Avir At San Knoll
5757 N. KNOLL, San Antonio, TX, 78240
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 - Limited Liability company · Chain: Summit Ltc
- Certified beds
- 120 · avg 51 residents/day
- Total nursing staff turnover
- 66.7% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $39,165 total
- Payment denials
- 1 denial
State licensing & capacity
- License number
- 144394
- Service type
- Medicare/medicaid
- Licensed capacity
- 120 beds
- Bed type breakdown
- 39 Medicare-only · 81 Medicaid/Medicare
- Current license effective
- August 1, 2025
- Current license expires
- February 28, 2028
- Initial license date
- April 29, 1991
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Uvalde County Hospital Authority (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- 5757 N Knoll Opco
- Administrator
- Trista Gregory
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Summit Ltc chain — 9 facilities. Chain-wide average overall rating 2.0 / 5.
Parent entity
Uvalde County Hospital Authority
Disclosed owners (5 on record)
- Trista Gregory
Operational/managerial Control · since 2024
- Wesam Sabri Aziz
Corporate Director · since 2022
- Terri Contreras
Corporate Officer · since 2019
- Adam Apolinar
Corporate Officer · since 2015
- Uvalde County Hospital AuthorityParent
5% or Greater Direct Ownership Interest · 100% · since 2015
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 47)
- D0880·Dec 18, 2025Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0755·Dec 18, 2025Complaint
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D0689·Dec 18, 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.
- D0655·Dec 18, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D0609·Dec 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.
- D0584·Dec 18, 2025Complaint
Resident Rights Deficiencies
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.
- D0550·Dec 18, 2025Complaint
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D0689·Dec 2, 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.
Federal penalties
By year
- 20241 fine · $28K · 1 payment denial
- 20231 fine · $11K
Most recent events
- Apr 14, 2024Payment denial · 3 days · starting May 11, 2024
- Apr 14, 2024Fine · $28K
- Apr 28, 2023Fine · $11K
Largest single fine on record: $28K.
Fire-safety citations
15 Life-Safety-Code citations on file. Most recent: Jul 24, 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 Knoll is a 120-bed Medicare and Medicaid nursing home in San Antonio (Bexar County), operating under a hospital district licensee with day-to-day management by 5757 N Knoll Opco. CMS rates it 1 star overall — the lowest tier — with a 1-star staffing rating and a 2-star health inspection rating. The facility is running at roughly 42% of licensed capacity, about 51 residents in a building certified for 120.
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 — roughly the bottom 38% of Texas nursing homes on this measure. Each resident receives about 169 minutes of nursing care per day, approximately 72 minutes less than at a 4-star-staffing facility in Texas. Registered nurses account for only 11 of those minutes. Residents here require more hands-on care than at a typical facility — less mobile or more medically complex on average — so those staffing hours stretch thinner than the raw minutes suggest.
About 7 in 10 nursing staff left in the past year. Texas's median nursing home sees 5 in 10 leave annually; the 75th percentile is 6 in 10. At this rate, a long-stay resident will likely go through two or three primary caregivers over the course of a year.
One administrator has turned over in the past year, which falls into an elevated pattern relative to peers.
CMS recorded 2 fines totaling $39,165 since the facility's data window. The Texas median for facilities that receive any fine is $20,699; about 30% of Texas nursing homes received no fines at all in the same period.
The facility is operating at roughly 42% of its 120 licensed beds — about 51 residents on an average day. This level of low occupancy, alongside the staffing, turnover, and fine signals above, is a concrete data point families should factor into their questions.
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
With 169 minutes of daily nursing care per resident — 72 minutes below the Texas 4-star threshold — ask exactly how many nurses and aides are on the floor during overnight and weekend shifts.
Why occupancy is this low
The facility averages about 51 residents in a building licensed for 120; ask management directly what is driving the low census and whether it affects staffing decisions.
Continuity of care team
With roughly 7 in 10 nursing staff leaving in the past year, ask how the facility assigns and maintains a consistent care team for each resident.
Administrator transition and current leadership
One administrator turned over in the past year; ask how long the current administrator has been in place and who oversees daily operations.
Background on recent fines
Two CMS fines totaling $39,165 appear in the record; ask what deficiencies prompted them and what corrective steps were taken.
Resident Council participation and access
The facility has a Resident Council but no Family Council; ask how family members can raise concerns and how often the Resident Council meets.
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.