Meadowbrook Care Center
632 Windsor Way, Van Alstyne, TX 75495 · Grayson County · 60 certified beds · avg 31 residents/day · certified since Jun 9, 1993
Part of chain: FUNDAMENTAL HEALTHCARE (66 facilities, chain avg rating 2.4★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · 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 · Jan 31, 2026 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
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: Feb 16, 2026 (Deficient, Provider has date of correction)
All citations in the current public record (17)
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 |
|---|---|---|
| May 5, 2026 | 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 |
| Jan 31, 2026 | ▲ J · Immediate jeopardy, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Jan 31, 2026 | E · Potential for harm, repeated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · from a complaint |
| Jan 31, 2026 | 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. · from a complaint |
| Jul 3, 2025 | E · Potential for harm, repeated | The facility did not keep residents' personal and medical information private and confidential. · from a complaint |
| Jul 3, 2025 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Jul 3, 2025 | 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. · from a complaint |
| Jul 3, 2025 | 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. |
| Jul 3, 2025 | D · Potential for harm, one-off | 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. · from a complaint |
| Jul 3, 2025 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Jul 3, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · from a complaint |
| Jul 3, 2025 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint |
| Jul 3, 2025 | 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 |
| Jun 6, 2024 | E · Potential for harm, repeated | The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care. · from a complaint |
| Jun 6, 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 |
| Apr 6, 2023 | F · Potential for harm, facility-wide | 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. |
| Apr 6, 2023 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (2 → 9).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 2 | 0 | F |
| 2024 | 2 | 0 | E |
| 2025 | 9 | 0 | E |
| 2026 | 4 | 1 | J ▲ |
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)
1 fine totaling $14,069.
| Date | Type | Amount / length |
|---|---|---|
| Jan 31, 2026 | Fine | $14,069 |
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) | 3.25 | 3.46 | 3.95 | bottom 44% in Texas; bottom 24% in the U.S. |
| Registered Nurse hours | 0.50 | 0.44 | 0.69 | top 26% in Texas; bottom 38% in the U.S. |
| Weekend total nurse staffing | 2.93 | 3.04 | 3.50 | top 48% in Texas; bottom 27% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.49 | 0.34 | 0.48 | top 14% in Texas; top 33% in the U.S. |
| Total nursing staff turnover (%) | 60.0 | 55.3 | 45.8 | bottom 33% in Texas; bottom 17% in the U.S. |
| RN turnover (%) | 0.0 | 54.6 | 42.9 | — |
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 3.01, RN 0.47, weekend 2.72. 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: 5/5 · long-stay residents: 5/5 · short-stay residents: 3/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Dallas County Hospital District | Organization | 5% or Greater Direct Ownership Interest | 100% | 04/01/2017 |
| 632 Windsor Way LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2025 |
| Castaneda, Edmundo | Individual | Corporate Director | NOT APPLICABLE | 01/10/2022 |
| Empower Healthcare Management LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2025 |
| Empower Opco LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2025 |
| Mistretta, Cassandra | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 03/25/2026 |
| Pfeifer, Mary | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2025 |
| Shah, Jagdish | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/19/2024 |
| Shah, Jagdish | Individual | ADP of the SNF | NOT APPLICABLE | 04/19/2024 |
| Smith, Kasha | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/24/2023 |
| Smith, Kasha | Individual | ADP of the SNF | NOT APPLICABLE | 07/24/2023 |
| Texas Senior Realty Ventures LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2025 |
| Vanalstynetx LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 10/01/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "How do you protect residents' privacy, both in their medical records and in day-to-day care?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "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 |
|---|---|---|---|---|---|
| Cedar Hollow Rehabilitation Center | 11.2 mi | Sherman, TX | ★★★☆☆ | 3/5 | |
| Settlers Ridge Care Center | 12.3 mi | Celina, TX | ★★★★☆ | 4/5 | |
| Focused Care at Sherman | 14.3 mi | Sherman, TX | ★☆☆☆☆ | 1/5 | abuseSFF |
| North Park Health and Rehabilitation Center | 14.4 mi | McKinney, TX | ★★★☆☆ | 5/5 | |
| Park Manor of McKinney | 14.8 mi | McKinney, TX | ★★☆☆☆ | 3/5 | |
| Belterra Health & Rehab | 15.9 mi | McKinney, TX | ★★★★☆ | 4/5 | |
| Texoma Healthcare Center | 16.9 mi | Sherman, TX | ★★☆☆☆ | 3/5 | |
| Princeton Medical Lodge | 17.2 mi | Princeton, TX | ★★★★☆ | 5/5 | |
| Mullican Care Center | 17.5 mi | Savoy, TX | ★★☆☆☆ | 3/5 | |
| Avir at Sherman | 17.7 mi | Sherman, TX | ★★☆☆☆ | 3/5 | |
| McKinney Healthcare and Rehabilitation Center | 18.3 mi | McKinney, TX | ★★★★☆ | 4/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 675151.