Avir At Heritage
5437 EISENHAUER ROAD, San Antonio, TX, 78218-3703
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 - Corporation · Chain: Touchstone Communities
- Certified beds
- 150 · avg 90 residents/day
- Total nursing staff turnover
- 50% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 33.3% — lower 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
- Infection control citations
- 1
State licensing & capacity
- License number
- 307368
- Service type
- Medicare/medicaid
- Licensed capacity
- 150 beds
- Bed type breakdown
- 13 Medicare-only · 137 Medicaid/Medicare
- Current license effective
- October 1, 2025
- Current license expires
- April 1, 2028
- Initial license date
- January 5, 2001
Texas HHS licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- West Wharton County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- 5437 Eisenhauer Rd Opco Llc
- Administrator
- Bradley Scott
Texas HHS licensing registry · as of April 16, 2026
About this community
Avir At Heritage is a 150-bed Medicare/Medicaid nursing home in San Antonio (Bexar County), part of the Touchstone Communities chain. CMS rates it 3 stars overall, with a 2-star staffing rating and a 1-star short-stay quality rating. Long-stay quality measures score 5 stars. The facility is operating at roughly 60% of licensed capacity — about 90 residents in 150 beds.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 2 stars. Each resident receives about 206 minutes of nursing care per day — roughly 35 minutes less than at a 4-star-staffing facility in Texas, which sits at 241 minutes. About 32% of Texas nursing homes share this staffing rating. Residents here also need more hands-on care than at a typical facility — they are sicker or less mobile on average — so those 206 minutes stretch thinner than the raw number suggests.
RN turnover is low: roughly 3 in 10 registered nurses left in the past year, below the state's 25th-percentile cutoff — better than about three-quarters of nursing homes in Texas. Total nursing staff turnover sits at 50%, which is the Texas median. Only RN turnover is a distinguishing signal here.
The facility is operating at roughly 60% of its 150 licensed beds — about 90 residents on an average day. This level of vacancy, alongside a 2-star staffing rating and a 1-star short-stay quality rating, is the combination worth understanding before a placement decision.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Short-stay quality rating of 1 star
CMS rates short-stay outcomes here at 1 star — the lowest tier — so ask which specific measures drove that score and what the facility has changed in response.
Daily nursing minutes per resident
Residents here receive about 206 minutes of nursing care per day; ask how staffing is allocated across shifts, particularly on weekends, where reported hours drop to 2.89 hours per resident.
Why so many beds are empty
With roughly 90 residents in a 150-bed building, ask what is driving the low occupancy and whether it has affected staffing levels or service availability.
Management company's role day to day
The licensee is a hospital district, but day-to-day operations run through a separate management company — ask who makes staffing and care decisions on the ground.
Resident Council access and frequency
The facility has a Resident Council but no Family Council; ask how families receive updates on care concerns and how often the Resident Council meets.
Heavier-care resident population
Residents here require more hands-on assistance than at a typical facility on average; ask how care plans are reviewed and adjusted as a resident's needs change.
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.