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Cedar Manor Nursing and Rehabilitation Center
1915 Greenwood Street, San Angelo, TX 76901 (opens Google Maps) · Tom Green County · (325) 942-0677· 166 certified beds · avg 46 residents/day · certified since Aug 30, 2005 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: CREATIVE SOLUTIONS IN HEALTHCARE (149 facilities, chain avg rating 2.1★)
4/5
Health inspection rating (on-site)
inspected Mar 5, 2026
0
Serious findings on record
$0
Fines, last 3 years
3.81
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5 · how star ratings work →
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 quality measures from resident assessments and claims.
Inspection findings in the public record
Showing the latest 3 of 19 inspection findings. Open the full record below to read every finding.
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 F-0680
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 F-0812
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 F-0880
View all 19 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Mar 5, 2026 | E · Potential for more than minimal harm, pattern | 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 · F-0680 |
| Mar 5, 2026 | E · Potential for more than minimal harm, pattern | 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 · F-0812 |
| Mar 5, 2026 | E · Potential for more than minimal harm, pattern | 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 · F-0880 |
| Mar 5, 2026 | E · Potential for more than minimal harm, pattern | The facility's bedrooms did not give residents visual privacy — such as curtains or dividers — when privacy is needed. · from a complaint · F-0914 |
| Mar 5, 2026 | E · Potential for more than minimal harm, pattern | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · from a complaint · F-0921 |
| Aug 28, 2025 | E · Potential for more than minimal harm, pattern | 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 · F-0880 |
| Aug 20, 2025 | D · Potential for more than minimal harm, isolated | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · from a complaint · F-0921 |
| Aug 20, 2025 | C · Potential for minimal harm, widespread | 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 · F-0732 |
| Apr 28, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0657 |
| Feb 28, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0880 |
| Dec 12, 2024 | E · Potential for more than minimal harm, pattern | 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. · F-0550 |
| Dec 12, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0880 |
| Dec 12, 2024 | B · Potential for minimal harm, pattern | The facility did not make sure resident rooms met each resident's needs. · F-0910 |
| Nov 10, 2023 | D · Potential for more than minimal harm, isolated | 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 · F-0656 |
| Nov 10, 2023 | D · Potential for more than minimal harm, isolated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint · F-0842 |
| Nov 10, 2023 | D · Potential for more than minimal harm, isolated | 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 · F-0849 |
| Oct 19, 2023 | E · Potential for more than minimal harm, pattern | 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 · F-0689 |
| Oct 19, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint · F-0697 |
| Oct 19, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0758 |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (3 → 5).
All citationsSerious citations (G–L)
2023
All citations: 6
Serious citations (G–L): 0
2024
All citations: 3
Serious citations (G–L): 0
2025
All citations: 5
Serious citations (G–L): 0
2026
All citations: 5
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| 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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityTexas averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.81
Texas average: 3.46
U.S. average: 3.95
Registered Nurse hours
This facility: 0.43
Texas average: 0.44
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.52
Texas average: 3.04
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| 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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.42 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 2/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 3/5 · long-stay residents: 3/5 · short-stay residents: 3/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Cedar Manor Nursing and Rehabilitation Center. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
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 |
All 19 owning or managing parties CMS has on file are shown — none excluded.
Other facilities in the same chain
CMS lists this facility under the chain Creative Solutions in Healthcare — 149 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
- Central Texas Nursing & Rehabilitation — Ballinger, TX · overall 3/5
- Cherokee Rose Nursing and Rehabilitation — Glen Rose, TX · overall 3/5
- Concho Health & Rehabilitation Center — Eden, TX · overall 4/5
- Copperas Hollow Nursing & Rehabilitation Center — Caldwell, TX · overall 3/5
- Cottonwood Nursing & Rehabilitation — Denton, TX · overall 1/5
- Countryview Nursing & Rehabilitation — Terrell, TX · overall 1/5abuse
- Crossroads Nursing & Rehabilitation — Hearne, TX · overall 3/5
- De Leon Nursing and Rehabilitation — De Leon, TX · overall 5/5
Listed by state, then facility name — not a ranking. Showing 8 of the 148 others, continuing from this facility's own place in that list.
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?"
Also worth asking anywhere
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 92% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 19 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
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 | 3.0 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 |
Facility data as of CMS processing date 2026-08-01. CCN 676068.
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