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Avir At Arbor Terrace is a 1-star rated nursing home in San Angelo, TX with 126 beds. CMS sub-ratings: health inspections 2/5, staffing 1/5, quality measures 4/5.

The facility has 69 health violations on record. Federal fines total $105,801 across 9 enforcement actions. Most recent inspection: February 7, 2025.

Staff turnover rate: 68.4% — significantly above the national average.

Data synthesized from CMS.gov and Texas public inspection records. Reviewed by Christopher F. Nesbitt, Sr., NR-EMT & BU-trained Paralegal.

Inspection History Overview

Data current as of May 6, 2026 · Source: CMS Provider Data

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Detailed Inspection Reports

Notice: These are official CMS inspection narratives containing detailed regulatory findings. This information is not available in searchable format anywhere else online.

Complaint Investigation

Fines and Penalties by Year

2022 4 penalties totaling $24,750

$15,000

Fine

$9,750

Fine

$15,000

Fine

$9,750

Fine

2021 2 penalties totaling $36,595

$9,750

Fine

$26,845

Fine

2019 2 penalties totaling $31,128

$3,318

Fine

$27,810

Fine

2018 1 penalties totaling $13,328

$13,328

Fine

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Health Violations by Year

2025 9 violations

Tag 0558 D Feb 7, 2025

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Feb 28, 2025
Tag 0580 D Feb 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: Feb 28, 2025
Tag 0583 D Feb 7, 2025

Keep residents' personal and medical records private and confidential.

✓ Corrected: Feb 28, 2025
Tag 0689 D Feb 7, 2025

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Feb 28, 2025
Tag 0695 D Feb 7, 2025

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Feb 28, 2025
Tag 0755 D Feb 7, 2025

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Feb 28, 2025
Tag 0761 E Feb 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: Feb 28, 2025
Tag 0849 D Feb 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: Feb 28, 2025
Tag 0880 E Feb 7, 2025

Provide and implement an infection prevention and control program.

✓ Corrected: Feb 28, 2025

2024 13 violations

Tag 0760 K Aug 10, 2024

Ensure that residents are free from significant medication errors.

✓ Corrected: Aug 11, 2024
Tag 0550 E Mar 29, 2024

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Tag 0584 E Mar 29, 2024

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.

Tag 0637 D Mar 29, 2024

Assess the resident when there is a significant change in condition

Tag 0656 D Mar 29, 2024

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Tag 0689 K Mar 29, 2024

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Tag 0695 E Mar 29, 2024

Provide safe and appropriate respiratory care for a resident when needed.

Tag 0755 D Mar 29, 2024

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Tag 0580 D Feb 29, 2024

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Mar 15, 2024
Tag 0584 E Jan 4, 2024

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: Jan 31, 2024
Tag 0727 E Jan 4, 2024

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.

✓ Corrected: Jan 31, 2024
Tag 0760 E Jan 4, 2024

Ensure that residents are free from significant medication errors.

✓ Corrected: Jan 31, 2024
Tag 0812 F Jan 4, 2024

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Jan 31, 2024

2023 4 violations

Tag 0678 J Dec 1, 2023

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

✓ Corrected: Nov 26, 2023
Tag 0761 D Sep 29, 2023

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: Oct 15, 2023
Tag 0622 D Jul 9, 2023

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: Jul 26, 2023
Tag 0623 D Jul 9, 2023

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

✓ Corrected: Jul 26, 2023

2022 11 violations

Tag 0578 E Oct 26, 2022

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

✓ Corrected: Nov 17, 2022
Tag 0656 D Oct 26, 2022

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Nov 17, 2022
Tag 0761 E Oct 26, 2022

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: Nov 17, 2022
Tag 0812 F Oct 26, 2022

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Nov 17, 2022
Tag 0814 C Oct 26, 2022

Dispose of garbage and refuse properly.

✓ Corrected: Nov 17, 2022
Tag 0880 E Oct 26, 2022

Provide and implement an infection prevention and control program.

✓ Corrected: Nov 17, 2022
Tag 0886 E Oct 26, 2022

Perform COVID19 testing on residents and staff.

✓ Corrected: Nov 17, 2022
Tag 0921 D Oct 26, 2022

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

✓ Corrected: Nov 17, 2022
Tag 0814 D Sep 1, 2022

Dispose of garbage and refuse properly.

✓ Corrected: Sep 2, 2022
Tag 0880 D Sep 1, 2022

Provide and implement an infection prevention and control program.

✓ Corrected: Sep 2, 2022
Tag 0880 E Jul 19, 2022

Provide and implement an infection prevention and control program.

✓ Corrected: Aug 11, 2022

2021 12 violations

Tag 0583 D Aug 19, 2021

Keep residents' personal and medical records private and confidential.

✓ Corrected: Sep 12, 2021
Tag 0584 E Aug 19, 2021

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: Sep 12, 2021
Tag 0675 D Aug 19, 2021

Honor each resident's preferences, choices, values and beliefs.

✓ Corrected: Sep 12, 2021
Tag 0689 D Aug 19, 2021

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Sep 12, 2021
Tag 0693 D Aug 19, 2021

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

✓ Corrected: Sep 12, 2021
Tag 0755 D Aug 19, 2021

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Sep 12, 2021
Tag 0812 F Aug 19, 2021

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Sep 12, 2021
Tag 0880 E Aug 19, 2021

Provide and implement an infection prevention and control program.

✓ Corrected: Sep 12, 2021
Tag 0600 J Apr 10, 2021

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Apr 11, 2021
Tag 0684 J Apr 10, 2021

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Apr 11, 2021
Tag 0880 D Apr 10, 2021

Provide and implement an infection prevention and control program.

✓ Corrected: Apr 26, 2021
Tag 0921 D Apr 10, 2021

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

✓ Corrected: Apr 26, 2021

2020 2 violations

Tag 0726 E Feb 12, 2020

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

✓ Corrected: Feb 27, 2020
Tag 0755 D Jan 23, 2020

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Feb 23, 2020

2019 8 violations

Tag 0622 E Nov 22, 2019

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: Dec 22, 2019
Tag 0578 D Aug 15, 2019

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

✓ Corrected: Sep 15, 2019
Tag 0656 D Aug 15, 2019

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Sep 15, 2019
Tag 0684 J Aug 15, 2019

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Aug 15, 2019
Tag 0697 D Aug 15, 2019

Provide safe, appropriate pain management for a resident who requires such services.

✓ Corrected: Sep 15, 2019
Tag 0760 J Aug 15, 2019

Ensure that residents are free from significant medication errors.

✓ Corrected: Aug 15, 2019
Tag 0880 D Aug 15, 2019

Provide and implement an infection prevention and control program.

✓ Corrected: Sep 15, 2019
Tag 0773 D Jun 21, 2019

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

✓ Corrected: Jun 26, 2019

2018 3 violations

Tag 0600 J Aug 6, 2018

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Aug 7, 2018
Tag 0610 J Aug 6, 2018

Respond appropriately to all alleged violations.

✓ Corrected: Aug 7, 2018
Tag 0880 D Apr 10, 2018

Provide and implement an infection prevention and control program.

✓ Corrected: May 15, 2018

2017 7 violations

Tag 0157 F Jun 30, 2017

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Jul 29, 2017
Tag 0329 E Jun 30, 2017

Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.

✓ Corrected: Jul 29, 2017
Tag 0425 E Jun 30, 2017

Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.

✓ Corrected: Jul 29, 2017
Tag 0431 E Jun 30, 2017

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.

✓ Corrected: Jul 29, 2017
Tag 0441 E Jun 30, 2017

Have a program that investigates, controls and keeps infection from spreading.

✓ Corrected: Jul 29, 2017
Tag 0465 E Jun 30, 2017

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

✓ Corrected: Jul 29, 2017
Tag 0514 F Jun 30, 2017

Keep accurate, complete and organized clinical records on each resident that meet professional standards.

✓ Corrected: Jul 29, 2017

Frequently Asked Questions About Avir At Arbor Terrace

What violations has Avir At Arbor Terrace received?
Avir At Arbor Terrace has 69 health and safety violation(s) documented by CMS inspections. All violation data comes from official Medicare inspection reports and is updated regularly from government sources.
What is the quality rating of Avir At Arbor Terrace?
Avir At Arbor Terrace has a 1-star rating out of 5 from CMS. This rating indicates the facility may have quality concerns that should be investigated further. The rating is based on health inspections, staffing levels, and quality measures.
When was Avir At Arbor Terrace last inspected?
Inspection reports are documented by state survey agencies and the Centers for Medicare & Medicaid Services (CMS). Reports typically lag 2-3 months behind the actual inspection date. Visit the facility's full profile page for detailed violation information and inspection history.
Is Avir At Arbor Terrace safe?
Safety at Avir At Arbor Terrace should be evaluated based on multiple factors: the facility's CMS rating, recent violation history, and personal visits. We recommend reviewing the complete inspection history, speaking with current residents and families, consulting healthcare professionals, and visiting in person before making placement decisions.
How do I contact Avir At Arbor Terrace?
Phone: (325) 653-1266. Address: 609 Rio Concho Dr, San Angelo, TX. For visiting hours and admission information, call the facility directly.
What services does Avir At Arbor Terrace offer?
Avir At Arbor Terrace is a skilled nursing facility with 126 beds. The facility accepts Medicare and Medicaid. For specific services like rehabilitation, memory care, or short-term recovery, contact the facility directly.
What are better facilities near San Angelo, TX?
Compare Avir At Arbor Terrace with other nursing homes in San Angelo, TX on our facilities page. Filter by star rating, bed count, and recent inspection results to find the best match for your needs.

Compare Nursing Homes in San Angelo, TX

Facility Rating Violations Beds
Avir At Arbor Terrace (this facility) ★☆☆☆☆ 69 126
Sagecrest Alzheimers Care Center ★★★★★ 18 72
Shannon Medical Center ★★★★★ 5 28
Cedar Manor Nursing And Rehabilitation Center ★★★★☆ 45 166
Elsie Gayer Health Care Center ★★★★☆ 0 69
Park Plaza Nursing And Rehabilitation Center ★★★☆☆ 45 90
Regency House ★★★☆☆ 25 120

Editorial Standards & Data Oversight

Data Source: This report is based on official public inspection records from the Centers for Medicare & Medicaid Services (CMS) Provider Data Catalog.

Editorial Process: Content generated using AI to synthesize complex regulatory data, then reviewed and verified for accuracy by our editorial team.

Professional Review: All content undergoes standards and compliance oversight by Christopher F. Nesbitt, Sr., Nationally Registered EMT & BU-trained Paralegal, using professional regulatory data auditing protocols.

Last verified: February 7, 2025 | Our methodology | Editorial standards | Report an error

This page is maintained by NursingHomeNews.org and is not affiliated with Avir At Arbor Terrace.

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