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Alvarado Meadows Nursing & Rehabilitation

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Alvarado Meadows Nursing & Rehabilitation is a for profit - corporation facility in Alvarado, TX with 115 certified beds and a 1-star overall CMS rating. The facility has 23 deficiency records on file. Total penalties: $91K.

101 N Parkway, Alvarado, TX 76009

Phone: 8177903304

Overall Rating

1/5

Health Inspection

2/5

Staffing

1/5

Quality Measures

1/5

Long-Stay Quality

1/5

Facility Information

Provider Number
455601
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
115
Residents
67
In Hospital
No
County
Johnson
Last Inspection
Mar 6, 2025
Abuse citation on record

Staffing Data

RN Hours
0.33 (nat'l avg: 0.68)
LPN Hours
0.71
CNA Hours
2.10
Total Nursing Hours
3.15 (nat'l avg: 3.89)
PT Hours
0.02

What the CMS Record Reveals About Alvarado Meadows Nursing & Rehabilitation

Alvarado Meadows Nursing & Rehabilitation operates 115 certified beds in Alvarado, TX with approximately 67 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (2★), staffing levels (1★), and quality measures (1★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 23 deficiency records from recent surveys, of which 3 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 5 penalties totaling $91K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 3.15 total nursing hours per resident day (national average 3.89), with RN coverage at 0.33 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Alvarado Meadows Nursing & Rehabilitation falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (23 most recent)

D — Isolated - Minimal harm Jun 10, 2025 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 11, 2025

D — Isolated - Minimal harm Jun 10, 2025 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 11, 2025

D — Isolated - Minimal harm Jun 10, 2025 Tag: 0644

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 11, 2025

J — Isolated - Jeopardy Jun 10, 2025 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jun 5, 2025

D — Isolated - Minimal harm Jun 10, 2025 Tag: 0558

Reasonably accommodate the needs and preferences of each resident.

Category: Resident Rights Deficiencies

Corrected: Jun 11, 2025

D — Isolated - Minimal harm Mar 6, 2025 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Feb 21, 2025

E — Pattern - Minimal harm Mar 6, 2025 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 7, 2025

E — Pattern - Minimal harm Mar 6, 2025 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 7, 2025

D — Isolated - Minimal harm Feb 9, 2025 Tag: 0622

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.

Category: Resident Rights Deficiencies

Corrected: Feb 10, 2025

J — Isolated - Jeopardy May 22, 2024 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: May 23, 2024

D — Isolated - Minimal harm Feb 7, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Mar 12, 2024

D — Isolated - Minimal harm Feb 7, 2024 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 4, 2024

D — Isolated - Minimal harm Feb 7, 2024 Tag: 0636

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 12, 2024

J — Isolated - Jeopardy Aug 26, 2023 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Aug 27, 2023

D — Isolated - Minimal harm Aug 26, 2023 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Aug 27, 2023

F — Widespread - Minimal harm Dec 15, 2022 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Jan 15, 2023

E — Pattern - Minimal harm Dec 15, 2022 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Jan 15, 2023

E — Pattern - Minimal harm Dec 15, 2022 Tag: 0711

Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

Category: Nursing and Physician Services Deficiencies

Corrected: Jan 15, 2023

E — Pattern - Minimal harm Dec 15, 2022 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Jan 15, 2023

E — Pattern - Minimal harm Dec 15, 2022 Tag: 0655

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jan 15, 2023

D — Isolated - Minimal harm Dec 15, 2022 Tag: 0583

Keep residents' personal and medical records private and confidential.

Category: Resident Rights Deficiencies

Corrected: Jan 15, 2023

D — Isolated - Minimal harm Dec 15, 2022 Tag: 0578

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.

Category: Resident Rights Deficiencies

Corrected: Jan 15, 2023

D — Isolated - Minimal harm Dec 15, 2022 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Jan 15, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 33.3% Yes
Percentage of long-stay residents who lose too much weight Long Stay 3.8% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.9% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 2.3% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 4.8% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 100.0% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 99.2% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 31.4% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 18.1% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 100.0% No
Percentage of long-stay residents with pressure ulcers Long Stay 3.6% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 23.5% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 23.0% Yes

Penalty History 5 penalties totaling $91K

Date Type Amount
Jun 10, 2025 Fine $16K
Feb 9, 2025 Fine $4K
May 22, 2024 Fine $7K
Mar 15, 2024 Fine $45K
Mar 15, 2024 Payment Denial -
Aug 26, 2023 Fine $19K

Frequently Asked Questions

What is the overall CMS rating for Alvarado Meadows Nursing & Rehabilitation?
Alvarado Meadows Nursing & Rehabilitation has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (2★), staffing levels (1★), and quality measures (1★).
What are the staffing levels at Alvarado Meadows Nursing & Rehabilitation?
Alvarado Meadows Nursing & Rehabilitation reports 3.15 total nursing hours per resident day (national average: 3.89). RN hours are 0.33 per resident day (national average: 0.68).
How many beds does Alvarado Meadows Nursing & Rehabilitation have?
Alvarado Meadows Nursing & Rehabilitation has 115 certified beds with approximately 67 residents. The facility is located at 101 N Parkway, Alvarado, TX 76009.
Does Alvarado Meadows Nursing & Rehabilitation have any deficiencies on record?
Yes, Alvarado Meadows Nursing & Rehabilitation has 23 deficiencies on record from recent inspections. Of these, 3 are classified as causing actual harm or jeopardy.
Has Alvarado Meadows Nursing & Rehabilitation received any fines or penalties?
Yes, Alvarado Meadows Nursing & Rehabilitation has received 5 penalties totaling $91K.
Who owns Alvarado Meadows Nursing & Rehabilitation?
Alvarado Meadows Nursing & Rehabilitation is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was Alvarado Meadows Nursing & Rehabilitation last inspected?
The most recent health inspection for Alvarado Meadows Nursing & Rehabilitation was on Mar 6, 2025. The facility received a health inspection rating of 2 out of 5 stars.
What quality measures are tracked for Alvarado Meadows Nursing & Rehabilitation?
Alvarado Meadows Nursing & Rehabilitation is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial