Nursing HomeMedicaid Investigative

Avir at Meadow Creek

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

4343 Oak Grove Blvd, San Angelo, TX 76904|80 beds|Licensed & Active

2/5

Medicare

Inspection

Quality

Staffing

Google rating

3.7/5

based on 40 Google reviews

(325) 942-4000 Directions Website

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0/ 10

none Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

Above average in Texas · Below recommended RN staffing · Chain outperformer · $119,203 in fines

Source: Medicare data

What this means for your family

This facility is a strong choice for physical rehabilitation, as the therapy team is consistently praised by families. However, you should closely monitor the cleanliness of the rooms and the security of personal items, as multiple recent reviewers have reported issues with hygiene and missing belongings.

Google Reviews

40 reviews analyzed

“Families considering Meadow Creek will find a facility with a highly praised rehabilitation and therapy team, but experiences regarding daily care vary significantly. While many reviewers celebrate the compassionate nursing staff and excellent physical therapy, others have raised serious concerns regarding cleanliness, food quality, and the security of personal belongings.”

Quality Themes

Tap a score for details

Strengths

Exceptional rehabilitation and physical therapy team
Compassionate and hardworking nursing staff
Friendly and professional administration
Positive dining experiences for some residents

Concerns

Issues with cleanliness and hygiene (mentioned by 2 reviewers)
Loss or theft of personal belongings and laundry (mentioned by 2 reviewers)
Inconsistent food quality and nutrition (mentioned by 3 reviewers)
Staffing shortages or understaffing (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

Distribution

How They Respond to Reviews

77%response rate

Generic

The owner uses highly templated, repetitive responses that vary only by the reviewer's name. While they attempt to invite negative reviewers to call the facility, the actual content of the replies lacks genuine empathy or specific addressing of the complaints.

Questions for Your Tour

1I noticed the administration is very active in responding to feedback; how does the leadership team involve families in addressing concerns about facility cleanliness and hygiene?
2Since the physical therapy team is highly regarded, could you walk us through how a resident transitions from rehab back into their daily routine here?
3What specific steps are in place to ensure that laundry is handled carefully and that personal belongings stay safe and accounted for?
4Could you tell us more about the dining experience and how the kitchen manages nutritional variety and consistent food quality for all residents?
5How does the nursing team manage medical emergencies or changes in health status during the overnight hours?
6What kind of daily activities or social outings are available to keep the residents engaged and connected with one another?

Personalized based on this facility's data

Key Review Excerpts

“The rehab team, nursing staff, and administrators were all professionals. Any questions or concerns were followed up by respectively by the rehab therapists, RNs, or administrator.”

Rehab patient's family · 2023★★★★★

“I am incredibly grateful for the exceptional care my father has received at Meadow Creek Nursing Rehabilitation. Admitting him to a facility was a daunting decision for our family, but the compassionate support from the nurses and CNAs has made all the difference.”

Long-term resident's family · 2025★★★★☆

“The staff was very friendly and focused on dad’s recovery, most especially the therapy team. Kudos as well to Willie, the chef, as dad always bragged on the food.”

Rehab patient's family · 2024★★★★★

Source: 40 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026

RN Hours

0.55hrs

73%

Registered nurses for medical care

Total Nursing

3.13hrs

76%

All nurses + aides combined

Staff Turnover

49%

Lower is better (< 30% = good)

RN Turnover

20%

Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating

4/ 5

Better Than Avg

measures

Worse Than Avg

measures

Mixed Results

measures

Long-Stay Residents

💉

Residents vaccinated for pneumonia

↑ Higher is better

This Facility79.5%

Worse than Avg

Here

79.5%

93.4%

96.9%

Tom green

98.9%

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better

This Facility30.2%

Worse than Avg

Here

30.2%

19.5%

18.4%

Tom green

16.5%

😔

Residents with depression symptoms

↓ Lower is better

This Facility0.9%

Mixed vs Avgs

Here

0.9%

12.1%

2.5%

Tom green

0.3%

🚶

Residents whose walking got worse

↓ Lower is better

This Facility24.1%

Worse than Avg

Here

24.1%

15.3%

14.9%

Tom green

20.5%

🛏️

Residents needing more daily help over time

↓ Lower is better

This Facility9.6%

Better than Avg

Here

9.6%

14.4%

16.1%

Tom green

18.8%

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better

This Facility22.4%

Mixed vs Avgs

Here

22.4%

19.4%

14.2%

Tom green

22.9%

Short-Stay Residents (Rehab / Post-Acute)

💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better

This Facility94.5%

Mixed vs Avgs

Here

94.5%

81.8%

89.2%

Tom green

98.8%

💉

Short-stay residents vaccinated for the flu

↑ Higher is better

This Facility91.4%

Mixed vs Avgs

Here

91.4%

79.7%

88.0%

Tom green

98.0%

💊

Short-stay residents newly given antipsychotics

↓ Lower is better

This Facility0.3%

Better than Avg

Here

0.3%

1.6%

1.5%

Tom green

0.6%

Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

6deficiencies

3penalties

Near state avg (9.1)

8 complaint-triggered

$119,203 in fines

Families have filed complaint reports that triggered 7 deficiencies, including concerning issues with resident protection from abuse and emergency care response. The facility shows recurring problems with care planning, medication management, and food safety across multiple surveys from 2022 to 2025, though all deficiencies have correction dates. Consider visiting carefully and asking specifically about their policies for resident safety and medication oversight.

Mar 12, 2026Complaint1 finding

0686MinorCorrected

Quality of Life and Care Deficiencies

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

Apr 10, 2025Routine6 findings

0812ModerateCorrected

Nutrition and Dietary Deficiencies

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

0558ModerateCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0880ModerateCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0321ModerateCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0656MinorCorrected

Resident Assessment and Care Planning Deficiencies

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

0689MinorCorrected

Quality of Life and Care Deficiencies

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

May 2, 2024Complaint1 finding

0656MinorCorrected

Resident Assessment and Care Planning Deficiencies

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

Mar 1, 2024Complaint4 findings

0578SevereCorrected

Resident Rights Deficiencies

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.

0600SevereCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0607SevereCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0678SevereCorrected

Quality of Life and Care Deficiencies

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

Mar 1, 2024Routine4 findings

0552ModerateCorrected

Resident Rights Deficiencies

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

0755MinorCorrected

Pharmacy Service Deficiencies

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

0812MinorCorrected

Nutrition and Dietary Deficiencies

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

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Dec 27, 2023Complaint2 findings

0635SevereCorrected

Resident Assessment and Care Planning Deficiencies

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

0684SevereCorrected

Quality of Life and Care Deficiencies

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

Federal Penalties

Fine

Mar 1, 2024

$16,448

Fine

Dec 27, 2023

$102,755

Payment Denial

Dec 27, 2023

1-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

Stratford Hospital District

Organization Type

for profit

Management Company

4343 OAK GROVE BLVD OPCO LLC

Administrator

SHEILA GAYE CHAMBERS

Chain Affiliation

Chain Name

Avir Health Group

Chain Size

117 facilities nationwide

Chain avg rating: 2.3/5 · Rank 28 of 90

Ownership & Management

Owners

Stratford Hospital District

Owner · Organization

100%

Choi, Maryann