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Skilled nursing facility · CMS certification number 455804

Avir at San Knoll

San Antonio, Texas · Medicare and Medicaid · 120 certified beds in Care Compare

Download Avir at San Knoll’s record (CSV, each figure with its worksheet, line and column)

In Care Compare’s provider information: Penalties: 2 · Fines: 1 · Fines, total amount: $27,710.00 · Payment denials: 1. The most recent penalty on file: April 14, 2024, Fine, $27,710. Every penalty on file ↓

Avir at San Knoll: its citable report, full history — $295 · an email when it changes — $99/month

What stands out

  • Its latest cost report on file is for fiscal year 2025, covering July 1, 2024 to June 30, 2025 (364 days), and CMS processed it on December 15, 2025.
  • Net patient revenue rose from $5.1M in fiscal year 2024 to $6.5M in fiscal year 2025.
  • Its result from service to patients: −$400K (2023), −$753 (2024), $2.0M (2025).
  • Its cost reports on file run from fiscal year 1996 to fiscal year 2025.
  • Its net patient revenue of $6.5M ranks 263rd of the 484 nursing facilities in Texas whose latest cost report on file is fiscal year 2025.
  • 1 of the 5 nursing facilities in Texas closest in size to it, whose latest cost report on file is fiscal year 2025, also reports a gain on service to patients.

Avir at San Knoll: Medicare cost reports

Form CMS-2540-10: every report is settled.

Cost reports on form CMS-2540-10, fiscal years 2011 to 2025
Form CMS-2540-102025 · report 14446332024 · report 14391572023 · report 13715432022 · report 13399762021 · report 13446712020 · report 12806622019 · report 12458182018 · report 12431282017 · report 11820912016 · report 11768512015 · report 11217172014 · report 11459042013 · report 11119792012 · report 10453232011 · report 1014751
Period beganJuly 1, 2024July 1, 2023July 1, 2022July 1, 2021July 1, 2020July 1, 2019July 1, 2018July 1, 2017July 1, 2016July 1, 2015January 1, 2015January 1, 2014January 1, 2013January 1, 2012January 1, 2011
Period endedJune 30, 2025June 30, 2024June 30, 2023June 30, 2022June 30, 2021June 30, 2020June 30, 2019June 30, 2018June 30, 2017June 30, 2016February 27, 2015December 31, 2014December 31, 2013December 31, 2012December 31, 2011
Days, where not a full year——————————57————
Processed by CMSDecember 15, 2025September 11, 2025January 16, 2024January 17, 2023March 21, 2023February 26, 2021November 19, 2019September 19, 2019January 18, 2018October 17, 2017April 20, 2016November 4, 2016October 28, 2015August 1, 2013October 26, 2012
Total patient revenue$4,562,992$5,269,465$4,947,485$4,691,518$4,723,577$5,856,168$6,335,372$7,184,817$12,991,880$7,474,619$1,452,616$7,074,724$5,950,006$7,015,368$7,700,281
Contractual allowances and discounts−$1,919,764$180,262$316,650$75,481$165,153$990,813$1,384,144$2,041,143$6,613,289$1,246,726$308,429$1,471,827$1,169,257$1,460,856$1,331,157
Net patient revenue$6,482,756$5,089,203$4,630,835$4,616,037$4,558,424$4,865,355$4,951,228$5,143,674$6,378,591$6,227,893$1,144,187$5,602,897$4,780,749$5,554,512$6,369,124
Total operating expenses$4,497,189$5,089,956$5,031,171$4,862,857$4,390,921$5,337,261$5,076,601$5,305,609$6,417,992$6,714,116$1,022,418$5,761,191$4,800,339$5,186,425$5,880,632
Net income from service to patients$1,985,567−$753−$400,336−$246,820$167,503−$471,906−$125,373−$161,935−$39,401−$486,223$121,769−$158,294−$19,590$368,087$488,492
Total other income$423,304$303,225$503,433$1,158,254$715,356$487,997$173,777$621,784$238,217$964,016$95$813$5,335$1,500$1,293
Net income after other income$2,408,871$302,472$103,097$911,434$882,859$16,091$48,404$459,849$198,816$477,793$121,864−$157,481−$14,255$369,587$489,785
Net income$2,408,871$302,472$103,097$911,434$882,859$16,091$48,404$459,849$198,816$477,793$121,864−$157,481−$14,255$369,587$489,785
Total facility beds, all components120120120120120120120120120120120120120120120
Bed days available, all components43,800——————————————
Medicare (Title XVIII) patient days1,028——————————————
Medicaid (Title XIX) patient days14,178——————————————
Other-payer patient days3,461——————————————
Total patient days, all components18,66720,69618,00318,56419,80623,63425,00325,45531,11229,5744,95628,74826,10728,56130,274
Medicare discharges15——————————————
Medicaid discharges14——————————————
Other-payer discharges42——————————————
Total discharges, all components71981021423811018230440131740229185240266
Average length of stay, Medicare, in days68.5355.44166.13112.6170.0981.779.5233.7559.3336.4165.4639.0436.6236.0334.6
Average length of stay, Medicaid, in days1,012.71559.38373.3213.871,924.13503.38480.3509.82649.12295.35346404.82509.64269.64189.41
Average length of stay, all patients, in days262.92211.18176.5130.73521.21214.85137.3883.7377.5993.29123.9125.54141.12119113.81

Net income, fiscal years 2025, 2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011. Checked against the form’s own arithmetic: what that check shows.

Cost reports on form CMS-2540-96, fiscal years 1996 to 2010
Form CMS-2540-962010 · report 4169772009 · report 3989642008 · report 3543642007 · report 3361772006 · report 3053142005 · report 2894572004 · report 2481652003 · report 2161582002 · report 2374962001 · report 2156372000 · report 2156321999 · report 395601997 · report 83391996 · report 8337
Period beganJanuary 1, 2010January 1, 2009January 1, 2008January 1, 2007January 1, 2006June 1, 2005January 1, 2004January 1, 2003January 1, 2002January 1, 2001January 1, 2000January 1, 1999January 1, 1997January 1, 1996
Period endedDecember 31, 2010December 31, 2009December 31, 2008December 31, 2007December 31, 2006December 31, 2005December 31, 2004December 31, 2003December 31, 2002December 31, 2001December 31, 2000December 31, 1999December 31, 1997December 31, 1996
Days, where not a full year—————213————————
Report statussettledsettledsettledsettledsettledsettledsettledsettledsettledsettledsettledas submittedas submittedreopened
Processed by CMSSeptember 8, 2011May 6, 2011August 11, 2009March 27, 2009March 25, 2008July 25, 2007April 28, 2006May 6, 2005November 29, 2005May 2, 2005May 2, 2005August 1, 2000August 31, 1998August 5, 1999
Net patient revenue$6,792,248$6,761,475$6,530,099$5,805,402$5,403,516$3,109,003$5,182,744$5,099,951$5,099,375$4,582,828$4,460,042$4,326,617$4,490,593$4,545,848
Total operating expenses$6,003,866$5,936,566$5,538,904$5,609,977$5,377,785$3,169,081$5,333,947$5,301,686$5,004,201$4,847,227$3,872,128$5,466,795$4,747,685$4,840,211
Net income from service to patients$788,382$824,909$991,195$195,425$25,731−$60,078−$151,203−$201,735$95,174−$264,399$587,914−$1,140,178−$257,092−$294,363
Total other income$1,754$1,353$1,661$3,162$2,241−$1,995$3,157$31,960$8,087,442$9,269$39,089$5,555$41,913$12,415
Total other expenses——————————$203——−$20,108
Net income$790,136$826,262$992,856$198,587$27,972−$62,073−$148,046−$169,775$8,182,616−$255,130$626,800−$1,134,623−$215,179−$261,840
Total facility beds, all components120120120120120120120120120119119119119119
Total patient days, all components32,80235,53330,34737,43036,89122,94237,22737,45838,55938,71238,01738,03434,20135,144
Total discharges, all components274227205226270155287299255476448227498719
Average length of stay, Medicare, in days53.8568.0954.1447.8762.2265.3945.338.2341.7748.893446.1122.5527.73
Average length of stay, Medicaid, in days235.87209.23394.98254.83314.07310.43336.9505.62258.8148.43210.58357.49255.21141.27
Average length of stay, all patients, in days119.72156.53148.03165.62136.63148.01129.71125.28151.2181.3384.86167.5568.6848.88

Net income, fiscal years 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2003, 2002, 2001, 2000, 1999, 1997, 1996. Checked against the form’s own arithmetic: what that check shows.

Avir at San Knoll: nurse staffing hours by quarter →

Who owns Avir at San Knoll, as filed with CMS

Care Compare

  • ADP OF THE SNF: AZIZ, WESAM (individual), since 06/01/2022; CONTRERAS, TERRI (individual), since 04/29/2019; GREGORY, TRISTA (individual), since 08/12/2024
  • CORPORATE DIRECTOR: AZIZ, WESAM (individual), since 06/01/2022
  • CORPORATE OFFICER: APOLINAR, ADAM (individual), since 07/23/2015; CONTRERAS, TERRI (individual), since 04/29/2019
  • OPERATIONAL/MANAGERIAL CONTROL: AZIZ, WESAM (individual), since 06/01/2022; CONTRERAS, TERRI (individual), since 04/29/2019; GREGORY, TRISTA (individual), since 08/12/2024

Ownership percentage for each: NOT APPLICABLE.

Medicare enrollment

As filed in the CMS file dated October 1, 2026 (Medicare enrollment ownership), under the enrollment of UVALDE COUNTY HOSPITAL AUTHORITY (enrollment ID O20150624002268).

  • 5% OR GREATER DIRECT OWNERSHIP INTEREST: UVALDE COUNTY HOSPITAL AUTHORITY (organization), 100.00%, since 02/28/2015
  • ADP OF THE SNF: TERRI CONTRERAS (individual), since 04/29/2019; TRISTA GREGORY (individual), since 08/12/2024; WESAM SABRI AZIZ (individual), since 06/01/2022
  • CORPORATE DIRECTOR: WESAM SABRI AZIZ (individual), since 06/01/2022
  • CORPORATE OFFICER: ADAM APOLINAR (individual), since 07/23/2015; TERRI CONTRERAS (individual), 0.00%, since 04/29/2019
  • OPERATIONAL/MANAGERIAL CONTROL: TERRI CONTRERAS (individual), since 04/29/2019; TRISTA GREGORY (individual), since 08/12/2024; WESAM SABRI AZIZ (individual), since 06/01/2022

Paused by CMS: Form CMS-855A, December 11, 2025.

Private equity company, real estate investment trust and holding company: No: UVALDE COUNTY HOSPITAL AUTHORITY.

Private equity company, real estate investment trust and holding company: Paused by CMS: TERRI CONTRERAS; TRISTA GREGORY; WESAM SABRI AZIZ; WESAM SABRI AZIZ; ADAM APOLINAR; TERRI CONTRERAS; TERRI CONTRERAS; TRISTA GREGORY; WESAM SABRI AZIZ.

Changes in ownership

  • April 1, 2026, enrollment ownership file; no longer listed: ANGELICA SALAS (ADP OF THE SNF); ANGELICA SALAS (OPERATIONAL/MANAGERIAL CONTROL); ANGELICA SALAS (CORPORATE DIRECTOR); CHRISTOPHER M SLIMMER (5% OR GREATER INDIRECT OWNERSHIP INTEREST); SSC SAN ANTONIO NORTHGATE OPERATING COMPANY LLC (OPERATIONAL/MANAGERIAL CONTROL); NORTHGATE REALTY VENTURES LLC (ADP OF THE SNF); JUSTIN B JOHNSON (5% OR GREATER INDIRECT OWNERSHIP INTEREST); SUMMIT LTC SAN ANTONIO II, LLC (ADP OF THE SNF); SUMMIT LTC SAN ANTONIO II, LLC (OPERATIONAL/MANAGERIAL CONTROL). Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
  • October 1, 2025, enrollment ownership file; no longer listed: BENJAMIN G ELLIOTT (CORPORATE DIRECTOR); UVALDE COUNTY HOSPITAL AUTHORITY (OPERATIONAL/MANAGERIAL CONTROL); HECTOR E GONZALES (CORPORATE DIRECTOR); WILLIAM A KESSLER (CORPORATE DIRECTOR); ADAM APOLINAR (W-2 MANAGING EMPLOYEE); KELLY A FAGLIE (CORPORATE DIRECTOR); GAJANAN V GAITONDE (CORPORATE DIRECTOR); MONICA E GUTIERREZ (CORPORATE DIRECTOR); RAUL E ZAMORA (CORPORATE DIRECTOR); THOMAS J NORDWICK (CORPORATE OFFICER); first listed: TERRI CONTRERAS (ADP OF THE SNF), associated since April 29, 2019; TERRI CONTRERAS (OPERATIONAL/MANAGERIAL CONTROL), associated since April 29, 2019; WESAM SABRI AZIZ (ADP OF THE SNF), associated since June 1, 2022; WESAM SABRI AZIZ (OPERATIONAL/MANAGERIAL CONTROL), associated since June 1, 2022; WESAM SABRI AZIZ (CORPORATE DIRECTOR), associated since June 1, 2022; UVALDE COUNTY HOSPITAL AUTHORITY (5% OR GREATER DIRECT OWNERSHIP INTEREST), associated since February 28, 2015; ANGELICA SALAS (ADP OF THE SNF), associated since March 10, 2025; ANGELICA SALAS (OPERATIONAL/MANAGERIAL CONTROL), associated since March 10, 2025; ANGELICA SALAS (CORPORATE DIRECTOR), associated since March 10, 2025; CHRISTOPHER M SLIMMER (5% OR GREATER INDIRECT OWNERSHIP INTEREST), associated since October 18, 2018; TRISTA GREGORY (ADP OF THE SNF), associated since August 12, 2024; TRISTA GREGORY (OPERATIONAL/MANAGERIAL CONTROL), associated since August 12, 2024; NORTHGATE REALTY VENTURES LLC (ADP OF THE SNF), associated since December 6, 2018; JUSTIN B JOHNSON (5% OR GREATER INDIRECT OWNERSHIP INTEREST), associated since October 18, 2018; SUMMIT LTC SAN ANTONIO II, LLC (ADP OF THE SNF), associated since July 2, 2025; SUMMIT LTC SAN ANTONIO II, LLC (OPERATIONAL/MANAGERIAL CONTROL), associated since December 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
  • January 1, 2023, enrollment ownership file; no longer listed: TERRI CONTRERAS (W-2 MANAGING EMPLOYEE); ANDREW E SHANE (OPERATIONAL/MANAGERIAL CONTROL); VALERIE J LOPEZ (OFFICER); first listed: BEN G ELLIOTT (DIRECTOR), associated since July 23, 2015; KELLY A FAGLIE (DIRECTOR), associated since January 25, 2016. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv

Recent changes on this record

Inspections of Avir at San Knoll

  • Cycle 1: health July 24, 2025 (36 deficiencies), fire safety July 24, 2025 (4)
  • Cycle 2: health June 7, 2024 (10 deficiencies), fire safety June 7, 2024 (7)
  • Cycle 3: health April 28, 2023 (10 deficiencies), fire safety April 28, 2023 (4)

Deficiencies cited at Avir at San Knoll

56 deficiencies on file, by tag, newest citation first

every one from a health inspection; every one marked “Deficient, Provider has date of correction”; 44 cited from a complaint, marked below. Letter after a date: scope and severity grade.

  • F 0584, resident rights: July 24, 2026 (E, from a complaint, corrected July 25, 2026); April 24, 2026 (E, from a complaint, corrected April 27, 2026); December 18, 2025 (D, from a complaint, corrected December 19, 2025); January 23, 2025 (D, from a complaint, corrected January 24, 2025); April 14, 2024 (E, from a complaint, corrected April 15, 2024).
  • F 0550, resident rights: June 11, 2026 (D, from a complaint, corrected June 12, 2026); May 22, 2026 (D, from a complaint, corrected May 31, 2026); April 24, 2026 (D, from a complaint, corrected May 1, 2026); December 18, 2025 (D, from a complaint, corrected December 19, 2025).
  • F 0583, resident rights: May 22, 2026 (D, from a complaint, corrected May 31, 2026).
  • F 0689, quality of life and care: May 22, 2026 (D, from a complaint, corrected June 5, 2026); March 7, 2026 (D, from a complaint, corrected March 9, 2026); December 18, 2025 (D, from a complaint, corrected December 19, 2025); December 2, 2025 (D, from a complaint, corrected December 3, 2025); November 25, 2025 (D, from a complaint, corrected December 1, 2025); July 24, 2025 (E, corrected July 25, 2025); April 14, 2024 (J, from a complaint, corrected April 15, 2024).
  • F 0761, pharmacy service: May 22, 2026 (D, from a complaint, corrected May 23, 2026); January 23, 2025 (D, from a complaint, corrected January 24, 2025); April 14, 2024 (D, from a complaint, corrected April 15, 2024).
  • F 0557, resident rights: April 24, 2026 (D, from a complaint, corrected May 1, 2026).
  • F 0677, quality of life and care: April 24, 2026 (E, from a complaint, corrected April 27, 2026).
  • F 0804, nutrition and dietary: April 24, 2026 (E, from a complaint, corrected May 8, 2026).
  • F 0811, nutrition and dietary: April 24, 2026 (D, from a complaint, corrected May 1, 2026).
  • F 0812, nutrition and dietary: April 24, 2026 (E, from a complaint, corrected April 27, 2026); June 7, 2024 (E, corrected June 27, 2024).
  • F 0732, nursing and physician services: March 7, 2026 (C, from a complaint, corrected March 10, 2026).
  • F 0880, infection control: March 7, 2026 (D, from a complaint, corrected March 10, 2026); December 18, 2025 (D, from a complaint, corrected December 19, 2025); November 25, 2025 (E, from a complaint, corrected November 26, 2025); July 24, 2025 (E, corrected July 25, 2025); April 28, 2023 (D, corrected April 29, 2023).
  • F 0609, freedom from abuse, neglect, and exploitation: December 18, 2025 (D, from a complaint, corrected December 19, 2025); June 21, 2025 (D, from a complaint, corrected August 7, 2025).
  • F 0655, resident assessment and care planning: December 18, 2025 (D, from a complaint, corrected December 19, 2025).
  • F 0755, pharmacy service: December 18, 2025 (D, from a complaint, corrected December 19, 2025).
  • F 0688, quality of life and care: December 2, 2025 (E, from a complaint, corrected December 3, 2025).
  • F 0558, resident rights: November 25, 2025 (D, from a complaint, corrected December 5, 2025); July 24, 2025 (D, corrected July 25, 2025).
  • F 0563, resident rights: November 25, 2025 (D, from a complaint, corrected December 3, 2025).
  • F 0576, resident rights: November 25, 2025 (D, from a complaint, corrected November 26, 2025).
  • F 0800, nutrition and dietary: November 25, 2025 (D, from a complaint, corrected December 5, 2025).
  • F 0552, resident rights: July 24, 2025 (D, corrected July 25, 2025).
  • F 0693, quality of life and care: July 24, 2025 (D, corrected July 25, 2025).
  • F 0628, resident rights: June 26, 2025 (D, from a complaint, corrected July 3, 2025).
  • F 0610, freedom from abuse, neglect, and exploitation: June 21, 2025 (D, from a complaint, corrected August 7, 2025).
  • F 0656, resident assessment and care planning: June 7, 2024 (D, corrected June 8, 2024); April 14, 2024 (D, from a complaint, corrected April 15, 2024).
  • F 0801, nutrition and dietary: June 7, 2024 (E, corrected July 17, 2024).
  • F 0921, environmental: June 7, 2024 (E, corrected July 17, 2024).
  • F 0925, environmental: June 7, 2024 (E, corrected June 28, 2024).
  • F 0805, nutrition and dietary: April 14, 2024 (D, from a complaint, corrected April 15, 2024).
  • F 0806, nutrition and dietary: April 14, 2024 (D, from a complaint, corrected April 15, 2024).
  • F 0807, nutrition and dietary: April 14, 2024 (D, from a complaint, corrected April 15, 2024).
  • F 0810, nutrition and dietary: April 14, 2024 (D, from a complaint, corrected April 15, 2024).
  • F 0690, quality of life and care: April 28, 2023 (D, corrected April 29, 2023).

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
April 14, 2024Fine$27,710112718
April 14, 2024Payment DenialMay 11, 20243

From the Care Compare penalties file NH_Penalties_Oct2026.csv, processed on October 1, 2026.

Avir at San Knoll in Care Compare

  • Ownership Type: For profit - Limited Liability company
  • Legal Business Name: UVALDE COUNTY HOSPITAL AUTHORITY
  • Date First Approved to Provide Medicare and Medicaid Services: 1989-04-26
  • Provider Resides in Hospital: N
  • Continuing Care Retirement Community: N
  • Urban: Y
  • County/Parish: Bexar
  • Telephone Number: 2106998535
  • Provider Changed Ownership in Last 12 Months: N
  • With a Resident and Family Council: Resident
  • Automatic Sprinkler Systems in All Required Areas: Yes
  • Average Number of Residents per Day: 54.8
  • Overall Rating: 1
  • Health Inspection Rating: 1
  • QM Rating: 4
  • Long-Stay QM Rating: 4

Care Compare, October 1, 2026: provider information NH_ProviderInfo_Oct2026.csv · inspections NH_SurveySummary_Oct2026.csv · citations NH_HealthCitations_Oct2026.csv · penalties NH_Penalties_Oct2026.csv · ownership NH_Ownership_Oct2026.csv.

Other nursing facilities in San Antonio

Report a figure on Avir at San Knoll’s record that differs from its CMS file, quoting 455804.