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Nursing homeFAID #14365

Avir At Arbor Terrace

609 RIO CONCHO DR, SAN ANGELO, TX, 76903

(325) 653-1266

126 licensed beds

CMS rates Avir At Arbor Terrace 1 out of 5 overall. Federal inspectors issued 51 citations across 16 inspections in the last three years, with $121,840 in fines. Listing last updated 2026-11-06.

★★★★★1/5CMS Five-Star overall2/5 health inspections1/5 staffing3/5 quality measuresSource: CMS Care Compare

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Photo via Google · Avir at Arbor Terrace

Address

609 Rio Concho Dr

San Angelo, TX 76903

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Public record summary

What we can show you for free.

Bed capacity

126

CMS facility ID

675932

Care type

Nursing home

County

Tom Green

Facility name

Avir At Arbor Terrace

Street address

609 RIO CONCHO DR

City / state / ZIP

San Angelo, TX 76903

Phone

(325) 653-1266

Website

avirhg.com

About this facility — Avir At Arbor Terrace

Avir At Arbor Terrace is a Medicare/Medicaid-certified skilled nursing facility in San Angelo, Texas. It is licensed for 126 beds — close to the median for skilled nursing facilities in Texas (120 beds).

It is one of 16 senior care facilities in San Angelo and 1,179 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Avir Health Group, a group of 118 facilities on this site.

Federal inspectors have cited Avir At Arbor Terrace 51 times across 16 inspections in the last three years, including 1 food-safety citation, and CMS has imposed $121,840 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

Avir Health Group

Ownership type

For profit - Individual

Registered owners & officers

Stratford Hospital District

Direct owner — 100% stake — since 2022

609 Rio Concho Dr Opco Llc

Operational control · Additional disclosable party — since 2025

609 Rio Concho Dr Property Owner Llc

Additional disclosable party — since 2025

Chumley, Richard

Director — since 2023

Dagan, Amitai

Owner of a disclosable party — since 2026

Freund, Nochum

Operational control — since 2025

Goldberger, Abraham

Owner of a disclosable party — since 2026

Goldberger, Faigy

Owner of a disclosable party — since 2026

Hunt, John

Additional disclosable party — since 2023

Kohlleppel, Alta

Additional disclosable party — since 2023

Travitsky, Aaron

Operational control — since 2025

Welltower Inc

Additional disclosable party — since 2025

Welltower Nnn Group, Llc

Additional disclosable party — since 2025

Welltower Op Llc

Additional disclosable party — since 2025

Regulatory standing

Licensed / certified since

2002-10-01

CMS overall rating

1 of 5 stars

Health deficiencies

7 at the last standard inspection

Federal fines

$121,840 total

Last standard inspection

2026-04-30

Nurse staffing

3.0 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$282 per day (≈ $8,570/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

66% Medicaid · 8% Medicare · 26% private/other

Occupancy

61% (fiscal year 2023)

Vs. state median

2% above the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds

126

Medicare

Accepted

Medicaid

Accepted

Wheelchair accessible

entrance and parking

Visiting hours

Daily Open 24 hours

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 1 food-safety citation on its three-year record — flagged below among the inspections.

2026-04-30Health inspectionComplaint-triggered6 citations

F-0558

E · No harm found

Reasonably accommodate the needs and preferences of each resident.

Corrected 2026-05-25

F-0644

E · No harm foundFrom a complaint

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

Corrected 2026-05-25

F-0655

D · No harm foundFrom a complaint

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

Corrected 2026-05-25

F-0656

E · No harm foundFrom a complaint

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

Corrected 2026-05-25

F-0695

D · No harm foundFrom a complaint

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

Corrected 2026-05-25

F-0921

E · No harm foundFrom a complaint

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

Corrected 2026-05-25

2025-11-18Health inspectionComplaint-triggered1 citation

F-0609

D · No harm foundFrom a complaint

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

Corrected 2025-12-31

11 earlier / fire-safety inspections (44 citations)

2025-05-22Health inspectionComplaint-triggered2 citations

F-0561

D · No harm foundFrom a complaint

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2025-06-02

F-0684

D · No harm foundFrom a complaint

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-06-02

2025-02-07Health inspectionComplaint-triggered10 citations

F-0558

D · No harm foundFrom a complaint

Reasonably accommodate the needs and preferences of each resident.

Corrected 2025-02-28

F-0580

D · No harm found

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2025-02-28

F-0583

D · No harm found

Keep residents' personal and medical records private and confidential.

Corrected 2025-02-28

F-0622

D · No harm found

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

Corrected 2025-02-28

F-0689

D · No harm foundFrom a complaint

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-02-28

F-0695

D · No harm foundFrom a complaint

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

Corrected 2025-02-28

F-0755

D · No harm found

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-02-28

F-0761

E · No harm found

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.

Corrected 2025-02-28

F-0849

D · No harm found

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Corrected 2025-02-28

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-02-28

2024-11-20Health inspectionComplaint-triggered2 citations

F-0655

D · No harm foundFrom a complaint

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

Corrected 2024-12-20

F-0880

D · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2024-12-20

2024-08-10Health inspectionComplaint-triggered1 citation

F-0760

K · Immediate jeopardyFrom a complaint

Ensure that residents are free from significant medication errors.

Corrected 2024-08-11

2024-03-29Health inspectionComplaint-triggeredInfection control7 citations

F-0550

E · No harm foundFrom a complaint

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-03-30

F-0584

E · No harm foundFrom a complaint

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.

Corrected 2024-03-30

F-0637

D · No harm foundFrom a complaint

Assess the resident when there is a significant change in condition

Corrected 2024-03-30

F-0656

D · No harm foundFrom a complaint

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

Corrected 2024-03-30

F-0689

K · Immediate jeopardyFrom a complaint

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-03-30

F-0695

E · No harm foundFrom a complaint

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

Corrected 2024-03-30

F-0755

D · No harm foundFrom a complaint

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-03-30

2024-02-29Health inspectionComplaint-triggered1 citation

F-0580

D · No harm foundFrom a complaint

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2024-03-15

2024-01-04Health inspection4 citations

F-0584

E · No harm found

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.

Corrected 2024-01-31

F-0727

E · No harm found

Have 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.

Corrected 2024-01-31

F-0760

E · No harm found

Ensure that residents are free from significant medication errors.

Corrected 2024-01-31

F-0812

F · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-01-31

2023-12-01Health inspectionComplaint-triggered1 citation

F-0678

J · Immediate jeopardyFrom a complaint

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Corrected 2023-11-26

2026-04-30Fire-safety inspection8 citations

K-0211

C · No harm found

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2026-06-12

K-0321

E · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2026-06-12

K-0324

E · No harm found

Provide properly protected cooking facilities.

Corrected 2026-06-12

K-0353

E · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2026-06-12

K-0372

E · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2026-06-12

K-0511

E · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2026-06-12

K-0521

E · No harm found

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2026-06-12

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2026-06-12

2025-02-07Fire-safety inspection4 citations

K-0211

C · No harm found

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2025-02-26

K-0321

F · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2025-03-05

K-0372

E · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2025-03-05

K-0521

C · No harm found

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2025-02-26

2024-01-04Fire-safety inspection4 citations

K-0211

C · No harm found

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2024-02-20

K-0345

E · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-03-08

K-0521

C · No harm found

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2024-02-20

K-0914

F · No harm found

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2024-02-20

Federal penalties

2024-08-10Fine$68,572

2024-01-04Fine$37,999

2023-12-01Fine$15,269

Total fines$121,840

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 675932.

Quality of care & staffing

How it compares in Texas.

Inspection citations, 3 years

More than 80% of nursing homes in the state

State median: 33

Federal fines, 3 years

$121,840

More than 89% of nursing homes in the state

State median: $15,642

Nurse staffing, hours per resident per day

3.0

Higher than 20% of nursing homes in the state

State median: 3.3

Nursing staff turnover, annual

72%

Higher than 93% of nursing homes in the state

State median: 50%

Resident outcomes

On 21 federal quality measures, this facility does better than the Texas average on 9 and worse on 8. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	21.6%	15.8%	13.5%	Worse than state
Lose too much weight	1.9%	2.9%	5.1%	Better than state
With a catheter inserted and left in their bladder	0.3%	0.3%	0.7%	Near state average
With a urinary tract infection	0.0%	0.8%	1.5%	Better than state
Have depressive symptoms	0.0%	2.3%	13.5%	Better than state
Were physically restrained	0.0%	0.0%	0.1%	Better than state
Experiencing one or more falls with major injury	5.2%	3.2%	3.2%	Worse than state
Assessed and appropriately given the pneumococcal vaccine	99.6%	96.4%	93.7%	Near state average
Ability to walk independently worsened	23.3%	12.9%	12.7%	Worse than state
Received an antianxiety or hypnotic medication	19.8%	17.8%	19.5%	Worse than state
Assessed and appropriately given the seasonal influenza vaccine	98.4%	97.0%	95.3%	Near state average
With pressure ulcers	4.1%	3.7%	4.5%	Worse than state
With new or worsened bowel or bladder incontinence	15.2%	12.5%	18.3%	Worse than state
Received an antipsychotic medication	6.0%	9.8%	15.4%	Better than state
Hospitalizations per 1000 long-stay resident days	2.05	2.05	1.81	Near state average
Outpatient emergency department visits per 1000 long-stay resident days	2.59	1.97	1.69	Worse than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	99.5%	88.7%	82.3%	Better than state
Newly received an antipsychotic medication	1.2%	1.4%	1.5%	Better than state
Were assessed and appropriately given the seasonal influenza vaccine	95.6%	85.4%	80.1%	Better than state
Were rehospitalized after a nursing home admission	29.5%	25.5%	23.4%	Worse than state
Had an outpatient emergency department visit	4.8%	12.2%	11.8%	Better than state

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

F-0695 3 inspections. Provide safe and appropriate respiratory care for a resident when needed.
K-0211 3 inspections. Keep aisles, corridors, and exits free of obstruction in case of emergency.
K-0521 3 inspections. Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
F-0558 2 inspections. Reasonably accommodate the needs and preferences of each resident.
F-0655 2 inspections. Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
F-0656 2 inspections. Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

What its owners also hold

Stratford Hospital District has an ownership stake on file at 29 nursing homes, averaging 2.6 of 5 on CMS's overall rating.

Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.

Verify & compare

Where to check, and what's nearby.

Who to contact in Texas

Licensing: Texas Health and Human Services
File a complaint: 800-458-9858 · Online
Long-Term Care Ombudsman: 800-252-2412. A free advocate for residents and families.
Adult Protective Services: 800-252-5400. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Shannon Medical Center, about 0.9 miles. CMS rating 3 of 5.
Ballinger Memorial Hospital, about 34 miles.
North Runnels Hospital, about 43 miles.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Sagecrest Alzheimers Care Center, San Angelo, about 1.0 miles. CMS rating 5 of 5.
Cedar Manor Nursing and Rehabilitation Center, San Angelo, about 3.1 miles. CMS rating 4 of 5.
Park Plaza Nursing and Rehabilitation Center, San Angelo, about 3.6 miles. CMS rating 4 of 5.
Avir At Meadow Creek, San Angelo, about 5.4 miles. CMS rating 1 of 5.
Avir At San Angelo, San Angelo, about 5.4 miles. CMS rating 1 of 5.

Visitor reviews

What people say on Google.

3.751 ratings on Google

★★★★★Joanna Garcia · 2026-04-16 · via Google
“My uncle loves to play bingo … and the activity director Hidaly is soo great with everyone… always smiling!!”

★★★★★Richard James Madrzak · 2025-04-17 · via Google
“This nursing home offers comprehensive Physical, Occupational and Speech Therapy Services for the residents. The team is DEDICATED and COMPASSIONATE. They specialize in short term rehabilitation but also offer long term care services to all of the residents in the facility to assure that they stay at their highest level of function. Team Arbor Terrace: Thank you for all that you do.”

★Donna Colunga · 2025-06-27 · via Google
“Arbor Terrace is the worst place to place a loved one . Nursing staff does. not listen to patient or family. They do not pay attention to medications brought in and order medications that patient already has . All they are out for in money . Worst place ever”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 51 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

Unlock the full file

Citations, owner history, lawsuits — decoded into one PDF.

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

Source

Google Business Profile

Photos, reviews & hours

Displayed with attribution · refreshed on re-run

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered