Texas › Tom Green County › San Angelo
Avir At San Angelo
5455 Knickerbocker Rd, San Angelo, TX 76904
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 125 beds, Avir At San Angelo serves San Angelo in Tom Green County, Texas and has taken Medicare and Medicaid residents since 2006.
CMS gives it 1 of 5 stars overall, below the Texas median of 3; the health inspection rating is 2, staffing 1 and quality measures 2.
Inspectors recorded 34 health deficiencies across the three most recent survey cycles (11, 8, 15 by cycle, most recent first), 4 of them at the actual-harm or immediate-jeopardy level. That is 27.2 per 100 beds, about the same as the state median of 22.5.
CMS lists 3 penalties in the period covered: fines totalling $91K.
Reported nurse staffing is 3.0 hours per resident per day (0.2 RN), close to the Texas median of 3.3.
Compared with county, state and nation
| Measure | This facility | Tom Green Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 34 | 24 | 25 | 28.7 |
| Citations per 100 beds | 27.2 | 27.2 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.0 | 3.3 | 3.3 | 3.9 |
| RN hours per resident day | 0.2 | 0.5 | 0.4 | 0.7 |
| Nursing staff turnover | — | 75.3% | 52.1% | 45.8% |
| Fines listed | $91,080 | $0 | $16,801 | — |
County and state figures are medians across facilities (8 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 7 May 2026, 6 Mar 2025.
Severity mix: K ×1 H ×3 D ×13 E ×14 F ×3
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 7 May 2026 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | E | Standard survey | 31 May 2026 |
| 7 May 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 31 May 2026 |
| 7 May 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 31 May 2026 |
| 7 May 2026 | F0814 | Dispose of garbage and refuse properly. | E | Standard survey | 31 May 2026 |
| 7 May 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 31 May 2026 |
| 7 May 2026 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Complaint investigation | 31 May 2026 |
| 7 May 2026 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 31 May 2026 |
| 7 May 2026 | F0761 | 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. | D | Standard survey | 31 May 2026 |
| 7 May 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 31 May 2026 |
| 17 Feb 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 13 Mar 2026 |
| 19 Nov 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Complaint investigation | 20 Nov 2025 |
| 14 Jun 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 8 Jul 2025 |
| 6 Mar 2025 | F0685 | Assist a resident in gaining access to vision and hearing services. | H | Standard survey | 7 Mar 2025 |
| 6 Mar 2025 | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | H | Standard survey | 7 Mar 2025 |
| 6 Mar 2025 | F0908 | Keep all essential equipment working safely. | F | Standard survey | 7 Mar 2025 |
| 6 Mar 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 7 Mar 2025 |
| 3 Oct 2024 | F0559 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | D | Complaint investigation | 16 Oct 2024 |
| 3 Oct 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 16 Oct 2024 |
| 3 Oct 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 16 Oct 2024 |
| 22 Dec 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | Complaint investigation | 23 Dec 2023 |
| 22 Dec 2023 | F0730 | Observe each nurse aide's job performance and give regular training. | F | Complaint investigation | 23 Dec 2023 |
| 22 Dec 2023 | F0881 | Implement a program that monitors antibiotic use. | F | Standard survey | 23 Dec 2023 |
| 22 Dec 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 23 Dec 2023 |
| 22 Dec 2023 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | E | Standard survey | 23 Dec 2023 |
| 22 Dec 2023 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | Standard survey | 23 Dec 2023 |
| 22 Dec 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 23 Dec 2023 |
| 22 Dec 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Complaint investigation | 23 Dec 2023 |
| 22 Dec 2023 | F0761 | 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. | E | Standard survey | 23 Dec 2023 |
| 22 Dec 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 23 Dec 2023 |
| 22 Dec 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 23 Dec 2023 |
| 22 Dec 2023 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 23 Dec 2023 |
| 22 Dec 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 23 Dec 2023 |
| 13 Sep 2023 | F0760 | Ensure that residents are free from significant medication errors. | H | Complaint investigation | 14 Aug 2023 |
| 13 Sep 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 12 Oct 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 6 Mar 2025 | Fine | $54,919 | |
| 22 Dec 2023 | Fine | $23,941 | |
| 13 Sep 2023 | Fine | $12,220 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff —, RNs —; — administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 30.5% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.3% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.4% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 8.6% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 3.2% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 27.8% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.5% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 10.2% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: Uvalde County Hospital Authority. Chain: Avir Health Group (116 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| 5455 Knickerbocker Rd LLC | 5% or greater mortgage interest | NOT APPLICABLE | 06/01/2024 |
| 5455 Knickerbocker Road Property Owner, LLC | 5% or greater security interest | NOT APPLICABLE | 03/01/2025 |
| Welltower Inc | 5% or greater security interest | NOT APPLICABLE | 03/01/2025 |
| Welltower Nnn Group, LLC | 5% or greater security interest | NOT APPLICABLE | 03/01/2025 |
| Welltower Op, LLC | 5% or greater security interest | NOT APPLICABLE | 03/01/2025 |
| 5455 Knickerbocker Road Opco, LLC | Operational/managerial control | NOT APPLICABLE | 03/01/2025 |
| 5455 Knickerbocker Road Opco, LLC | Adp of the snf | NOT APPLICABLE | 04/23/2025 |
| 5455 Knickerbocker Road Property Owner, LLC | Adp of the snf | NOT APPLICABLE | 03/01/2025 |
| Welltower Inc | Adp of the snf | NOT APPLICABLE | 03/01/2025 |
| Welltower Nnn Group, LLC | Adp of the snf | NOT APPLICABLE | 03/01/2025 |
| Welltower Op, LLC | Adp of the snf | NOT APPLICABLE | 03/01/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Tom Green County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Sagecrest Alzheimers Care Center | San Angelo | 72 | 5 | 5 | 5 | 9 | 12.5 | — | 11 Dec 2025 |
| Cedar Manor Nursing and Rehabilitation Center | San Angelo | 166 | 4 | 4 | 2 | 19 | 11.4 | — | 5 Mar 2026 |
| Park Plaza Nursing and Rehabilitation Center | San Angelo | 90 | 3 | 4 | 1 | 28 | 31.1 | — | 14 May 2026 |
| Regency House | San Angelo | 120 | 3 | 4 | 1 | 19 | 15.8 | — | 28 Jan 2026 |
| Avir At Arbor Terrace | San Angelo | 126 | 1 | 2 | 1 | 36 | 28.6 | $122K | 30 Apr 2026 |
| Avir At Meadow Creek | San Angelo | 80 | 1 | 1 | 2 | 24 | 30.0 | $136K | 1 Jun 2026 |
| St. Juanita Retirement and Rehab | San Angelo | 90 | — | — | — | 5 | 5.6 | — | 27 May 2026 |
All 8 facilities in Tom Green County
Questions and answers
How many deficiencies has Avir At San Angelo been cited for?
34 health deficiencies across the three most recent survey cycles, 4 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Avir At San Angelo been fined?
Yes. CMS lists fines totalling $91K in the period covered.
How does staffing at Avir At San Angelo compare?
Reported total nurse staffing is 3.0 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Avir At San Angelo?
It is part of the Avir Health Group chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include 5455 Knickerbocker Road Opco, LLC. Individual owners and managers are not listed on this site.
When was Avir At San Angelo last inspected?
The most recent survey or investigation in the CMS record is dated 7 May 2026; the most recent standard health survey was 7 May 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.