Avir At Meadow Creek
4343 OAK GROVE BLVD, San Angelo, TX, 76904
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: Avir Health Group
- Certified beds
- 80 · avg 49 residents/day
- Total nursing staff turnover
- 43.9% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 33.3% — lower than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 3 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $119,203 total
- Payment denials
- 1 denial
State licensing & capacity
- License number
- 307861
- Service type
- Medicare/medicaid
- Licensed capacity
- 80 beds
- Bed type breakdown
- 45 Medicare-only · 35 Medicaid/Medicare
- Current license effective
- June 1, 2026
- Current license expires
- June 1, 2029
- Initial license date
- June 15, 2010
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Stratford Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- 4343 Oak Grove Blvd Opco Llc
- Administrator
- Sheila Gaye Chambers
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Avir Health Group chain — 90 facilities. Chain-wide average overall rating 2.3 / 5.
Disclosed owners (11 on record)
- Jennifer Awtry
Adp of The Snf · since 2025
- Caraday Healthcare Tx3, Llc
5% or Greater Mortgage Interest · 20% · since 2020
- Caraday Holdings Llc
5% or Greater Mortgage Interest · 100% · since 2020
- Caraday Meadow Creek Llc
Operational/managerial Control · since 2020
- Caraday re Mc, Llc
5% or Greater Mortgage Interest · 100% · since 2020
- Caraday Tx3 Real Estate, Llc
5% or Greater Mortgage Interest · 100% · since 2020
+ 5 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 21)
- E0880·Apr 10, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- F0812·Apr 10, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0689·Apr 10, 2025
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D0656·Apr 10, 2025
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.
- E0558·Apr 10, 2025
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
- D0656·May 2, 2024Complaint
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.
- J0678·Mar 1, 2024Complaint
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.
- J0607·Mar 1, 2024Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Federal penalties
By year
- 20241 fine · $16K
- 20231 fine · $103K · 1 payment denial
Most recent events
- Mar 1, 2024Fine · $16K
- Dec 27, 2023Payment denial · 1 day · starting Jan 26, 2024
- Dec 27, 2023Fine · $103K
Largest single fine on record: $103K.
Fire-safety citations
1 Life-Safety-Code citation on file. Most recent: Apr 10, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Avir At Meadow Creek is an 80-bed nursing home in San Angelo, Texas, accepting Medicare and Medicaid residents. CMS rates it 3 stars overall, with a 2-star health inspection rating and $119,203 in fines across two citations — nearly six times Texas's median fine total. Quality-measure outcomes rate 5 stars, and the facility operates at 61% of licensed capacity. It is part of Avir Health Group and managed by 4343 Oak Grove Blvd Opco LLC.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates this facility 3 stars on staffing — a tier shared by about 19% of Texas nursing homes. Each resident receives roughly 185 minutes of nursing care per day, approximately 56 minutes less than at a 4-star-staffing facility in Texas. Residents here require more hands-on care than at a typical facility — more dependent or less mobile on average — so those 185 minutes stretch thinner than the raw number suggests.
RN turnover is low: about 3 in 10 registered nurses left in the past year, below the state's 25th-percentile cutoff and better than roughly three-quarters of nursing homes in Texas. Administrator turnover tells a different story — three administrators have left in the past year, a level of organizational instability that residents and frontline staff can feel.
CMS recorded two fines totaling $119,203. Texas's median fine total across penalized facilities is $20,699, and about 30% of Texas nursing homes have no fines at all. These two citations produced a dollar amount nearly six times the state median.
Quality-measure outcomes rate 5 stars overall — the top tier — with a 5-star short-stay rating and a 4-star long-stay rating. The facility is running at 61% of its 80 licensed beds, with an average of about 49 residents per day.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Three administrators in one year
Three administrators have turned over in the past 12 months — ask who is currently in that role and how long they have been in place.
Two fines totaling $119,000
CMS issued two fines totaling $119,203 — ask what the citations were for and what specific changes were made in response.
2-star health inspection rating
The health inspection rating is 2 stars despite 5-star quality-measure outcomes — ask what deficiencies drove that score and how they were resolved.
Staffing on weekends
Weekend nursing hours average about 172 minutes per resident per day, below the weekday figure — ask how staffing levels and care routines differ on Saturdays and Sundays.
61% occupancy and waitlists
The facility is operating at 61% of licensed beds — ask whether specific wings or units are closed and what the current admission timeline looks like.
Management company vs. licensee
The licensed owner is Stratford Hospital District, but day-to-day operations are run by a separate management company — ask who makes staffing and care decisions and how disputes between the two are resolved.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.