Avir At Live Oak
Nursing home · 8221 PALISADES DRIVE, Live Oak, TX 78233 · Bexar County
Prices
Texas HHSC publishes no prices or facility websites, so we show none. Ask the facility directly.
Facility
- Type
- Nursing home · Nursing · MEDICARE/MEDICAID · certified
- Capacity
- 123
- State license
- 004354
- Medicare CCN
- 675437
- Licensed entity
- HAMILTON COUNTY HOSPITAL DISTRICT
- Chain
- RUBY HEALTHCARE
- Ownership
- For profit - Corporation
- Phone
- (210) 600-3700
- Nurse staffing
- 3.90 hours per resident per day; 52.2% nursing staff turnover
- Medicare ratings
- Inspections 2★ · Staffing 3★ · Quality 5★
- Official record
- Texas HHSC provider search (TULIP)
- Official record
- Medicare Care Compare
Penalties
- Jan 17, 2025 — Fine ($8,407)
- Jun 1, 2024 — Fine ($4,017)
Inspection findings
-
Jul 1, 2026 Health · 1 finding
-
Not serious
Scope/severity D
Complaint
F0842 Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
May 15, 2026 Health · 1 finding
-
Not serious
Scope/severity E
Complaint
F0584 Resident Rights Deficiencies
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.
Corrected May 16, 2026 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
-
Nov 18, 2025 Health · 2 findings
-
Not serious
Scope/severity D
Complaint
F0726 Nursing and Physician Services Deficiencies
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected Nov 19, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Nov 19, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
May 23, 2025 Health · 10 findings
-
Not serious
Scope/severity E
F0576 Resident Rights Deficiencies
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected May 24, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0656 Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 24, 2025 · CMS health inspection
-
Not serious
Scope/severity E
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 24, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0690 Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected May 24, 2025 · CMS health inspection
-
Not serious
Scope/severity E
F0698 Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected May 24, 2025 · CMS health inspection
-
Not serious
Scope/severity E
F0812 Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 24, 2025 · CMS health inspection
-
Not serious
Scope/severity E
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected May 24, 2025 · CMS health inspection
-
Not serious
Scope/severity D
K0353 Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Corrected May 29, 2025 · CMS fire safety
-
Not serious
Scope/severity D
K0355 Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected May 29, 2025 · CMS fire safety
-
Not serious
Scope/severity D
K0741 Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected May 29, 2025 · CMS fire safety
-
Not serious
Scope/severity E
-
Apr 17, 2025 Health · 3 findings
-
Not serious
Scope/severity D
Complaint
F0585 Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected Apr 18, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected Apr 18, 2025 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0842 Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected Apr 18, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Feb 12, 2025 Health · 3 findings
-
Not serious
Scope/severity D
Complaint
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Feb 13, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0805 Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected Feb 13, 2025 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0807 Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Corrected Feb 13, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Jan 17, 2025 Health · 1 finding
-
Serious
Scope/severity J
Complaint
F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected Nov 13, 2024 · CMS health inspection
-
Serious
Scope/severity J
Complaint
-
Sep 12, 2024 Health · 1 finding
-
Not serious
Scope/severity D
Complaint
F0641 Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Corrected Sep 13, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Jun 1, 2024 Health · 1 finding
-
Not serious
Scope/severity D
Complaint
F0622 Resident Rights Deficiencies
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected Jun 2, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Apr 5, 2024 Health · 15 findings
-
Not serious
Scope/severity E
Complaint
F0550 Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected Apr 12, 2024 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0565 Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected Apr 12, 2024 · CMS health inspection
-
Not serious
Scope/severity E
F0576 Resident Rights Deficiencies
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected Apr 12, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0582 Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected Apr 12, 2024 · CMS health inspection
-
Not serious
Scope/severity E
F0584 Resident Rights Deficiencies
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.
Corrected Apr 6, 2024 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected Apr 12, 2024 · CMS health inspection
-
Not serious
Scope/severity E
F0684 Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected Apr 12, 2024 · CMS health inspection
-
Not serious
Scope/severity E
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Apr 12, 2024 · CMS health inspection
-
Not serious
Scope/severity E
F0698 Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected Apr 12, 2024 · CMS health inspection
-
Not serious
Scope/severity E
F0759 Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Corrected Apr 12, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0761 Pharmacy Service Deficiencies
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.
Corrected Apr 12, 2024 · CMS health inspection
-
Not serious
Scope/severity F
F0812 Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected Apr 12, 2024 · CMS health inspection
-
Not serious
Scope/severity D
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Apr 6, 2024 · CMS health inspection
-
Not serious
Scope/severity E
K0353 Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Corrected May 6, 2024 · CMS fire safety
-
Not serious
Scope/severity E
K0741 Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected Apr 6, 2024 · CMS fire safety
-
Not serious
Scope/severity E
Complaint
-
Aug 17, 2023 Health · 1 finding
-
Not serious
Scope/severity D
Complaint
F0919 Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected Aug 18, 2023 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Feb 17, 2023 Health · 13 findings
-
Not serious
Scope/severity D
F0578 Resident Rights Deficiencies
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 15, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0641 Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Corrected Mar 15, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0656 Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected Mar 15, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Mar 15, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0695 Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Corrected Mar 15, 2023 · CMS health inspection
-
Not serious
Scope/severity E
F0755 Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected Mar 15, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0800 Nutrition and Dietary Deficiencies
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Corrected Mar 15, 2023 · CMS health inspection
-
Not serious
Scope/severity F
F0812 Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected Mar 15, 2023 · CMS health inspection
-
Not serious
Scope/severity D
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Mar 15, 2023 · CMS health inspection
-
Not serious
Scope/severity E
K0353 Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Corrected Mar 15, 2023 · CMS fire safety
-
Not serious
Scope/severity E
K0700 Miscellaneous Deficiencies
Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.
Corrected Mar 15, 2023 · CMS fire safety
-
Not serious
Scope/severity E
K0741 Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected Mar 15, 2023 · CMS fire safety
-
Not serious
Scope/severity D
K0918 Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Corrected Mar 15, 2023 · CMS fire safety
-
Not serious
Scope/severity D
Owners and managers (as published by CMS)
- HOOPER, GRADY — corporate director, NOT APPLICABLE, since 04/01/2023
- MCINTOSH, TRACI — operational/managerial control, NOT APPLICABLE, since 04/01/2023
- MCINTOSH, TRACI — adp of the snf, NOT APPLICABLE, since 04/01/2023
- OOMMEN, BIJU — operational/managerial control, NOT APPLICABLE, since 04/01/2023
- OOMMEN, BIJU — adp of the snf, NOT APPLICABLE, since 04/01/2023
- LIVE OAK HC, LLC — operational/managerial control, NOT APPLICABLE, since 04/01/2023
Sources: Texas Health and Human Services Commission, Long-term Care Regulation (directory and closures) and CMS Care Compare (nursing homes). “Harm or jeopardy level” is CMS scope/severity G–L. About this data.