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Nursing homeFAID #14441

Avir At Meadow Creek

4343 OAK GROVE BLVD, SAN ANGELO, TX, 76904
(325) 942-4000
80 licensed beds

CMS rates Avir At Meadow Creek 1 out of 5 overall. Federal inspectors issued 25 citations across 12 inspections in the last three years, with $135,553 in fines. Listing last updated 2026-11-06.

★★★★★1/5CMS Five-Star overall1/5 health inspections2/5 staffing3/5 quality measuresSource: CMS Care Compare

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Public record summary

What we can show you for free.
Bed capacity
80
CMS facility ID
676031
Care type
Nursing home
County
Tom Green
Facility name
Avir At Meadow Creek
Street address
4343 OAK GROVE BLVD
City / state / ZIP
San Angelo, TX 76904
Phone
(325) 942-4000

About this facility — Avir At Meadow Creek

Avir At Meadow Creek is a Medicare/Medicaid-certified skilled nursing facility in San Angelo, Texas. It is licensed for 80 beds — below the median for skilled nursing facilities in Texas (120 beds).

It is one of 16 senior care facilities in San Angelo and 1,179 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Avir Health Group, a group of 118 facilities on this site.

Federal inspectors have cited Avir At Meadow Creek 25 times across 12 inspections in the last three years, including 3 food-safety citations, and CMS has imposed $135,553 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company
Avir Health Group
Ownership type
For profit - Corporation

Registered owners & officers

Stratford Hospital District
Direct owner — 100% stake — since 2020
4343 Oak Grove Blvd Opco, Llc
Operational control — since 2025
4343 Oak Grove Blvd Property Owner, Llc
Additional disclosable party — since 2025
Chambers, Sheila
Operational control · Additional disclosable party — since 2025
Chumley, Richard
Officer — since 2020
Dagan, Amitai
Owner of a disclosable party — since 2025
Freund, Nochum
Operational control — since 2025
Goldberger, Abraham
Owner of a disclosable party — since 2025
Goldberger, Faigy
Owner of a disclosable party — since 2026
Moore, Gregory
Operational control — since 2020
Sun, Stephanie
Operational control · Additional disclosable party — since 2020
Travitsky, Aaron
Operational control — since 2025
Welltower Nnn Group, Llc
Additional disclosable party — since 2025
Welltower Op Llc
Additional disclosable party — since 2025

Regulatory standing

Licensed / certified since
2004-08-25
CMS overall rating
1 of 5 stars
Health deficiencies
7 at the last standard inspection
Federal fines
$135,553 total
Last standard inspection
2026-06-11
Nurse staffing
3.2 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$341 per day (≈ $10,370/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
37% Medicaid · 17% Medicare · 46% private/other
Occupancy
68% (fiscal year 2023)
Vs. state median
23% above the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds
80
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 3 food-safety citations on its three-year record — flagged below among the inspections.
2026-06-11Health inspection4 citations
F-0695
E · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2026-06-26
F-0732
C · No harm found
Post nurse staffing information every day.
Corrected 2026-06-26
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2026-06-26
F-0842
D · No harm found
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2026-06-26
2026-06-01Health inspectionComplaint-triggered2 citations
F-0655
D · No harm foundFrom a complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2026-06-02
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-06-02
7 earlier / fire-safety inspections (19 citations)
2026-03-12Health inspectionComplaint-triggered1 citation
F-0686
D · No harm foundFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2026-03-13
2025-04-10Health inspection5 citations
F-0558
E · No harm found
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-04-30
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-04-30
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-04-30
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-04-30
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-04-30
2024-05-02Health inspectionComplaint-triggered1 citation
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-05-23
2024-03-01Health inspectionComplaint-triggered8 citations
F-0552
E · No harm found
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2024-03-22
F-0578
J · Immediate jeopardyFrom a 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 2024-03-22
F-0600
J · Immediate jeopardyFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-03-22
F-0607
J · Immediate jeopardyFrom a complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-03-22
F-0678
J · Immediate jeopardyFrom a 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 2024-03-22
F-0755
D · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-03-22
F-0812
D · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-03-22
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-03-22
2023-12-27Health inspectionComplaint-triggered2 citations
F-0635
K · Immediate jeopardyFrom a complaint
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Corrected 2024-01-27
F-0684
K · Immediate jeopardyFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-01-27
2026-06-11Fire-safety inspection1 citation
K-0321
E · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2026-07-23
2025-04-10Fire-safety inspection1 citation
K-0321
E · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2025-04-30

Federal penalties

2026-06-01Fine$16,350
2024-03-01Fine$16,448
2023-12-27Fine$102,755
2023-12-27Medicare payment denial — 1 days
Total fines$135,553
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 676031.

Quality of care & staffing

How it compares in Texas.
Inspection citations, 3 years
25
More than 27% of nursing homes in the state
State median: 33
Federal fines, 3 years
$135,553
More than 91% of nursing homes in the state
State median: $15,642
Nurse staffing, hours per resident per day
3.2
Higher than 34% of nursing homes in the state
State median: 3.3
Nursing staff turnover, annual
56%
Higher than 67% of nursing homes in the state
State median: 50%

Resident outcomes

On 21 federal quality measures, this facility does better than the Texas average on 7 and worse on 11. Differences within 10% of the average are shown as near average.

Long-stay residentsThis facilityStateUSCompared with state
Need for help with daily activities has increased6.4%15.8%13.5%Better than state
Lose too much weight8.4%2.9%5.1%Worse than state
With a catheter inserted and left in their bladder0.0%0.3%0.7%Better than state
With a urinary tract infection0.0%0.8%1.5%Better than state
Have depressive symptoms3.7%2.3%13.5%Worse than state
Were physically restrained0.0%0.0%0.1%Better than state
Experiencing one or more falls with major injury5.0%3.2%3.2%Worse than state
Assessed and appropriately given the pneumococcal vaccine74.8%96.4%93.7%Worse than state
Ability to walk independently worsened13.0%12.9%12.7%Near state average
Received an antianxiety or hypnotic medication26.1%17.8%19.5%Worse than state
Assessed and appropriately given the seasonal influenza vaccine97.5%97.0%95.3%Near state average
With pressure ulcers7.6%3.7%4.5%Worse than state
With new or worsened bowel or bladder incontinence15.5%12.5%18.3%Worse than state
Received an antipsychotic medication17.9%9.8%15.4%Worse than state
Hospitalizations per 1000 long-stay resident days1.782.051.81Better than state
Outpatient emergency department visits per 1000 long-stay resident days2.211.971.69Worse than state
Short-stay residentsThis facilityStateUSCompared with state
Assessed and appropriately given the pneumococcal vaccine80.3%88.7%82.3%Near state average
Newly received an antipsychotic medication2.0%1.4%1.5%Worse than state
Were assessed and appropriately given the seasonal influenza vaccine73.2%85.4%80.1%Worse than state
Were rehospitalized after a nursing home admission21.8%25.5%23.4%Better than state
Had an outpatient emergency department visit2.9%12.2%11.8%Better than state
Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

  • F-0812 3 inspections. Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  • K-0321 2 inspections. Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
  • F-0689 2 inspections. Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0656 2 inspections. Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  • F-0880 2 inspections. Provide and implement an infection prevention and control program.

What its owners also hold

  • Stratford Hospital District has an ownership stake on file at 29 nursing homes, averaging 2.6 of 5 on CMS's overall rating.
Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.

Verify & compare

Where to check, and what's nearby.

Who to contact in Texas

  • Licensing: Texas Health and Human Services
  • File a complaint: 800-458-9858 · Online
  • Long-Term Care Ombudsman: 800-252-2412. A free advocate for residents and families.
  • Adult Protective Services: 800-252-5400. Some states send facility cases to licensing instead. In an emergency, call 911.
  • Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

  • Shannon Medical Center, about 4.7 miles. CMS rating 3 of 5.
  • Ballinger Memorial Hospital, about 39 miles.
  • North Runnels Hospital, about 48 miles.
Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Inside your report

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Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 25 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
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Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-11-06
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered