Ellery Care
F

Avir At Meadow Creek

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

For-profit · 80 certified beds · 67% occupancy · (325) 942-4000

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Avir At Meadow Creek reviews: what the government record shows

The U.S. government (CMS) rates Avir At Meadow Creek 1 out of 5 stars overall, much below average. Its nurse staffing is 5% below the Texas median. Inspectors cited it for 6 immediate-jeopardy findings in recent inspection cycles.

Updated September 2026 from the latest CMS data release. Ellery Care shows the government's own inspection and safety record, not consumer reviews.

At a glance

CMS overall rating
1 of 5 stars
Nurse staffing
3.11 hrs/resident/day (-5% vs TX median)
Antipsychotic drug use
16.3% of long-stay residents (TX median 8.3%)
Falls with major injury
5% of long-stay residents (TX median 3%)
Federal fines (3 yrs)
$135,553
Inspection findings
24 cited, 6 immediate-jeopardy
Federal abuse-warning flag
No

Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05.

What this means for your family

Several serious marks on its federal record. Look closely and ask hard questions before deciding.

Concerns

  • !CMS rates it just 1 of 5 stars overall.
  • !Nurse staffing of 3.11 hrs/resident/day is below the Texas median of 3.27.
  • !Cited for 6 immediate-jeopardy findings (the most serious category) in recent inspections.
  • !Has paid $135,553 in federal fines in roughly the last three years.
  • !Pressure-ulcer (bedsore) rate of 9.8% is well above the Texas median of 3.3%.

Questions to ask on your visit

  • ·How many residents does each nurse and aide care for on the day, evening, and overnight shifts?
  • ·Can we see the most recent inspection report and the plan of correction?
  • ·How often are residents repositioned, and who checks skin daily?

Touring in person? Our free nursing-home tour checklist has 30 questions to ask and the red flags to watch for, printable to take with you.

A plain-English read of this home's public record. Not advice — always visit in person.

Common questions about Avir At Meadow Creek

Is Avir At Meadow Creek a good nursing home?

Avir At Meadow Creek in San Angelo, Texas holds a 1 of 5 star CMS overall rating. Several serious marks on its federal record. Look closely and ask hard questions before deciding.

How is Avir At Meadow Creek staffed?

Avir At Meadow Creek reports 3.11 nurse hours per resident per day, below the Texas median of 3.27 hours per resident per day.

Has Avir At Meadow Creek been fined or flagged for abuse?

Avir At Meadow Creek has paid approximately $135,553 in federal fines in roughly the last three years, and does not currently carry a federal abuse-warning flag.

CMS quality ratings

Overall★★★★★
Health inspections★★★★★
Staffing★★★★★
Quality of resident care★★★★★

Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. Stars are CMS's own five-star ratings.

Nurse staffing

Staffing is the single strongest predictor of nursing home quality, and the number pay-to-play referral sites rarely show you.

TX median 3.27

3.11 nurse hours per resident per day. 5% below the Texas median of 3.27.

Total nurse
3.11 hrs
RN
0.49 hrs
LPN
0.72 hrs
Aide
1.89 hrs

Nursing staff turnover: 45.9% · RN turnover: 0%

Safety & compliance flags

No CMS warning flags on record.

Recent inspection findings

The specific problems state inspectors cited, the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.

24
total findings
6
immediate jeopardy
1
caused actual harm
10
from complaints
  • Actual harmTag F0689 · Jun 1, 2026ComplaintCorrected Jun 2, 2026

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

    Quality of Life and Care Deficiencies

  • Potential for harmTag F0812 · Apr 10, 2025Corrected Apr 30, 2025

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

    Nutrition and Dietary Deficiencies

  • Potential for harmTag F0558 · Apr 10, 2025Corrected Apr 30, 2025

    Reasonably accommodate the needs and preferences of each resident.

    Resident Rights Deficiencies

  • Potential for harmTag F0880 · Apr 10, 2025Corrected Apr 30, 2025

    Provide and implement an infection prevention and control program.

    Infection Control Deficiencies

  • Potential for harmTag F0655 · Jun 1, 2026ComplaintCorrected Jun 2, 2026

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

    Resident Assessment and Care Planning Deficiencies

  • Potential for harmTag F0686 · Mar 12, 2026ComplaintCorrected Mar 13, 2026

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

    Quality of Life and Care Deficiencies

  • Potential for harmTag F0656 · Apr 10, 2025Corrected Apr 30, 2025

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

    Resident Assessment and Care Planning Deficiencies

  • Potential for harmTag F0689 · Apr 10, 2025Corrected Apr 30, 2025

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

    Quality of Life and Care Deficiencies

  • Immediate jeopardyTag F0578 · Mar 1, 2024ComplaintCorrected Mar 22, 2024

    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.

    Resident Rights Deficiencies

  • Immediate jeopardyTag F0600 · Mar 1, 2024ComplaintCorrected Mar 22, 2024

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies

Showing the 10 most recent and serious of 24 findings. See the full inspection history on Medicare.gov.

Antipsychotic drug use

The share of long-stay residents given antipsychotic medication. These drugs are sometimes used to sedate residents with dementia, a practice CMS and resident advocates watch closely. Lower is better.

16.3%
of long-stay residents
Texas median 8.3%
National median 13.4%

This is above the national median. Ask how the home decides to start these medications and how often it reviews them.

Source: CMS MDS Quality Measures, long-stay antipsychotic measure, retrieved 2026-09-05. See the Texas study

Preventable harm

Two injuries that good staffing and attentive care are meant to prevent: serious falls and pressure ulcers (bedsores). These are the outcomes families fear most, and they rarely appear on referral sites. Lower is better on both.

Falls with major injury
5%
of long-stay residents
Texas median 3% · National median 2.8%
Pressure ulcers (bedsores)
9.8%
of long-stay residents
Texas median 3.3% · National median 4.2%

The serious-fall rate here is above the national median. It is worth asking how the home prevents falls and whether recent injuries prompted any changes.

Source: CMS MDS Quality Measures, long-stay falls and pressure-ulcer measures, period 2025Q2-2026Q1, retrieved 2026-09-05. Texas falls study · bedsore study

Federal fines and penalties

Money CMS has fined this home, plus other federal penalties, over roughly the last three years. Fines follow serious or repeated violations.

Total fines
$135,553
Number of fines
3
Payment denials
1

Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. See the most-fined homes in Texas

Ownership

This home is for-profit (for profit - corporation). It is part of the Avir Health Group chain, which operates 116 facilities, with a chain-average CMS rating of 2.3 stars.