Texas › Bexar County › San Antonio
Avir At San Knoll
5757 N. Knoll, San Antonio, TX 78240
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.
Avir At San Knoll, in San Antonio, Texas, is certified for 120 beds under for-profit, limited liability company ownership.
CMS gives it 1 of 5 stars overall, below the Texas median of 3; the health inspection rating is 1, staffing 1 and quality measures 4.
Inspectors recorded 55 health deficiencies across the three most recent survey cycles (35, 10, 10 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 45.8 per 100 beds, more than the state median of 22.5.
CMS lists 2 penalties in the period covered: fines totalling $28K and 1 payment denial.
Reported nurse staffing is 3.1 hours per resident per day (0.3 RN), close to the Texas median of 3.3; nursing staff turnover is 75.0%.
Compared with county, state and nation
| Measure | This facility | Bexar Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 55 | 38 | 25 | 28.7 |
| Citations per 100 beds | 45.8 | 32.6 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.1 | 3.3 | 3.3 | 3.9 |
| RN hours per resident day | 0.3 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 75.0% | 50.0% | 52.1% | 45.8% |
| Fines listed | $27,710 | $15,616 | $16,801 | — |
County and state figures are medians across facilities (62 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: 24 Jul 2025, 7 Jun 2024.
Severity mix: J ×1 D ×40 E ×13 C ×1
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 |
|---|---|---|---|---|---|
| 11 Jun 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 12 Jun 2026 |
| 22 May 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 31 May 2026 |
| 22 May 2026 | F0583 | Keep residents' personal and medical records private and confidential. | D | Complaint investigation | 31 May 2026 |
| 22 May 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 5 Jun 2026 |
| 22 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 | Complaint investigation | 23 May 2026 |
| 24 Apr 2026 | F0584 | 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. | E | Complaint investigation | 27 Apr 2026 |
| 24 Apr 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 27 Apr 2026 |
| 24 Apr 2026 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint investigation | 8 May 2026 |
| 24 Apr 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 27 Apr 2026 |
| 24 Apr 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 1 May 2026 |
| 24 Apr 2026 | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Complaint investigation | 1 May 2026 |
| 24 Apr 2026 | F0811 | Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised. | D | Complaint investigation | 1 May 2026 |
| 7 Mar 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 9 Mar 2026 |
| 7 Mar 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 10 Mar 2026 |
| 7 Mar 2026 | F0732 | Post nurse staffing information every day. | C | Complaint investigation | 10 Mar 2026 |
| 18 Dec 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 19 Dec 2025 |
| 18 Dec 2025 | F0584 | 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. | D | Complaint investigation | 19 Dec 2025 |
| 18 Dec 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 19 Dec 2025 |
| 18 Dec 2025 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Complaint investigation | 19 Dec 2025 |
| 18 Dec 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 19 Dec 2025 |
| 18 Dec 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 19 Dec 2025 |
| 18 Dec 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 19 Dec 2025 |
| 2 Dec 2025 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | E | Complaint investigation | 3 Dec 2025 |
| 2 Dec 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 3 Dec 2025 |
| 25 Nov 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 26 Nov 2025 |
| 25 Nov 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 5 Dec 2025 |
| 25 Nov 2025 | F0563 | Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | D | Complaint investigation | 3 Dec 2025 |
| 25 Nov 2025 | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | D | Complaint investigation | 26 Nov 2025 |
| 25 Nov 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 1 Dec 2025 |
| 25 Nov 2025 | F0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | D | Complaint investigation | 5 Dec 2025 |
| 24 Jul 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 25 Jul 2025 |
| 24 Jul 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 25 Jul 2025 |
| 24 Jul 2025 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 25 Jul 2025 |
| 24 Jul 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 25 Jul 2025 |
| 24 Jul 2025 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Standard survey | 25 Jul 2025 |
| 26 Jun 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Complaint investigation | 3 Jul 2025 |
| 21 Jun 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 7 Aug 2025 |
| 21 Jun 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 7 Aug 2025 |
| 23 Jan 2025 | F0584 | 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. | D | Complaint investigation | 24 Jan 2025 |
| 23 Jan 2025 | 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 | Complaint investigation | 24 Jan 2025 |
| 7 Jun 2024 | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | E | Standard survey | 17 Jul 2024 |
| 7 Jun 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 27 Jun 2024 |
| 7 Jun 2024 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard survey | 17 Jul 2024 |
| 7 Jun 2024 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Standard survey | 28 Jun 2024 |
| 7 Jun 2024 | 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 | 8 Jun 2024 |
| 14 Apr 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 15 Apr 2024 |
| 14 Apr 2024 | F0584 | 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. | E | Complaint investigation | 15 Apr 2024 |
| 14 Apr 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 15 Apr 2024 |
| 14 Apr 2024 | 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 | Complaint investigation | 15 Apr 2024 |
| 14 Apr 2024 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Complaint investigation | 15 Apr 2024 |
| 14 Apr 2024 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Complaint investigation | 15 Apr 2024 |
| 14 Apr 2024 | F0807 | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | D | Complaint investigation | 15 Apr 2024 |
| 14 Apr 2024 | F0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | Complaint investigation | 15 Apr 2024 |
| 28 Apr 2023 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 29 Apr 2023 |
| 28 Apr 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 29 Apr 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 14 Apr 2024 | Payment denial | — | 3 days |
| 14 Apr 2024 | Fine | $27,710 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 75.0%, RNs 80.0%; 0 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 | 17.4% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.5% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.7% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 4.2% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 13.3% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.1% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 9.3% | 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, limited liability company. Legal business name: Uvalde County Hospital Authority.
No organisations are listed in the CMS ownership record for this facility.
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 Bexar County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Army Residence Community | San Antonio | 91 | 5 | 5 | 4 | 18 | 19.8 | — | 5 Jun 2025 |
| Coronado At Stone Oak | San Antonio | 112 | 5 | 4 | 3 | 24 | 21.4 | — | 28 Jan 2026 |
| Lakeside Nursing and Rehabilitation Center | San Antonio | 118 | 5 | 4 | 2 | 23 | 19.5 | $15K | 5 Jun 2026 |
| The Mission At Blue Skies of Texas East | San Antonio | 80 | 5 | 4 | 4 | 25 | 31.3 | $17K | 8 Aug 2025 |
| Morningside Manor | San Antonio | 147 | 4 | 3 | 3 | 26 | 17.7 | $5K | 11 Apr 2026 |
| Pecan Valley Rehabilitation and Healthcare | San Antonio | 124 | 4 | 4 | 1 | 25 | 20.2 | — | 29 Apr 2026 |
| Remington Transitional Care of San Antonio | San Antonio | 60 | 4 | 3 | 3 | 23 | 38.3 | — | 15 Dec 2025 |
| San Pedro Manor | San Antonio | 150 | 4 | 3 | 2 | 30 | 20.0 | $24K | 30 Apr 2026 |
All 62 facilities in Bexar County
Questions and answers
How many deficiencies has Avir At San Knoll been cited for?
55 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Avir At San Knoll been fined?
Yes. CMS lists fines totalling $28K in the period covered, plus 1 payment denial.
How does staffing at Avir At San Knoll compare?
Reported total nurse staffing is 3.1 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Avir At San Knoll?
Ownership type is for-profit, limited liability company. Individual owners and managers are not listed on this site.
When was Avir At San Knoll last inspected?
The most recent survey or investigation in the CMS record is dated 11 Jun 2026; the most recent standard health survey was 24 Jul 2025.
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.