For profit - Individual · 126 certified beds · CMS number 675932
Avir at Arbor Terrace, San Angelo, TX
CMS records 36 health deficiencies at Avir at Arbor Terrace in San Angelo, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Apr 30, 2026. The highest severity cited is K (immediate jeopardy to resident health or safety). 3 citations were at the immediate jeopardy level, 1 of them recorded as past non-compliance (fixed before the inspection). CMS lists 3 fines totaling $121,840 in the last three years.
- 36deficiencies, 3 cycles (TX median 25)
- 7in the latest cycle (TX median 8)
- Khighest severity · Immediate jeopardy
- $121,840fines, last 3 years
- 1CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Avir at Arbor Terrace as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Avir at Arbor Terrace may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (7 deficiencies)
Standard inspection Apr 30, 2026. CMS counts 7 health deficiencies and 8 fire safety deficiencies in this cycle.
Apr 30, 2026 · Standard + complaint inspection
6 deficiencies, highest E
F921 · Safe, functional, sanitary building
Requirement cited (CMS): Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date May 25, 2026
F695 · Respiratory and oxygen care
Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 25, 2026
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date May 25, 2026
F655 · Baseline care plan within 48 hours
Requirement cited (CMS): Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 25, 2026
F644 · Coordinating with PASARR screening
Requirement cited (CMS): Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date May 25, 2026
F558 · Accommodating individual needs and preferences
Requirement cited (CMS): Reasonably accommodate the needs and preferences of each resident.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date May 25, 2026
Nov 18, 2025 · Complaint inspection
1 deficiency, highest D
F609 · Reporting suspected abuse and crimes
Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 31, 2025
Previous cycle: 14 deficiencies (standard inspection Feb 7, 2025)
Standard inspection Feb 7, 2025. CMS counts 14 health deficiencies and 4 fire safety deficiencies in this cycle.
May 22, 2025 · Complaint inspection
2 deficiencies, highest D
F684 · Quality of care
Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 2, 2025
F561 · Making everyday choices
Requirement cited (CMS): Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 2, 2025
Feb 7, 2025 · Standard + complaint inspection
10 deficiencies, highest E
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 28, 2025
F849 · Hospice services
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 28, 2025
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 28, 2025
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 28, 2025
F695 · Respiratory and oxygen care
Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 28, 2025
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 28, 2025
F622 · Permitted reasons for transfer or discharge
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 28, 2025
F583 · Personal privacy and confidential records
Requirement cited (CMS): Keep residents' personal and medical records private and confidential.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 28, 2025
F580 · Telling residents and families about changes
Requirement cited (CMS): Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 28, 2025
F558 · Accommodating individual needs and preferences
Requirement cited (CMS): Reasonably accommodate the needs and preferences of each resident.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 28, 2025
Nov 20, 2024 · Complaint inspection
2 deficiencies, highest D
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 20, 2024
F655 · Baseline care plan within 48 hours
Requirement cited (CMS): Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 20, 2024
Earlier cycle: 15 deficiencies (standard inspection Jan 4, 2024)
Standard inspection Jan 4, 2024. CMS counts 15 health deficiencies and 4 fire safety deficiencies in this cycle.
Aug 10, 2024 · Complaint inspection
1 deficiency, highest K
F760 · No significant medication errors
Requirement cited (CMS): Ensure that residents are free from significant medication errors.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Aug 11, 2024
Mar 29, 2024 · Complaint inspection
7 deficiencies, highest K
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 30, 2024
- Found in
- infection control inspection
F695 · Respiratory and oxygen care
Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 30, 2024
- Found in
- infection control inspection
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Mar 30, 2024
- Found in
- infection control inspection
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 30, 2024
- Found in
- infection control inspection
F637 · Reassessment after a significant change
Requirement cited (CMS): Assess the resident when there is a significant change in condition
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 30, 2024
- Found in
- infection control inspection
F584 · Safe, clean, homelike surroundings
Requirement cited (CMS): 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.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 30, 2024
- Found in
- infection control inspection
F550 · Dignity and the right to exercise rights
Requirement cited (CMS): Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 30, 2024
- Found in
- infection control inspection
Feb 29, 2024 · Complaint inspection
1 deficiency, highest D
F580 · Telling residents and families about changes
Requirement cited (CMS): Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 15, 2024
Jan 4, 2024 · Standard inspection
4 deficiencies, highest F
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Jan 31, 2024
F760 · No significant medication errors
Requirement cited (CMS): Ensure that residents are free from significant medication errors.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jan 31, 2024
F727 · RN coverage and director of nursing
Requirement cited (CMS): Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jan 31, 2024
F584 · Safe, clean, homelike surroundings
Requirement cited (CMS): 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.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jan 31, 2024
Dec 1, 2023 · Complaint inspection
1 deficiency, highest J
F678 · CPR and basic life support
Requirement cited (CMS): Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Past non-compliance (fixed before the inspection), Nov 26, 2023
Sep 29, 2023 · Complaint inspection
1 deficiency, highest D
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 15, 2023
Tags cited in more than one inspection
11 tags cited on more than one inspection date at Avir at Arbor Terrace; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F695 Respiratory and oxygen care | 3 | Apr 30, 2026; Feb 7, 2025; Mar 29, 2024 |
| F558 Accommodating individual needs and preferences | 2 | Apr 30, 2026; Feb 7, 2025 |
| F580 Telling residents and families about changes | 2 | Feb 7, 2025; Feb 29, 2024 |
| F584 Safe, clean, homelike surroundings | 2 | Mar 29, 2024; Jan 4, 2024 |
| F655 Baseline care plan within 48 hours | 2 | Apr 30, 2026; Nov 20, 2024 |
| F656 Comprehensive person-centered care plan | 2 | Apr 30, 2026; Mar 29, 2024 |
| F689 Accident prevention and supervision | 2 | Feb 7, 2025; Mar 29, 2024 |
| F755 Pharmacy services and a consultant pharmacist | 2 | Feb 7, 2025; Mar 29, 2024 |
| F760 No significant medication errors | 2 | Aug 10, 2024; Jan 4, 2024 |
| F761 Drug labeling and secure storage | 2 | Feb 7, 2025; Sep 29, 2023 |
| F880 Infection prevention and control program | 2 | Feb 7, 2025; Nov 20, 2024 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Aug 10, 2024 | Fine | $68,572 |
| Jan 4, 2024 | Fine | $37,999 |
| Dec 1, 2023 | Fine | $15,269 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.05 h (below the Texas median of 3.27 h)
- RN hours per resident per day
- 0.14 h (below the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.82 h
- Nursing staff turnover
- 75.3% (Texas median 52.1%)
- Administrators who left
- 0
- CMS overall rating
- 1 of 5
- Health inspection rating
- 2 of 5
- Staffing rating
- 1 of 5
- Quality measure rating
- 3 of 5
CMS figures for Avir at Arbor Terrace, copied as published; Texas medians are ours.
Facility details
- Address
- 609 Rio Concho Dr, San Angelo, TX 76903
- Phone
- (325) 653-1266
- County
- Tom Green
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Individual
- Chain (CMS)
- Avir Health Group
- Certified beds
- 126
- Average residents per day
- 64.8
- In Medicare/Medicaid since
- Oct 1, 2002
- Inside a hospital
- Yes
- Continuing care retirement community
- No
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
Questions to ask on a visit
Based on the tags cited most often here.
- How are oxygen equipment and breathing treatments managed and checked? (F695, cited 3 times)
- How does the home adapt rooms and routines for residents with limited mobility, vision, or hearing? (F558, cited 2 times)
- How quickly is the family called if a resident falls or their condition changes? (F580, cited 2 times)
- How often are rooms cleaned and bed linens changed? (F584, cited 2 times)
Other nursing homes in San Angelo and the same chain
- Avir at San Angelo
San Angelo · 34 deficiencies - Park Plaza Nursing and Rehabilitation Center
San Angelo · 28 deficiencies - Avir at Meadow Creek
San Angelo · 23 deficiencies - Cedar Manor Nursing and Rehabilitation Center
San Angelo · 19 deficiencies - Regency House
San Angelo · 19 deficiencies - Sagecrest Alzheimers Care Center
San Angelo · 9 deficiencies - Avir at El Paso
El Paso · 93 deficiencies - Avir at Patriot
El Paso · 78 deficiencies - Avir at Cowhorn Creek
Texarkana · 68 deficiencies - Avir at Kerrville
Kerrville · 67 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.