Avir at San Knoll

Nursing home in San Antonio, TX

Medicare & Medicaid certified1★ overall (CMS)

Call (210) 699-8535 Send a message Map ↗

Public-record details

Address: 5757 N. Knoll, San Antonio, TX 78240
Phone: (210) 699-8535
Listed under: For-profit
Medicare CCN: 455804
Overall star rating: 1 of 5 ★☆☆☆☆
Health inspection rating: 1 of 5
Staffing rating: 1 of 5
Quality measures rating: 4 of 5
Certified beds: 120
Average residents per day: 48
Ownership: For-profit, limited Liability company
Legal business name: Uvalde County Hospital Authority
Certified for: Medicare and Medicaid
First approved by Medicare/Medicaid: Apr 26, 1989
Changed ownership in last 12 months: No
Continuing care retirement community: No
Located inside a hospital: No
Resident or family council: Resident council
Sprinklers in all required areas: Yes

CMS certification number 455804. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jul 24, 2025. CMS lists 55 health citations for this facility across its last three standard inspection cycles and complaint inspections (Apr 28, 2023 to Jun 11, 2026): 43 from complaint inspections, 1 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

Inspection	Citation	Severity
Jun 11, 2026	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights · complaint inspection	D Potential for more than minimal harm, isolated
May 22, 2026	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights · complaint inspection	D Potential for more than minimal harm, isolated
May 22, 2026	Keep residents' personal and medical records private and confidential. Resident Rights · complaint inspection	D Potential for more than minimal harm, isolated
May 22, 2026	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care · complaint inspection	D Potential for more than minimal harm, isolated
May 22, 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… Pharmacy Service · complaint inspection	D Potential for more than minimal harm, isolated
Apr 24, 2026	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights · complaint inspection	D Potential for more than minimal harm, isolated
Apr 24, 2026	Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Resident Rights · complaint inspection	D Potential for more than minimal harm, isolated
Apr 24, 2026	Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and… Nutrition and Dietary · complaint inspection	D Potential for more than minimal harm, isolated
Apr 24, 2026	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. Resident Rights · complaint inspection	E Potential for more than minimal harm, pattern
Apr 24, 2026	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care · complaint inspection	E Potential for more than minimal harm, pattern
Apr 24, 2026	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary · complaint inspection	E Potential for more than minimal harm, pattern
Apr 24, 2026	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary · complaint inspection	E Potential for more than minimal harm, pattern

Showing the 12 most recent of 55. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $27,710 and 1 denial of Medicare payment for new admissions in the last three years.

Apr 14, 2024	Fine: $27,710
Apr 14, 2024	Payment denial for 3 days from May 11, 2024

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day: 3.10 hours
Registered nurse (RN) time per resident per day: 0.28 hours
Nurse aide time per resident per day: 1.74 hours
Total nurse staffing on weekends: 2.91 hours
Nursing staff turnover (yearly): 75%
RN turnover (yearly): 80%
Administrators who left in the past year: 0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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