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Who owns Avir at Heritage?
Ownership resolution: Public owner of record, private operator
Facility snapshot
| CCN | 675858 |
| Facility type | Skilled Nursing Facility |
| City | San Antonio |
| County | Bexar |
| State | Texas |
| Certified beds | 150 |
| Occupancy | 62% |
| CMS overall rating | 3 of 5 |
| Ownership type | For profit - Corporation |
| Operator | 5437 EISENHAUSER RD OPCO, LLC |
| Owner of record | 5437 EISENHAUSER RD OPCO, LLC |
| Licence held by (statutory) | WEST WHARTON COUNTY HOSPITAL DISTRICT |
| Corporate family | 5437 EISENHAUSER RD OPCO, LLC |
| Property owner | WELLTOWER NNN GROUP, LLC |
| CMS chain | AVIR HEALTH GROUP |
| Ownership confidence | Public owner of record, private operator — A governmental hospital district or authority holds the facility's licence while a separate company operates it. Both relationships are real; they answer different questions. |
Ownership structure
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What CMS records
CMS lists this facility under the chain AVIR HEALTH GROUP, reported at 119 facilities nationally. WhoOwnsCare groups entities by resolved ownership evidence, which can produce a different boundary — CMS is a comparison source here, not an authority we defer to.
Ownership changes for Avir at Heritage
| Effective | Acquiring entity | Prior entity | Type |
|---|---|---|---|
| 2019-04-01 | WEST WHARTON COUNTY HOSPITAL DISTRICT | PRESIDENTIAL SCC LLC | CHANGE OF OWNERSHIP |
Recorded Medicare changes of ownership (CHOW). CMS's CHOW file lags, so recent quarters are incomplete.
Financial and operating signals
| Operating margin (FY2023) | -4.0% |
| Agency cost per $1 of employee salary | 0.66× |
| Medicaid share of resident days | 62% |
| Occupancy of certified beds | 62% |
| Nurse hours per resident day | 3.26 |
| Annual nursing turnover | 54% |
| Health deficiencies on record | 30 |
| Distress index | 40 / 100 (watch) |
Cost report figures are final through FY2023 — roughly a two-year lag. Payroll, occupancy and inspection data are current to 2026. A distress score is a screening signal, not a statement about quality of care.
Common questions
Who owns Avir at Heritage?
WhoOwnsCare resolves the facility's ownership filings to 5437 EISENHAUSER RD OPCO, LLC (single confidence).
Who operates Avir at Heritage?
5437 EISENHAUSER RD OPCO, LLC appears with operating or controlling responsibility on the CMS filing.
Who owns the building?
WELLTOWER NNN GROUP, LLC appears as the property owner. That is a separate relationship from operating the facility.
Has Avir at Heritage changed ownership?
Yes — the most recent recorded change of ownership took effect 2019-04-01.
Sources
CMS Medicare enrollment and ownership files, Care Compare provider information, Payroll Based Journal, Medicare cost reports (HCRIS), change of ownership records. Data vintage July–August 2026. Full methodology.