04 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Health | corrected 2026-06-16 |
| 2026-06-04 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Health | corrected 2026-06-25 |
| 2026-06-04 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Health | corrected 2026-06-08 |
| 2026-06-04 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Health | corrected 2026-06-24 |
| 2026-03-06 | 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 | complaint | corrected 2026-03-09 |
| 2026-02-05 | Provide and implement an infection prevention and control program. | E | complaint | corrected 2026-02-06 |
| 2025-09-04 | 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 | complaint | corrected 2025-09-07 |
| 2025-04-04 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Health | corrected 2025-04-07 |
| 2025-04-04 | 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. | E | Health | corrected 2025-04-07 |
| 2025-04-04 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | E | Health | corrected 2025-04-22 |
| 2025-04-04 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | E | Health | corrected 2025-04-22 |
| 2025-04-04 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | E | Health | corrected 2025-04-22 |
| 2025-04-04 | Provide training in compliance and ethics. | E | Health | corrected 2025-04-22 |
| 2025-04-04 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | Health | corrected 2025-04-22 |
| 2025-04-04 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | E | Health | corrected 2025-04-22 |
| 2025-04-04 | Reasonably accommodate the needs and preferences of each resident. | D | Health | corrected 2025-04-10 |
| 2025-04-04 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Health | corrected 2025-04-08 |
| 2025-04-04 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2025-04-08 |
| 2025-04-04 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2025-04-08 |
| 2025-04-04 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Health | corrected 2025-04-10 |
| 2025-04-04 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2025-04-10 |
| 2025-04-04 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | Health | corrected 2025-04-10 |
| 2025-04-04 | Provide and implement an infection prevention and control program. | D | Health | corrected 2025-04-10 |
| 2025-03-28 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | complaint | corrected 2025-04-30 |
| 2025-03-28 | Keep residents' personal and medical records private and confidential. | D | complaint | corrected 2025-04-30 |
| 2025-03-23 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2025-04-23 |
| 2024-09-06 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | complaint | corrected 2024-10-01 |
| 2024-07-27 | 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 | complaint | corrected 2024-07-28 |
| 2024-05-22 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2024-05-24 |
| 2024-04-09 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | complaint | corrected 2024-04-10 |
| 2024-04-09 | Keep residents' personal and medical records private and confidential. | D | complaint | corrected 2024-04-10 |
| 2024-04-09 | Ensure each resident receives an accurate assessment. | D | complaint | corrected 2024-04-10 |
| 2024-04-09 | 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 | complaint | corrected 2024-04-10 |
| 2024-02-25 | Honor 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. | J | Health | corrected 2024-03-22 |
| 2024-02-25 | 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 | Health | corrected 2024-03-22 |
| 2024-02-25 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | complaint | corrected 2024-03-25 |
| 2024-02-25 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | complaint | corrected 2024-03-22 |
| Date | Type | Amount |
|---|---|---|
| 2024-07-27 | Fine | $23,845 |
| 2024-02-25 | Fine | $20,000 |
| 2024-02-25 | Payment Denial | 15 days payment denial |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| JONES, TIMOTHY | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 09/01/2020 |
| JONES, TIMOTHY | Corporate Director | Individual | NOT APPLICABLE | since 03/01/2015 |
| GIVENS, LAURA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/01/2024 |
| JONES, TIMOTHY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 09/01/2020 |
| KESTERSON, LISA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/01/2024 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 675452. Corrections: data@carerecords.org.