Texas › Tom Green County › San Angelo
Avir At Meadow Creek
4343 Oak Grove Blvd, San Angelo, TX 76904
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Avir At Meadow Creek, in San Angelo, Texas, is certified for 80 beds under for-profit, corporation ownership and belongs to the Avir Health Group chain.
CMS gives it 1 of 5 stars overall, below the Texas median of 3; the health inspection rating is 1, staffing 2 and quality measures 4.
Inspectors recorded 24 health deficiencies across the three most recent survey cycles (8, 8, 8 by cycle, most recent first), 7 of them at the actual-harm or immediate-jeopardy level. That is 30.0 per 100 beds, more than the state median of 22.5.
CMS lists 4 penalties in the period covered: fines totalling $136K and 1 payment denial.
Reported nurse staffing is 3.1 hours per resident per day (0.5 RN), close to the Texas median of 3.3; nursing staff turnover is 45.9%.
Compared with county, state and nation
| Measure | This facility | Tom Green Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 24 | 24 | 25 | 28.7 |
| Citations per 100 beds | 30.0 | 27.2 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.1 | 3.3 | 3.3 | 3.9 |
| RN hours per resident day | 0.5 | 0.5 | 0.4 | 0.7 |
| Nursing staff turnover | 45.9% | 75.3% | 52.1% | 45.8% |
| Fines listed | $135,553 | $0 | $16,801 | — |
County and state figures are medians across facilities (8 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 10 Apr 2025, 1 Mar 2024.
Severity mix: J ×4 K ×2 G ×1 D ×9 E ×6 F ×2
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 1 Jun 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 2 Jun 2026 |
| 1 Jun 2026 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Complaint investigation | 2 Jun 2026 |
| 12 Mar 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 13 Mar 2026 |
| 10 Apr 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 30 Apr 2025 |
| 10 Apr 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | Standard survey | 30 Apr 2025 |
| 10 Apr 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 30 Apr 2025 |
| 10 Apr 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 30 Apr 2025 |
| 10 Apr 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 30 Apr 2025 |
| 2 May 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 23 May 2024 |
| 1 Mar 2024 | F0578 | 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. | J | Complaint investigation | 22 Mar 2024 |
| 1 Mar 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | 22 Mar 2024 |
| 1 Mar 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | J | Complaint investigation | 22 Mar 2024 |
| 1 Mar 2024 | F0678 | 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 | Complaint investigation | 22 Mar 2024 |
| 1 Mar 2024 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | E | Standard survey | 22 Mar 2024 |
| 1 Mar 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 22 Mar 2024 |
| 1 Mar 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 22 Mar 2024 |
| 1 Mar 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 22 Mar 2024 |
| 27 Dec 2023 | F0635 | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | K | Complaint investigation | 27 Jan 2024 |
| 27 Dec 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | K | Complaint investigation | 27 Jan 2024 |
| 7 Dec 2022 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 7 Jan 2023 |
| 7 Dec 2022 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 7 Jan 2023 |
| 7 Dec 2022 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 7 Jan 2023 |
| 7 Dec 2022 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 7 Jan 2023 |
| 7 Dec 2022 | F0761 | 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 | Standard survey | 7 Jan 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 1 Jun 2026 | Fine | $16,350 | |
| 1 Mar 2024 | Fine | $16,448 | |
| 27 Dec 2023 | Payment denial | — | 1 days |
| 27 Dec 2023 | Fine | $102,755 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 45.9%, RNs 0.0%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 6.4% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.0% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.5% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 15.4% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 9.8% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 16.3% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: Stratford Hospital District. Chain: Avir Health Group (116 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Stratford Hospital District | 5% or greater direct ownership interest | 100% | 06/01/2020 |
| 4343 Oak Grove Blvd Opco, LLC | Operational/managerial control | NOT APPLICABLE | 08/01/2025 |
| 4343 Oak Grove Blvd Property Owner, LLC | Adp of the snf | NOT APPLICABLE | 08/01/2025 |
| Welltower Nnn Group, LLC | Adp of the snf | NOT APPLICABLE | 08/01/2025 |
| Welltower Op, LLC | Adp of the snf | NOT APPLICABLE | 08/01/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Tom Green County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Sagecrest Alzheimers Care Center | San Angelo | 72 | 5 | 5 | 5 | 9 | 12.5 | — | 11 Dec 2025 |
| Cedar Manor Nursing and Rehabilitation Center | San Angelo | 166 | 4 | 4 | 2 | 19 | 11.4 | — | 5 Mar 2026 |
| Park Plaza Nursing and Rehabilitation Center | San Angelo | 90 | 3 | 4 | 1 | 28 | 31.1 | — | 14 May 2026 |
| Regency House | San Angelo | 120 | 3 | 4 | 1 | 19 | 15.8 | — | 28 Jan 2026 |
| Avir At Arbor Terrace | San Angelo | 126 | 1 | 2 | 1 | 36 | 28.6 | $122K | 30 Apr 2026 |
| Avir At San Angelo | San Angelo | 125 | 1 | 2 | 1 | 34 | 27.2 | $91K | 7 May 2026 |
| St. Juanita Retirement and Rehab | San Angelo | 90 | — | — | — | 5 | 5.6 | — | 27 May 2026 |
All 8 facilities in Tom Green County
Questions and answers
How many deficiencies has Avir At Meadow Creek been cited for?
24 health deficiencies across the three most recent survey cycles, 7 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Avir At Meadow Creek been fined?
Yes. CMS lists fines totalling $136K in the period covered, plus 1 payment denial.
How does staffing at Avir At Meadow Creek compare?
Reported total nurse staffing is 3.1 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Avir At Meadow Creek?
It is part of the Avir Health Group chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Stratford Hospital District and 4343 Oak Grove Blvd Opco, LLC. Individual owners and managers are not listed on this site.
When was Avir At Meadow Creek last inspected?
The most recent survey or investigation in the CMS record is dated 1 Jun 2026; the most recent standard health survey was 10 Apr 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.