Avir at Meadow Creek
4343 Oak Grove Blvd · San Angelo, TX · 76904 · 3259492559
80 certified beds For profit - Corporation Chain: Avir Health Group
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results have improved across recent cycles.
Red flags
6 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.13 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.55 | 0.55–0.75 |
| Weekend hours / resident-day | 2.91 | ≈ weekday level |
| Nursing turnover / year | 49% | median 45% |
| Fines (3-yr window) | 2 · $119,203 |
Inspection citations (22 in the current record)
-
Potential for harm · D March 12, 2026 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected March 13, 2026 · Quality of Life and Care
-
Potential for harm · E April 10, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected April 30, 2025 · Resident Rights
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Potential for harm · D April 10, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 30, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 10, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 30, 2025 · Quality of Life and Care
-
Potential for harm · F April 10, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 30, 2025 · Nutrition and Dietary
-
Potential for harm · E April 10, 2025
Provide and implement an infection prevention and control program.
Corrected April 30, 2025 · Infection Control
-
Potential for harm · D May 2, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 23, 2024 · Resident Assessment and Care Planning
-
Immediate jeopardy · J March 1, 2024 · found via complaint
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.
Corrected March 22, 2024 · Resident Rights
-
Immediate jeopardy · J March 1, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected March 22, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J March 1, 2024 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected March 22, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J March 1, 2024 · found via complaint
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected March 22, 2024 · Quality of Life and Care
-
Potential for harm · E March 1, 2024
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected March 22, 2024 · Resident Rights
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Potential for harm · D March 1, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected March 22, 2024 · Pharmacy Service
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Potential for harm · D March 1, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 22, 2024 · Nutrition and Dietary
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Potential for harm · D March 1, 2024
Provide and implement an infection prevention and control program.
Corrected March 22, 2024 · Infection Control
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Immediate jeopardy · K December 27, 2023 · found via complaint
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Corrected January 27, 2024 · Resident Assessment and Care Planning
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Immediate jeopardy · K December 27, 2023 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 27, 2024 · Quality of Life and Care
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Potential for harm · E December 7, 2022
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected January 7, 2023 · Resident Assessment and Care Planning
-
Potential for harm · E December 7, 2022
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected January 7, 2023 · Pharmacy Service
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Potential for harm · D December 7, 2022
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.
Corrected January 7, 2023 · Pharmacy Service
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Potential for harm · F December 7, 2022
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 7, 2023 · Nutrition and Dietary
-
Potential for harm · E December 7, 2022
Provide and implement an infection prevention and control program.
Corrected January 7, 2023 · Infection Control
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 1, 2024 | Fine | $16,448 |
| December 27, 2023 | Fine | $102,755 |
| December 27, 2023 | Payment Denial | 1 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676031 · certified since August 25, 2004. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.