nursing home in San Angelo, TX
Avir at San Angelo
5455 Knickerbocker Rd, San Angelo, TX 76904 · (325) 944-1660
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★1
- Quality measures★★★★★2
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Avir at San Angelo at a glance
Avir at San Angelo is a 125-bed for-profit nursing home in San Angelo, Texas (Tom Green 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 hours of nursing care per day (0.2 of them from registered nurses), worse than the state average of 3.4 hours.
Its most recent standard health inspection (May 7, 2026) found 11 health citations. The Texas average is 9.4.
Federal regulators fined it 2 times in the past three years, totaling $78,860.
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 125
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Avir Health Group
- Medicare-certified since
- April 11, 2006
- Resident/family council
- Resident
- County
- Tom Green County
- CMS Certification Number
- 676100
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 2.7 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 1.9 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 2 / 5 | 3.7 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 2 / 5 | 4 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 1 / 5 | 3.2 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 2.99 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.15 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.88 hrs | 2.01 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.73 hrs | 2.98 hrs | 3.42 hrs | Worse |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 11 | 9 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 3 | 4 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 128.3 | 102 | 80.6 | Worse |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $78,860 | $44,141 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 2 | 2 | 1 | Worse |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 125 | 113 | 107 | |
| Average residents per day | 85 | 76 | 86 | |
| Occupancy | 67.6% | 67.6% | 80.9% |
Long-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 8.6% | 3.3% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 4.5% | 3.8% | 4.6% | Average |
| Long-stay residents given antipsychotic medication (lower is better) | 10.2% | 9.6% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0.4% | 0.8% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.3% | 0.3% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 30.5% | 15.8% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 27.8% | 14% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 1.9% | 3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 0.4% | 2.4% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0.7% | 0% | 0.1% | Worse |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 15.2% | 18% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 22.7% | 13.4% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 98.8% | 98% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 97.5% | 96.6% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 3.2% | 1.5% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 97.9% | 88% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 92.7% | 88.9% | 82% | Better |
Inspection citations
State inspectors cited this home for 34 health deficiencies and 12 fire safety deficiencies in the inspection records CMS currently publishes. 4 citations involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| May 7, 2026 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Deficient, Provider has no plan of correction |
| May 7, 2026 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Deficient, Provider has no plan of correction |
| May 7, 2026 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Deficient, Provider has no plan of correction |
| May 7, 2026 Fire safety | Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Smoke Deficiencies · Tag K0354 | F Potential harm, widespread | Deficient, Provider has no plan of correction |
| May 7, 2026 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | F Potential harm, widespread | Deficient, Provider has no plan of correction |
| May 7, 2026 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Deficient, Provider has no plan of correction |
| May 7, 2026 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | E Potential harm, pattern | Deficient, Provider has no plan of correction |
| May 7, 2026 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | E Potential harm, pattern | Deficient, Provider has no plan of correction |
| May 7, 2026 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 May 31, 2026 |
| May 7, 2026 Standard | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Tag F0814 | E Potential harm, pattern | Corrected May 31, 2026 |
| May 7, 2026 Standard | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Tag F0645 | E Potential harm, pattern | Corrected May 31, 2026 |
| May 7, 2026 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 May 31, 2026 |
| May 7, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected May 31, 2026 |
| May 7, 2026 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 May 31, 2026 |
| May 7, 2026 Complaint | Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · Tag F0699 | D Potential harm, isolated | Corrected May 31, 2026 |
| May 7, 2026 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected May 31, 2026 |
| May 7, 2026 Standard | 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 31, 2026 |
| February 17, 2026 Complaint | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected March 13, 2026 |
| November 19, 2025 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 | E Potential harm, pattern | Corrected November 20, 2025 |
| June 14, 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 July 8, 2025 |
| March 6, 2025 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected March 7, 2025 |
| March 6, 2025 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | E Potential harm, pattern | Corrected March 7, 2025 |
| March 6, 2025 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected March 7, 2025 |
| March 6, 2025 Standard | Provide medically-related social services to help each resident achieve the highest possible quality of life. Quality of Life and Care Deficiencies · Tag F0745 | H Actual harm, pattern | Corrected March 7, 2025 |
| March 6, 2025 Standard | Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies · Tag F0685 | H Actual harm, pattern | Corrected March 7, 2025 |
| March 6, 2025 Standard | Keep all essential equipment working safely. Environmental Deficiencies · Tag F0908 | F Potential harm, widespread | Corrected March 7, 2025 |
| March 6, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected March 7, 2025 |
| October 3, 2024 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected October 16, 2024 |
| October 3, 2024 Complaint | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | D Potential harm, isolated | Corrected October 16, 2024 |
| October 3, 2024 Complaint | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. Resident Rights Deficiencies · Tag F0559 | D Potential harm, isolated | Corrected October 16, 2024 |
| December 22, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected February 29, 2024 |
| December 22, 2023 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 | K Immediate jeopardy, pattern | Corrected December 23, 2023 |
| December 22, 2023 Complaint | Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · Tag F0730 | F Potential harm, widespread | Corrected December 23, 2023 |
| December 22, 2023 Standard | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Tag F0881 | F Potential harm, widespread | Corrected December 23, 2023 |
| December 22, 2023 Standard | 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 | E Potential harm, pattern | Corrected December 23, 2023 |
| December 22, 2023 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 December 23, 2023 |
| December 22, 2023 Complaint | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | E Potential harm, pattern | Corrected December 23, 2023 |
| December 22, 2023 Standard | 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 | E Potential harm, pattern | Corrected December 23, 2023 |
| December 22, 2023 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 December 23, 2023 |
| December 22, 2023 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected December 23, 2023 |
| December 22, 2023 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | E Potential harm, pattern | Corrected December 23, 2023 |
| December 22, 2023 Standard | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Tag F0582 | E Potential harm, pattern | Corrected December 23, 2023 |
| December 22, 2023 Standard | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | D Potential harm, isolated | Corrected December 23, 2023 |
| December 22, 2023 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 December 23, 2023 |
| September 13, 2023 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | H Actual harm, pattern | Corrected August 14, 2023 |
| September 13, 2023 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected October 12, 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 $78,860 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| March 6, 2025 | Fine | $54,919 |
| December 22, 2023 | Fine | $23,941 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| 5455 KNICKERBOCKER RD LLC Organization | 5% or greater mortgage interest | NOT APPLICABLE | 06/01/2024 |
| 5455 KNICKERBOCKER ROAD PROPERTY OWNER, LLC Organization | 5% or greater security interest | NOT APPLICABLE | 03/01/2025 |
| WELLTOWER INC Organization | 5% or greater security interest | NOT APPLICABLE | 03/01/2025 |
| WELLTOWER NNN GROUP, LLC Organization | 5% or greater security interest | NOT APPLICABLE | 03/01/2025 |
| WELLTOWER OP, LLC Organization | 5% or greater security interest | NOT APPLICABLE | 03/01/2025 |
| 5455 KNICKERBOCKER ROAD OPCO, LLC Organization | adp of the snf | NOT APPLICABLE | 04/23/2025 |
| 5455 KNICKERBOCKER ROAD PROPERTY OWNER, LLC Organization | adp of the snf | NOT APPLICABLE | 03/01/2025 |
| CHANG, PETER Individual | adp of the snf | NOT APPLICABLE | 03/01/2025 |
| KOFRON, CLAY Individual | adp of the snf | NOT APPLICABLE | 03/01/2025 |
| WELLTOWER INC Organization | adp of the snf | NOT APPLICABLE | 03/01/2025 |
| WELLTOWER NNN GROUP, LLC Organization | adp of the snf | NOT APPLICABLE | 03/01/2025 |
| WELLTOWER OP, LLC Organization | adp of the snf | NOT APPLICABLE | 03/01/2025 |
| APOLINAR, ADAM Individual | corporate director | NOT APPLICABLE | 06/01/2024 |
| DAGAN, AMITAI Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 04/23/2025 |
| GOLDBERGER, ABRAHAM Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 04/23/2025 |
| 5455 KNICKERBOCKER ROAD OPCO, LLC Organization | operational/managerial control | NOT APPLICABLE | 03/01/2025 |
| CHANG, PETER Individual | operational/managerial control | NOT APPLICABLE | 03/01/2025 |
| FREUND, NOCHUM Individual | operational/managerial control | NOT APPLICABLE | 03/01/2025 |
| TRAVITSKY, AARON Individual | operational/managerial control | NOT APPLICABLE | 03/01/2025 |
Other nursing homes near Avir at San Angelo
- Not rated
Avir at Meadow Creek
4343 Oak Grove Blvd, San Angelo, TX 76904 · 1.9 mi
For-profit · 80 beds · Part of Avir Health Group
★★★★★1Much below averageRegency House
3745 Summer Crest Dr., San Angelo, TX 76901 · 2.9 mi
For-profit · 120 beds · Part of Caraday Healthcare
★★★★★3AveragePark Plaza Nursing and Rehabilitation Center
2210 N Howard St, San Angelo, TX 76901 · 4.8 mi
For-profit · 90 beds · Part of Creative Solutions in Healthcare
★★★★★3AverageCedar Manor Nursing and Rehabilitation Center
1915 Greenwood Street, San Angelo, TX 76901 · 5 mi
For-profit · 166 beds · Part of Creative Solutions in Healthcare
★★★★★4Above averageAvir at Arbor Terrace
609 Rio Concho Dr, San Angelo, TX 76903 · 5.4 mi
For-profit · 126 beds · Part of Avir Health Group
★★★★★1Much below average
Frequently asked questions
What is Avir at San Angelo's rating?
Avir at San Angelo 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 Angelo receive?
Its most recent standard health inspection found 11 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Avir at San Angelo 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 Angelo?
It is for profit - corporation and part of Avir Health Group. The ownership section on this page lists the owners and managers reported to CMS.
Where is Avir at San Angelo and how do I contact it?
Avir at San Angelo is at 5455 Knickerbocker Rd, San Angelo, TX 76904. Phone: (325) 944-1660.
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.