Avir at San Knoll
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 79 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 (23 vs median 8.0)
- High staff turnover (67%)
Bottom 25% in Texas · Critically understaffed (RN) · Worst in SUMMIT LTC chain · $39,165 in fines
What this means for your family
The facility's therapy and nursing teams are standout assets that can significantly aid in rehabilitation. However, families must remain vigilant regarding hygiene standards and communication, as multiple reports indicate issues with timely incontinence care and administrative transparency.
Google Reviews
Google Reviews
79 reviews on Google“Families considering AVIR AT SAN KNOLL will find a facility with a highly regarded rehabilitation and therapy team, often praised for helping residents regain mobility. However, there are significant and recurring reports of neglect regarding hygiene, such as delayed diaper changes, and serious allegations of theft and poor communication from administration.”
Quality Themes
Tap a score for detailsStrengths
- Exceptional rehabilitation and therapy staff
- Friendly and compassionate nursing team
- Clean and well-maintained facility
- Effective medical response in emergencies
Concerns
- Neglect regarding hygiene and timely diaper changes (mentioned by 4 reviewers)
- Unprofessional or unresponsive administration (mentioned by 3 reviewers)
- Issues with cleanliness and odors in resident rooms (mentioned by 3 reviewers)
- Allegations of theft of personal property/medication (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 89 analyzed
How They Respond to Reviews
The owner provides personalized responses that address the reviewer by name and acknowledge specific details from their feedback, such as improvements in food or staff dedication. The tone is consistently professional, appreciative, and warm.
Questions for Your Tour
- 1We've heard wonderful things about the compassion of your nursing team; how do you ensure that same level of care is maintained during routine hygiene and personal care routines?
- 2Since we noticed your administration is active in responding to feedback, what is the best way for our family to communicate with management if we have questions about care updates?
- 3Could you tell us more about how the medication management process works to ensure everything is administered accurately and on schedule?
- 4We are very impressed by the reputation of your rehabilitation and therapy staff; how often do residents participate in these services?
- 5What kind of daily activities or social events are planned to keep residents engaged and connected with one another?
- 6We've read that the facility is very well-maintained, but how does the team manage room cleanliness and odor control to ensure a comfortable environment?
Personalized based on this facility's data
Key Review Excerpts
“The therapy team was my favorite thing, they’re very charismatic but stay focused on the on the job too”
“The rehab staff did a great job working with my daughter, and she made great progress during her stay. Thanks to Zach & Chris for all they did while working to get her mobile.”
“The nurses and staff go above and beyond each day to provide the upmost care and well being and respect for the patients.”
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
9
measures
4
measures
4
measures
Residents vaccinated for pneumonia
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose bladder or bowel control got worse
Residents on anti-anxiety or sleep medication
Residents needing more daily help over time
Residents whose walking got worse
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 shows concerning patterns of recurring deficiencies, with families filing 35 complaints triggering inspections that revealed safety hazards and care problems. The most frequent issues involve accident prevention and resident safety, infection control, and resident rights violations including dignified treatment and communication access. While the provider reports correcting each deficiency, the same problems persist across multiple surveys, particularly safety hazards that have appeared in complaint investigations from 2023 through 2025, suggesting systemic issues that families should carefully consider.
Mar 7, 2026Complaint3
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Dec 18, 2025Complaint7
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
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.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Dec 2, 2025Complaint2
Quality of Life and Care Deficiencies
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
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nov 25, 2025Complaint6
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
Resident Rights Deficiencies
Ensure residents have reasonable access to and privacy in their use of communication methods.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nutrition and Dietary Deficiencies
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Jul 24, 2025Routine9
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Quality of Life and Care Deficiencies
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.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Jun 26, 2025Complaint1
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Federal Penalties
Fine
Apr 14, 2024
$27,710
Payment Denial
Apr 14, 2024
3-day denial
Ownership & Operations
Who Operates This Facility
Uvalde County Hospital Authority
for profit
5757 N KNOLL OPCO
TRISTA GREGORY
Chain Affiliation
Summit Ltc
6 facilities nationwide
Chain avg rating: 2.0/5 · Rank 9 of 9 (Worst)
Ownership & Management
Owners
Uvalde County Hospital Authority
Owner · Organization
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
79 reviews from families & visitors
Official Website
Visit avirhg.com
Medicare data downloads
Original nursing home datasets
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