Texas › Grayson County › Van Alstyne
Meadowbrook Care Center
632 Windsor Way, Van Alstyne, TX 75495
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 60 beds, Meadowbrook Care Center serves Van Alstyne in Grayson County, Texas and has taken Medicare and Medicaid residents since 1993.
CMS gives it 3 of 5 stars overall, equal to the Texas median; the health inspection rating is 2, staffing 2 and quality measures 5.
Inspectors recorded 17 health deficiencies across the three most recent survey cycles (13, 2, 2 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 28.3 per 100 beds, more than the state median of 22.5.
CMS lists 1 penalty in the period covered: fines totalling $14K.
Reported nurse staffing is 3.0 hours per resident per day (0.5 RN), close to the Texas median of 3.3; nursing staff turnover is 60.0%.
Compared with county, state and nation
| Measure | This facility | Grayson Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 17 | 30 | 25 | 28.7 |
| Citations per 100 beds | 28.3 | 21.1 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.0 | 3.3 | 3.3 | 3.9 |
| RN hours per resident day | 0.5 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 60.0% | 60.0% | 52.1% | 45.8% |
| Fines listed | $14,069 | $29,991 | $16,801 | — |
County and state figures are medians across facilities (11 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 3 Jul 2025, 6 Jun 2024.
Severity mix: J ×1 D ×7 E ×8 F ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 5 May 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 30 Jun 2026 |
| 31 Jan 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 16 Feb 2026 |
| 31 Jan 2026 | F0641 | Ensure each resident receives an accurate assessment. | E | Complaint investigation | 16 Feb 2026 |
| 31 Jan 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Complaint investigation | 16 Feb 2026 |
| 3 Jul 2025 | F0583 | Keep residents' personal and medical records private and confidential. | E | Complaint investigation | 31 Jul 2025 |
| 3 Jul 2025 | F0584 | 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. | E | Standard survey | 31 Jul 2025 |
| 3 Jul 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 31 Jul 2025 |
| 3 Jul 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 31 Jul 2025 |
| 3 Jul 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 31 Jul 2025 |
| 3 Jul 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 31 Jul 2025 |
| 3 Jul 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 31 Jul 2025 |
| 3 Jul 2025 | F0761 | 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. | D | Complaint investigation | 31 Jul 2025 |
| 3 Jul 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 31 Jul 2025 |
| 6 Jun 2024 | F0791 | Provide or obtain dental services for each resident. | E | Complaint investigation | 17 Jun 2024 |
| 6 Jun 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 17 Jun 2024 |
| 6 Apr 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 4 May 2023 |
| 6 Apr 2023 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 4 May 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 31 Jan 2026 | Fine | $14,069 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 60.0%, RNs —; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 6.8% | 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 | 0.0% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.9% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 6.9% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.6% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 0.0% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Dallas County Hospital District. Chain: Fundamental Healthcare (66 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Dallas County Hospital District | 5% or greater direct ownership interest | 100% | 04/01/2017 |
| Vanalstynetx LLC | Operational/managerial control | NOT APPLICABLE | 10/01/2025 |
| 632 Windsor Way LLC | Adp of the snf | NOT APPLICABLE | 10/01/2025 |
| Empower Healthcare Management LLC | Adp of the snf | NOT APPLICABLE | 10/01/2025 |
| Empower Opco LLC | Adp of the snf | NOT APPLICABLE | 10/01/2025 |
| Texas Senior Realty Ventures LLC | Adp of the snf | NOT APPLICABLE | 10/01/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Grayson County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Beacon Hill | Denison | 150 | 4 | 4 | 3 | 21 | 14.0 | — | 26 May 2026 |
| Cedar Hollow Rehabilitation Center | Sherman | 142 | 3 | 3 | 2 | 30 | 21.1 | $32K | 12 Jun 2026 |
| The Homestead of Denison | Denison | 140 | 3 | 3 | 1 | 27 | 19.3 | $30K | 26 Mar 2026 |
| Woodlands Place Rehabilitation Suites | Denison | 133 | 3 | 2 | 2 | 24 | 18.0 | $110K | 26 Feb 2026 |
| Avir At Sherman | Sherman | 132 | 2 | 3 | 1 | 34 | 25.8 | — | 2 Jun 2026 |
| Denison Nursing and Rehab | Denison | 71 | 2 | 2 | 1 | 31 | 43.7 | $8K | 29 Apr 2026 |
| Texoma Healthcare Center | Sherman | 179 | 2 | 3 | 1 | 37 | 20.7 | $16K | 16 Jun 2026 |
| Whitesboro Health and Rehabilitation Center | Whitesboro | 95 | 2 | 3 | 1 | 15 | 15.8 | $30K | 30 Jan 2026 |
All 11 facilities in Grayson County
Questions and answers
How many deficiencies has Meadowbrook Care Center been cited for?
17 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Meadowbrook Care Center been fined?
Yes. CMS lists fines totalling $14K in the period covered.
How does staffing at Meadowbrook Care Center compare?
Reported total nurse staffing is 3.0 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Meadowbrook Care Center?
It is part of the Fundamental Healthcare chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Dallas County Hospital District and Vanalstynetx LLC. Individual owners and managers are not listed on this site.
When was Meadowbrook Care Center last inspected?
The most recent survey or investigation in the CMS record is dated 5 May 2026; the most recent standard health survey was 3 Jul 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.