nursing home in Alvarado, TX
Alvarado Meadows Nursing & Rehabilitation
101 N Parkway, Alvarado, TX 76009 · (817) 790-3304
★★★★★3
Average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★2
- Quality measures★★★★★2
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Alvarado Meadows Nursing & Rehabilitation at a glance
Alvarado Meadows Nursing & Rehabilitation is a 115-bed for-profit nursing home in Alvarado, Texas (Johnson County).
CMS gives it 3 out of 5 stars on its overall star rating, close to the Texas average of 2.7.
Residents receive about 3.4 hours of nursing care per day (0.3 of them from registered nurses), close to the state average of 3.4 hours.
Its most recent standard health inspection (May 6, 2026) found 5 health citations. The Texas average is 9.4.
Federal regulators fined it 4 times in the past three years, totaling $66,941.
Nursing staff turnover is 95.7% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 115
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Creative Solutions in Healthcare
- Medicare-certified since
- November 5, 1985
- Resident/family council
- Resident
- County
- Johnson County
- CMS Certification Number
- 455601
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 3 / 5 | 2.7 / 5 | 3 / 5 | Average |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 2.8 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 1.9 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 2 / 5 | 3.7 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 2 / 5 | 4 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 3 / 5 | 3.2 / 5 | 3.3 / 5 | Average |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.36 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.33 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.24 hrs | 2.01 hrs | 2.32 hrs | Average |
| Weekend nurse staff hours per resident per day (higher is better) | 2.99 hrs | 2.98 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 95.7% | 55.3% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 81.8% | 54.6% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 1 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 5 | 9 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 1 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 58.8 | 102 | 80.6 | Better |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 4 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $66,941 | $44,141 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 5 | 2 | 1 | Worse |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 115 | 113 | 107 | |
| Average residents per day | 58 | 76 | 86 | |
| Occupancy | 50.8% | 67.6% | 80.9% |
Long-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 2.5% | 3.3% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 3.5% | 3.8% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 18.6% | 9.6% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 0.8% | 0.8% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.3% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 25.4% | 15.8% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 21.3% | 14% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 7% | 3% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 3.2% | 2.4% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 12.5% | 18% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 22.1% | 13.4% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 98% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 96.6% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 4.3% | 1.5% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 100% | 88% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 95.5% | 88.9% | 82% | Better |
Inspection citations
State inspectors cited this home for 18 health deficiencies and 7 fire safety deficiencies in the inspection records CMS currently publishes. 2 citations involved actual harm, including 2 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| July 2, 2026 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected July 3, 2026 |
| May 6, 2026 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | D Potential harm, isolated | Corrected June 19, 2026 |
| May 6, 2026 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected June 19, 2026 |
| May 6, 2026 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected June 19, 2026 |
| May 6, 2026 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected May 7, 2026 |
| May 6, 2026 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | E Potential harm, pattern | Corrected May 7, 2026 |
| May 6, 2026 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | E Potential harm, pattern | Corrected May 7, 2026 |
| May 6, 2026 Standard | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Tag F0637 | D Potential harm, isolated | Corrected May 7, 2026 |
| June 10, 2025 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | J Immediate jeopardy, isolated | Corrected June 5, 2025 |
| June 10, 2025 Complaint | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | D Potential harm, isolated | Corrected June 11, 2025 |
| June 10, 2025 Complaint | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | D Potential harm, isolated | Corrected June 11, 2025 |
| June 10, 2025 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected June 11, 2025 |
| June 10, 2025 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected June 11, 2025 |
| March 6, 2025 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | E Potential harm, pattern | Corrected March 6, 2025 |
| March 6, 2025 Fire safety | Meet requirements for sections of health care facilities separated by fire resistive construction. Construction Deficiencies · Tag K0131 | E Potential harm, pattern | Corrected March 6, 2025 |
| March 6, 2025 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | E Potential harm, pattern | Corrected March 7, 2025 |
| March 6, 2025 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | E Potential harm, pattern | Corrected March 7, 2025 |
| March 6, 2025 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected February 21, 2025 |
| February 9, 2025 Complaint | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Resident Rights Deficiencies · Tag F0622 | D Potential harm, isolated | Corrected February 10, 2025 |
| May 22, 2024 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | J Immediate jeopardy, isolated | Corrected May 23, 2024 |
| February 7, 2024 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected April 8, 2024 |
| February 7, 2024 Fire safety | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Tag K0223 | E Potential harm, pattern | Corrected April 8, 2024 |
| February 7, 2024 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected March 12, 2024 |
| February 7, 2024 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected March 4, 2024 |
| February 7, 2024 Standard | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Tag F0636 | D Potential harm, isolated | Corrected March 12, 2024 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 5 federal penalties in the past three years, including $66,941 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| June 10, 2025 | Fine | $10,546 |
| February 9, 2025 | Fine | $4,329 |
| May 22, 2024 | Fine | $7,141 |
| March 15, 2024 | Payment Denial | 5 days from April 12, 2024 |
| March 15, 2024 | Fine | $44,925 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| ALVARADO I ENTERPRISES, LLC Organization | 5% or greater direct ownership interest | 100% | 08/01/2024 |
| BEDFORD, CODY Individual | adp of the snf | NOT APPLICABLE | 07/15/2025 |
| BIGHAM, GENE Individual | adp of the snf | NOT APPLICABLE | 07/15/2025 |
| BLAKE, GARY Individual | adp of the snf | NOT APPLICABLE | 08/01/2024 |
| BLAKE, MALISA Individual | adp of the snf | NOT APPLICABLE | 08/01/2024 |
| CLANTON, AUSTON Individual | adp of the snf | NOT APPLICABLE | 08/01/2024 |
| CREATIVE SOLUTIONS IN HEALTHCARE INC Organization | adp of the snf | NOT APPLICABLE | 08/01/2024 |
| EAMIGUEL, CHRISTOPHER Individual | adp of the snf | NOT APPLICABLE | 08/01/2024 |
| HUGGINS, LINDA Individual | adp of the snf | NOT APPLICABLE | 08/01/2024 |
| WILLIG, ZACHARY Individual | adp of the snf | NOT APPLICABLE | 08/01/2024 |
| ALVARADO I ENTERPRISES, LLC Organization | operational/managerial control | NOT APPLICABLE | 08/01/2024 |
| BLAKE, GARY Individual | operational/managerial control | NOT APPLICABLE | 08/01/2024 |
| BLAKE, MALISA Individual | operational/managerial control | NOT APPLICABLE | 08/01/2024 |
| CLANTON, AUSTON Individual | operational/managerial control | NOT APPLICABLE | 08/01/2024 |
| CREATIVE SOLUTIONS IN HEALTHCARE INC Organization | operational/managerial control | NOT APPLICABLE | 08/01/2024 |
| EAMIGUEL, CHRISTOPHER Individual | operational/managerial control | NOT APPLICABLE | 08/01/2024 |
| HUGGINS, LINDA Individual | operational/managerial control | NOT APPLICABLE | 08/01/2024 |
| WILLIG, ZACHARY Individual | operational/managerial control | NOT APPLICABLE | 08/01/2024 |
Other nursing homes near Alvarado Meadows Nursing & Rehabilitation
- ★★★★★3Average
Grandview Nursing and Rehabilitation Center
301 W Criner St, Grandview, TX 76050 · 9.6 mi
Non-profit · 82 beds
★★★★★5Much above averageAdvanced Rehabilitation & Healthcare of Burleson
275 SE John Jones Drive, Burleson, TX 76028 · 10.7 mi
For-profit · 121 beds · Part of Advanced Healthcare Solutions
★★★★★2Below averageBurleson Nursing and Rehabilitation Center
600 Maple St., Burleson, TX 76028 · 11 mi
For-profit · 120 beds · Part of Avir Health Group
★★★★★3AverageColonial Manor Nursing Center
2035 N Granbury St, Cleburne, TX 76031 · 11.4 mi
Government · 137 beds · Part of Ruby Healthcare
- Abuse citation
★★★★★3AverageHeritage Trails Nursing and Rehabilitation Center
301 Lincoln Park Dr, Cleburne, TX 76033 · 12 mi
For-profit · 122 beds · Part of Eduro Healthcare
★★★★★4Above average
Frequently asked questions
What is Alvarado Meadows Nursing & Rehabilitation's rating?
Alvarado Meadows Nursing & Rehabilitation has 3 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.
How many inspection citations did Alvarado Meadows Nursing & Rehabilitation receive?
Its most recent standard health inspection found 5 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Alvarado Meadows Nursing & Rehabilitation accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Alvarado Meadows Nursing & Rehabilitation?
It is for profit - limited liability company and part of Creative Solutions in Healthcare. The ownership section on this page lists the owners and managers reported to CMS.
Where is Alvarado Meadows Nursing & Rehabilitation and how do I contact it?
Alvarado Meadows Nursing & Rehabilitation is at 101 N Parkway, Alvarado, TX 76009. Phone: (817) 790-3304.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.