55/100
Average
Avir At San Knoll
5757 N. Knoll, San Antonio, TX 78240
- Certified beds
- 120
- Occupancy
- 40%
- Ownership
- For-profit
- Accepts
- Medicare + Medicaid
What to ask about before you visit
These are findings in the public CMS record for this home. They are not our opinion, each one comes straight from a federal inspection or enforcement file.
$27,710 in federal fines
CMS has fined this facility across 1 penalty action(s).
Nursing staff turnover of 75%
High turnover means residents rarely see the same caregiver twice. The national average is about 50%.
Our read on Avir At San Knoll
Northgate runs on 3.10 nurse hours per resident per day, about a fifth below the national average, and weekends dip even further. Three in four employees left last year, against a national rate around 46%, which means the people at the bedside keep changing. Inspectors have written 54 deficiencies, including one at the harm level and three tied to abuse, with a $27,710 fine on record from a July 2025 visit. The quality star is high, but that measure leans on self-reported data. Licensed staffing and inspection results are where this home sits at the bottom.
Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.
How this grade was calculated
Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.
A full pentagon is full marks. The shape shows what kind of good or bad a home is, two homes can share a score and look nothing alike.
Inspection safety
30/30Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
- →No citations recorded in the last 3 years
Staffing
8/30Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
- →2.84 total nurse hours per resident per day (national median 3.77)
- →0.28 RN hours per resident per day
- →Weekend staffing drops 6% against weekdays
Staff stability
2/15How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
- →75% of nursing staff left in the last year
Resident outcomes
12/15The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
- →4 of 5 stars on the CMS quality-measure rating
Enforcement history
3/10Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
- →$27,710 in federal fines across 1 action(s)
- →-2 for 1 denial(s) of Medicare payment for new admissions
Staffing, against the national average
Full detailHours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Recent inspection findings
Last standard health inspection: July 24, 2025 (1 year ago). No citations were recorded.
No health-inspection citations on record for this facility in the current CMS release.
What families say
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Common questions about Avir At San Knoll
What is the ElderGrade for Avir At San Knoll? +
Avir At San Knoll holds an ElderGrade of C (55 out of 100), which we describe as "average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
How many nursing hours does each resident get at Avir At San Knoll? +
Residents receive an average of 3.10 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Has Avir At San Knoll been cited for harming residents? +
No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.
Does Avir At San Knoll accept Medicaid? +
Yes, Avir At San Knoll is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.
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