Ellery Care
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Avir At Arbor Terrace

609 Rio Concho Dr, San Angelo, TX 76903 · Tom Green County

For-profit · 126 certified beds · 51% occupancy · (325) 653-1266

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Avir At Arbor Terrace reviews: what the government record shows

The U.S. government (CMS) rates Avir At Arbor Terrace 1 out of 5 stars overall, much below average. Its nurse staffing is 7% below the Texas median. Inspectors cited it for 3 immediate-jeopardy findings in recent inspection cycles.

Updated September 2026 from the latest CMS data release. Ellery Care shows the government's own inspection and safety record, not consumer reviews.

At a glance

CMS overall rating
1 of 5 stars
Nurse staffing
3.05 hrs/resident/day (-7% vs TX median)
Antipsychotic drug use
3.7% of long-stay residents (TX median 8.3%)
Falls with major injury
5.7% of long-stay residents (TX median 3%)
Federal fines (3 yrs)
$121,840
Inspection findings
36 cited, 3 immediate-jeopardy
Federal abuse-warning flag
No

Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05.

What this means for your family

Several serious marks on its federal record. Look closely and ask hard questions before deciding.

Concerns

  • !CMS rates it just 1 of 5 stars overall.
  • !Nurse staffing of 3.05 hrs/resident/day is below the Texas median of 3.27.
  • !Cited for 3 immediate-jeopardy findings (the most serious category) in recent inspections.
  • !Has paid $121,840 in federal fines in roughly the last three years.

Questions to ask on your visit

  • ·How many residents does each nurse and aide care for on the day, evening, and overnight shifts?
  • ·Can we see the most recent inspection report and the plan of correction?

Touring in person? Our free nursing-home tour checklist has 30 questions to ask and the red flags to watch for, printable to take with you.

A plain-English read of this home's public record. Not advice — always visit in person.

Common questions about Avir At Arbor Terrace

Is Avir At Arbor Terrace a good nursing home?

Avir At Arbor Terrace in San Angelo, Texas holds a 1 of 5 star CMS overall rating. Several serious marks on its federal record. Look closely and ask hard questions before deciding.

How is Avir At Arbor Terrace staffed?

Avir At Arbor Terrace reports 3.05 nurse hours per resident per day, below the Texas median of 3.27 hours per resident per day.

Has Avir At Arbor Terrace been fined or flagged for abuse?

Avir At Arbor Terrace has paid approximately $121,840 in federal fines in roughly the last three years, and does not currently carry a federal abuse-warning flag.

CMS quality ratings

Overall★★★★★
Health inspections★★★★★
Staffing★★★★★
Quality of resident care★★★★★

Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. Stars are CMS's own five-star ratings.

Nurse staffing

Staffing is the single strongest predictor of nursing home quality, and the number pay-to-play referral sites rarely show you.

TX median 3.27

3.05 nurse hours per resident per day. 7% below the Texas median of 3.27.

Total nurse
3.05 hrs
RN
0.14 hrs
LPN
1.11 hrs
Aide
1.80 hrs

Nursing staff turnover: 75.3% · RN turnover: 83.3%

Safety & compliance flags

No CMS warning flags on record.

Recent inspection findings

The specific problems state inspectors cited, the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.

36
total findings
3
immediate jeopardy
0
caused actual harm
24
from complaints
  • Potential for harmTag F0558 · Apr 30, 2026Corrected May 25, 2026

    Reasonably accommodate the needs and preferences of each resident.

    Resident Rights Deficiencies

  • Potential for harmTag F0644 · Apr 30, 2026ComplaintCorrected May 25, 2026

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Resident Assessment and Care Planning Deficiencies

  • Potential for harmTag F0656 · Apr 30, 2026ComplaintCorrected May 25, 2026

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Resident Assessment and Care Planning Deficiencies

  • Potential for harmTag F0921 · Apr 30, 2026ComplaintCorrected May 25, 2026

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Environmental Deficiencies

  • Potential for harmTag F0655 · Apr 30, 2026ComplaintCorrected May 25, 2026

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Resident Assessment and Care Planning Deficiencies

  • Potential for harmTag F0695 · Apr 30, 2026ComplaintCorrected May 25, 2026

    Provide safe and appropriate respiratory care for a resident when needed.

    Quality of Life and Care Deficiencies

  • Potential for harmTag F0609 · Nov 18, 2025ComplaintCorrected Dec 31, 2025

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies

  • Immediate jeopardyTag F0760 · Aug 10, 2024ComplaintCorrected Aug 11, 2024

    Ensure that residents are free from significant medication errors.

    Pharmacy Service Deficiencies

  • Potential for harmTag F0761 · Feb 7, 2025Corrected Feb 28, 2025

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Pharmacy Service Deficiencies

  • Potential for harmTag F0880 · Feb 7, 2025Corrected Feb 28, 2025

    Provide and implement an infection prevention and control program.

    Infection Control Deficiencies

Showing the 10 most recent and serious of 36 findings. See the full inspection history on Medicare.gov.

Antipsychotic drug use

The share of long-stay residents given antipsychotic medication. These drugs are sometimes used to sedate residents with dementia, a practice CMS and resident advocates watch closely. Lower is better.

3.7%
of long-stay residents
Texas median 8.3%
National median 13.4%

This is at or below the Texas median, which is a reassuring sign for how the home manages dementia care.

Source: CMS MDS Quality Measures, long-stay antipsychotic measure, retrieved 2026-09-05. See the Texas study

Preventable harm

Two injuries that good staffing and attentive care are meant to prevent: serious falls and pressure ulcers (bedsores). These are the outcomes families fear most, and they rarely appear on referral sites. Lower is better on both.

Falls with major injury
5.7%
of long-stay residents
Texas median 3% · National median 2.8%
Pressure ulcers (bedsores)
4%
of long-stay residents
Texas median 3.3% · National median 4.2%

The serious-fall rate here is above the national median. It is worth asking how the home prevents falls and whether recent injuries prompted any changes.

Source: CMS MDS Quality Measures, long-stay falls and pressure-ulcer measures, period 2025Q2-2026Q1, retrieved 2026-09-05. Texas falls study · bedsore study

Federal fines and penalties

Money CMS has fined this home, plus other federal penalties, over roughly the last three years. Fines follow serious or repeated violations.

Total fines
$121,840
Number of fines
3
Payment denials
0

Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. See the most-fined homes in Texas

Ownership

This home is for-profit (for profit - individual). It is part of the Avir Health Group chain, which operates 116 facilities, with a chain-average CMS rating of 2.3 stars.