Avir at Arbor Terrace
609 Rio Concho Dr · San Angelo, TX · 76903 · 3256531266
126 certified beds For profit - Corporation Chain: Avir Health Group
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Staffing levels are well below research benchmarks for safe care.
- Federal penalties on record: $68,572 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
3 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
$68,572 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
RN staffing in the bottom 10% nationally
0.17 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
79% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.13 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.17 | 0.55–0.75 |
| Weekend hours / resident-day | 2.79 | ≈ weekday level |
| Nursing turnover / year | 79% | median 45% |
| Fines (3-yr window) | 3 · $121,840 |
Inspection citations (45 in the current record)
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Potential for harm · E April 30, 2026 · found via complaint
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Deficient, Provider has no plan of correction · Resident Assessment and Care Planning
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Potential for harm · D April 30, 2026 · found via complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Deficient, Provider has no plan of correction · Resident Assessment and Care Planning
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Potential for harm · E April 30, 2026 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Deficient, Provider has no plan of correction · Resident Assessment and Care Planning
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Potential for harm · D April 30, 2026 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Deficient, Provider has no plan of correction · Quality of Life and Care
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Potential for harm · E April 30, 2026 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Deficient, Provider has no plan of correction · Environmental
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Potential for harm · D November 18, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected December 31, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 22, 2025 · found via complaint
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected June 2, 2025 · Resident Rights
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Potential for harm · D May 22, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected June 2, 2025 · Quality of Life and Care
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Potential for harm · D February 7, 2025
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected February 28, 2025 · Resident Rights
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Potential for harm · D February 7, 2025
Keep residents' personal and medical records private and confidential.
Corrected February 28, 2025 · Resident Rights
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Potential for harm · D February 7, 2025
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.
Corrected February 28, 2025 · Resident Rights
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Potential for harm · D February 7, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected February 28, 2025 · Pharmacy Service
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Potential for harm · E February 7, 2025
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.
Corrected February 28, 2025 · Pharmacy Service
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Potential for harm · D February 7, 2025
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.
Corrected February 28, 2025 · Administration
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Potential for harm · E February 7, 2025
Provide and implement an infection prevention and control program.
Corrected February 28, 2025 · Infection Control
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Potential for harm · D February 7, 2025 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected February 28, 2025 · Resident Rights
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Potential for harm · D February 7, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 28, 2025 · Quality of Life and Care
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Potential for harm · D February 7, 2025 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected February 28, 2025 · Quality of Life and Care
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Potential for harm · D November 20, 2024 · found via complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected December 20, 2024 · Resident Assessment and Care Planning
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Potential for harm · D November 20, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected December 20, 2024 · Infection Control
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Immediate jeopardy · K August 10, 2024 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected August 11, 2024 · Pharmacy Service
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Immediate jeopardy · K March 29, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 30, 2024 · Quality of Life and Care
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Potential for harm · E March 29, 2024 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 30, 2024 · Resident Rights
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Potential for harm · E March 29, 2024 · found via complaint
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.
Corrected March 30, 2024 · Resident Rights
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Potential for harm · D March 29, 2024 · found via complaint
Assess the resident when there is a significant change in condition
Corrected March 30, 2024 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| August 10, 2024 | Fine | $68,572 |
| January 4, 2024 | Fine | $37,999 |
| December 1, 2023 | Fine | $15,269 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675932 · certified since October 1, 2002. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.