Starfile

Starfile / Texas

Avir at Converse

7700 MESQUITE PASS, CONVERSE, TX 78109 · CCN 675452

Ratings

Overall
★☆☆☆☆ 1
Health inspection
★★☆☆☆ 2
Quality measures
★★★☆☆ 3
Staffing
★☆☆☆☆ 1

Facility

Ownership type
For profit - Limited Liability company
Certified beds
100
Avg residents/day
47.3
Phone
2106500551

Inspection history vs Texas & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityTexas avgNational avgvs state
12025-04-04209.19.5+10.9 worse
22024-02-25209.49.8+10.6 worse
32023-01-1038.19.3-5.1 better

Cycle 1 deficiencies by category

CategoryDeficiencies
Quality of life and care2
Resident assessment and care planning5
Nursing and physician services1
Resident rights2
Nutrition and dietary1
Pharmacy service3
Administration5
Infection control1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)2.6169.8%
RN staffing (reported)0.2287.5%
Total nurse staffing (adjusted)2.87

Fines & penalties

Total fines
$64,590
Number of fines
3
Number of penalties
4
Payment denials
1

Inspection citations (43)4 immediate jeopardy

  1. DF0761Ensure 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.2025-09-04 · Health · corrected 2025-09-07

    Potential for more than minimal harm

  2. DF0558Reasonably accommodate the needs and preferences of each resident.2025-04-04 · Health · corrected 2025-04-10

    Potential for more than minimal harm

  3. DF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2025-04-04 · Health · corrected 2025-04-08

    Potential for more than minimal harm

  4. DF0641Ensure each resident receives an accurate assessment.2025-04-04 · Health · corrected 2025-04-08

    Potential for more than minimal harm

  5. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-04-04 · Health · corrected 2025-04-08

    Potential for more than minimal harm

  6. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-04-04 · Health · corrected 2025-04-10

    Potential for more than minimal harm

  7. DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-04-04 · Health · corrected 2025-04-10

    Potential for more than minimal harm

  8. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-04-04 · Health · corrected 2025-04-07

    Potential for more than minimal harm

  9. EF0761Ensure 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.2025-04-04 · Health · corrected 2025-04-07

    Potential for more than minimal harm

  10. DF0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.2025-04-04 · Health · corrected 2025-04-10

    Potential for more than minimal harm

  11. DF0880Provide and implement an infection prevention and control program.2025-04-04 · Health · corrected 2025-04-10

    Potential for more than minimal harm

  12. EF0940Develop, implement, and/or maintain an effective training program for all new and existing staff members.2025-04-04 · Health · corrected 2025-04-22

    Potential for more than minimal harm

  13. EF0941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.2025-04-04 · Health · corrected 2025-04-22

    Potential for more than minimal harm

  14. EF0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.2025-04-04 · Health · corrected 2025-04-22

    Potential for more than minimal harm

  15. EF0946Provide training in compliance and ethics.2025-04-04 · Health · corrected 2025-04-22

    Potential for more than minimal harm

  16. EF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2025-04-04 · Health · corrected 2025-04-22

    Potential for more than minimal harm

  17. EF0949Provide behavior health training consistent with the requirements and as determined by a facility assessment.2025-04-04 · Health · corrected 2025-04-22

    Potential for more than minimal harm

  18. DF0583Keep residents' personal and medical records private and confidential.2025-03-28 · Health · corrected 2025-04-30

    Potential for more than minimal harm

  19. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-03-28 · Health · corrected 2025-04-30

    Potential for more than minimal harm

  20. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-03-23 · Health · corrected 2025-04-23

    Potential for more than minimal harm

  21. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-09-06 · Health · corrected 2024-10-01

    Potential for more than minimal harm

  22. JF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.2024-07-27 · Health · corrected 2024-07-28

    Immediate jeopardy

  23. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-05-22 · Health · corrected 2024-05-24

    Potential for more than minimal harm

  24. DF0583Keep residents' personal and medical records private and confidential.2024-04-09 · Health · corrected 2024-04-10

    Potential for more than minimal harm

  25. DF0641Ensure each resident receives an accurate assessment.2024-04-09 · Health · corrected 2024-04-10

    Potential for more than minimal harm

  26. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-04-09 · Health · corrected 2024-04-10

    Immediate jeopardy

  27. DF0761Ensure 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.2024-04-09 · Health · corrected 2024-04-10

    Potential for more than minimal harm

  28. JF0578Honor 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.2024-02-25 · Health · corrected 2024-03-22

    Immediate jeopardy

  29. DF0584Honor 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.2024-02-25 · Health · corrected 2024-03-25

    Potential for more than minimal harm

  30. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-02-25 · Health · corrected 2024-03-22

    Potential for more than minimal harm

  31. DF0641Ensure each resident receives an accurate assessment.2024-02-25 · Health · corrected 2024-03-25

    Potential for more than minimal harm

  32. DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2024-02-25 · Health · corrected 2024-03-25

    Potential for more than minimal harm

  33. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-02-25 · Health · corrected 2024-03-25

    Potential for more than minimal harm

  34. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-02-25 · Health · corrected 2024-03-22

    Potential for more than minimal harm

  35. JF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.2024-02-25 · Health · corrected 2024-03-22

    Immediate jeopardy

  36. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-02-25 · Health · corrected 2024-03-22

    Potential for more than minimal harm

  37. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-02-25 · Health · corrected 2024-03-22

    Potential for more than minimal harm

  38. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-02-25 · Health · corrected 2024-03-22

    Potential for more than minimal harm

  39. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-02-25 · Health · corrected 2024-03-22

    Potential for more than minimal harm

  40. DF0880Provide and implement an infection prevention and control program.2024-02-25 · Health · corrected 2024-03-22

    Potential for more than minimal harm

  41. DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2023-08-18 · Health · corrected 2023-09-08

    Potential for more than minimal harm

  42. DF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2023-01-10 · Health · corrected 2023-01-11

    Potential for more than minimal harm

  43. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-01-10 · Health · corrected 2023-02-10

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
CONVERSE SENIOR CARE LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL2020-09-01
MCCULLOCH COUNTY HOSPITAL DISTRICTOrganizationOPERATIONAL/MANAGERIAL CONTROL2020-09-01
COOK, JACKIndividualOPERATIONAL/MANAGERIAL CONTROL2020-09-01
GIVENS, LAURAIndividualOPERATIONAL/MANAGERIAL CONTROL2024-01-01
JONES, TIMOTHYIndividualOPERATIONAL/MANAGERIAL CONTROL2020-09-01
KESTERSON, LISAIndividualOPERATIONAL/MANAGERIAL CONTROL2024-01-01
COOK, CATHERINEIndividualCORPORATE DIRECTOR2024-03-01
COOK, JACKIndividualCORPORATE DIRECTOR2024-03-01
DERRICK, MICHELEIndividualCORPORATE DIRECTOR2020-09-01
JONES, TIMOTHYIndividualCORPORATE DIRECTOR2015-03-01
KELTZ, TERRYIndividualCORPORATE DIRECTOR2020-09-01
RODDIE, KIRKIndividualCORPORATE DIRECTOR2020-01-01
SCHAFFNER, MICHAELIndividualCORPORATE DIRECTOR2020-09-01

Other facilities in CONVERSE

NameOverallBeds

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.