Avir at San Knoll: Staffing, Turnover, and Inspection Record
Avir at San Knoll is a 120-bed for-profit nursing home in San Antonio, Texas. In the CMS August 2026 release it reported 1.74 nurse aide hours per resident per day, 13% below the Texas average of 2.00, and 75.0% nursing staff turnover (Texas average 55.3%).
Avir at San Knoll
5757 N. KnollSan Antonio, TX 78240
Bexar County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Avir at San Knoll, nurse aides logged 1.74 hours per resident per day, 13% below the Texas average. With about 48 residents a day, that works out to roughly 84 aide hours a day, or about 10 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 6% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.74 | 2.00 | 2.32 |
| Licensed practical nurses | 1.09 | 0.95 | 0.86 |
| Registered nurses | 0.28 | 0.43 | 0.69 |
| All nursing staff | 3.10 | 3.39 | 3.86 |
| All nursing staff, weekends | 2.91 | 2.98 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
75.0% of nursing staff at Avir at San Knoll left over the year CMS measured, against a Texas average of 55.3% and a US average of 45.8%. Registered nurse turnover was 80.0%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Jul 24, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 35 health deficiencies (Texas average 9.3). CMS lists 1 fine totaling $27,710 and 1 payment denial in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Apr 14, 2024 | Fine | $27,710 |
| Apr 14, 2024 | Payment Denial | 3 days from May 11, 2024 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Avir at San Knoll holds 1 of 5 overall; the Texas average is 2.6.
About Avir at San Knoll
- Ownership: For profit - Limited Liability company
- Legal name: Uvalde County Hospital Authority
- Medicare and Medicaid certified since: Apr 26, 1989
- Councils: resident council
- Area: urban
Nursing homes near Avir at San Knoll
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Mesa Vista Inn Health Center San Antonio | 0.0 | 144 | 1.28 | 2.59 | — | 1 | $8,160 |
| Ignite Medical Resort San Antonio, LLC San Antonio | 0.4 | 105 | 1.84 | 4.05 | 44.7% | 3 | None |
| Huebner Creek Health & Rehabilitation Center San Antonio | 0.5 | 146 | 1.23 | 2.52 | — | 1 | $14,327 |
| Sorrento San Antonio | 0.6 | 112 | 1.72 | 3.55 | 55.2% | 2 | None |
| Remington Transitional Care of San Antonio San Antonio | 0.6 | 60 | 1.79 | 4.47 | 42.9% | 4 | None |
| Patriot Heights Health Care Center San Antonio · abuse citation | 1.5 | 74 | 1.88 | 3.46 | 50.0% | 2 | $28,033 |
| Wurzbach Nursing and Rehabilitation San Antonio | 1.5 | 140 | 1.76 | 3.13 | 62.3% | 2 | $34,945 |
| Oak Park Nursing and Rehabilitation Center San Antonio | 1.7 | 170 | 1.97 | 3.19 | 50.0% | 2 | $9,280 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.