For profit - Limited Liability company · 115 certified beds · CMS number 455601
Alvarado Meadows Nursing & Rehabilitation, Alvarado, TX
CMS records 18 health deficiencies at Alvarado Meadows Nursing & Rehabilitation in Alvarado, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on May 6, 2026. The highest severity cited is J (immediate jeopardy to resident health or safety). 2 citations were at the immediate jeopardy level, 1 of them recorded as past non-compliance (fixed before the inspection). CMS lists 4 fines totaling $66,941 and 1 payment denial in the last three years.
- 18deficiencies, 3 cycles (TX median 25)
- 5in the latest cycle (TX median 8)
- Jhighest severity · Immediate jeopardy
- $66,941fines, last 3 years
- 3CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Alvarado Meadows Nursing & Rehabilitation as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Alvarado Meadows Nursing & Rehabilitation may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (5 deficiencies)
Standard inspection May 6, 2026. CMS counts 5 health deficiencies and 3 fire safety deficiencies in this cycle.
Jul 2, 2026 · Complaint inspection
1 deficiency, highest D
F580 · Telling residents and families about changes
Requirement cited (CMS): Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 3, 2026
May 6, 2026 · Standard inspection
4 deficiencies, highest E
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date May 7, 2026
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date May 7, 2026
F637 · Reassessment after a significant change
Requirement cited (CMS): Assess the resident when there is a significant change in condition
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 7, 2026
F550 · Dignity and the right to exercise rights
Requirement cited (CMS): Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date May 7, 2026
Previous cycle: 9 deficiencies (standard inspection Mar 6, 2025)
Standard inspection Mar 6, 2025. CMS counts 9 health deficiencies and 2 fire safety deficiencies in this cycle.
Jun 10, 2025 · Complaint inspection
5 deficiencies, highest J
F684 · Quality of care
Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 11, 2025
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 11, 2025
F644 · Coordinating with PASARR screening
Requirement cited (CMS): Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 11, 2025
F600 · Freedom from abuse and neglect
Requirement cited (CMS): Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Past non-compliance (fixed before the inspection), Jun 5, 2025
F558 · Accommodating individual needs and preferences
Requirement cited (CMS): Reasonably accommodate the needs and preferences of each resident.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 11, 2025
Mar 6, 2025 · Standard + complaint inspection
3 deficiencies, highest E
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 7, 2025
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 7, 2025
F600 · Freedom from abuse and neglect
Requirement cited (CMS): Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Past non-compliance (fixed before the inspection), Feb 21, 2025
Feb 9, 2025 · Complaint inspection
1 deficiency, highest D
F622 · Permitted reasons for transfer or discharge
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 10, 2025
Earlier cycle: 4 deficiencies (standard inspection Feb 7, 2024)
Standard inspection Feb 7, 2024. CMS counts 4 health deficiencies and 2 fire safety deficiencies in this cycle.
May 22, 2024 · Complaint inspection
1 deficiency, highest J
F600 · Freedom from abuse and neglect
Requirement cited (CMS): Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date May 23, 2024
Feb 7, 2024 · Standard + complaint inspection
3 deficiencies, highest D
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 12, 2024
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 4, 2024
F636 · Full assessment at admission and yearly
Requirement cited (CMS): Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 12, 2024
Tags cited in more than one inspection
2 tags cited on more than one inspection date at Alvarado Meadows Nursing & Rehabilitation; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F600 Freedom from abuse and neglect | 3 | Jun 10, 2025 (PNC); Mar 6, 2025 (PNC); May 22, 2024 |
| F656 Comprehensive person-centered care plan | 3 | Jun 10, 2025; Mar 6, 2025; Feb 7, 2024 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Jun 10, 2025 | Fine | $10,546 |
| Feb 9, 2025 | Fine | $4,329 |
| May 22, 2024 | Fine | $7,141 |
| Mar 15, 2024 | Fine | $44,925 |
| Mar 15, 2024 | Payment Denial | 5 days from Apr 12, 2024 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.36 h (about the same as the Texas median of 3.27 h)
- RN hours per resident per day
- 0.33 h (below the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.99 h
- Nursing staff turnover
- 95.7% (Texas median 52.1%)
- Administrators who left
- 1
- CMS overall rating
- 3 of 5
- Health inspection rating
- 3 of 5
- Staffing rating
- 2 of 5
- Quality measure rating
- 2 of 5
CMS figures for Alvarado Meadows Nursing & Rehabilitation, copied as published; Texas medians are ours.
Facility details
- Address
- 101 N Parkway, Alvarado, TX 76009
- Phone
- (817) 790-3304
- County
- Johnson
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Chain (CMS)
- Creative Solutions in Healthcare
- Certified beds
- 115
- Average residents per day
- 58.4
- In Medicare/Medicaid since
- Nov 5, 1985
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
Questions to ask on a visit
Based on the tags cited most often here.
- How does the home screen, train, and supervise staff to protect residents? (F600, cited 3 times)
- How are a resident's goals and preferences written into the care plan? (F656, cited 3 times)
- How do staff learn about and respect each resident's personal routines and choices? (F550, cited 1 time)
- How does the home adapt rooms and routines for residents with limited mobility, vision, or hearing? (F558, cited 1 time)
Other nursing homes in Alvarado and the same chain
- Franklin Heights Nursing & Rehabilitation
El Paso · 76 deficiencies - St. Teresa Nursing & Rehab Center
El Paso · 75 deficiencies - Mountain View Health & Rehabilitation
El Paso · 72 deficiencies - Pleasant Springs Healthcare Center
Mount Pleasant · 66 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.