nursing home in San Antonio, TX

Avir at San Knoll

5757 N. Knoll, San Antonio, TX 78240 · (210) 699-8535

★★★★★1
Much below average
CMS overall star rating
  • Health inspections★★★★★1
  • Staffing★★★★★1
  • Quality measures★★★★★4

Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data

Avir at San Knoll at a glance

Avir at San Knoll is a 120-bed for-profit nursing home in San Antonio, Texas (Bexar County).

CMS gives it 1 out of 5 stars on its overall star rating, worse than the Texas average of 2.7.

Residents receive about 3.1 hours of nursing care per day (0.3 of them from registered nurses), worse than the state average of 3.4 hours.

Its most recent standard health inspection (July 24, 2025) found 36 health citations. The Texas average is 9.4.

Federal regulators fined it 1 time in the past three years, totaling $27,710.

Nursing staff turnover is 75% per year (state average 55.3%).

Facility details

Type
Nursing home
Ownership
For Profit - Limited Liability Company
Beds
120
Certified for
Medicare and Medicaid
Medicare-certified since
April 26, 1989
Resident/family council
Resident
County
Bexar County
CMS Certification Number
455804

Ratings

MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Overall star rating ⓘ (higher is better)1 / 52.7 / 53 / 5Worse
Health inspection rating ⓘ (higher is better)1 / 52.8 / 52.8 / 5Worse
Staffing rating ⓘ (higher is better)1 / 51.9 / 52.9 / 5Worse
Quality measures rating ⓘ (higher is better)4 / 53.7 / 53.6 / 5Average
Long-stay quality rating (higher is better)4 / 54 / 53.8 / 5Average

Staffing

This facility3.10 hrsTexas average3.39 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)3.10 hrs3.39 hrs3.86 hrsWorse
Registered nurse hours per resident per day (higher is better)0.28 hrs0.43 hrs0.69 hrsWorse
Nurse aide hours per resident per day (higher is better)1.74 hrs2.01 hrs2.32 hrsWorse
Weekend nurse staff hours per resident per day (higher is better)2.91 hrs2.98 hrs3.42 hrsWorse
Nursing staff turnover (yearly) (lower is better)75%55.3%45.8%Worse
Registered nurse turnover (yearly) (lower is better)80%54.6%42.9%Worse
Administrators who left in the past year (lower is better)011Better

Inspections

This facility36Texas average9U.S. average9
Health citations in the most recent inspection: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)3699Worse
Citations from complaint investigations (latest cycle) (lower is better)3143Worse
Weighted health inspection score ⓘ (lower is better)172.810280.6Worse

Penalties

This facility1Texas average1U.S. average1
Fines in the past 3 years: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)111Worse
Total fines in the past 3 years (lower is better)$27,710$44,141$30,972Better
All federal penalties in the past 3 years (lower is better)221Worse

Size

MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Certified beds120113107
Average residents per day487686
Occupancy40.2%67.6%80.9%

Long-stay residents

This facility3.7%Texas average3.3%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Long-stay residents with a fall causing major injury (lower is better)3.7%3.3%3.2%Worse
Long-stay residents with pressure ulcers (lower is better)1.1%3.8%4.6%Better
Long-stay residents given antipsychotic medication (lower is better)9.3%9.6%15.4%Better
Long-stay residents with a urinary tract infection (lower is better)0.5%0.8%1.6%Better
Long-stay residents with a catheter left in the bladder (lower is better)0%0.3%0.8%Better
Long-stay residents needing more help with daily activities (lower is better)17.4%15.8%13.9%Worse
Long-stay residents whose walking worsened (lower is better)13.3%14%14.1%Better
Long-stay residents who lose too much weight (lower is better)5%3%5.2%Average
Long-stay residents with depressive symptoms (lower is better)0.6%2.4%12.8%Better
Long-stay residents who were physically restrained (lower is better)0%0%0.1%Better
Long-stay residents given anti-anxiety or sleep medication (lower is better)12.1%18%19.5%Better
Long-stay residents with new or worse incontinence (lower is better)6.2%13.4%19%Better
Long-stay residents given a flu vaccine (higher is better)96%98%95.5%Average
Long-stay residents given a pneumonia vaccine (higher is better)54.7%96.6%93.6%Worse

Short-stay residents

This facility4.2%Texas average1.5%U.S. average1.6%
Short-stay residents newly given antipsychotic medication: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Short-stay residents newly given antipsychotic medication (lower is better)4.2%1.5%1.6%Worse
Short-stay residents given a flu vaccine (higher is better)85%88%79.8%Better
Short-stay residents given a pneumonia vaccine (higher is better)38.6%88.9%82%Worse

Inspection citations

State inspectors cited this home for 56 health deficiencies and 15 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm, including 1 rated "immediate jeopardy".

DateCitationSeverityStatus
July 24, 2026
Complaint
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.
Resident Rights Deficiencies · Tag F0584
E
Potential harm, pattern
Corrected July 25, 2026
June 11, 2026
Complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Tag F0550
D
Potential harm, isolated
Corrected June 12, 2026
May 22, 2026
Complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Tag F0550
D
Potential harm, isolated
Corrected May 31, 2026
May 22, 2026
Complaint
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.
Pharmacy Service Deficiencies · Tag F0761
D
Potential harm, isolated
Corrected May 23, 2026
May 22, 2026
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected June 5, 2026
May 22, 2026
Complaint
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · Tag F0583
D
Potential harm, isolated
Corrected May 31, 2026
April 24, 2026
Complaint
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.
Resident Rights Deficiencies · Tag F0584
E
Potential harm, pattern
Corrected April 27, 2026
April 24, 2026
Complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
E
Potential harm, pattern
Corrected April 27, 2026
April 24, 2026
Complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · Tag F0804
E
Potential harm, pattern
Corrected May 8, 2026
April 24, 2026
Complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Tag F0677
E
Potential harm, pattern
Corrected April 27, 2026
April 24, 2026
Complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Resident Rights Deficiencies · Tag F0557
D
Potential harm, isolated
Corrected May 1, 2026
April 24, 2026
Complaint
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.
Nutrition and Dietary Deficiencies · Tag F0811
D
Potential harm, isolated
Corrected May 1, 2026
April 24, 2026
Complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Tag F0550
D
Potential harm, isolated
Corrected May 1, 2026
March 7, 2026
Complaint
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected March 10, 2026
March 7, 2026
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected March 9, 2026
March 7, 2026
Complaint
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · Tag F0732
C
No harm, widespread
Corrected March 10, 2026
December 18, 2025
Complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · Tag F0655
D
Potential harm, isolated
Corrected December 19, 2025
December 18, 2025
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected December 19, 2025
December 18, 2025
Complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609
D
Potential harm, isolated
Corrected December 19, 2025
December 18, 2025
Complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Tag F0550
D
Potential harm, isolated
Corrected December 19, 2025
December 18, 2025
Complaint
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.
Resident Rights Deficiencies · Tag F0584
D
Potential harm, isolated
Corrected December 19, 2025
December 18, 2025
Complaint
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected December 19, 2025
December 18, 2025
Complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
D
Potential harm, isolated
Corrected December 19, 2025
December 2, 2025
Complaint
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.
Quality of Life and Care Deficiencies · Tag F0688
E
Potential harm, pattern
Corrected December 3, 2025
December 2, 2025
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected December 3, 2025
November 25, 2025
Complaint
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
E
Potential harm, pattern
Corrected November 26, 2025
November 25, 2025
Complaint
Ensure residents have reasonable access to and privacy in their use of communication methods.
Resident Rights Deficiencies · Tag F0576
D
Potential harm, isolated
Corrected November 26, 2025
November 25, 2025
Complaint
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
Resident Rights Deficiencies · Tag F0563
D
Potential harm, isolated
Corrected December 3, 2025
November 25, 2025
Complaint
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Tag F0558
D
Potential harm, isolated
Corrected December 5, 2025
November 25, 2025
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected December 1, 2025
November 25, 2025
Complaint
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Nutrition and Dietary Deficiencies · Tag F0800
D
Potential harm, isolated
Corrected December 5, 2025
July 24, 2025
Fire safety
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918
F
Potential harm, widespread
Corrected August 12, 2025
July 24, 2025
Fire safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies · Tag K0211
F
Potential harm, widespread
Corrected July 25, 2025
July 24, 2025
Fire safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies · Tag K0355
E
Potential harm, pattern
Corrected July 30, 2025
July 24, 2025
Fire safety
Have proper medical gas storage and administration areas.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923
D
Potential harm, isolated
Corrected July 25, 2025
July 24, 2025
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
E
Potential harm, pattern
Corrected July 25, 2025
July 24, 2025
Standard
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
E
Potential harm, pattern
Corrected July 25, 2025
July 24, 2025
Standard
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies · Tag F0552
D
Potential harm, isolated
Corrected July 25, 2025
July 24, 2025
Standard
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Tag F0558
D
Potential harm, isolated
Corrected July 25, 2025
July 24, 2025
Standard
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.
Quality of Life and Care Deficiencies · Tag F0693
D
Potential harm, isolated
Corrected July 25, 2025
June 26, 2025
Complaint
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights Deficiencies · Tag F0628
D
Potential harm, isolated
Corrected July 3, 2025
June 21, 2025
Complaint
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610
D
Potential harm, isolated
Corrected August 7, 2025
June 21, 2025
Complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609
D
Potential harm, isolated
Corrected August 7, 2025
January 23, 2025
Complaint
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.
Pharmacy Service Deficiencies · Tag F0761
D
Potential harm, isolated
Corrected January 24, 2025
January 23, 2025
Complaint
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.
Resident Rights Deficiencies · Tag F0584
D
Potential harm, isolated
Corrected January 24, 2025
June 7, 2024
Fire safety
Meet requirements for the installation and maintenance of electrical systems.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0911
F
Potential harm, widespread
Corrected July 21, 2024
June 7, 2024
Fire safety
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies · Tag K0712
F
Potential harm, widespread
Corrected June 28, 2024
June 7, 2024
Fire safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Miscellaneous Deficiencies · Tag K0741
E
Potential harm, pattern
Corrected June 7, 2024
June 7, 2024
Fire safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Smoke Deficiencies · Tag K0372
E
Potential harm, pattern
Corrected July 21, 2024
June 7, 2024
Fire safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914
E
Potential harm, pattern
Corrected July 21, 2024
June 7, 2024
Fire safety
Have exits that are accessible at all times.
Egress Deficiencies · Tag K0271
D
Potential harm, isolated
Corrected July 21, 2024
June 7, 2024
Fire safety
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918
C
No harm, widespread
Corrected July 21, 2024
June 7, 2024
Standard
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.
Nutrition and Dietary Deficiencies · Tag F0801
E
Potential harm, pattern
Corrected July 17, 2024
June 7, 2024
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
E
Potential harm, pattern
Corrected June 27, 2024
June 7, 2024
Standard
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies · Tag F0925
E
Potential harm, pattern
Corrected June 28, 2024
June 7, 2024
Standard
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · Tag F0921
E
Potential harm, pattern
Corrected July 17, 2024
June 7, 2024
Standard
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected June 8, 2024
April 14, 2024
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
J
Immediate jeopardy, isolated
Corrected April 15, 2024
April 14, 2024
Complaint
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.
Resident Rights Deficiencies · Tag F0584
E
Potential harm, pattern
Corrected April 15, 2024
April 14, 2024
Complaint
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary Deficiencies · Tag F0805
D
Potential harm, isolated
Corrected April 15, 2024
April 14, 2024
Complaint
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary Deficiencies · Tag F0806
D
Potential harm, isolated
Corrected April 15, 2024
April 14, 2024
Complaint
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Nutrition and Dietary Deficiencies · Tag F0807
D
Potential harm, isolated
Corrected April 15, 2024
April 14, 2024
Complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected April 15, 2024
April 14, 2024
Complaint
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Nutrition and Dietary Deficiencies · Tag F0810
D
Potential harm, isolated
Corrected April 15, 2024
April 14, 2024
Complaint
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.
Pharmacy Service Deficiencies · Tag F0761
D
Potential harm, isolated
Corrected April 15, 2024
April 28, 2023
Fire safety
Have properly located and lighted "Exit" signs.
Egress Deficiencies · Tag K0293
E
Potential harm, pattern
Corrected May 19, 2023
April 28, 2023
Fire safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Smoke Deficiencies · Tag K0372
E
Potential harm, pattern
Corrected May 19, 2023
April 28, 2023
Fire safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Miscellaneous Deficiencies · Tag K0741
D
Potential harm, isolated
Corrected May 19, 2023
April 28, 2023
Fire safety
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
Smoke Deficiencies · Tag K0343
D
Potential harm, isolated
Corrected May 19, 2023
April 28, 2023
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected April 29, 2023
April 28, 2023
Standard
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Tag F0690
D
Potential harm, isolated
Corrected April 29, 2023

Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.

Fines and payment denials

CMS reports 2 federal penalties in the past three years, including $27,710 in fines.

DatePenaltyAmount / length
April 14, 2024Payment Denial3 days from May 11, 2024
April 14, 2024Fine$27,710

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

NameRoleShareSince
AZIZ, WESAM
Individual
adp of the snfNOT APPLICABLE06/01/2022
CONTRERAS, TERRI
Individual
adp of the snfNOT APPLICABLE04/29/2019
GREGORY, TRISTA
Individual
adp of the snfNOT APPLICABLE08/12/2024
AZIZ, WESAM
Individual
corporate directorNOT APPLICABLE06/01/2022
APOLINAR, ADAM
Individual
corporate officerNOT APPLICABLE07/23/2015
CONTRERAS, TERRI
Individual
corporate officerNOT APPLICABLE04/29/2019
AZIZ, WESAM
Individual
operational/managerial controlNOT APPLICABLE06/01/2022
CONTRERAS, TERRI
Individual
operational/managerial controlNOT APPLICABLE04/29/2019
GREGORY, TRISTA
Individual
operational/managerial controlNOT APPLICABLE08/12/2024

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Frequently asked questions

What is Avir at San Knoll's rating?

Avir at San Knoll has 1 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.

How many inspection citations did Avir at San Knoll receive?

Its most recent standard health inspection found 36 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.

Does Avir at San Knoll accept Medicare and Medicaid?

CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.

Who owns Avir at San Knoll?

It is for profit - limited liability company. The ownership section on this page lists the owners and managers reported to CMS.

Where is Avir at San Knoll and how do I contact it?

Avir at San Knoll is at 5757 N. Knoll, San Antonio, TX 78240. Phone: (210) 699-8535.

About this data

Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.