Skilled Nursing

Avir at Converse

7700 MESQUITE PASS, CONVERSE, TX 78109

100beds
Skilled Nursingcare types
1/5CMS rating
Updated2026

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Inspection & Compliance

Data from CMS (Centers for Medicare & Medicaid Services), updated weekly. Medicare.gov Care Compare

2.8h

Hrs/resident · weekday

Expected: 3.5h

2.9h

Hrs/resident · weekend

vs 2.8h on weekdays

Not reported

30-day hospital readmission rate

Annual Staff Turnover Rates

High turnover is one of the strongest predictors of care quality. National average CNA turnover is ~75%.

RNs
100%
LPNs
CNAs
76%

Administrator turnover: 0 in the past year

Health Inspection Deficiencies · Last 3 Years

SeriousImmediate Jeopardy0678Severity JJul 27, 2024

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Corrected: Jul 28, 2024

SeriousImmediate Jeopardy0689Severity JApr 9, 2024

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected: Apr 10, 2024

SeriousImmediate Jeopardy0678Severity JFeb 25, 2024

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Corrected: Mar 22, 2024

SeriousImmediate Jeopardy0578Severity JFeb 25, 2024

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.

Corrected: Mar 22, 2024

39 standard deficiencies in the last 3 years

View all
0761Severity DMar 6, 2026

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.

0880Severity EFeb 5, 2026

Provide and implement an infection prevention and control program.

0761Severity DSep 4, 2025

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.

0949Severity EApr 4, 2025

Provide behavior health training consistent with the requirements and as determined by a facility assessment.

0947Severity EApr 4, 2025

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

0946Severity EApr 4, 2025

Provide training in compliance and ethics.

0944Severity EApr 4, 2025

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

0941Severity EApr 4, 2025

Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

0940Severity EApr 4, 2025

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

0880Severity DApr 4, 2025

Provide and implement an infection prevention and control program.

0813Severity DApr 4, 2025

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

0761Severity EApr 4, 2025

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.

0755Severity EApr 4, 2025

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0695Severity DApr 4, 2025

Provide safe and appropriate respiratory care for a resident when needed.

0690Severity DApr 4, 2025

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0656Severity DApr 4, 2025

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0641Severity DApr 4, 2025

Ensure each resident receives an accurate assessment.

0640Severity DApr 4, 2025

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

0558Severity DApr 4, 2025

Reasonably accommodate the needs and preferences of each resident.

0842Severity EMar 28, 2025

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0583Severity DMar 28, 2025

Keep residents' personal and medical records private and confidential.

0656Severity DMar 23, 2025

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0690Severity DSep 6, 2024

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0842Severity DMay 22, 2024

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0761Severity DApr 9, 2024

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.

0641Severity DApr 9, 2024

Ensure each resident receives an accurate assessment.

0583Severity DApr 9, 2024

Keep residents' personal and medical records private and confidential.

0880Severity DFeb 25, 2024

Provide and implement an infection prevention and control program.

0842Severity DFeb 25, 2024

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0812Severity EFeb 25, 2024

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0695Severity DFeb 25, 2024

Provide safe and appropriate respiratory care for a resident when needed.

0689Severity DFeb 25, 2024

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0657Severity DFeb 25, 2024

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0656Severity EFeb 25, 2024

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0644Severity DFeb 25, 2024

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

0641Severity DFeb 25, 2024

Ensure each resident receives an accurate assessment.

0609Severity DFeb 25, 2024

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0584Severity DFeb 25, 2024

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.

0636Severity DAug 18, 2023

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

View full inspection history on Medicare.gov

Civil Monetary Penalties

No civil monetary penalties on record.

Nearby Hospitals

No hospitals found within 10 miles.

Proximity to emergency care is especially important for medically complex residents.

Ownership

MCCULLOCH COUNTY HOSPITAL DISTRICT· For profit - Limited Liability company

Data updated weekly from CMS. Last sync: Jun 26, 2026. Medicare.gov Care Compare →

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Data sourced from the Centers for Medicare & Medicaid Services and state licensing agencies. ← Back to search

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