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The Meadows Health and Rehabilitation Center

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The Meadows Health and Rehabilitation Center is a for profit - limited liability company facility in Dallas, TX with 184 certified beds and a 1-star overall CMS rating. The facility has 29 deficiency records on file. Total penalties: $36K.

8383 Meadow Rd, Dallas, TX 75231

Phone: 2142396000

Overall Rating

1/5

Health Inspection

1/5

Staffing

2/5

Quality Measures

1/5

Long-Stay Quality

1/5

Facility Information

Provider Number
455463
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
184
Residents
79
In Hospital
No
County
Dallas
Last Inspection
Jan 15, 2025

Staffing Data

RN Hours
0.27 (nat'l avg: 0.68)
LPN Hours
1.18
CNA Hours
1.58
Total Nursing Hours
3.03 (nat'l avg: 3.89)
PT Hours
0.00
Nursing Turnover
56.7%
RN Turnover
57.1%

What the CMS Record Reveals About The Meadows Health and Rehabilitation Center

The Meadows Health and Rehabilitation Center operates 184 certified beds in Dallas, TX with approximately 79 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 (1★), staffing levels (2★), 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 29 deficiency records from recent surveys, of which 5 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 2 penalties totaling $36K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 3.03 total nursing hours per resident day (national average 3.89), with RN coverage at 0.27 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, The Meadows Health and Rehabilitation Center 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. Reported nursing turnover at this facility is 56.7%, above the level where continuity of care typically begins to suffer. 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 (29 most recent)

E — Pattern - Minimal harm Dec 30, 2025 Tag: 0919

Make sure that a working call system is available in each resident's bathroom and bathing area.

Category: Environmental Deficiencies

D — Isolated - Minimal harm Dec 30, 2025 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

D — Isolated - Minimal harm Nov 4, 2025 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 4, 2025

D — Isolated - Minimal harm Nov 4, 2025 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 4, 2025

E — Pattern - Minimal harm Jan 15, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Feb 10, 2025

E — Pattern - Minimal harm Jan 15, 2025 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: Feb 10, 2025

E — Pattern - Minimal harm Jan 15, 2025 Tag: 0791

Provide or obtain dental services for each resident.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 10, 2025

E — Pattern - Minimal harm Jan 15, 2025 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: Feb 10, 2025

D — Isolated - Minimal harm Jan 15, 2025 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 10, 2025

E — Pattern - Minimal harm Jan 15, 2025 Tag: 0688

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 10, 2025

D — Isolated - Minimal harm Jan 15, 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: Feb 10, 2025

D — Isolated - Minimal harm Dec 6, 2024 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Dec 7, 2024

G — Isolated - Actual harm Dec 6, 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: Dec 7, 2024

G — Isolated - Actual harm Dec 6, 2024 Tag: 0583

Keep residents' personal and medical records private and confidential.

Category: Resident Rights Deficiencies

Corrected: Dec 7, 2024

E — Pattern - Minimal harm Jan 25, 2024 Tag: 0584

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Category: Resident Rights Deficiencies

Corrected: Feb 19, 2024

K — Pattern - Jeopardy Dec 1, 2023 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Dec 29, 2023

K — Pattern - Jeopardy Dec 1, 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: Dec 29, 2023

K — Pattern - Jeopardy Dec 1, 2023 Tag: 0697

Provide safe, appropriate pain management for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 29, 2023

D — Isolated - Minimal harm Dec 1, 2023 Tag: 0623

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Category: Resident Rights Deficiencies

Corrected: Dec 29, 2023

E — Pattern - Minimal harm Dec 1, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Dec 29, 2023

C — Widespread - No harm Dec 1, 2023 Tag: 0813

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Category: Nutrition and Dietary Deficiencies

Corrected: Dec 29, 2023

D — Isolated - Minimal harm Dec 1, 2023 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 29, 2023

D — Isolated - Minimal harm Dec 1, 2023 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 29, 2023

D — Isolated - Minimal harm Dec 1, 2023 Tag: 0688

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 29, 2023

D — Isolated - Minimal harm Dec 1, 2023 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: Dec 29, 2023

D — Isolated - Minimal harm Dec 1, 2023 Tag: 0602

Protect each resident from the wrongful use of the resident's belongings or money.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Dec 29, 2023

E — Pattern - Minimal harm Dec 1, 2023 Tag: 0565

Honor the resident's right to organize and participate in resident/family groups in the facility.

Category: Resident Rights Deficiencies

Corrected: Dec 29, 2023

D — Isolated - Minimal harm Apr 20, 2023 Tag: 0919

Make sure that a working call system is available in each resident's bathroom and bathing area.

Category: Environmental Deficiencies

Corrected: May 19, 2023

D — Isolated - Minimal harm Sep 29, 2022 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 30, 2022

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 16.5% Yes
Percentage of long-stay residents who lose too much weight Long Stay 1.7% 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 0.0% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 0.0% 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 0.9% 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 97.8% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 6.9% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 10.9% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 20.9% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 97.8% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay N/A No
Percentage of long-stay residents with pressure ulcers Long Stay 1.4% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 15.0% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay N/A Yes

Penalty History 2 penalties totaling $36K

Date Type Amount
Dec 6, 2024 Fine $6K
Dec 1, 2023 Fine $29K
Dec 1, 2023 Payment Denial -

Frequently Asked Questions

What is the overall CMS rating for The Meadows Health and Rehabilitation Center?
The Meadows Health and Rehabilitation Center has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (1★), staffing levels (2★), and quality measures (1★).
What are the staffing levels at The Meadows Health and Rehabilitation Center?
The Meadows Health and Rehabilitation Center reports 3.03 total nursing hours per resident day (national average: 3.89). RN hours are 0.27 per resident day (national average: 0.68). Nursing staff turnover is 56.7%.
How many beds does The Meadows Health and Rehabilitation Center have?
The Meadows Health and Rehabilitation Center has 184 certified beds with approximately 79 residents. The facility is located at 8383 Meadow Rd, Dallas, TX 75231.
Does The Meadows Health and Rehabilitation Center have any deficiencies on record?
Yes, The Meadows Health and Rehabilitation Center has 29 deficiencies on record from recent inspections. Of these, 5 are classified as causing actual harm or jeopardy.
Has The Meadows Health and Rehabilitation Center received any fines or penalties?
Yes, The Meadows Health and Rehabilitation Center has received 2 penalties totaling $36K.
Who owns The Meadows Health and Rehabilitation Center?
The Meadows Health and Rehabilitation Center is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was The Meadows Health and Rehabilitation Center last inspected?
The most recent health inspection for The Meadows Health and Rehabilitation Center was on Jan 15, 2025. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for The Meadows Health and Rehabilitation Center?
The Meadows Health and Rehabilitation Center 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