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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Residing in the neighborhood of San Angelo, TX, Meadow Creek Nursing and Rehabilitation is a trusted senior living community that provides extensive short-term rehabilitation and long-term skilled nursing care. An expert team of healthcare professionals and caregivers are always available to provide residents with these services and assist them with their daily living activities. Warm and inviting accommodations are provided to residents, giving them an ideal space for relaxing, resting, and enjoying their precious personal time.
Dedicated to helping residents maintain their overall well-being, the community also offers an array of engaging activities for entertainment, recreation, and socialization. Free from the hassles of their day-to-day activities, residents can fully devote themselves to their wellness and fulfillment. At Meadow Creek Nursing and Rehabilitation, they provide residents with support and care they need to continue living their desired lifestyle.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 153rd out of 237 homes in Texas.| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
|
35m per day | ▲ 35% State avg: 26m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
|
45m per day | ▼ 21% State avg: 57m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
|
1h 46m per day | ▼ 12% State avg: 2h 1m per day · National avg: 2h 21m per day |
|
Total Nursing (Weekend)
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
|
2h 47m per day | ▼ 6% State avg: 2h 59m per day · National avg: 3h 26m per day |
|
RN (Weekend)
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
|
32m per day | ▲ 52% State avg: 21m per day · National avg: 29m per day |
Occupancy lower than 85% suggests more openings may be available.
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
31% of new residents, usually for short-term rehab.
64% of new residents, often for short stays.
5% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #216 / 248Payroll — State benchmarkedThis home is ranked 216th out of 248 homes in Texas.Shows total annual staff payroll benchmarked to the Texas average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total Residents: 63 Residents
Housing Options: Private / Semi-Private Rooms
Building Type: Single-story
Texas average 7.4
Last Health inspection on Apr 2025
Texas average 25.9
Texas average 3.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
14 of 21 citations resulted from standard inspections; 3 of 21 resulted from complaint investigations; and 4 of 21 came from combined inspections (standard and complaint).
200% worse than Texas average
Texas average: 2
100% better than Texas average
Texas average: 0.4
Corrected
Corrected
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Meadow Creek Nursing and Rehabilitation is located in San Angelo, Texas.
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6.1 miles from city center
Estimated distance in miles from San Angelo's city center to Meadow Creek Nursing and Rehabilitation's address, calculated via Google Maps.
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Reporting period: April 1 – June 30, 2025 (Q2 2025). Source: CMS Payroll-Based Journal report.
25% worse than Texas average
0% compared with Texas average
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hours
No contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10 hours
No contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hours
No contractors work on this role.
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
Total hours from contractors
14 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
| Certified Nursing Assistant | 22 | 0 | 22 | 6,809 | 91 | 100% | 7.4 |
| Physical Therapist | 7 | 0 | 7 | 3,208 | 91 | 100% | 7.7 |
| Licensed Practical Nurse | 6 | 0 | 6 | 2,829 | 91 | 100% | 10 |
| Registered Nurse | 6 | 0 | 6 | 1,412 | 86 | 95% | 9.4 |
| Medication Aide/Technician | 4 | 0 | 4 | 1,163 | 91 | 100% | 9.4 |
| RN Director of Nursing | 2 | 0 | 2 | 974 | 72 | 79% | 7.6 |
| Administrator | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 444 | 56 | 62% | 7.9 |
| Dietitian | 1 | 0 | 1 | 444 | 65 | 71% | 6.8 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 263 | 30 | 33% | 7.8 |
| Medical Director | 0 | 2 | 2 | 14 | 6 | 7% | 2.3 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
48
Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.6
11% worse than Texas average
Texas average: 8.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
19.6
22% worse than Texas average
Texas average: 16.0
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
11.8%
27% better than Texas average
Texas average: 16.2%
Percent of long-stay residents whose ability to move independently worsened
22.3%
37% worse than Texas average
Texas average: 16.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
24.9%
59% worse than Texas average
Texas average: 15.7%
Percent of long-stay residents experiencing one or more falls with major injury
3.9%
21% worse than Texas average
Texas average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
5.8%
31% worse than Texas average
Texas average: 4.4%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Texas average
Texas average: 0.8%
Percent of long-stay residents who lose too much weight
4.2%
21% worse than Texas average
Texas average: 3.5%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Texas average
Texas average: 2.9%
Percent of long-stay residents who received an antipsychotic medication
8.6%
9% worse than Texas average
Texas average: 7.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
85.0%
13% worse than Texas average
Texas average: 97.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.4%
In line with Texas average
Texas average: 97.9%
Number of hospitalizations per 1,000 long-stay resident days.
1.23
42% better than Texas average
Texas average: 2.13
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.45
30% better than Texas average
Texas average: 2.07
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
88.3%
In line with Texas average
Texas average: 90.4%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Texas average
Texas average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
91.4%
In line with Texas average
Texas average: 88.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
25.1%
In line with Texas average
Texas average: 25.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
5.5%
54% better than Texas average
Texas average: 12.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Texas average
Texas average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
67.7%
26% better than Texas average
Texas average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
46.9%
7% worse than Texas average
Texas average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
48% higher than Texas average
Texas average: $80K
20% fewer fines than Texas average
Texas average: 2.5
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
354% more payment denials than Texas average
Texas average: 0.2
Penalties are imposed by CMS for violations of federal nursing home regulations.
3 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 1, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Dec 27, 2023
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Dec 27, 2023
Last updated: Jan 2026
Historical financial and operational data for Meadow Creek Nursing and Rehabilitation based on CMS SNF Cost Reports.
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Meadow Creek Nursing and Rehabilitation is in the Bonham neighborhood.
Meadow Creek Nursing and Rehabilitation has a walk score of 38. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Meadow Creek Nursing and Rehabilitation is located at 4343 Oak Grove Blvd, San Angelo, TX 76904, United States.
(325) 942-4000 will put you in contact with the team at Meadow Creek Nursing and Rehabilitation.
Yes — Meadow Creek Nursing and Rehabilitation is a CMS-certified provider of Medicare and Medicaid.
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