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
Data as of July 1, 2026
2 of 5 overall
Avir at Meadow Creek in San Angelo, TX has a 2-star overall rating, with 2-star health inspection and staffing ratings and a 4-star quality measures rating. Reported nurse staffing is 3.11 hours per resident per day, below the 4.1-hour federal benchmark; there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.1063 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 3.1063.
Staffing detail
- Registered nurses
- 0.49
- Licensed practical nurses
- 0.72
- Nurse aides
- 1.89
- Weekend nursing
- 2.78
Hours per resident per day.
Total staff turnover: 46%
Registered nurse turnover: 0%
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
15%18.2%Worsening
Residents with a fall causing major injury
2.7%5.7%Worsening
Residents with pressure ulcers (bedsores)
11.6%8.5%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
0%0%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
10%7.7%Improving
Residents whose ability to walk got worse
—15.4%—
Long-stay residents on antianxiety or sleep medication
33.3%29.6%Improving
Short-stay residents newly given an antipsychotic
0%4.4%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
24.9%5.9%Improving
Residents with depressive symptoms
0%7.4%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
78.4%71.4%Worsening
Short-stay residents given the seasonal flu vaccine
—91.4%—
Short-stay residents given the pneumonia vaccine
97.6%74.5%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
Recent ownership change · Jun 1, 2020
Now operated by Avir at Meadow Creek, previously Meadow Creek Nursing and Rehabilitation.
- Ownership
- For profit - Corporation
- Chain
- Part of AVIR HEALTH GROUP · 119 homes · 2.3 stars avg
- Occupancy
- 53.7 residents on an average day (67% 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.