Avir At San Angelo
5455 KNICKERBOCKER RD, San Angelo, TX, 76904
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 - Individual · Chain: Avir Health Group
- Certified beds
- 125 · avg 86 residents/day
Enforcement & Citations
- Fines (past 3 years)
- 6 fines · $241,795 total
- Infection control citations
- 2
State licensing & capacity
- License number
- 312000
- Service type
- Medicare/medicaid
- Licensed capacity
- 125 beds
- Bed type breakdown
- 5 Medicare-only · 120 Medicaid/Medicare
- Current license effective
- June 1, 2024
- Current license expires
- June 1, 2027
- Initial license date
- November 12, 2008
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Uvalde County Hospital Authority (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- 5455 Knickerbocker Road Opco Llc
- Administrator
- Clay J Kofron
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 (12 on record)
- 5455 Knickerbocker Road Opco, Llc
Adp of The Snf · since 2025
- 5455 Knickerbocker Road Property Owner, Llc
5% or Greater Security Interest · 100% · since 2025
- Aaron Travitsky
Operational/managerial Control · since 2025
- Clay Kofron
Adp of The Snf · since 2025
- Hccf Management Group xi Llc
5% or Greater Security Interest · 100% · since 2025
- Nochum Freund
Operational/managerial Control · since 2025
+ 6 additional owners on the federal record.
Recent change of ownership
June 2024 (1 year ago) · acquired from San Angelo Nursing And Rehab
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, 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 37)
- E0656·Nov 19, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D0689·Jun 14, 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.
- F0908·Mar 6, 2025
Environmental Deficiencies
Keep all essential equipment working safely.
- E0880·Mar 6, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- H0745·Mar 6, 2025
Quality of Life and Care Deficiencies
Provide medically-related social services to help each resident achieve the highest possible quality of life.
- H0685·Mar 6, 2025
Quality of Life and Care Deficiencies
Assist a resident in gaining access to vision and hearing services.
- D0607·Oct 3, 2024Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D0600·Oct 3, 2024Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Federal penalties
By year
- 20251 fine · $55K
- 20235 fines · $187K
Most recent events
- Mar 6, 2025Fine · $55K
- Dec 22, 2023Fine · $24K
- Sep 13, 2023Fine · $12K
- Jul 28, 2023Fine · $126K
- May 16, 2023Fine · $10K
- Apr 1, 2023Fine · $15K
Largest single fine on record: $126K.
Fire-safety citations
4 Life-Safety-Code citations on file. Most recent: Mar 6, 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 San Angelo is a 125-bed nursing home in San Angelo, TX, licensed for Medicare and Medicaid residents and operated under the Avir Health Group chain. CMS rates it 1 star overall — the lowest rating possible — with 1-star scores across health inspections, staffing, and quality outcomes. Six CMS fines totaling $241,795 have been assessed, and the facility is running at 69% of licensed capacity with 86 residents per day.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 1 star. Each resident receives about 189 minutes of nursing care per day — roughly 52 minutes less than at a 4-star-staffing facility in Texas. Of those 189 minutes, only 15 are with a registered nurse. For context, a 4-star-staffing Texas facility averages 37 RN minutes per resident per day. About 38% of Texas nursing homes share this 1-star staffing rating.
Six CMS fines totaling $241,795 have been assessed against this facility. The state median for nursing homes that receive any fine at all is about $20,699 — this facility's total is roughly 12 times that figure. Approximately 30% of Texas nursing homes have received no fines at all.
The facility is operating at 69% of its 125 licensed beds, with an average of 86 residents on any given day. Low occupancy at a facility with multiple serious regulatory flags can reflect difficulty attracting new admissions.
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 here average 2.94 hours per resident per day — lower than the already-low weekday figure; ask how many nurses and aides are on duty overnight and on weekends.
Six fines totaling $241,795
CMS has levied six separate fines against this facility — ask what deficiencies triggered each fine and what specific changes were made in response.
Registered nurse coverage each day
Reported RN time runs about 15 minutes per resident per day; ask how many hours a registered nurse is physically present in the building on a typical day.
Current census and admission trends
The facility averages 86 residents against 125 licensed beds — ask whether occupancy has been rising or falling over the past 12 months and what is driving the current level.
Licensee and management company relationship
The licensee is Uvalde County Hospital Authority while day-to-day management is handled by a separate company; ask who makes staffing and care decisions and who residents or families contact when problems arise.
Resident Council activity
The facility has a Resident Council but no Family Council — ask how often the Resident Council meets, who attends from management, and how concerns raised there have been 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.