The nursing home failed to ensure residents were free from significant medication errors. Cited August 2024 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: K
Nursing home report
Avir at Arbor Terrace
SAN ANGELO, TX · Medicare-certified · 126 beds
Needs attention
For-profitChain member
1 of 5 overall
Avir at Arbor Terrace in San Angelo, TX has an overall 1-star rating, with 1-star staffing and 2-star health inspections, while quality measures are 4 stars. Reported nurse staffing is 3.13 hours per resident per day, below the federal benchmark of 4.1, and the facility has had $68,572 in fines in the last 24 months plus a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.1272 hrs/resident/day
Quality measures
Last inspection: November 18, 2025Penalties, last 24 months: $68,572recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1272.
Staffing detail
- Registered nurses
- 0.17
- Licensed practical nurses
- 1.12
- Nurse aides
- 1.84
- Weekend nursing
- 2.79
Hours per resident per day.
Total staff turnover: 79%
Registered nurse turnover: 88%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
1.5%Worsening
Residents with a fall causing major injury
5.1%Worsening
Residents with pressure ulcers (bedsores)
3.9%Improving
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
1.8%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
17.4%Worsening
Residents whose ability to walk got worse
23.3%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
22%Improving
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0.3%Worsening
Residents with new or worsening incontinence
20.4%Improving
Residents with depressive symptoms
0%Steady
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
99.6%Steady
Short-stay residents given the seasonal flu vaccine
92.5%Steady
Short-stay residents given the pneumonia vaccine
99.5%Worsening
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited March 2024 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: K
The home failed to ensure staff provided basic life support, including CPR, before emergency medical personnel arrived. Cited December 2023 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 678 — 42 CFR §483.24(a)(3) — S/S: J
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited January 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to properly label and securely store medications and biologicals. Cited February 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 10 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $68,572 was recorded.
Penalties & enforcement
On record with Medicare: 3 fines · $121,840 in total fines.
- $68,572
Federal fine
Aug 10, 2024
- $37,999
Federal fine
Jan 4, 2024
- $15,269
Federal fine
Dec 1, 2023
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of AVIR HEALTH GROUP · 117 homes · 2.2 stars avg
- Occupancy
- 66.3 residents on an average day (53% of 126 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 23 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.