The nursing home failed to provide the doctor’s immediate care orders when the resident was admitted. Cited December 2023 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 635 — 42 CFR §483.20 — S/S: K
Nursing home report
Avir at Meadow Creek
SAN ANGELO, TX · Medicare-certified · 80 beds
In good standing
For-profitChain member
2 of 5 overall
Avir at Meadow Creek in San Angelo, TX has a 2 out of 5 overall rating, with 2-star health inspection and staffing ratings and 4-star quality measures. Reported nurse staffing is 3.13 hours per resident per day, below the federal benchmark of 4.1, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.1274 hrs/resident/day
Quality measures
Last inspection: March 12, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1274.
Staffing detail
- Registered nurses
- 0.55
- Licensed practical nurses
- 0.76
- Nurse aides
- 1.82
- Weekend nursing
- 2.91
Hours per resident per day.
Total staff turnover: 49%
Registered nurse turnover: 20%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
8.7%15%Worsening
Residents with a fall causing major injury
2.5%5.9%Worsening
Residents with pressure ulcers (bedsores)
4.1%8.2%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
3.2%11.5%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
19.4%0%Improving
Residents whose ability to walk got worse
—24.1%—
Long-stay residents on antianxiety or sleep medication
37.5%19.2%Improving
Short-stay residents newly given an antipsychotic
0%1.2%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
21.4%25.5%Worsening
Residents with depressive symptoms
0%4.2%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—95.3%—
Long-stay residents given the pneumonia vaccine
87.5%70.6%Worsening
Short-stay residents given the seasonal flu vaccine
—91.4%—
Short-stay residents given the pneumonia vaccine
95.7%86.1%Worsening
What the inspectors found
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited December 2023 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: K
The home failed to honor residents’ choices about treatment, research participation, and advance care instructions. Cited March 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 578 — 42 CFR §483.10 — S/S: J
The nursing home failed to protect residents from abuse and neglect by others. Cited March 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: J
The home failed to have policies and procedures in place to prevent abuse, neglect, and theft. Cited March 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 607 — 42 CFR §483.12 — S/S: J
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $119,203 in total fines · 1 payment denial.
- $16,448
Federal fine
Mar 1, 2024
- 1 days
Medicare/Medicaid payment denial
Dec 27, 2023
- $102,755
Federal fine
Dec 27, 2023
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of AVIR HEALTH GROUP · 117 homes · 2.2 stars avg
- Occupancy
- 50.6 residents on an average day (63% of 80 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 21 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.