Nursing HomeInspections

Avir at Arbor Terrace

Nursing home in San Angelo, TX

Medicare & Medicaid certified1★ overall (CMS)

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Public-record details

Address
609 Rio Concho Dr, San Angelo, TX 76903
Phone
(325) 653-1266
Listed under
For-profit
Medicare CCN
675932
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
2 of 5
Staffing rating
1 of 5
Quality measures rating
3 of 5
Certified beds
126
Average residents per day
72
Ownership
For-profit, individual
Legal business name
Stratford Hospital District
Chain
Avir Health Group (118 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Oct 1, 2002
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
Yes
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 675932. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Apr 30, 2026. CMS lists 35 health citations for this facility across its last three standard inspection cycles and complaint inspections (Dec 1, 2023 to Apr 30, 2026): 23 from complaint inspections, 3 at the “actual harm” level or higher, including 3 at “immediate jeopardy”.

InspectionCitationSeverity
Apr 30, 2026Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning · complaint inspection
D
Potential for more than minimal harm, isolated
Apr 30, 2026Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Apr 30, 2026Reasonably accommodate the needs and preferences of each resident.
Resident Rights
E
Potential for more than minimal harm, pattern
Apr 30, 2026Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning · complaint inspection
E
Potential for more than minimal harm, pattern
Apr 30, 2026Develop 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 · complaint inspection
E
Potential for more than minimal harm, pattern
Apr 30, 2026Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental · complaint inspection
E
Potential for more than minimal harm, pattern
Nov 18, 2025Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection
D
Potential for more than minimal harm, isolated
May 22, 2025Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights · complaint inspection
D
Potential for more than minimal harm, isolated
May 22, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Feb 7, 2025Reasonably accommodate the needs and preferences of each resident.
Resident Rights · complaint inspection
D
Potential for more than minimal harm, isolated
Feb 7, 2025Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights
D
Potential for more than minimal harm, isolated
Feb 7, 2025Keep residents' personal and medical records private and confidential.
Resident Rights
D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 35. 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 Oct 1, 2026.

Fines and payment denials

CMS records 3 fines totalling $121,840 in the last three years.

Aug 10, 2024Fine: $68,572
Jan 4, 2024Fine: $37,999
Dec 1, 2023Fine: $15,269

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

Staffing

Total nurse staffing per resident per day
3.02 hours
Registered nurse (RN) time per resident per day
0.16 hours
Nurse aide time per resident per day
1.81 hours
Total nurse staffing on weekends
2.69 hours
Nursing staff turnover (yearly)
72%
RN turnover (yearly)
86%
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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