MEADOW CREEK NURSING AND REHABILITATION
4343 OAK GROVE BLVD, SAN ANGELO, TX 76904 · CCN 676031
Ratings
- Overall
- ★★★☆☆ 3
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★★★ 5
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 80
- Avg residents/day
- 49.1
- Phone
- 3259492559
Inspection history vs Texas & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Texas avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-04-10 | 5 | 9.1 | 9.5 | -4.1 better |
| 2 | 2024-03-01 | 9 | 9.4 | 9.8 | -0.4 better |
| 3 | 2022-12-07 | 7 | 8.1 | 9.3 | -1.1 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 1 |
| Resident assessment and care planning | 1 |
| Resident rights | 1 |
| Nutrition and dietary | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.09 | 43.9% |
| RN staffing (reported) | 0.58 | 33.3% |
| Total nurse staffing (adjusted) | 3.31 | — |
Fines & penalties
- Total fines
- $119,203
- Number of fines
- 2
- Number of penalties
- 3
- Payment denials
- 1
Chain
- Chain
- AVIR HEALTH GROUP
- Facilities in chain
- 90
- Chain avg overall
- 2.30 / 5
Inspection citations (21)6 immediate jeopardy
- EF0558Reasonably accommodate the needs and preferences of each resident.2025-04-10 · Health · corrected 2025-04-30
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-04-10 · Health · corrected 2025-04-30
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-04-10 · Health · corrected 2025-04-30
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-04-10 · Health · corrected 2025-04-30
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2025-04-10 · Health · corrected 2025-04-30
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-05-02 · Health · corrected 2024-05-23
Potential for more than minimal harm
- EF0552Ensure that residents are fully informed and understand their health status, care and treatments.2024-03-01 · Health · corrected 2024-03-22
Potential for more than minimal harm
- JF0578Honor 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.2024-03-01 · Health · corrected 2024-03-22
Immediate jeopardy
- JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-03-01 · Health · corrected 2024-03-22
Immediate jeopardy
- JF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-03-01 · Health · corrected 2024-03-22
Immediate jeopardy
- JF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.2024-03-01 · Health · corrected 2024-03-22
Immediate jeopardy
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-03-01 · Health · corrected 2024-03-22
Potential for more than minimal harm
- DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-03-01 · Health · corrected 2024-03-22
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-03-01 · Health · corrected 2024-03-22
Potential for more than minimal harm
- KF0635Provide doctor's orders for the resident's immediate care at the time the resident was admitted.2023-12-27 · Health · corrected 2024-01-27
Immediate jeopardy
- KF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-12-27 · Health · corrected 2024-01-27
Immediate jeopardy
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-12-07 · Health · corrected 2023-01-07
Potential for more than minimal harm
- EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2022-12-07 · Health · corrected 2023-01-07
Potential for more than minimal harm
- DF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2022-12-07 · Health · corrected 2023-01-07
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-12-07 · Health · corrected 2023-01-07
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2022-12-07 · Health · corrected 2023-01-07
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| STRATFORD HOSPITAL DISTRICT | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2020-06-01 |
| CARADAY MEADOW CREEK LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-06-01 |
| MOORE, GREGORY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-06-01 |
| CHUMLEY, RICHARD | Individual | CORPORATE OFFICER | — | 2020-06-01 |
| CARADAY HEALTHCARE TX3, LLC | Organization | 5% OR GREATER MORTGAGE INTEREST | — | 2020-06-01 |
| CARADAY HOLDINGS LLC | Organization | 5% OR GREATER MORTGAGE INTEREST | — | 2020-06-01 |
| CARADAY RE MC, LLC | Organization | 5% OR GREATER MORTGAGE INTEREST | — | 2020-06-01 |
| CARADAY TX3 REAL ESTATE, LLC | Organization | 5% OR GREATER MORTGAGE INTEREST | — | 2020-06-01 |
| REAL ESTATE HOLDINGS CARADAY PB/MC/CC, LLC | Organization | 5% OR GREATER MORTGAGE INTEREST | — | 2020-06-01 |
Other facilities in SAN ANGELO
| Name | Overall | Beds |
|---|---|---|
| SAGECREST ALZHEIMERS CARE CENTER | ★★★★★ | 72 |
| REGENCY HOUSE | ★★★☆☆ | 120 |
| PARK PLAZA NURSING AND REHABILITATION CENTER | ★★★☆☆ | 90 |
| Avir at Arbor Terrace | ★☆☆☆☆ | 126 |
| AVIR AT SAN ANGELO | ★☆☆☆☆ | 125 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.