Avir At Meadow Creek

Penalties

• Jun 1, 2026 — Fine ($16,350)
• Mar 1, 2024 — Fine ($16,448)
• Dec 27, 2023 — Fine ($102,755)
• Dec 27, 2023 — Payment Denial · payment denial 1 days

Inspection findings

1. Jun 1, 2026 Health · 2 findings
   • Not serious Scope/severity D Complaint

     F0655 Resident Assessment and Care Planning Deficiencies

     Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

     Corrected Jun 2, 2026 · CMS health inspection

   • Serious Scope/severity G Complaint

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Jun 2, 2026 · CMS health inspection

2. Mar 12, 2026 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0686 Quality of Life and Care Deficiencies

     Provide appropriate pressure ulcer care and prevent new ulcers from developing.

     Corrected Mar 13, 2026 · CMS health inspection

3. Apr 10, 2025 Health · 6 findings
   • Not serious Scope/severity E

     F0558 Resident Rights Deficiencies

     Reasonably accommodate the needs and preferences of each resident.

     Corrected Apr 30, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0656 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.

     Corrected Apr 30, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Apr 30, 2025 · CMS health inspection

   • Not serious Scope/severity F

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Apr 30, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Apr 30, 2025 · CMS health inspection

   • Not serious Scope/severity E

     K0321 Smoke Deficiencies

     Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

     Corrected Apr 30, 2025 · CMS fire safety

4. May 2, 2024 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0656 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.

     Corrected May 23, 2024 · CMS health inspection

5. Mar 1, 2024 Health · 8 findings
   • Not serious Scope/severity E

     F0552 Resident Rights Deficiencies

     Ensure that residents are fully informed and understand their health status, care and treatments.

     Corrected Mar 22, 2024 · CMS health inspection

   • Serious Scope/severity J Complaint

     F0578 Resident Rights Deficiencies

     Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

     Corrected Mar 22, 2024 · CMS health inspection

   • Serious Scope/severity J Complaint

     F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

     Corrected Mar 22, 2024 · CMS health inspection

   • Serious Scope/severity J Complaint

     F0607 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Develop and implement policies and procedures to prevent abuse, neglect, and theft.

     Corrected Mar 22, 2024 · CMS health inspection

   • Serious Scope/severity J Complaint

     F0678 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.

     Corrected Mar 22, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0755 Pharmacy Service Deficiencies

     Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

     Corrected Mar 22, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Mar 22, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Mar 22, 2024 · CMS health inspection

6. Dec 27, 2023 Health · 2 findings
   • Serious Scope/severity K Complaint

     F0635 Resident Assessment and Care Planning Deficiencies

     Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

     Corrected Jan 27, 2024 · CMS health inspection

   • Serious Scope/severity K Complaint

     F0684 Quality of Life and Care Deficiencies

     Provide appropriate treatment and care according to orders, resident’s preferences and goals.

     Corrected Jan 27, 2024 · CMS health inspection

7. Dec 7, 2022 Health · 5 findings
   • Not serious Scope/severity E

     F0656 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.

     Corrected Jan 7, 2023 · CMS health inspection

   • Not serious Scope/severity E

     F0755 Pharmacy Service Deficiencies

     Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

     Corrected Jan 7, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0761 Pharmacy Service Deficiencies

     Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

     Corrected Jan 7, 2023 · CMS health inspection

   • Not serious Scope/severity F

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Jan 7, 2023 · CMS health inspection

   • Not serious Scope/severity E

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Jan 7, 2023 · CMS health inspection

Owners and managers (as published by CMS)

• CHAMBERS, SHEILA — adp of the snf, NOT APPLICABLE, since 08/01/2025
• CHAMBERS, SHEILA — operational/managerial control, NOT APPLICABLE, since 08/01/2025
• CHUMLEY, RICHARD — corporate officer, NOT APPLICABLE, since 06/01/2020
• DAGAN, AMITAI — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 11/21/2025
• FREUND, NOCHUM — operational/managerial control, NOT APPLICABLE, since 08/01/2025
• GOLDBERGER, ABRAHAM — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 11/21/2025
• GOLDBERGER, FAIGY — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 03/19/2026
• MOORE, GREGORY — operational/managerial control, NOT APPLICABLE, since 06/01/2020
• SUN, STEPHANIE — adp of the snf, NOT APPLICABLE, since 05/28/2020
• SUN, STEPHANIE — operational/managerial control, NOT APPLICABLE, since 08/01/2025
• TRAVITSKY, AARON — operational/managerial control, NOT APPLICABLE, since 08/01/2025
• 4343 OAK GROVE BLVD OPCO, LLC — operational/managerial control, NOT APPLICABLE, since 08/01/2025
• 4343 OAK GROVE BLVD PROPERTY OWNER, LLC — adp of the snf, NOT APPLICABLE, since 08/01/2025
• STRATFORD HOSPITAL DISTRICT — 5% or greater direct ownership interest, 100%, since 06/01/2020
• WELLTOWER NNN GROUP, LLC — adp of the snf, NOT APPLICABLE, since 08/01/2025
• WELLTOWER OP, LLC — adp of the snf, NOT APPLICABLE, since 08/01/2025