nursing home in Van Alstyne, TX
Meadowbrook Care Center
632 Windsor Way, Van Alstyne, TX 75495 · (903) 482-6455
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★2
- Quality measures★★★★★5
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Meadowbrook Care Center at a glance
Meadowbrook Care Center is a 60-bed for-profit nursing home in Van Alstyne, Texas (Grayson 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 hours of nursing care per day (0.5 of them from registered nurses), worse than the state average of 3.4 hours.
Its most recent standard health inspection (July 3, 2025) found 13 health citations. The Texas average is 9.4.
Federal regulators fined it 1 time in the past three years, totaling $14,069.
Nursing staff turnover is 60% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 60
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Fundamental Healthcare
- Medicare-certified since
- June 9, 1993
- Resident/family council
- Resident
- County
- Grayson County
- CMS Certification Number
- 675151
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) | 2 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 1.9 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 3.7 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 5 / 5 | 4 / 5 | 3.8 / 5 | Better |
| 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) | 3.01 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.47 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.80 hrs | 2.01 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.72 hrs | 2.98 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 60% | 55.3% | 45.8% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 13 | 9 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 10 | 4 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 113.3 | 102 | 80.6 | Worse |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $14,069 | $44,141 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 1 | 2 | 1 | Average |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 60 | 113 | 107 | |
| Average residents per day | 31 | 76 | 86 | |
| Occupancy | 51.5% | 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) | 1.9% | 3.3% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 3.6% | 3.8% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 0% | 9.6% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0% | 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) | 6.8% | 15.8% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 6.9% | 14% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 0% | 3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 0% | 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) | 13.8% | 18% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 3% | 13.4% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 88.9% | 98% | 95.5% | Worse |
| Long-stay residents given a pneumonia vaccine (higher is better) | 97.1% | 96.6% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 1.5% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 48% | 88% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 70.6% | 88.9% | 82% | Worse |
Inspection citations
State inspectors cited this home for 17 health deficiencies and 8 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| May 5, 2026 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 June 30, 2026 |
| January 31, 2026 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | J Immediate jeopardy, isolated | Corrected February 16, 2026 |
| January 31, 2026 Complaint | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | E Potential harm, pattern | Corrected February 16, 2026 |
| January 31, 2026 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 | E Potential harm, pattern | Corrected February 16, 2026 |
| July 3, 2025 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 July 11, 2025 |
| July 3, 2025 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected December 11, 2024 |
| July 3, 2025 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | E Potential harm, pattern | Corrected July 11, 2025 |
| July 3, 2025 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | C No harm, widespread | Corrected July 11, 2025 |
| July 3, 2025 Standard | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected July 31, 2025 |
| July 3, 2025 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 July 31, 2025 |
| July 3, 2025 Complaint | 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 July 31, 2025 |
| July 3, 2025 Complaint | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Tag F0583 | E Potential harm, pattern | Corrected July 31, 2025 |
| July 3, 2025 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected July 31, 2025 |
| July 3, 2025 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected July 31, 2025 |
| July 3, 2025 Complaint | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected July 31, 2025 |
| July 3, 2025 Complaint | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected July 31, 2025 |
| July 3, 2025 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected July 31, 2025 |
| June 6, 2024 Fire safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Tag K0374 | E Potential harm, pattern | Corrected July 17, 2024 |
| June 6, 2024 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | C No harm, widespread | Corrected July 17, 2024 |
| June 6, 2024 Complaint | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Tag F0791 | E Potential harm, pattern | Corrected June 17, 2024 |
| June 6, 2024 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected June 17, 2024 |
| April 6, 2023 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | D Potential harm, isolated | Corrected May 15, 2023 |
| April 6, 2023 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | C No harm, widespread | Corrected April 28, 2023 |
| April 6, 2023 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 | F Potential harm, widespread | Corrected May 4, 2023 |
| April 6, 2023 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | E Potential harm, pattern | Corrected May 4, 2023 |
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 1 federal penalty in the past three years, including $14,069 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| January 31, 2026 | Fine | $14,069 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| DALLAS COUNTY HOSPITAL DISTRICT Organization | 5% or greater direct ownership interest | 100% | 04/01/2017 |
| 632 WINDSOR WAY LLC Organization | adp of the snf | NOT APPLICABLE | 10/01/2025 |
| EMPOWER HEALTHCARE MANAGEMENT LLC Organization | adp of the snf | NOT APPLICABLE | 10/01/2025 |
| EMPOWER OPCO LLC Organization | adp of the snf | NOT APPLICABLE | 10/01/2025 |
| SHAH, JAGDISH Individual | adp of the snf | NOT APPLICABLE | 04/19/2024 |
| SMITH, KASHA Individual | adp of the snf | NOT APPLICABLE | 07/24/2023 |
| TEXAS SENIOR REALTY VENTURES LLC Organization | adp of the snf | NOT APPLICABLE | 10/01/2025 |
| CASTANEDA, EDMUNDO Individual | corporate director | NOT APPLICABLE | 01/10/2022 |
| MISTRETTA, CASSANDRA Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 03/25/2026 |
| PFEIFER, MARY Individual | operational/managerial control | NOT APPLICABLE | 10/01/2025 |
| SHAH, JAGDISH Individual | operational/managerial control | NOT APPLICABLE | 04/19/2024 |
| SMITH, KASHA Individual | operational/managerial control | NOT APPLICABLE | 07/24/2023 |
| VANALSTYNETX LLC Organization | operational/managerial control | NOT APPLICABLE | 10/01/2025 |
Other nursing homes near Meadowbrook Care Center
Cedar Hollow Rehabilitation Center
5011 North US Hwy 75, Sherman, TX 75090 · 11.2 mi
Government · 142 beds · Part of Hamilton County Hospital District
★★★★★3AverageSettlers Ridge Care Center
1280 Settlers Ridge Road, Celina, TX 75009 · 12.3 mi
Non-profit · 128 beds · Part of Stonegate Senior Living
★★★★★4Above averageFocused Care at Sherman
817 W Center, Sherman, TX 75090 · 14.3 mi
For-profit · 116 beds · Part of Focused Post Acute Care Partners
- Special Focus candidate
- Abuse citation
★★★★★1Much below averageNorth Park Health and Rehabilitation Center
1720 North McDonald Street, McKinney, TX 75069 · 14.4 mi
For-profit · 140 beds · Part of Creative Solutions in Healthcare
★★★★★3AveragePark Manor of McKinney
1801 Pearson Ave, McKinney, TX 75069 · 14.8 mi
Government · 138 beds · Part of The Ensign Group
★★★★★2Below averageBelterra Health & Rehab
2170 North Lake Forest Drive, McKinney, TX 75071 · 15.9 mi
Government · 103 beds · Part of Priority Management
★★★★★4Above average
Frequently asked questions
What is Meadowbrook Care Center's rating?
Meadowbrook Care Center 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 Meadowbrook Care Center receive?
Its most recent standard health inspection found 13 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Meadowbrook Care Center 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 Meadowbrook Care Center?
It is for profit - limited liability company and part of Fundamental Healthcare. The ownership section on this page lists the owners and managers reported to CMS.
Where is Meadowbrook Care Center and how do I contact it?
Meadowbrook Care Center is at 632 Windsor Way, Van Alstyne, TX 75495. Phone: (903) 482-6455.
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.