All states › Texas › San Angelo › Avir at Arbor Terrace
609 Rio Concho Dr San Angelo, TX 76903 · Tom Green County
All 8 nursing homes in San Angelo, TX (8 take Medicaid)
CMS certification number 675932 · See this home on Medicare Care Compare
Is Avir at Arbor Terrace a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Avir at Arbor Terrace as of October 2026.
CMS rates it 1 out of 5 stars overall, below the Texas average of 2.8.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.02 hours per resident per day at Avir at Arbor Terrace, below the Texas median of 3.30 (US median: 3.72). About 0.16 of those hours are from registered nurses. On weekends it falls to 2.69 hours, 11% below its all-week average. 72.4% of nursing staff left within a year (Texas median 50.2%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.
About this nursing home
Paying for care at Avir at Arbor Terrace: Medicare and Medicaid
Avir at Arbor Terrace is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Texas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
This home is located in a hospital.
Health inspections
The most recent standard inspection was on April 30, 2026 and found 1 deficiency, plus 6 from complaint inspections in the same period. In total, inspectors issued 35 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 35 citations at Avir at Arbor Terrace across 10 inspection dates, 23 of them from complaint investigations. 3 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on August 10, 2024 (complaint inspection). The most common areas cited were resident rights (10) and quality of life and care (7). The most serious was cited under the CMS rule to "ensure that residents are free from significant medication errors" (tag F0760, level K, August 10, 2024). 1 citation was under CMS's abuse, neglect and exploitation rules.
April 30, 2026 · 6 citations · includes complaint inspection
EReasonably accommodate the needs and preferences of each resident.
ECoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
EMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
DProvide safe and appropriate respiratory care for a resident when needed.
November 18, 2025 · 1 citation · includes complaint inspection
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
May 22, 2025 · 2 citations · includes complaint inspection
DHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
February 7, 2025 · 10 citations · includes complaint inspection
EEnsure 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.
EProvide and implement an infection prevention and control program.
DReasonably accommodate the needs and preferences of each resident.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DKeep residents' personal and medical records private and confidential.
DNot transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide safe and appropriate respiratory care for a resident when needed.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
November 20, 2024 · 2 citations · includes complaint inspection
DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
DProvide and implement an infection prevention and control program.
August 10, 2024 · 1 citation, includes immediate jeopardy · includes complaint inspection
KEnsure that residents are free from significant medication errors.
March 29, 2024 · 7 citations, includes immediate jeopardy · includes complaint inspection
KEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
EHonor 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.
EProvide safe and appropriate respiratory care for a resident when needed.
DAssess the resident when there is a significant change in condition
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
February 29, 2024 · 1 citation · includes complaint inspection
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
January 4, 2024 · 4 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EHonor 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.
EHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
EEnsure that residents are free from significant medication errors.
December 1, 2023 · 1 citation, includes immediate jeopardy · includes complaint inspection
JProvide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Questions to ask on a tour of Avir at Arbor Terrace
- Inspectors cited the home at the immediate-jeopardy level on August 10, 2024 under the rule on pharmacy service. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on November 18, 2025. How are staff trained, and how are concerns reported?
- There were 7 infection-control citations. Who leads infection prevention, and what is the current outbreak policy?
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Nursing staff turnover was 72.4% a year. How many of the staff come from agencies?
- The home averages about 57% of its beds filled. Are any units closed?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
3 penalties in the last three years, including $121,840 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Aug 10, 2024 | Fine | $68,572 |
| Jan 4, 2024 | Fine | $37,999 |
| Dec 1, 2023 | Fine | $15,269 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 2/5 | 1/5 | 3/5 |
| August 2026 | 1/5 | 2/5 | 1/5 | 3/5 |
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Location
Hospitals near Avir at Arbor Terrace
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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0.9 mi
Shannon Medical Center San AngeloEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 2h 24m for patients treated and sent home
- 5.4 mi
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Avir at Arbor Terrace › All nursing homes in San Angelo ›
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Higher-rated nursing homes within 10 miles
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- Cedar Manor Nursing and Rehabilitation Center · San Angelo · 4 stars · 3.1 mi
- Park Plaza Nursing and Rehabilitation Center · San Angelo · 4 stars · 3.6 mi
- Regency House · San Angelo · 4 stars · 6.4 mi
Other Avir Health Group nursing homes in Texas
- Avir at Beeville · Beeville · 5 stars
- Avir at Temple East · Temple · 5 stars
- Avir at Courtyard · Houston · 5 stars
- Avir at Haskell · Haskell · 5 stars
- Avir at Pampa · Pampa · 5 stars
- Avir at Paris · Paris · 5 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 118 Avir Health Group nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.