For profit - Corporation · 125 certified beds · CMS number 676100

Avir at San Angelo, San Angelo, TX

CMS records 34 health deficiencies at Avir at San Angelo in San Angelo, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on May 7, 2026. The highest severity cited is K (immediate jeopardy to resident health or safety). 1 citation was at the immediate jeopardy level. CMS lists 2 fines totaling $78,860 in the last three years.

Inspections and deficiencies

CMS findings for Avir at San Angelo as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Avir at San Angelo may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare

Most recent cycle (11 deficiencies)

Standard inspection May 7, 2026. CMS counts 11 health deficiencies and 8 fire safety deficiencies in this cycle.

May 7, 2026 · Standard + complaint inspection

9 deficiencies, highest E

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 May 31, 2026

F814 · Garbage disposal

Requirement cited (CMS): Dispose of garbage and refuse properly.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date May 31, 2026

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
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date May 31, 2026

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 May 31, 2026

F759 · Medication error rate under 5 percent

Requirement cited (CMS): Ensure medication error rates are not 5 percent or greater.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date May 31, 2026

F699 · Trauma-informed, culturally competent care

Requirement cited (CMS): Provide care or services that was trauma informed and/or culturally competent.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date May 31, 2026

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
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date May 31, 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
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date May 31, 2026

F645 · Pre-admission screening for mental disorder or intellectual disability

Requirement cited (CMS): PASARR screening for Mental disorders or Intellectual Disabilities

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date May 31, 2026

Feb 17, 2026 · Complaint inspection

1 deficiency, highest D

F686 · Pressure ulcer prevention and care

Requirement cited (CMS): Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Mar 13, 2026

Nov 19, 2025 · Complaint inspection

1 deficiency, highest E

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 Nov 20, 2025
Previous cycle: 8 deficiencies (standard inspection Mar 6, 2025)

Standard inspection Mar 6, 2025. CMS counts 8 health deficiencies and 3 fire safety deficiencies in this cycle.

Jun 14, 2025 · Complaint inspection

1 deficiency, highest D

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 Jul 8, 2025

Mar 6, 2025 · Standard inspection

4 deficiencies, highest H

F908 · Equipment kept in safe working order

Requirement cited (CMS): Keep all essential equipment working safely.

Severity
F No actual harm, potential for more than minimal harm, widespread
Status
Correction date Mar 7, 2025

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 Mar 7, 2025

F745 · Medically related social services

Requirement cited (CMS): Provide medically-related social services to help each resident achieve the highest possible quality of life.

Severity
H Actual harm (not immediate jeopardy), pattern
Status
Correction date Mar 7, 2025

F685 · Vision and hearing services

Requirement cited (CMS): Assist a resident in gaining access to vision and hearing services.

Severity
H Actual harm (not immediate jeopardy), pattern
Status
Correction date Mar 7, 2025

Oct 3, 2024 · Complaint inspection

3 deficiencies, highest D

F607 · Abuse prevention policies

Requirement cited (CMS): Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Oct 16, 2024

F600 · Freedom from abuse and neglect

Requirement cited (CMS): Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Oct 16, 2024

F559 · Roommate choice and room-change notice

Requirement cited (CMS): Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Oct 16, 2024
Earlier cycle: 15 deficiencies (standard inspection Dec 22, 2023)

Standard inspection Dec 22, 2023. CMS counts 15 health deficiencies and 1 fire safety deficiency in this cycle.

Dec 22, 2023 · Standard + complaint inspection

13 deficiencies, highest K

F881 · Antibiotic stewardship

Requirement cited (CMS): Implement a program that monitors antibiotic use.

Severity
F No actual harm, potential for more than minimal harm, widespread
Status
Correction date Dec 23, 2023

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 Dec 23, 2023

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
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Dec 23, 2023

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 Dec 23, 2023

F730 · Nurse aide reviews and in-service training

Requirement cited (CMS): Observe each nurse aide's job performance and give regular training.

Severity
F No actual harm, potential for more than minimal harm, widespread
Status
Correction date Dec 23, 2023

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 Dec 23, 2023

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 Dec 23, 2023

F677 · Help with daily care

Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Dec 23, 2023

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 Dec 23, 2023

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
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Dec 23, 2023

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
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Dec 23, 2023

F582 · Notice of covered and extra charges

Requirement cited (CMS): Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Dec 23, 2023

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 Dec 23, 2023

Sep 13, 2023 · Complaint inspection

2 deficiencies, highest H

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 Oct 12, 2023

F760 · No significant medication errors

Requirement cited (CMS): Ensure that residents are free from significant medication errors.

Severity
H Actual harm (not immediate jeopardy), pattern
Status
Past non-compliance (fixed before the inspection), Aug 14, 2023

Tags cited in more than one inspection

5 tags cited on more than one inspection date at Avir at San Angelo; each date counts once and does not mean the same incident. PNC = past non-compliance.

TagInspectionsDates
F880 Infection prevention and control program4May 7, 2026; Mar 6, 2025; Dec 22, 2023; Sep 13, 2023
F656 Comprehensive person-centered care plan3May 7, 2026; Nov 19, 2025; Dec 22, 2023
F689 Accident prevention and supervision3May 7, 2026; Jun 14, 2025; Dec 22, 2023
F761 Drug labeling and secure storage2May 7, 2026; Dec 22, 2023
F812 Food safety and sanitation2May 7, 2026; Dec 22, 2023

Fines and payment denials

DateTypeAmount / length
Mar 6, 2025Fine$54,919
Dec 22, 2023Fine$23,941

Staffing and CMS ratings

Total nurse staff hours per resident per day
2.99 h (below the Texas median of 3.27 h)
RN hours per resident per day
0.15 h (below the Texas median of 0.38 h)
Weekend nurse staff hours per resident per day
2.73 h
Nursing staff turnover
not reported
Administrators who left
not reported
CMS overall rating
1 of 5
Health inspection rating
2 of 5
Staffing rating
1 of 5
Quality measure rating
2 of 5

CMS figures for Avir at San Angelo, copied as published; Texas medians are ours.

Facility details

Address
5455 Knickerbocker Rd, San Angelo, TX 76904
Phone
(325) 944-1660
County
Tom Green
Accepts
Medicare and Medicaid
Ownership
For profit - Corporation
Chain (CMS)
Avir Health Group
Certified beds
125
Average residents per day
84.5
In Medicare/Medicaid since
Apr 11, 2006
Inside a hospital
No
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 do staff track and report infections among residents? (F880, cited 4 times)
  • How are a resident's goals and preferences written into the care plan? (F656, cited 3 times)
  • How does the home assess each resident's fall risk and plan to prevent falls? (F689, cited 3 times)
  • How are medications stored and secured on each unit? (F761, cited 2 times)

Other nursing homes in San Angelo and the same chain

Source

CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.

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