SNF

Avir at Converse

CCN: 675452 · CONVERSE, TX 78109 · Bexar County

Overview

Address
7700 MESQUITE PASS, CONVERSE, TX 78109
Phone
2106500551
Certified beds
100
Avg daily residents
47 (47% of beds filled)
Ownership
For-profit LLC
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1995-02-24
Setting
Urban
1 /5
★★★★★
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
★★★★★ 1/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
★★★★★ 2/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
Footnote 24.
★★★★★ 1/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
★★★★★ 3/5
Quality Measures breakdown
Long-Stay Quality Measures ★★★★★ 5/5
Short-Stay Quality Measures ★★★★★ 1/5

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
 2.61 3.51 2.87 ≥ 3.48 Below floor
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
 0.22 0.61 0.24 ≥ 0.55 Below floor
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
 0.93 0.78 1.03 —
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
 1.46 2.12 1.60 —
Licensed (RN + LPN)
Combined licensed nurse coverage.
 1.15 — — —
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
 0.00 — — —

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
2.29
hrs / resident / day
RN (weekend)
0.25
hrs / resident / day
Total nurse (adjusted, weekend)
2.51
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
69.8%
annual
RN turnover
87.5%
annual
Administrators departed
0
last 12 months

Resident acuity

Nursing Case-Mix Index
1.24
higher acuity than avg
Case-Mix Index Ratio
0.90
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2025-04-04 19 16 4 112 1 112
Cycle 2/3 (prior) 2024-02-25 21 13 19 351 1 351
Total weighted health score
171.8
lower is better
Infection-control citations
1
last cycle

Deficiencies (43)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

39 D/E/F Actual harm — potential for minor
4 J/K/L Immediate jeopardy
Tag Description Scope/Severity Survey date Corrected
0761 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 2025-09-04 2025-09-07
0558 Reasonably accommodate the needs and preferences of each resident. D 2025-04-04 2025-04-10
0640 Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. D 2025-04-04 2025-04-08
0641 Ensure each resident receives an accurate assessment. D 2025-04-04 2025-04-08
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2025-04-04 2025-04-08
0690 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 2025-04-04 2025-04-10
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2025-04-04 2025-04-10
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. E 2025-04-04 2025-04-07
0761 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 2025-04-04 2025-04-07
0813 Have a policy regarding use and storage of foods brought to residents by family and other visitors. D 2025-04-04 2025-04-10
0880 Provide and implement an infection prevention and control program. D 2025-04-04 2025-04-10
0940 Develop, implement, and/or maintain an effective training program for all new and existing staff members. E 2025-04-04 2025-04-22
0941 Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. E 2025-04-04 2025-04-22
0944 Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. E 2025-04-04 2025-04-22
0946 Provide training in compliance and ethics. E 2025-04-04 2025-04-22
0947 Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. E 2025-04-04 2025-04-22
0949 Provide behavior health training consistent with the requirements and as determined by a facility assessment. E 2025-04-04 2025-04-22
0583 Keep residents' personal and medical records private and confidential. D 2025-03-28 2025-04-30
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. E 2025-03-28 2025-04-30
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2025-03-23 2025-04-23
0690 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 2024-09-06 2024-10-01
0678 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 2024-07-27 2024-07-28
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. D 2024-05-22 2024-05-24
0583 Keep residents' personal and medical records private and confidential. D 2024-04-09 2024-04-10
0641 Ensure each resident receives an accurate assessment. D 2024-04-09 2024-04-10
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. J 2024-04-09 2024-04-10
0761 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 2024-04-09 2024-04-10
0578 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 2024-02-25 2024-03-22
0678 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 2024-02-25 2024-03-22
0584 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 2024-02-25 2024-03-25
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2024-02-25 2024-03-22
0641 Ensure each resident receives an accurate assessment. D 2024-02-25 2024-03-25
0644 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. D 2024-02-25 2024-03-25
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. E 2024-02-25 2024-03-25
0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. D 2024-02-25 2024-03-22
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2024-02-25 2024-03-22
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2024-02-25 2024-03-22
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2024-02-25 2024-03-22
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. D 2024-02-25 2024-03-22
0880 Provide and implement an infection prevention and control program. D 2024-02-25 2024-03-22
0636 Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. D 2023-08-18 2023-09-08
0640 Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. D 2023-01-10 2023-01-11
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2023-01-10 2023-02-10

Penalties (4)

Fines issued
3
last 3 years
Total fines
$64,590
Payment denials
1
Date Type Fine amount
2024-02-25 Fine $15,440
2024-07-27 Fine $23,845
2024-02-25 Fine $25,305
2024-02-25 Payment Denial —

Source: CMS Nursing Home Penalties.

Financial Health (FY 2024)

Payer mix (share of resident days)

Medicare 7.6% Medicaid 52.3% Other 40.1%

Operating performance

Operating Margin
-15.3%
Total Margin
-9.5%
Occupancy Rate
63.7%
Cost per Resident Day
$32

Revenue & costs

Net Patient Revenue
$5.4M
Total Costs
$755K
Net Income
-$539K

Balance sheet

Total Assets
$1.4M
Total Liabilities
$448K
Fund Balance
$962K
Current Ratio
2.88

Source: CMS SNF Cost Report (FY 2024). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Owner / manager organizations (2)

Organization Role Association
CONVERSE SENIOR CARE LLC OPERATIONAL/MANAGERIAL CONTROL since 09/01/2020
MCCULLOCH COUNTY HOSPITAL DISTRICT OPERATIONAL/MANAGERIAL CONTROL since 09/01/2020

Owner / manager individuals (11)

Name Role Association
COOK, JACK OPERATIONAL/MANAGERIAL CONTROL since 09/01/2020
GIVENS, LAURA OPERATIONAL/MANAGERIAL CONTROL since 01/01/2024
JONES, TIMOTHY OPERATIONAL/MANAGERIAL CONTROL since 09/01/2020
KESTERSON, LISA OPERATIONAL/MANAGERIAL CONTROL since 01/01/2024
COOK, CATHERINE CORPORATE DIRECTOR since 03/01/2024
COOK, JACK CORPORATE DIRECTOR since 03/01/2024
DERRICK, MICHELE CORPORATE DIRECTOR since 09/01/2020
JONES, TIMOTHY CORPORATE DIRECTOR since 03/01/2015
KELTZ, TERRY CORPORATE DIRECTOR since 09/01/2020
RODDIE, KIRK CORPORATE DIRECTOR since 01/01/2020
SCHAFFNER, MICHAEL CORPORATE DIRECTOR since 09/01/2020

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
Resident
Sprinkler systems
Yes
Abuse citation flag
No
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

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Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $32 metrics.cost_per_resident_day
Cost Report Current Ratio 2.88 metrics.current_ratio
Cost Report fiscal_year 2,024 fiscal_year
Cost Report Medicaid Day Share (%) 52.3% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 7.6% metrics.medicare_day_share
Cost Report Net Income ($) $-538,507 metrics.net_income
Cost Report Net Patient Revenue ($) $5,402,017 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 63.7% metrics.occupancy_rate
Cost Report Operating Margin (%) -15.3% metrics.operating_margin
Cost Report Total Assets ($) $1,409,554 metrics.total_assets
Cost Report Total Costs ($) $754,707 metrics.total_costs
Cost Report Total Fund Balances ($) $961,787 metrics.fund_balance
Cost Report Total Liabilities ($) $447,767 metrics.total_liabilities
Cost Report Total Margin (%) -9.5% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 1.02755 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 1.60430 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.23676 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 2.86861 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 2.51298 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote — Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 47.3 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote — Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 0.77958 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.11872 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.61448 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.51278 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.09615 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating — Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating — Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating — Chain Average QM Rating
Provider Information Chain Average Staffing Rating — Chain Average Staffing Rating
Provider Information Chain ID — Chain ID
Provider Information Chain Name — Chain Name
Provider Information City/Town CONVERSE City/Town
Provider Information CMS Certification Number (CCN) 675452 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Bexar County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1995-02-24 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote — Geocoding Footnote
Provider Information Health Inspection Rating 2 Health Inspection Rating
Provider Information Health Inspection Rating Footnote — Health Inspection Rating Footnote
Provider Information Latitude 29.533 Latitude
Provider Information Legal Business Name MCCULLOCH COUNTY HOSPITAL DISTRICT Legal Business Name
Provider Information Location 7700 MESQUITE PASS,CONVERSE,TX,78109 Location
Provider Information Long-Stay QM Rating 5 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote — Long-Stay QM Rating Footnote
Provider Information Longitude -98.338 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 0 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 100 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections 1 Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain — Number of Facilities in Chain
Provider Information Number of Fines 3 Number of Fines
Provider Information Number of Payment Denials 1 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.24442 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 0.90329 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 1 Overall Rating
Provider Information Overall Rating Footnote — Overall Rating Footnote
Provider Information Ownership Type For profit - Limited Liability company Ownership Type
Provider Information Physical Therapist Staffing Footnote — Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 7700 MESQUITE PASS Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name Avir at Converse Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 130 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 3 QM Rating
Provider Information QM Rating Footnote — QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 112 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 4 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 16 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-04-04 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 112 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 19 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 13 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2024-02-25 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 351 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 19 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 351 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 21 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.24942 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 87.5 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote — Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.15031 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.93490 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 1.45964 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.00000 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.21541 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote — Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 2.60994 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 1 Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote — Short-Stay QM Rating Footnote
Provider Information Special Focus Status — Special Focus Status
Provider Information Staffing Rating 1 Staffing Rating
Provider Information Staffing Rating Footnote 24 Staffing Rating Footnote
Provider Information State TX State
Provider Information Telephone Number 2106500551 Telephone Number
Provider Information Total Amount of Fines in Dollars 64590.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 2.28638 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 4 Total Number of Penalties
Provider Information Total nursing staff turnover 69.8 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote — Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 171.750 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Resident With a Resident and Family Council
Provider Information ZIP Code 78109 ZIP Code