facebook tracking Avir at Meadow Creek, San Angelo TX: CMS Ratings
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Avir at Meadow Creek

All states › Texas › San Angelo › Avir at Meadow Creek

4343 Oak Grove Blvd San Angelo, TX 76904 · Tom Green County

(325) 942-4000

All 8 nursing homes in San Angelo, TX (8 take Medicaid)

Accepts Medicare Accepts Medicaid 80 certified beds For profit

CMS certification number 676031 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Avir at Meadow Creek a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Avir at Meadow Creek as of October 2026.

CMS rates it 1 out of 5 stars overall, below the Texas average of 2.8. Inspectors issued 23 citations in the last three years. CMS imposed 4 penalties, including $135,553 in fines, in that time. For short-term rehab patients CMS rates quality 3 out of 5; for long-term residents, 4 out of 5.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

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Compare with the 3 closest homes

Staffing

Nursing staff spend about 3.16 hours per resident per day at Avir at Meadow Creek, below the Texas median of 3.30 (US median: 3.72). About 0.42 of those hours are from registered nurses. On weekends it falls to 2.70 hours, 14% below its all-week average. 56.4% of nursing staff left within a year (Texas median 50.2%).

Nursing care per resident per day 3.16 hours
Below the Texas median of 3.30 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.42 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 2.70 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 56.4% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 16.7% a year Share of registered nurses who left over a year.
Administrators who left 1 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds80
Residents per day 56 About 70% of beds filled, on average
OwnershipFor profit - Corporation
Payment acceptedMedicare and Medicaid
Certified sinceAugust 2004
Part of a chainAvir Health Group
Legal business nameSTRATFORD HOSPITAL DISTRICT

Paying for care at Avir at Meadow Creek: Medicare and Medicaid

Avir at Meadow Creek is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Texas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on June 11, 2026 and found 4 deficiencies, plus 3 from complaint inspections in the same period. In total, inspectors issued 23 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 23 citations at Avir at Meadow Creek across 7 inspection dates, 10 of them from complaint investigations. 6 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on March 1, 2024 (complaint inspection). The most common areas cited were quality of life and care (6) and resident assessment and care planning (5). The most serious was cited under the CMS rule to "provide doctor's orders for the resident's immediate care at the time the resident was admitted" (tag F0635, level K, December 27, 2023). 2 citations were under CMS's abuse, neglect and exploitation rules.

June 11, 2026 · 4 citations

EProvide safe and appropriate respiratory care for a resident when needed.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0695 · Deficient, Provider has date of correction (Jun 26, 2026)

EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Jun 26, 2026)

DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0842 · Deficient, Provider has date of correction (Jun 26, 2026)

CPost nurse staffing information every day.

Potential for minimal harm · Nursing and Physician Services Deficiencies · Tag F0732 · Deficient, Provider has date of correction (Jun 26, 2026)

June 1, 2026 · 2 citations, includes actual harm · includes complaint inspection

GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Actual harm · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Deficient, Provider has date of correction (Jun 2, 2026)

DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0655 · Complaint inspection · Deficient, Provider has date of correction (Jun 2, 2026)

March 12, 2026 · 1 citation · includes complaint inspection

DProvide appropriate pressure ulcer care and prevent new ulcers from developing.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0686 · Complaint inspection · Deficient, Provider has date of correction (Mar 13, 2026)

April 10, 2025 · 5 citations

FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Apr 30, 2025)

EReasonably accommodate the needs and preferences of each resident.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0558 · Deficient, Provider has date of correction (Apr 30, 2025)

EProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Apr 30, 2025)

DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (Apr 30, 2025)

DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Apr 30, 2025)

May 2, 2024 · 1 citation · includes complaint inspection

DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Complaint inspection · Deficient, Provider has date of correction (May 23, 2024)

March 1, 2024 · 8 citations, includes immediate jeopardy · includes complaint inspection

JHonor 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.

Immediate jeopardy · Resident Rights Deficiencies · Tag F0578 · Complaint inspection · Deficient, Provider has date of correction (Mar 22, 2024)

JProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Immediate jeopardy · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Complaint inspection · Deficient, Provider has date of correction (Mar 22, 2024)

JDevelop and implement policies and procedures to prevent abuse, neglect, and theft.

Immediate jeopardy · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 · Complaint inspection · Deficient, Provider has date of correction (Mar 22, 2024)

JProvide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Immediate jeopardy · Quality of Life and Care Deficiencies · Tag F0678 · Complaint inspection · Deficient, Provider has date of correction (Mar 22, 2024)

EEnsure that residents are fully informed and understand their health status, care and treatments.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0552 · Deficient, Provider has date of correction (Mar 22, 2024)

DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Deficient, Provider has date of correction (Mar 22, 2024)

DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Mar 22, 2024)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Mar 22, 2024)

December 27, 2023 · 2 citations, includes immediate jeopardy · includes complaint inspection

KProvide doctor's orders for the resident's immediate care at the time the resident was admitted.

Immediate jeopardy · Resident Assessment and Care Planning Deficiencies · Tag F0635 · Complaint inspection · Deficient, Provider has date of correction (Jan 27, 2024)

KProvide appropriate treatment and care according to orders, resident’s preferences and goals.

Immediate jeopardy · Quality of Life and Care Deficiencies · Tag F0684 · Complaint inspection · Deficient, Provider has date of correction (Jan 27, 2024)

Questions to ask on a tour of Avir at Meadow Creek

  1. Inspectors cited the home at the immediate-jeopardy level on December 27, 2023 under the rule on resident assessment and care planning. What changed afterwards, and can I see the plan of correction?
  2. CMS cited the home under its abuse and neglect rules on March 1, 2024. How are staff trained, and how are concerns reported?
  3. CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  4. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  5. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

4 penalties in the last three years, including $135,553 in fines.

DateTypeAmount or length
Jun 1, 2026 Fine $16,350
Mar 1, 2024 Fine $16,448
Dec 27, 2023 Fine $102,755
Dec 27, 2023 Payment Denial 1 days of payments denied

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 1/5 1/5 2/5 3/5
August 2026 1/5 1/5 2/5 4/5
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Location

Hospitals near Avir at Meadow Creek

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

  • 1.7 mi
    River Crest Hospital San Angelo
    No ER listed in Medicare data
  • 4.8 mi
    Shannon Medical Center San Angelo
    Emergency room ★★★☆☆ Medicare overall 3 of 5
    Median ER visit 2h 24m for patients treated and sent home

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Regency House San Angelo · 1.2 mi away ★★★★☆ Inspection 4/5 · Staffing 2/5 120 beds · Medicaid
Avir at San Angelo San Angelo · 1.9 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 1/5 125 beds · Medicaid
St. Juanita Retirement and Rehab San Angelo · 2.4 mi away Not rated Inspection — · Staffing — 90 beds · Medicaid
Park Plaza Nursing and Rehabilitation Center San Angelo · 3.5 mi away ★★★★☆ Inspection 4/5 · Staffing 1/5 90 beds · Medicaid
Cedar Manor Nursing and Rehabilitation Center San Angelo · 3.9 mi away ★★★★☆ Inspection 4/5 · Staffing 2/5 166 beds · Medicaid

More nursing homes near Avir at Meadow Creek ›   All nursing homes in San Angelo ›

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Other Avir Health Group nursing homes in Texas

Affiliation comes from CMS's affiliated-entity data, October 2026. All 118 Avir Health Group nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/texas/san-angelo/avir-at-meadow-creek/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.