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 HHS 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 HHS licensing registry · as of April 16, 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 HHS 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.