Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

Avir at Heritage

SAN ANTONIO, TX · 150 certified beds · Last Life Safety survey April 25, 2025

CMS Certification Number 675858 · first certified January 2001

Ownership

Operated by AVIR HEALTH GROUP · For profit - Corporation

  • Ownership changed April 1, 2019 (change of ownership)from PRESIDENTIAL SCC LLC
9
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
1
Tags cited more than once
Across separate surveys
5
Inspection & testing records
Of the citations on file

Position within TX

9 citations — more than 59% of the 1,177 certified nursing homes in TX. Compared within TX rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 8 citations; the earlier surveys in the window averaged 0.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (June 2026 to July 2026), and past the point by which nine in ten TX facilities have been surveyed. This facility’s last Life Safety survey was April 2025. Facilities in TX are typically surveyed 13–14 months after the last one (median 14), measured over 1,905 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

1 of the 9 citations on file is Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

6 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 9 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.
  • F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
  • F-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.

How that compares

Citations on file over three years

Compared with the median facility in TX, and nationally. Surveyors differ markedly between states, so the TX figure is the meaningful one.

This facility9TX median7National median11
Citations on file over three years, compared
MeasureCitations
This facility9
Median facility in TX7
Median facility nationally11

Survey history

Citations at each Life Safety survey
12023-0102024-0282025-04
Citations at each Life Safety survey
Survey dateCitations
January 13, 20231
February 23, 20240
April 25, 20258

Most-cited tags

Most-cited tags at this facility
K-03532K-09181K-03551K-03511E-00041K-09011K-09231K-02111
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0353Inspect, test, and maintain automatic sprinkler systems.22025-04-25
K-0918Have generator or other power source capable of supplying service within 10 seconds.12025-04-25
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.12025-04-25
K-0351Install an approved automatic sprinkler system.12025-04-25
E-0004Develop and maintain an Emergency Preparedness Program (EP).12025-04-25
K-0901Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.12025-04-25
K-0923Have proper medical gas storage and administration areas.12025-04-25
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.12025-04-25

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 4
  • Gas, Vacuum, and Electrical Systems Deficiencies 2
  • Emergency Preparedness Deficiencies 1
  • Electrical Deficiencies 1
  • Other 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies4
Gas, Vacuum, and Electrical Systems Deficiencies2
Emergency Preparedness Deficiencies1
Electrical Deficiencies1
Egress Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

April 25, 2025 — 8 citations

Citations issued on April 25, 2025
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (April 24, 2025)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (April 24, 2025)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (April 24, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (April 24, 2025)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (April 24, 2025)
K-0901Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.Deficient, Provider has date of correction (April 24, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (April 24, 2025)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (April 24, 2025)

January 13, 2023 — 1 citation

Citations issued on January 13, 2023
TagWhat the surveyor checksStatus
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (January 13, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.