Avir At San Knoll
5757 N. Knoll, San Antonio, TX 78240 · Bexar County
For-profit · 120 certified beds · 40% occupancy · (210) 699-8535
Avir At San Knoll reviews: what the government record shows
The U.S. government (CMS) rates Avir At San Knoll 1 out of 5 stars overall, much below average. Its nurse staffing is 5% below the Texas median. Inspectors cited it for 1 immediate-jeopardy finding 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
- 3.10 hrs/resident/day (-5% vs TX median)
- Antipsychotic drug use
- 9.3% of long-stay residents (TX median 8.3%)
- Falls with major injury
- 3.7% of long-stay residents (TX median 3%)
- Federal fines (3 yrs)
- $27,710
- Inspection findings
- 55 cited, 1 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 3.10 hrs/resident/day is below the Texas median of 3.27.
- !Cited for 1 immediate-jeopardy finding (the most serious category) in recent inspections.
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 San Knoll
Is Avir At San Knoll a good nursing home?
Avir At San Knoll in San Antonio, 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 San Knoll staffed?
Avir At San Knoll reports 3.10 nurse hours per resident per day, below the Texas median of 3.27 hours per resident per day.
Has Avir At San Knoll been fined or flagged for abuse?
Avir At San Knoll has paid approximately $27,710 in federal fines in roughly the last three years, and does not currently carry a federal abuse-warning flag.
CMS quality ratings
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.
3.10 nurse hours per resident per day. 5% below the Texas median of 3.27.
Nursing staff turnover: 75% · RN turnover: 80%
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.
- Potential for harmTag F0584 · Apr 24, 2026ComplaintCorrected Apr 27, 2026
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.
Resident Rights Deficiencies
- Potential for harmTag F0677 · Apr 24, 2026ComplaintCorrected Apr 27, 2026
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
- Potential for harmTag F0804 · Apr 24, 2026ComplaintCorrected May 8, 2026
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0812 · Apr 24, 2026ComplaintCorrected Apr 27, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0688 · Dec 2, 2025ComplaintCorrected Dec 3, 2025
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of Life and Care Deficiencies
- Potential for harmTag F0880 · Nov 25, 2025ComplaintCorrected Nov 26, 2025
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
- Potential for harmTag F0689 · Jul 24, 2025Corrected Jul 25, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
- Potential for harmTag F0880 · Jul 24, 2025Corrected Jul 25, 2025
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
- Potential for harmTag F0550 · Jun 11, 2026ComplaintCorrected Jun 12, 2026
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
- Potential for harmTag F0550 · May 22, 2026ComplaintCorrected May 31, 2026
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Showing the 10 most recent and serious of 55 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.
This is below the national median but above the Texas median, roughly middle of the pack for the state.
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.
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.
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 - limited liability company). It is independently operated, not part of a multi-facility chain.