SNF

Avir at Arbor Terrace

CCN: 675932 · SAN ANGELO, TX 76903 · Tom Green County

Overview

Address
609 RIO CONCHO DR, SAN ANGELO, TX 76903
Phone
3256531266
Certified beds
126
Avg daily residents
69 (55% of beds filled)
Ownership
For-profit corporation
Provider type
Medicare and Medicaid
Medicare/Medicaid since
2002-10-01
Setting
Urban
1 /5
★★★★★
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
★★★★★ 1/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
★★★★★ 2/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
★★★★★ 1/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
★★★★★ 4/5
Quality Measures breakdown
Long-Stay Quality Measures ★★★★★ 4/5
Short-Stay Quality Measures ★★★★★ 3/5

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
 3.24 3.28 3.82 ≥ 3.48 Below floor
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
 0.23 0.57 0.27 ≥ 0.55 Below floor
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
 1.07 0.73 1.26 —
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
 1.95 1.98 2.29 —
Licensed (RN + LPN)
Combined licensed nurse coverage.
 1.30 — — —
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
 0.08 — — —

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
2.94
hrs / resident / day
RN (weekend)
0.15
hrs / resident / day
Total nurse (adjusted, weekend)
3.46
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
68.7%
annual
RN turnover
81.8%
annual
Administrators departed
0
last 12 months

Resident acuity

Nursing Case-Mix Index
1.16
higher acuity than avg
Case-Mix Index Ratio
0.84
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2025-02-07 13 10 6 60 1 60
Cycle 2/3 (prior) 2024-01-04 19 4 15 370 1 370
Total weighted health score
137.5
lower is better
Infection-control citations
7
last cycle

Deficiencies (40)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

1 A/B/C No actual harm — minor
36 D/E/F Actual harm — potential for minor
3 J/K/L Immediate jeopardy
Tag Description Scope/Severity Survey date Corrected
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2025-11-18 2025-12-31
0561 Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. D 2025-05-22 2025-06-02
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2025-05-22 2025-06-02
0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D 2025-02-07 2025-02-28
0583 Keep residents' personal and medical records private and confidential. D 2025-02-07 2025-02-28
0622 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. D 2025-02-07 2025-02-28
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. D 2025-02-07 2025-02-28
0761 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. E 2025-02-07 2025-02-28
0849 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. D 2025-02-07 2025-02-28
0880 Provide and implement an infection prevention and control program. E 2025-02-07 2025-02-28
0558 Reasonably accommodate the needs and preferences of each resident. D 2025-02-07 2025-02-28
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2025-02-07 2025-02-28
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2025-02-07 2025-02-28
0655 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted D 2024-11-20 2024-12-20
0880 Provide and implement an infection prevention and control program. D 2024-11-20 2024-12-20
0760 Ensure that residents are free from significant medication errors. K 2024-08-10 2024-08-11
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. E 2024-03-29 2024-03-30
0584 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. E 2024-03-29 2024-03-30
0637 Assess the resident when there is a significant change in condition D 2024-03-29 2024-03-30
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2024-03-29 2024-03-30
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. K 2024-03-29 2024-03-30
0695 Provide safe and appropriate respiratory care for a resident when needed. E 2024-03-29 2024-03-30
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. D 2024-03-29 2024-03-30
0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D 2024-02-29 2024-03-15
0584 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. E 2024-01-04 2024-01-31
0727 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. E 2024-01-04 2024-01-31
0760 Ensure that residents are free from significant medication errors. E 2024-01-04 2024-01-31
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F 2024-01-04 2024-01-31
0678 Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. J 2023-12-01 2023-11-26
0761 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. D 2023-09-29 2023-10-15
0622 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. D 2023-07-09 2023-07-26
0623 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. D 2023-07-09 2023-07-26
0578 Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. E 2022-10-26 2022-11-17
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2022-10-26 2022-11-17
0761 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. E 2022-10-26 2022-11-17
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F 2022-10-26 2022-11-17
0814 Dispose of garbage and refuse properly. C 2022-10-26 2022-11-17
0880 Provide and implement an infection prevention and control program. E 2022-10-26 2022-11-17
0886 Perform COVID19 testing on residents and staff. E 2022-10-26 2022-11-17
0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. D 2022-10-26 2022-11-17

Penalties (3)

Fines issued
3
last 3 years
Total fines
$121,840
Date Type Fine amount
2023-12-01 Fine $15,269
2024-01-04 Fine $37,999
2024-08-10 Fine $68,572

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 8.2% Medicaid 66.1% Other 25.7%

Operating performance

Operating Margin
4.6%
Total Margin
15.6%
Occupancy Rate
61.3%
Cost per Resident Day
$29

Revenue & costs

Net Patient Revenue
$6.1M
Total Costs
$828K
Net Income
$1.1M

Balance sheet

Total Assets
$39.8M
Total Liabilities
$29.6M
Fund Balance
$10.2M
Current Ratio
1.32

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: SLP OPERATIONS

Chain ID
730
Facilities in chain
22
Legal business name
STRATFORD HOSPITAL DISTRICT
Chain-average star ratings (for peer context)
Overall
2.4
Health
2.5
Staffing
1.9
QM
3.7

Owner / manager organizations (8)

Organization Role Association
STRATFORD HOSPITAL DISTRICT 5% OR GREATER DIRECT OWNERSHIP INTEREST since 08/15/2022
SLP SAN ANGELO, LLC OPERATIONAL/MANAGERIAL CONTROL since 06/01/2023
CARLISLE TAYLOR WHITWORTH 2020 IRREVOCABLE TRUST 5% OR GREATER MORTGAGE INTEREST since 06/01/2023
GARY SCOTT WHITWORTH 2019 IRREVOCABLE TRUST 5% OR GREATER MORTGAGE INTEREST since 06/01/2023
LQCP MANAGEMENT, LLC 5% OR GREATER MORTGAGE INTEREST since 06/01/2023
WM 41 SAN ANGELO RE, LLC 5% OR GREATER MORTGAGE INTEREST since 06/01/2023
WM-LQC MM, LLC 5% OR GREATER MORTGAGE INTEREST since 06/01/2023
WT HOLDINGS, LP 5% OR GREATER MORTGAGE INTEREST since 06/01/2023

Owner / manager individuals (2)

Name Role Association
LEONARD, JOSHUA OPERATIONAL/MANAGERIAL CONTROL since 10/01/2024
CHUMLEY, RICHARD CORPORATE DIRECTOR since 06/01/2023

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
Resident
Sprinkler systems
Yes
Abuse citation flag
No
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

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Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $29 metrics.cost_per_resident_day
Cost Report Current Ratio 1.32 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 66.1% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 8.2% metrics.medicare_day_share
Cost Report Net Income ($) $1,066,719 metrics.net_income
Cost Report Net Patient Revenue ($) $6,063,869 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 61.3% metrics.occupancy_rate
Cost Report Operating Margin (%) 4.6% metrics.operating_margin
Cost Report Total Assets ($) $39,797,331 metrics.total_assets
Cost Report Total Costs ($) $828,053 metrics.total_costs
Cost Report Total Fund Balances ($) $10,218,687 metrics.fund_balance
Cost Report Total Liabilities ($) $29,578,644 metrics.total_liabilities
Cost Report Total Margin (%) 15.6% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 1.26245 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 2.29207 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.26881 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 3.82334 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 3.46423 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote — Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 69.0 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote — Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 0.72717 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 1.97629 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.57317 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.27663 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 2.88800 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 2.5 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 2.4 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 3.7 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 1.9 Chain Average Staffing Rating
Provider Information Chain ID 730 Chain ID
Provider Information Chain Name SLP OPERATIONS Chain Name
Provider Information City/Town SAN ANGELO City/Town
Provider Information CMS Certification Number (CCN) 675932 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Tom Green County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 2002-10-01 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote — Geocoding Footnote
Provider Information Health Inspection Rating 2 Health Inspection Rating
Provider Information Health Inspection Rating Footnote — Health Inspection Rating Footnote
Provider Information Latitude 31.4607 Latitude
Provider Information Legal Business Name STRATFORD HOSPITAL DISTRICT Legal Business Name
Provider Information Location 609 RIO CONCHO DR,SAN ANGELO,TX,76903 Location
Provider Information Long-Stay QM Rating 4 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote — Long-Stay QM Rating Footnote
Provider Information Longitude -100.42 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 0 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 126 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections 7 Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 22 Number of Facilities in Chain
Provider Information Number of Fines 3 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.16076 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 0.84257 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 1 Overall Rating
Provider Information Overall Rating Footnote — Overall Rating Footnote
Provider Information Ownership Type For profit - Corporation Ownership Type
Provider Information Physical Therapist Staffing Footnote — Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 609 RIO CONCHO DR Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name Avir at Arbor Terrace Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 930 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 4 QM Rating
Provider Information QM Rating Footnote — QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 60 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 6 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 10 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-02-07 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 60 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 13 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 4 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2024-01-04 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 370 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 15 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 370 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 19 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.15219 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 81.8 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote — Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.29953 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 1.07140 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 1.94520 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.08206 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.22813 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote — Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 3.24473 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 3 Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote — Short-Stay QM Rating Footnote
Provider Information Special Focus Status — Special Focus Status
Provider Information Staffing Rating 1 Staffing Rating
Provider Information Staffing Rating Footnote — Staffing Rating Footnote
Provider Information State TX State
Provider Information Telephone Number 3256531266 Telephone Number
Provider Information Total Amount of Fines in Dollars 121840.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 2.93997 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 3 Total Number of Penalties
Provider Information Total nursing staff turnover 68.7 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote — Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 137.500 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Resident With a Resident and Family Council
Provider Information ZIP Code 76903 ZIP Code