Alvarado Meadows Nursing & Rehabilitation
101 N Parkway, Alvarado, TX 76009 · Johnson County · 115 certified beds · avg 58 residents/day · certified since Nov 5, 1985
Part of chain: CREATIVE SOLUTIONS IN HEALTHCARE (149 facilities, chain avg rating 2.1★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Jun 10, 2025 · F-0600 · triggered by a complaint
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jun 5, 2025 (Past Non-Compliance)
▲ Immediate jeopardy, one-off · May 22, 2024 · F-0600 · triggered by a complaint
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: May 23, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Aug 26, 2023 · F-0755 · triggered by a complaint
The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Why it matters: Weak pharmacy services lead to medication mistakes, delays, and missed drug interactions that can seriously harm residents.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Aug 27, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (20)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jul 2, 2026 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint |
| May 6, 2026 | E · Potential for harm, repeated | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| May 6, 2026 | E · Potential for harm, repeated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| May 6, 2026 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| May 6, 2026 | D · Potential for harm, one-off | The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way. |
| Jun 10, 2025 | ▲ J · Immediate jeopardy, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Jun 10, 2025 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · from a complaint |
| Jun 10, 2025 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. · from a complaint |
| Jun 10, 2025 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint |
| Jun 10, 2025 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Mar 6, 2025 | E · Potential for harm, repeated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Mar 6, 2025 | E · Potential for harm, repeated | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Mar 6, 2025 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Feb 9, 2025 | D · Potential for harm, one-off | The facility transferred or discharged a resident without a valid reason, or failed to provide the required documentation and information when moving a resident out. · from a complaint |
| May 22, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Feb 7, 2024 | D · Potential for harm, one-off | The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. |
| Feb 7, 2024 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Feb 7, 2024 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint |
| Aug 26, 2023 | ▲ J · Immediate jeopardy, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint |
| Aug 26, 2023 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (3 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 2 | 1 | J ▲ |
| 2024 | 4 | 1 | J ▲ |
| 2025 | 9 | 1 | J ▲ |
| 2026 | 5 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
5 fines totaling $85,479, plus 1 Medicare payment denial period.
| 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 |
| Aug 26, 2023 | Fine | $18,538 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Texas avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.78 | 3.46 | 3.95 | top 21% in Texas; top 49% in the U.S. |
| Registered Nurse hours | 0.37 | 0.44 | 0.69 | bottom 47% in Texas; bottom 18% in the U.S. |
| Weekend total nurse staffing | 3.36 | 3.04 | 3.50 | top 21% in Texas; top 49% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.34 | 0.34 | 0.48 | top 37% in Texas; bottom 40% in the U.S. |
| Total nursing staff turnover (%) | 95.7 | 55.3 | 45.8 | bottom 5% in Texas; bottom 1% in the U.S. |
| RN turnover (%) | 81.8 | 54.6 | 42.9 | bottom 17% in Texas; bottom 5% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.36, RN 0.33, weekend 2.99. Staffing rating: 2/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 2/5 · long-stay residents: 2/5 · short-stay residents: 3/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Alvarado I Enterprises, LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 08/01/2024 |
| Alvarado I Enterprises, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 08/01/2024 |
| Bedford, Cody | Individual | ADP of the SNF | NOT APPLICABLE | 07/15/2025 |
| Bigham, Gene | Individual | ADP of the SNF | NOT APPLICABLE | 07/15/2025 |
| Blake, Gary | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/01/2024 |
| Blake, Gary | Individual | ADP of the SNF | NOT APPLICABLE | 08/01/2024 |
| Blake, Malisa | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/01/2024 |
| Blake, Malisa | Individual | ADP of the SNF | NOT APPLICABLE | 08/01/2024 |
| Clanton, Auston | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/01/2024 |
| Clanton, Auston | Individual | ADP of the SNF | NOT APPLICABLE | 08/01/2024 |
| Creative Solutions in Healthcare INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 08/01/2024 |
| Creative Solutions in Healthcare INC | Organization | ADP of the SNF | NOT APPLICABLE | 08/01/2024 |
| Eamiguel, Christopher | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/01/2024 |
| Eamiguel, Christopher | Individual | ADP of the SNF | NOT APPLICABLE | 08/01/2024 |
| Huggins, Linda | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/01/2024 |
| Huggins, Linda | Individual | ADP of the SNF | NOT APPLICABLE | 08/01/2024 |
| Willig, Zachary | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/01/2024 |
| Willig, Zachary | Individual | ADP of the SNF | NOT APPLICABLE | 08/01/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "If my family member's health suddenly changes, how quickly do you reassess them and update their care?"
- "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
- "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Town Hall Estates Keene INC | 6.7 mi | Keene, TX | ★★★☆☆ | 4/5 | |
| Grandview Nursing and Rehabilitation Center | 9.6 mi | Grandview, TX | ★★★★★ | 4/5 | |
| Advanced Rehabilitation & Healthcare of Burleson | 10.7 mi | Burleson, TX | ★★☆☆☆ | 2/5 | |
| 600 Maple Ave. | 11.0 mi | Burleson, TX | ★★★☆☆ | 4/5 | |
| Colonial Manor Nursing Center | 11.3 mi | Cleburne, TX | ★★★☆☆ | 2/5 | abuse |
| Heritage Trails Nursing and Rehabilitation Center | 12.0 mi | Cleburne, TX | ★★★★☆ | 4/5 | |
| Avir at Mansfield | 12.2 mi | Mansfield, TX | ★★★★☆ | 3/5 | |
| Mansfield Medical Lodge | 12.8 mi | Mansfield, TX | ★★★★☆ | 4/5 | |
| Park Bend Rehabilitation and Healthcare Center | 13.4 mi | Burleson, TX | ★★☆☆☆ | 1/5 | |
| Crowley Nursing and Rehabilitation | 13.4 mi | Crowley, TX | ★★★★★ | 4/5 | |
| Allegiant Wellness and Rehab | 13.6 mi | Crowley, TX | ★★★★★ | 5/5 | |
| The Pavilion at Creekwood | 13.7 mi | Mansfield, TX | ★★☆☆☆ | 2/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 455601.