Avir at San Angelo
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 4 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)
Bottom 25% in Texas · Critically understaffed (RN) · Worst in AVIR HEALTH GROUP chain · $241,795 in fines
What this means for your family
This facility presents significant risks regarding resident safety and basic hygiene. If you choose to consider them, you must verify their maintenance protocols and observe staff responsiveness during night shifts, as multiple reports indicate severe neglect and unaddressed facility issues.
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
7
measures
7
measures
3
measures
Residents whose walking got worse
Residents needing more daily help over time
Residents with depression symptoms
Residents whose bladder or bowel control got worse
Residents on anti-anxiety or sleep medication
Residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Multiple families have filed complaints triggering 18 deficiencies at this facility, with recurring issues in resident protection from abuse and neglect, infection control, and care planning. The facility shows a pattern of repeated problems, including recent violations in accident prevention (June 2025), abuse protection (October 2024), and ongoing concerns with infection control appearing across multiple surveys since 2022, though the provider reports correcting each identified issue.
Feb 17, 2026Complaint1
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Nov 19, 2025Complaint1
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Jun 14, 2025Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Mar 6, 2025Routine7
Quality of Life and Care Deficiencies
Assist a resident in gaining access to vision and hearing services.
Quality of Life and Care Deficiencies
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Environmental Deficiencies
Keep all essential equipment working safely.
Smoke Deficiencies
Provide properly protected cooking facilities.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Oct 3, 2024Complaint3
Resident Rights Deficiencies
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
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
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Dec 22, 2023Complaint4
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nursing and Physician Services Deficiencies
Observe each nurse aide's job performance and give regular training.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Federal Penalties
Fine
Mar 6, 2025
$54,919
Fine
Dec 22, 2023
$23,941
Fine
Sep 13, 2023
$12,220
Fine
Jul 28, 2023
$126,135
Ownership & Operations
Who Operates This Facility
Uvalde County Hospital Authority
for profit
5455 KNICKERBOCKER ROAD OPCO LLC
CLAY J KOFRON
Chain Affiliation
Avir Health Group
117 facilities nationwide
Chain avg rating: 2.3/5 · Rank 74 of 90 (Worst)
Ownership & Management
Owners
Uvalde County Hospital Authority
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
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
4 reviews from families & visitors
Official Website
Visit avirhg.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.
Baycrest Senior Living of San Angelo LLC
< 1 miAssisted Living · San Angelo, TX
Baycrest Senior Living of San Angelo LLC
< 1 miAssisted Living · San Angelo, TX
Brayden Park
< 1 miAssisted Living · San Angelo, TX
St Juanita Retirement and Rehab
1.6 miNursing Home · San Angelo, TX
Avir at Meadow Creek
2.0 miNursing Home · San Angelo, TX
Lyndale at San Angelo
2.7 miAssisted Living · San Angelo, TX