Avir At Converse
7700 MESQUITE PASS, Converse, TX, 78109
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company
- Certified beds
- 100 · avg 47 residents/day
- Total nursing staff turnover
- 69.8% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 87.5% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 3 fines · $64,590 total
- Payment denials
- 1 denial
- Infection control citations
- 1
State licensing & capacity
- License number
- 145048
- Service type
- Medicare/medicaid
- Licensed capacity
- 100 beds
- Bed type breakdown
- 9 Medicare-only · 91 Medicaid/Medicare
- Current license effective
- March 1, 2025
- Current license expires
- March 1, 2028
- Initial license date
- February 24, 1995
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Mcculloch County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- 7700 Mesquite Pass Opco, Llc
- Administrator
- Lisa Kesterson
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Avir Health Group chain — 90 facilities. Chain-wide average overall rating 2.3 / 5.
Disclosed owners (4 on record)
- Laura Givens
Operational/managerial Control · since 2024
- Lisa Kesterson
Operational/managerial Control · since 2024
- Mcculloch County Hospital District
5% or Greater Direct Ownership Interest · 100% · since 2020
- Timothy s Jones
Operational/managerial Control · since 2020
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 43)
- D0761·Sep 4, 2025Complaint
Pharmacy Service Deficiencies
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.
- E0949·Apr 4, 2025
Administration Deficiencies
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
- E0947·Apr 4, 2025
Nursing and Physician Services Deficiencies
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
- E0946·Apr 4, 2025
Administration Deficiencies
Provide training in compliance and ethics.
- E0944·Apr 4, 2025
Administration Deficiencies
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
- E0941·Apr 4, 2025
Administration Deficiencies
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
- E0940·Apr 4, 2025
Administration Deficiencies
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
- D0880·Apr 4, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Federal penalties
By year
- 20243 fines · $65K · 1 payment denial
Most recent events
- Jul 27, 2024Fine · $24K
- Feb 25, 2024Payment denial · 15 days · starting Mar 26, 2024
- Feb 25, 2024Fine · $25K
- Feb 25, 2024Fine · $15K
Largest single fine on record: $25K.
Fire-safety citations
15 Life-Safety-Code citations on file. Most recent: Apr 4, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Avir At Converse is a 100-bed nursing home in Converse (Bexar County) accepting Medicare and Medicaid. CMS rates it 1 star overall — the lowest possible — with a 1-star staffing rating and a 1-star short-stay quality rating. Three CMS fines totaling $64,590 have been issued. The facility is currently running at roughly 47% of its licensed capacity.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 1 star — the bottom tier, shared by about 38% of Texas nursing homes. Residents receive an average of 157 minutes of total nursing care per day, roughly 84 minutes less than at a 4-star-staffing facility in Texas. Residents here also need more hands-on care than at a typical facility — less mobile or more medically complex on average — so those 157 minutes stretch thinner than the raw number suggests. RN coverage averages just 13 minutes per resident per day, against 37 minutes at a 4-star-staffing facility in Texas.
About 7 in 10 nursing staff left in the past year, putting this facility in the very-high tier for overall turnover. For RNs specifically, roughly 9 in 10 left — also very high. A long-stay resident will likely cycle through two or three primary caregivers, and potentially more nurses. The Texas 75th-percentile cutoff for total turnover is 60%; this facility's rate of 69.8% sits above even that elevated threshold.
CMS has issued 3 fines totaling $64,590 against this facility. The state median total fine amount across penalized Texas nursing homes is about $20,699, so the dollar figure here is roughly three times the midpoint. About 30% of Texas nursing homes have received no fines at all.
The facility is operating at roughly 47% of its 100 licensed beds — about 47 residents on an average day. That occupancy level, paired with the staffing and turnover figures above, suggests a pattern worth examining closely rather than a temporary dip.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing levels on nights and weekends
Weekend nursing hours here average 2.29 per resident per day — ask how many nurses and aides are on the floor during overnight and weekend shifts specifically.
Why turnover is this high
Roughly 7 in 10 nursing staff left in the past year; ask what drove that and what has changed in hiring or retention since.
Details behind the three fines
Three CMS fines totaling $64,590 have been issued — ask what each citation was for and what corrective steps were taken.
Why so many beds are empty
The facility averages about 47 residents in 100 licensed beds; ask whether admissions have been paused, restricted, or limited by staffing capacity.
How care plans are reviewed
Quality-of-care measures rate 3 stars overall but just 1 star for short stays — ask how often care plans are updated and who conducts those reviews.
Resident Council activity
A Resident Council exists here but no Family Council — ask how often the Resident Council meets and how family members can raise concerns between visits.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.