Alvarado Meadows Nursing & Rehabilitation
101 N Parkway · Alvarado, TX · 76009 · 8177903304
115 certified beds For profit - Corporation Chain: Creative Solutions in Healthcare
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Federal penalties on record: $14,875 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 3.34 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.33 | 0.55–0.75 |
| Weekend hours / resident-day | 3.02 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 5 · $85,479 |
Inspection citations (23 in the current record)
-
Immediate jeopardy · J June 10, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected June 5, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D June 10, 2025 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected June 11, 2025 · Resident Rights
-
Potential for harm · D June 10, 2025 · found via complaint
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected June 11, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D June 10, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected June 11, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D June 10, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected June 11, 2025 · Quality of Life and Care
-
Potential for harm · E March 6, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 7, 2025 · Resident Assessment and Care Planning
-
Potential for harm · E March 6, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected March 7, 2025 · Quality of Life and Care
-
Potential for harm · D March 6, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected February 21, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D February 9, 2025 · found via 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.
Corrected February 10, 2025 · Resident Rights
-
Immediate jeopardy · J May 22, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected May 23, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D February 7, 2024
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected March 12, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D February 7, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 4, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D February 7, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected March 12, 2024 · Infection Control
-
Immediate jeopardy · J August 26, 2023 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected August 27, 2023 · Pharmacy Service
-
Potential for harm · D August 26, 2023 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected August 27, 2023 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D December 15, 2022
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected January 15, 2023 · Resident Rights
-
Potential for harm · D December 15, 2022
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected January 15, 2023 · Resident Rights
-
Potential for harm · D December 15, 2022
Keep residents' personal and medical records private and confidential.
Corrected January 15, 2023 · Resident Rights
-
Potential for harm · E December 15, 2022
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected January 15, 2023 · Resident Assessment and Care Planning
-
Potential for harm · E December 15, 2022
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected January 15, 2023 · Quality of Life and Care
-
Potential for harm · E December 15, 2022
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected January 15, 2023 · Nursing and Physician Services
-
Potential for harm · E December 15, 2022
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.
Corrected January 15, 2023 · Pharmacy Service
-
Potential for harm · F December 15, 2022
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 15, 2023 · Nutrition and Dietary
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| June 10, 2025 | Fine | $10,546 |
| February 9, 2025 | Fine | $4,329 |
| May 22, 2024 | Fine | $7,141 |
| March 15, 2024 | Fine | $44,925 |
| March 15, 2024 | Payment Denial | 5 days |
| August 26, 2023 | Fine | $18,538 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 455601 · certified since November 5, 1985. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.