Avir At Arbor Terrace
609 RIO CONCHO DR, San Angelo, TX, 76903
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: Slp Operations
- Certified beds
- 126 · avg 69 residents/day
- Total nursing staff turnover
- 68.7% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 81.8% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 3 fines · $121,840 total
- Infection control citations
- 7
State licensing & capacity
- License number
- 148301
- Service type
- Medicare/medicaid
- Licensed capacity
- 126 beds
- Bed type breakdown
- 43 Medicare-only · 83 Medicaid/Medicare
- Current license effective
- October 1, 2025
- Current license expires
- August 31, 2026
- Initial license date
- September 1, 1971
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Stratford Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- 609 Rio Concho Dr Opco Llc
- Administrator
- Karen Kohlleppel
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Avir Health Group chain — 90 facilities. Chain-wide average overall rating 2.3 / 5.
Disclosed owners (11 on record)
- 609 Rio Concho dr Opco Llc
Adp of The Snf · since 2026
- 609 Rio Concho dr Property Owner Llc
Adp of The Snf · since 2025
- Aaron Travitsky
Operational/managerial Control · since 2025
- Hccf Management Group xi Llc
Adp of The Snf · since 2025
- Nochum Freund
Operational/managerial Control · since 2025
- Welltower IncREIT
Adp of The Snf · since 2025
+ 5 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 40)
- D0609·Nov 18, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D0684·May 22, 2025Complaint
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D0561·May 22, 2025Complaint
Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- D0695·Feb 7, 2025Complaint
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
- D0689·Feb 7, 2025Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D0558·Feb 7, 2025Complaint
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
- E0880·Feb 7, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0849·Feb 7, 2025
Administration Deficiencies
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.
Federal penalties
By year
- 20242 fines · $107K
- 20231 fine · $15K
Most recent events
- Aug 10, 2024Fine · $69K
- Jan 4, 2024Fine · $38K
- Dec 1, 2023Fine · $15K
Largest single fine on record: $69K.
Fire-safety citations
8 Life-Safety-Code citations on file. Most recent: Feb 7, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Avir At Arbor Terrace is a 126-bed nursing home in San Angelo, Texas, licensed since 1971 and operated under Stratford Hospital District with day-to-day management by 609 Rio Concho Dr Opco LLC. CMS rates it 1 star overall — the lowest rating possible. Three fines totaling $121,840 have been assessed, and staffing is also rated 1 star. Quality-of-care measures rate 4 stars. The facility is running at about 55% of licensed capacity.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates this facility 1 star on staffing — the bottom tier among Texas nursing homes, where 1-star facilities make up roughly 38% of the state. Each resident receives about 195 minutes of nursing care per day, approximately 46 minutes less than at a 4-star-staffing facility in Texas. Of that, only 14 minutes per day comes from a registered nurse. Residents here also tend to need more hands-on care than at a typical facility — sicker or less mobile on average — so the same staffing hours stretch thinner than those raw minutes suggest.
Roughly 7 in 10 nursing staff left in the past year. That rate sits well above Texas's 75th percentile of 60%, meaning turnover here is higher than at least three-quarters of nursing homes in the state. A long-stay resident will likely go through two or three primary caregivers over time. RN turnover is higher still — about 8 in 10 registered nurses left in the past year.
Three CMS fines totaling $121,840 have been assessed against this facility. The state median fine total across penalized Texas facilities is about $20,699, placing this facility's fine total well above typical. Roughly 30% of Texas nursing homes have received no fines at all.
At roughly 55% of licensed capacity — about 69 residents in a 126-bed building — this facility is operating well below full occupancy. That gap is present alongside the staffing and fine signals above.
Quality measures rate 4 stars, both for long-stay residents and — at 3 stars — for short-stay residents. These scores reflect reported resident health outcomes such as rates of falls, pressure wounds, and pain management, independent of the staffing rating.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing levels on nights and weekends
Weekend nursing hours average 2.94 hours per resident per day — lower than the weekday figure; ask specifically how many nurses and aides are on the floor overnight and on Saturdays and Sundays.
Why RN turnover is so high
About 8 in 10 registered nurses left in the past year; ask what is driving that rate and how long the current RNs have been in their roles.
Details behind the three CMS fines
Three fines totaling $121,840 have been assessed; ask what deficiencies triggered each fine and what specific changes were made in response.
Current bed occupancy and what it means
The facility is at roughly 55% capacity with about 69 residents in 126 beds; ask whether admissions have changed recently and what is driving the low census.
Management company's role day to day
The licensee is Stratford Hospital District but daily operations are managed by 609 Rio Concho Dr Opco LLC; ask who makes staffing and care decisions and who to contact if a concern arises.
How the Resident Council functions
A Resident Council exists but there is no Family Council; ask how often the Resident Council meets, whether families can attend, and how concerns raised there get resolved.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.