Nursing home
Avir at San Angelo
5455 Knickerbocker Rd, San Angelo, TX 76904 · Map
For profit - Individual · Part of Avir Health Group (90 facilities) · 125 certified beds
Avir at San Angelo is a Medicare-certified nursing home in San Angelo, Texas. CMS rates it 1 out of 5 stars overall (1/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.15 hours per resident per day, below the Texas average of 3.40. Its most recent inspection on Mar 6, 2025 cited 6 deficiencies.
- 6 fines totaling $241,795In CMS records: 6 total penalties.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Avir at San Angelo compares
This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Texas avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.15 | 3.40 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.25 | 0.44 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.14 | 2.01 | 2.34 | above avg |
| Nursing staff turnover | —% | 51.5% | 46.4% | — |
| Deficiencies cited, last inspection | 6.0 | 9.1 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 6 fines totaling $241,795, 6 total penalties.
What inspectors found at Avir at San Angelo
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Feb 17, 2026 · Full report (PDF) - Potential for harm
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 · Nov 19, 2025 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Jun 14, 2025 · Full report (PDF) - Actual harm
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Quality of Life and Care Deficiencies · Mar 6, 2025 · Full report (PDF) - Actual harm
Assist a resident in gaining access to vision and hearing services.
Quality of Life and Care Deficiencies · Mar 6, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Keep all essential equipment working safely.
Environmental Deficiencies · Mar 6, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Mar 6, 2025 · Full report (PDF) - Potential for harm
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Oct 3, 2024 · Full report (PDF) - Potential for harm
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 · Oct 3, 2024 · Full report (PDF) - Potential for harm
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 · Oct 3, 2024 · Full report (PDF) - Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Dec 22, 2023 · Full report (PDF) - Potential for harm
Observe each nurse aide's job performance and give regular training.
Nursing and Physician Services Deficiencies · Dec 22, 2023 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 5455 Knickerbocker Rd
San Angelo, TX 76904 - CMS certification #
- 676100
- Ownership
- For profit - Individual
- Certified beds
- 125
- Avg residents/day
- 86.0
- Provider type
- Medicare and Medicaid
- First certified
- 2006-04-11
- Chain
- Avir Health Group (90 facilities)
- Setting
- Urban
Part of Avir Health Group
Avir Health Group operates 90 nursing facilities across the United States. View all Avir Health Group facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Avir at San Angelo using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Shannon Medical Center, San Angelo. 5.1 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- St. Juanita Retirement and Rehab, San Angelo. 1.5 miles away, straight line.
- Nearest home health agency office
- Shannon Home Health Services, San Angelo. 1.3 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- H-E-B Pharmacy. 2.8 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 76904 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Davita San Angelo Dialysis, San Angelo, 1.4 miles away, straight line (CMS rating 4 of 5 stars)
Fkc Red Arroyo, San Angelo, 3.0 miles away, straight line (CMS rating 3 of 5 stars)
Angelo Kidney Connection, San Angelo, 3.2 miles away, straight line (CMS rating 2 of 5 stars) - Hospice
- 16 Medicare hospices tell CMS they serve ZIP code 76904.
Angels Care Hospice, office in San Angelo, 2.5 miles away, straight line
Hospice Of San Angelo, office in San Angelo, 2.6 miles away, straight line (CMS family survey rating 4 of 5 stars)
Concho Hearts Hospice, LLC, office in San Angelo, 3.3 miles away, straight line (CMS family survey rating 5 of 5 stars) - Nearest geriatric medicine practice
- Texas Tech University Health Sciences Center Odessa, Midland. 103.6 miles away, straight line. 3 geriatric medicine doctors listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- Wildfire risk to homes
- In San Angelo, TX, risk to homes is greater than 62% of communities in Texas and 80% of communities nationwide. USDA rates the whole town or city, not this address. (USDA Forest Service, Wildfire Risk to Communities, April 2026)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane very low, inland flooding relatively high, wildfire relatively moderate, tornado relatively moderate, heat wave relatively moderate, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Only cases that look tied to an earlier operator (not shown) |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | See above |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | No plain statements of services found |
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Frequently asked questions
Is Avir at San Angelo a good nursing home?
CMS gives Avir at San Angelo an overall rating of 1 out of 5 stars, including 1/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Avir at San Angelo staffed?
Avir at San Angelo reports 3.15 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has Avir at San Angelo had inspection problems?
Its most recent CMS inspection cited 6 deficiencies.
How many beds does Avir at San Angelo have?
Avir at San Angelo is certified for 125 beds.