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 HHS 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 HHS licensing registry · as of April 16, 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 HHS 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.