Cedar Manor Nursing And Rehabilitation Center
1915 GREENWOOD STREET, San Angelo, TX, 76901
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: Creative Solutions In Healthcare
- Certified beds
- 166 · avg 45 residents/day
- Total nursing staff turnover
- 52.8% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 42.9% — lower than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Infection control citations
- 3
State licensing & capacity
- License number
- 311907
- Service type
- Medicare/medicaid
- Licensed capacity
- 166 beds
- Bed type breakdown
- 56 Medicare-only · 110 Medicaid/Medicare
- Current license effective
- February 1, 2024
- Current license expires
- February 1, 2027
- Initial license date
- November 1, 1987
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Ballinger Memorial Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Creative Solutions In Healthcare, Inc
- Administrator
- Clay Joseph Kofron
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Creative Solutions in Healthcare chain — 149 facilities. Chain-wide average overall rating 2.7 / 5.
Disclosed owners (16 on record)
- John d Hunt
Adp of The Snf · since 2025
- Lisa Rowan
Adp of The Snf · since 2025
- San Angelo ii Enterprises Llc
Adp of The Snf · since 2025
- Bradly Bundrant
Managing Control - Governing Body · since 2025
- Elizabeth Zuniga
Managing Control - Governing Body · since 2025
- Mark Atwood
Managing Control - Governing Body · since 2025
+ 10 additional owners on the federal record.
Recent change of ownership
February 2024 (2 years ago) · acquired from Cedar Manor Nursing And Rehabilitation Center
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of April 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 17)
- E0880·Aug 28, 2025Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0921·Aug 20, 2025Complaint
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- C0732·Aug 20, 2025Complaint
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
- D0657·Apr 28, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D0880·Feb 28, 2025Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- B0910·Dec 12, 2024
Environmental Deficiencies
Ensure resident rooms meet each resident's needs.
- D0880·Dec 12, 2024
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0550·Dec 12, 2024
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Fire-safety citations
9 Life-Safety-Code citations on file. Most recent: Dec 12, 2024. 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
Cedar Manor Nursing And Rehabilitation Center is a 166-bed nursing home in San Angelo, Tom Green County, licensed for Medicare and Medicaid residents. CMS rates it 4 stars overall, with 4 stars each on health inspections and staffing. Quality measures rate 3 stars. The facility is operated by Creative Solutions In Healthcare under a hospital district license and currently has about 45 residents — well below its licensed capacity.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 4 stars — placing it in roughly the top 9% of Texas nursing homes on staffing. Each resident receives about 216 minutes of nursing care per day, with 40 minutes from a registered nurse. Staff hours per resident exceed what a typical resident mix would require, meaning the staffing numbers reflect a lighter load rather than extra capacity built into the schedule.
One administrator has turned over in the past year — an elevated rate for a facility this size. Residents and families may notice some inconsistency in policies or communication while new leadership settles in.
The facility is running at about 27% of its 166 licensed beds — roughly 45 residents in a building built for more than 160. Paired with the safety flags above, low occupancy can reflect local market conditions, referral patterns, or a facility working through a period of decline; the data alone does not distinguish between them.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Reason for current low census
With about 45 residents in a 166-bed building, ask management what is driving occupancy so low and whether that affects staffing schedules or services.
Administrator transition and continuity
One administrator left in the past year — ask who is currently in charge, how long they have been in the role, and which policies have changed.
Quality measure plans for improvement
Staffing rates 4 stars but quality outcomes rate 3 stars — ask how care planning and follow-through are reviewed to close that gap.
Resident Council structure and access
The facility has a Resident Council but no Family Council — ask how family members can formally raise concerns or stay informed about care decisions.
Staffing during off-peak occupancy
Ask whether current staffing levels are maintained if census rises, or if they scale down when the building fills further.
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.