Avir at Arbor Terrace
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 49 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (1/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (13 vs median 8.0)
- High staff turnover (69%)
- High RN turnover (82%)
Bottom 25% in Texas · Critically understaffed (RN) · Worst in SLP OPERATIONS chain · $121,840 in fines
What this means for your family
This facility is an excellent choice if your loved one specifically needs intensive physical or occupational therapy. However, you must exercise extreme caution regarding nursing care; families should perform unannounced visits to check for hygiene, skin integrity, and medication accuracy, as multiple reviewers have reported serious neglect.
Google Reviews
Google Reviews
49 reviews analyzed“Families can expect high-quality rehabilitation and therapy services, which are frequently praised as the facility's strongest asset. However, there are serious, recurring allegations regarding neglect, including improper medication management, lack of hygiene care, and the development of pressure sores. While some long-term reviews highlight a friendly atmosphere, recent critical reviews warn of significant lapses in basic nursing care and cleanliness.”
Quality Themes
Tap a score for detailsStrengths
- Excellent physical and occupational therapy
- Compassionate rehabilitation team
- Friendly and welcoming staff members
- Engaging resident activities
Concerns
- Neglect regarding hygiene and pressure sores (mentioned by 3 reviewers)
- Medication management errors (mentioned by 2 reviewers)
- Unpleasant facility odors (urine) (mentioned by 3 reviewers)
- Inadequate staffing/responsiveness (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution
How They Respond to Reviews
The owner relies heavily on repetitive, templated responses. While they attempt to personalize 5-star reviews with names, negative reviews are met with identical, canned scripts that fail to address specific allegations of neglect or unsanitary conditions.
Questions for Your Tour
- 1It is wonderful to see how much the rehab team is praised for their compassion; how do the physical and occupational therapists work with residents to help them regain their independence?
- 2I noticed the management team is very active in responding to feedback; what specific steps are being taken right now to improve the facility's cleanliness and dining experience?
- 3How does the nursing team ensure that medication schedules are followed precisely and that any changes in a resident's condition are communicated immediately to the family?
- 4What are some of the favorite daily activities or social events that help keep the residents engaged and connected with one another?
- 5In the event of a medical emergency during the night, what is the protocol for notifying the family and ensuring the resident receives immediate care?
- 6How does the staff manage the daily care routines, such as hygiene and skin checks, to ensure every resident stays comfortable and well-cared for?
Personalized based on this facility's data
Key Review Excerpts
“Arbor terrace therapy department was THE BEST!”
“My mother was here for two days and did not receive any medication (of witch is life threatening), no breathing treatments, no oxygen, was not changed for over 46 hours, and kept in a wheel chair for 46 hours.”
“The team is DEDICATED and COMPASSIONATE. They specialize in short term rehabilitation but also offer long term care services to all of the residents in the facility to assure that they stay at their highest level of function.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
11
measures
4
measures
2
measures
Residents on antipsychotic medication
Residents with depression symptoms
Residents whose walking got worse
Residents whose bladder or bowel control got worse
Residents vaccinated for pneumonia
Residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has a concerning pattern of 21 complaint-triggered deficiencies, indicating families have repeatedly reported problems to authorities. Key recurring issues include medication management errors, resident rights violations, and care planning failures. While the facility has corrected deficiencies when cited, the persistent complaints across multiple areas—particularly medication safety appearing in both complaint and routine surveys—suggest ongoing quality concerns that warrant careful evaluation during any visit.
Nov 18, 2025Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
May 22, 2025Complaint2
Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Feb 7, 2025Routine11
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
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.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Administration Deficiencies
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Feb 7, 2025Complaint3
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Nov 20, 2024Complaint2
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Aug 10, 2024Complaint1
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Federal Penalties
Fine
Aug 10, 2024
$68,572
Fine
Jan 4, 2024
$37,999
Fine
Dec 1, 2023
$15,269
Ownership & Operations
Who Operates This Facility
Stratford Hospital District
for profit
609 RIO CONCHO DR OPCO LLC
KAREN KOHLLEPPEL
Chain Affiliation
Avir Health Group
117 facilities nationwide
Chain avg rating: 2.3/5 · Rank 20 of 21 (Worst)
Ownership & Management
Owners
Stratford Hospital District
Owner · Organization
Dagan, Amitai
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Goldberger, Abraham
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Goldberger, Faigy
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
49 reviews from families & visitors
Official Website
Visit avirhg.com
Medicare data downloads
Original nursing home datasets
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