Avir at San Angelo

A nursing home in San Angelo, Texas 76904

5455 Knickerbocker Rd, San Angelo, Texas 76904. (325) 944-1660.

Cited for abuse (CMS flag)

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The short answer

Record last released by CMS on Oct 28, 2026.

1of 5 CMS’s overall rating
12 health citations at the latest inspection cycle Texas average: 9.6
3.14 nurse hours per resident per day Texas average: 3.42
4 fines in the last three years (needs attention)

The last 24 months 33 citations in 8 months of the last 36. Last cited Aug 2026. Most serious: immediate jeopardy to health or safety (K). Every month

Each figure’s source sits beside it, in its section below.

What these words mean8

Star ratings: CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
Inspection (survey): A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
Deficiency, citation, violation: What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
Scope and severity (A to L): CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
Nurse staffing hours: The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
Fines and payment denials: A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
Immediate jeopardy: CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3.
Capacity: The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.

What did inspectors find?

12 health citations at the latest inspection cycle

The Texas average is 9.6.

Last standard inspection May 7, 2026.

Most serious in three years: immediate jeopardy to health or safety (J), at a complaint inspection on Aug 22, 2026

CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

When those citations happened

33 citations in 8 months of the last 36. Last cited Aug 2026. Most serious: immediate jeopardy to health or safety (K). The last 3 years, to Nov 5, 2026.

33 citations by month over the last 3 years. Each cell is one month.
	Jan	Feb	Mar	Apr	May	Jun	Jul	Aug	Sep	Oct	Nov	Dec
2023												Dec
2024	Jan	Feb	Mar	Apr	May	Jun	Jul	Aug	Sep	Oct	Nov	Dec
2025	Jan	Feb	Mar	Apr	May	Jun	Jul	Aug	Sep	Oct	Nov	Dec
2026	Jan	Feb	Mar	Apr	May	Jun	Jul	Aug	Sep	Oct	Nov

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most

Hearth Record drew this from the dates and levels in the source’s own records.

All 33 citations in the last three years

Grouped by inspection, newest first. Each carries , from A, the least serious, to L, the most. 12 came from complaint inspections.

CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Aug 22, 2026: complaint inspection1 citation

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Rule F0600. J: immediate jeopardy to health or safety. From a complaint. Correction date, as CMS recorded it: Aug 23, 2026.

May 7, 2026: standard inspection8 citations

PASARR screening for Mental disorders or Intellectual Disabilities

Rule F0645. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 31, 2026.
Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.

Rule F0656. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 31, 2026.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Rule F0689. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 31, 2026.
Ensure medication error rates are not 5 percent or greater.

Rule F0759. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 31, 2026.
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.

Rule F0761. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 31, 2026.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Rule F0812. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 31, 2026.
Dispose of garbage and refuse properly.

Rule F0814. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 31, 2026.
Provide and implement an infection prevention and control program.

Rule F0880. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 31, 2026.

May 7, 2026: standard and complaint inspection1 citation

Provide care or services that was trauma informed and/or culturally competent.

Rule F0699. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 31, 2026.

Feb 17, 2026: complaint inspection1 citation

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Rule F0686. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 13, 2026.

Nov 19, 2025: complaint inspection1 citation

Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.

Rule F0656. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Nov 20, 2025.

Jun 14, 2025: complaint inspection1 citation

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Rule F0689. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 8, 2025.

Mar 6, 2025: standard inspection4 citations

Assist a resident in gaining access to vision and hearing services.

Rule F0685. H: actual harm. Correction date, as CMS recorded it: Mar 7, 2025.
Provide medically-related social services to help each resident achieve the highest possible quality of life.

Rule F0745. H: actual harm. Correction date, as CMS recorded it: Mar 7, 2025.
Provide and implement an infection prevention and control program.

Rule F0880. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 7, 2025.
Keep all essential equipment working safely.

Rule F0908. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 7, 2025.

Oct 3, 2024: complaint inspection3 citations

Honor the resident’s right to share a room with spouse or roommate of choice and receive written notice before a change is made.

Rule F0559. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Oct 16, 2024.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Rule F0600. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Oct 16, 2024.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Rule F0607. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Oct 16, 2024.

Dec 22, 2023: standard inspection9 citations

Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Rule F0550. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 23, 2023.
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Rule F0582. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 23, 2023.
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Rule F0644. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 23, 2023.
Create and put into place a plan for meeting the resident’s most immediate needs within 48 hours of being admitted

Rule F0655. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 23, 2023.
Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.

Rule F0656. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 23, 2023.
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.

Rule F0761. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 23, 2023.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Rule F0812. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 23, 2023.
Provide and implement an infection prevention and control program.

Rule F0880. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 23, 2023.
Implement a program that monitors antibiotic use.

Rule F0881. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 23, 2023.

Dec 22, 2023: standard and complaint inspection4 citations

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Rule F0689. K: immediate jeopardy to health or safety. From a complaint. Correction date, as CMS recorded it: Dec 23, 2023.
Provide care and assistance to perform activities of daily living for any resident who is unable.

Rule F0677. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 23, 2023.
Provide safe and appropriate respiratory care for a resident when needed.

Rule F0695. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 23, 2023.
Observe each nurse aide’s job performance and give regular training.

Rule F0730. F: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 23, 2023.

Is it certified, and in good standing?

Certified for Medicare and Medicaid since Apr 11, 2006.
Not on CMS’s special focus list.
CMS marks it with its abuse icon: cited for abuse or neglect that harmed a resident.
No change of ownership in the last 12 months.
CMS lists its ownership as for profit, corporation.
125 certified beds.

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Has it been fined or penalized?

4 fines in the last three years, $117,827 in all.
No Medicare payment denials in the last three years.
12 citations in the last three years came from complaint inspections.

CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Fines and payment denials, newest first
Date	Kind	Amount
Aug 22, 2026	Fine	$19,615
Aug 22, 2026	Fine	$19,352
Mar 6, 2025	Fine	$54,919
Dec 22, 2023	Fine	$23,941

Who does the caring?

3.14 nurse hours per resident per day

The Texas average is 3.42.

CMS publishes staffing about four months after the fact.

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

Staffing measures
Measure	This home	Texas average
Nurse hours per resident per day	3.14	3.42
Of which registered nurses	0.18	0.44
At weekends	2.84	2.99
Nursing staff turnover	71.3%	50.8%
Registered nurse turnover	55.6%	49.8%
Administrators who left	1	Not given

Who owns it?

Uvalde County Hospital Authority owns 100% directly since Jun 1, 2024.
5455 Knickerbocker Road Opco, LLC runs it.
6 owners or officers are people: Nochum Freund (runs it (operational or managerial control)); Peter P Chang (runs it (operational or managerial control)); Peter P Chang (additional disclosable party (controls, leases property to, or provides services to the home)); Aaron Travitsky (runs it (operational or managerial control)); Adam Apolinar (corporate director, 0%); Clay Kofron (additional disclosable party (controls, leases property to, or provides services to the home)).
Part of Avir Health Group (118 homes in CMS’s data).
No private-equity firm among the owners CMS lists.
A real-estate investment trust is among the owners CMS lists.

CMS, All Owners. Checked Nov 5, 2026. Updated monthly.

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Organisations CMS lists
Organisation	Role	Share	Since
5455 Knickerbocker Rd LLC	Holds 5% or more of the mortgage	100%	Jun 1, 2024
5455 Knickerbocker Road Property Owner, LLC	Holds 5% or more security interest	100%	Mar 1, 2025
Welltower Nnn Group, LLC	Holds 5% or more security interest	100%	Mar 1, 2025
Uvalde County Hospital Authority	Owns 5% or more directly	100%	Jun 1, 2024
Welltower Op LLC	Holds 5% or more security interest	100%	Mar 1, 2025
Welltower Inc.	Holds 5% or more security interest	100%	Mar 1, 2025
5455 Knickerbocker Road Opco, LLC	Runs it (operational or managerial control)		Mar 1, 2025
5455 Knickerbocker Road Opco, LLC	Additional disclosable party (controls, leases property to, or provides services to the home)		Apr 23, 2025
5455 Knickerbocker Road Property Owner, LLC	Additional disclosable party (controls, leases property to, or provides services to the home)		Mar 1, 2025
Welltower Nnn Group, LLC	Additional disclosable party (controls, leases property to, or provides services to the home)		Mar 1, 2025
Welltower Op LLC	Additional disclosable party (controls, leases property to, or provides services to the home)		Mar 1, 2025
Welltower Inc.	Additional disclosable party (controls, leases property to, or provides services to the home)		Mar 1, 2025

How do residents fare?

CMS rates its quality measures 2 of 5 (Texas average 3.8).

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

CMS’s star ratings, from 1 to 5
Measure	Rating
Overall rating	1 of 5
Health inspections	1 of 5
Staffing	1 of 5
Quality measures	2 of 5

How does it compare nearby?

Among the 12 nearest homes, within 38.7 miles, this one had the 1st most health citations at the latest inspection cycle (12; the middle value was 6).

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

The 12 nearest, by straight-line distance
Place	Miles away	Citations, latest cycle
Avir at San Angelo This nursing home		12
St. Juanita Retirement and Rehab	1.5	Not given
Avir at Meadow Creek	1.9	7
Regency House	2.9	6
Park Plaza Nursing and Rehabilitation Center	4.8	3
Cedar Manor Nursing and Rehabilitation Center	5.0	5
Avir at Arbor Terrace	5.4	7
Sagecrest Alzheimers Care Center	6.2	2
Robert Lee Care Center	34.1	3
Bronte Health and Rehab Center	34.8	6
Schleicher County Medical Center	37.3	4
Central Texas Nursing & Rehabilitation	38.7	10

What the record doesn’t say

Complaints that didn’t lead to a citation aren’t published.
Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.

Sources

Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).

Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).

Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).

Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).

Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).

Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.

This copy of the record was made on Nov 5, 2026.

From the home

The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.

Replies

None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.

Paid listing

None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.

Avir at San Angelo

The short answer

What did inspectors find?

When those citations happened

All 33 citations in the last three years

Is it certified, and in good standing?

Has it been fined or penalized?

Who does the caring?

Who owns it?

How do residents fare?

How does it compare nearby?

What the record doesn’t say

Sources

From the home

Replies

Paid listing

How to read a record

Every fact names its source.

A number never stands alone.

What needs attention is marked.

The public record comes first.