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 HHS 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 HHS licensing registry · as of April 16, 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 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.