Cedar Manor Nursing and Rehabilitation Center
1915 Greenwood Street, San Angelo, TX 76901 · Tom Green County · 166 certified beds · avg 46 residents/day · certified since Aug 30, 2005
Part of chain: CREATIVE SOLUTIONS IN HEALTHCARE (149 facilities, chain avg rating 2.1★)
4/5
Health inspection rating (on-site)
0
Serious findings on record
$0
Fines, last 3 years
3.81
Nurse hours/resident/day (adjusted)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (19)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Mar 5, 2026 | E · Potential for harm, repeated | The facility's activities program was not run by a qualified professional. The person directing recreation and social activities must have proper training or credentials. · from a complaint |
| Mar 5, 2026 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint |
| Mar 5, 2026 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint |
| Mar 5, 2026 | E · Potential for harm, repeated | The facility's bedrooms did not give residents visual privacy — such as curtains or dividers — when privacy is needed. · from a complaint |
| Mar 5, 2026 | E · Potential for harm, repeated | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · from a complaint |
| Aug 28, 2025 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint |
| Aug 20, 2025 | D · Potential for harm, one-off | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · from a complaint |
| Aug 20, 2025 | C · Minimal risk, facility-wide | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. · from a complaint |
| Apr 28, 2025 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint |
| Feb 28, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint |
| Dec 12, 2024 | E · Potential for harm, repeated | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Dec 12, 2024 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Dec 12, 2024 | B · Minimal risk, repeated | The facility did not make sure resident rooms met each resident's needs. |
| Nov 10, 2023 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint |
| Nov 10, 2023 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
| Nov 10, 2023 | D · Potential for harm, one-off | The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life. · from a complaint |
| Oct 19, 2023 | E · Potential for harm, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Oct 19, 2023 | D · Potential for harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint |
| Oct 19, 2023 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (3 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 6 | 0 | E |
| 2024 | 3 | 0 | E |
| 2025 | 5 | 0 | E |
| 2026 | 5 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Texas avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.81 | 3.46 | 3.95 | top 20% in Texas; top 48% in the U.S. |
| Registered Nurse hours | 0.43 | 0.44 | 0.69 | top 40% in Texas; bottom 27% in the U.S. |
| Weekend total nurse staffing | 3.52 | 3.04 | 3.50 | top 15% in Texas; top 41% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.27 | 0.34 | 0.48 | bottom 43% in Texas; bottom 25% in the U.S. |
| Total nursing staff turnover (%) | 92.3 | 55.3 | 45.8 | bottom 9% in Texas; bottom 1% in the U.S. |
| RN turnover (%) | 100.0 | 54.6 | 42.9 | bottom 8% in Texas; bottom 1% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.42, RN 0.39, weekend 3.16. Staffing rating: 2/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 3/5 · long-stay residents: 3/5 · short-stay residents: 3/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Ballinger Memorial Hospital District | Organization | 5% or Greater Direct Ownership Interest | 100% | 02/01/2024 |
| Atwood, Mark | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2025 |
| Blake, Gary | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2024 |
| Blake, Gary | Individual | ADP of the SNF | NOT APPLICABLE | 02/01/2024 |
| Blake, Malisa | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2024 |
| Bundrant, Bradly | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2025 |
| Dankworth, Mike | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2025 |
| Fricke, Rhett | Individual | Managing Control - Governing Body | NOT APPLICABLE | 02/01/2024 |
| Fricke, Rhett | Individual | Corporate Officer | NOT APPLICABLE | 02/01/2024 |
| Huggins, Linda | Individual | Corporate Director | NOT APPLICABLE | 02/01/2024 |
| Hunt, John | Individual | ADP of the SNF | NOT APPLICABLE | 04/14/2025 |
| Hunter, William | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2025 |
| Reasor, Tyler | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2025 |
| Rowan, Lisa | Individual | ADP of the SNF | NOT APPLICABLE | 04/14/2025 |
| San Angelo II Enterprises LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 02/01/2024 |
| San Angelo II Enterprises LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/14/2025 |
| Studer, Scott | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2025 |
| Willig, Zachary | Individual | Corporate Director | NOT APPLICABLE | 01/01/2025 |
| Zuniga, Elizabeth | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Who runs your activities program, what are their qualifications, and can I see this week's activity calendar?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How do you ensure privacy for residents in shared rooms during dressing and personal care?"
- "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
- "Where do you post your daily staffing numbers, and can I see today's?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Park Plaza Nursing and Rehabilitation Center | 0.6 mi | San Angelo, TX | ★★★☆☆ | 4/5 | |
| Sagecrest Alzheimers Care Center | 2.9 mi | San Angelo, TX | ★★★★★ | 5/5 | |
| Avir at Arbor Terrace | 3.1 mi | San Angelo, TX | ★☆☆☆☆ | 2/5 | |
| Avir at Meadow Creek | 3.9 mi | San Angelo, TX | ★☆☆☆☆ | 1/5 | |
| St. Juanita Retirement and Rehab | 4.0 mi | San Angelo, TX | —/5 | ||
| Regency House | 4.4 mi | San Angelo, TX | ★★★☆☆ | 4/5 | |
| Avir at San Angelo | 5.0 mi | San Angelo, TX | ★☆☆☆☆ | 2/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 676068.