Alvarado Meadows Nursing & RehabilitationCMS ratings, inspections and fines
- Address
- 101 N Parkway, Alvarado, TX 76009
- CCN
- 455601
- Ownership type
- For-profit, limited liability company
- Certified beds
- 115
- Residents per day
- 58
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Alvarado Meadows Nursing & Rehabilitation an overall rating of 3 of 5 stars. The last standard survey was on 6 May 2026. The latest survey cycle has 5 health citations. The median for nursing homes in Texas is 8. CMS lists 5 fines with a total of $85,479 for this home in its penalties file. CMS also lists 1 payment denial.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Johnson County median | Texas median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 3 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 3 | 4.0 | 3.0 | 2.8 |
| Staffing rating | 2 | 2.0 | 2.0 | 2.9 |
| Quality measure rating | 2 | 4.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 9 homes in the county, 1,177 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Texas median |
|---|---|---|---|
| Cycle 1 (latest) | 6 May 2026 | 5 | 8 |
| Cycle 2 | 6 Mar 2025 | 9 | 8 |
| Cycle 3 | No date | 6 | 8 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | K0 | L0 | |
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | F0 | ||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 5 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 2 Jul 2026 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 3 Jul 2026 |
| 6 May 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 7 May 2026 |
| 6 May 2026 | F0637 | Assess the resident when there is a significant change in condition | D | Standard survey | 7 May 2026 |
| 6 May 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 7 May 2026 |
| 6 May 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 7 May 2026 |
Survey cycle 2: 9 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 10 Jun 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 11 Jun 2025 |
| 10 Jun 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | 5 Jun 2025 |
| 10 Jun 2025 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Complaint investigation | 11 Jun 2025 |
| 10 Jun 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 11 Jun 2025 |
| 10 Jun 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 11 Jun 2025 |
| 6 Mar 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 21 Feb 2025 |
| 6 Mar 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 7 Mar 2025 |
| 6 Mar 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 7 Mar 2025 |
| 9 Feb 2025 | F0622 | 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. | D | Complaint investigation | 10 Feb 2025 |
Survey cycle 3: 6 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 22 May 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | 23 May 2024 |
| 7 Feb 2024 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard survey | 12 Mar 2024 |
| 7 Feb 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 4 Mar 2024 |
| 7 Feb 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 12 Mar 2024 |
| 26 Aug 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 27 Aug 2023 |
| 26 Aug 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | J | Complaint investigation | 27 Aug 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 10 Jun 2025 | Fine | $10,546 | |
| 9 Feb 2025 | Fine | $4,329 | |
| 22 May 2024 | Fine | $7,141 | |
| 15 Mar 2024 | Fine | $44,925 | |
| 15 Mar 2024 | Payment denial | 5 | |
| 26 Aug 2023 | Fine | $18,538 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Texas median | Texas average (CMS) |
|---|---|---|---|
| All nurse staff | 3.36 | 3.30 | 3.39 |
| Registered nurses (RN) | 0.33 | 0.40 | 0.43 |
| Licensed practical nurses (LPN) | 0.79 | 0.95 | |
| Nurse aides | 2.24 | 2.00 | |
| All nurse staff, weekends | 2.99 | 2.90 | 2.98 |
- Nurse staff turnover in a year
- 95.7%
- Nurse staff turnover, Texas median
- 52.1%
- RN turnover in a year
- 81.8%
- Administrators who left in a year
- 1
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 25.4% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.8% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.5% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 4.3% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 21.3% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.5% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 18.6% | 8.3% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Legal business name
- Alvarado I Enterprises, LLC
- Chain
- Creative Solutions in Healthcare (149 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Alvarado I Enterprises, LLC | 5% or greater direct ownership interest | 100% | 1 Aug 2024 |
| Alvarado I Enterprises, LLC | Operational/managerial control | 1 Aug 2024 | |
| Creative Solutions in Healthcare Inc | Operational/managerial control | 1 Aug 2024 | |
| Creative Solutions in Healthcare Inc | Adp of the snf | 1 Aug 2024 |
The site shows organisations only. It does not show the names of persons.
Other homes in Johnson County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Town Hall Estates Keene Inc | Keene | 3 of 5 | 6 | $16,209 | 31 Jul 2025 | |
| Grandview Nursing and Rehabilitation Center | Grandview | 5 of 5 | 1 | $21,125 | 18 Jun 2026 | |
| Advanced Rehabilitation & Healthcare of Burleson | Burleson | 2 of 5 | 13 | $17,804 | 11 Sep 2025 | |
| 600 Maple Ave. | Burleson | 3 of 5 | 3 | $0 | 21 Nov 2025 | |
| Colonial Manor Nursing Center | Cleburne | 3 of 5 | 4 | $51,594 | 9 Apr 2026 | |
| Heritage Trails Nursing and Rehabilitation Center | Cleburne | 4 of 5 | 0 | $67,124 | 20 Aug 2025 | |
| Park Bend Rehabilitation and Healthcare Center | Burleson | 2 of 5 | 5 | $65,855 | 11 Dec 2025 | |
| Ridgeview Rehabilitation and Skilled Nursing | Cleburne | 4 of 5 | 6 | $0 | 11 Dec 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Texas Health and Human Services: complaint and incident intakeThe complaint page of the State Survey Agency for Texas, from the CMS list of agencies.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Alvarado Meadows Nursing & Rehabilitation (CCN 455601). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/alvarado-meadows-nursing-rehabilitation-alvarado-tx-455601/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Alvarado Meadows Nursing & Rehabilitation last inspected?
- The latest inspection with a citation in the CMS record was on 2 Jul 2026. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 6 Mar 2025.
- Who operates Alvarado Meadows Nursing & Rehabilitation?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Creative Solutions in Healthcare. The CMS ownership file names Alvarado I Enterprises, LLC and Creative Solutions in Healthcare Inc for operational or managerial control. This site does not show the names of persons.
- Is Alvarado Meadows Nursing & Rehabilitation a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 6 homes in Texas as Special Focus Facilities and 30 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.