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Nursing homeFAID #12121

Alvarado Meadows Nursing & Rehabilitation

101 N PARKWAY, ALVARADO, TX, 76009
(817) 790-3304
www.alvaradomeadows.com
115 licensed beds

CMS rates Alvarado Meadows Nursing & Rehabilitation 2 out of 5 overall. Federal inspectors issued 25 citations across 12 inspections in the last three years, with $66,941 in fines. Listing last updated 2026-11-06.

★★★★★2/5CMS Five-Star overall3/5 health inspections1/5 staffing3/5 quality measuresSource: CMS Care Compare

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Photo of Alvarado Meadows Nursing & Rehabilitation
Photo via Google · S. Harris

Public record summary

What we can show you for free.
Bed capacity
115
CMS facility ID
455601
Care type
Nursing home
County
Johnson
Facility name
Alvarado Meadows Nursing & Rehabilitation
Street address
101 N PARKWAY
City / state / ZIP
Alvarado, TX 76009
Phone
(817) 790-3304
Website
www.alvaradomeadows.com

About this facility — Alvarado Meadows Nursing & Rehabilitation

Alvarado Meadows Nursing & Rehabilitation is a Medicare/Medicaid-certified skilled nursing facility in Alvarado, Texas. It is licensed for 115 beds — close to the median for skilled nursing facilities in Texas (120 beds).

It is one of 2 senior care facilities in Alvarado and 1,179 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Creative Solutions in Healthcare, a group of 150 facilities on this site.

Federal inspectors have cited Alvarado Meadows Nursing & Rehabilitation 25 times across 12 inspections in the last three years, including 1 food-safety citation, and CMS has imposed $66,941 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company
Creative Solutions In Healthcare
Ownership type
For profit - Limited Liability company

Registered owners & officers

Alvarado I Enterprises, Llc
Direct owner · Operational control — 100% stake — since 2024
Bedford, Cody
Additional disclosable party — since 2025
Bigham, Gene
Additional disclosable party — since 2025
Blake, Gary
Operational control · Additional disclosable party — since 2024
Blake, Malisa
Operational control · Additional disclosable party — since 2024
Clanton, Auston
Operational control · Additional disclosable party — since 2024
Creative Solutions In Healthcare Inc
Operational control · Additional disclosable party — since 2024
Eamiguel, Christopher
Operational control · Additional disclosable party — since 2024
Huggins, Linda
Operational control · Additional disclosable party — since 2024
Willig, Zachary
Operational control · Additional disclosable party — since 2024

Regulatory standing

Federal court records
4 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1985-11-05
CMS overall rating
2 of 5 stars
Health deficiencies
5 at the last standard inspection
Federal fines
$66,941 total
Last standard inspection
2026-05-06
Nurse staffing
3.1 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$208 per day (≈ $6,320/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
86% Medicaid · 5% Medicare · 9% private/other
Occupancy
57% (fiscal year 2023)
Vs. state median
25% below the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds
115
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Visiting hours
Daily Open 24 hours
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 1 food-safety citation on its three-year record — flagged below among the inspections.
2026-07-02Health inspectionComplaint-triggered1 citation
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2026-07-03
2026-05-06Health inspection4 citations
F-0550
E · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2026-05-07
F-0637
D · No harm found
Assess the resident when there is a significant change in condition
Corrected 2026-05-07
F-0755
E · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2026-05-07
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2026-05-07
8 earlier / fire-safety inspections (20 citations)
2025-06-10Health inspectionComplaint-triggered5 citations
F-0558
D · No harm foundFrom a complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-06-11
F-0600
J · Immediate jeopardyFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-06-05
F-0644
D · No harm foundFrom a complaint
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2025-06-11
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-06-11
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-06-11
2025-03-06Health inspectionComplaint-triggered3 citations
F-0600
D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-02-21
F-0656
E · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-03-07
F-0677
E · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-03-07
2025-02-09Health inspectionComplaint-triggered1 citation
F-0622
D · No harm foundFrom a 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 2025-02-10
2024-05-22Health inspectionComplaint-triggered1 citation
F-0600
J · Immediate jeopardyFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-05-23
2024-02-07Health inspectionComplaint-triggered3 citations
F-0636
D · No harm found
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2024-03-12
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-03-04
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2024-03-12
2026-05-06Fire-safety inspection3 citations
K-0211
D · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2026-06-19
K-0321
D · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2026-06-19
K-0353
D · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2026-06-19
2025-03-06Fire-safety inspection2 citations
K-0131
E · No harm found
Meet requirements for sections of health care facilities separated by fire resistive construction.
Corrected 2025-03-06
K-0321
E · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2025-03-06
2024-02-07Fire-safety inspection2 citations
K-0223
E · No harm found
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2024-04-08
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-04-08

Federal penalties

2025-06-10Fine$10,546
2025-02-09Fine$4,329
2024-05-22Fine$7,141
2024-03-15Fine$44,925
2024-03-15Medicare payment denial — 5 days
Total fines$66,941
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 455601.

Quality of care & staffing

How it compares in Texas.
Inspection citations, 3 years
25
More than 27% of nursing homes in the state
State median: 33
Federal fines, 3 years
$66,941
More than 81% of nursing homes in the state
State median: $15,642
Nurse staffing, hours per resident per day
3.1
Higher than 26% of nursing homes in the state
State median: 3.3
Nursing staff turnover, annual
74%
Higher than 94% of nursing homes in the state
State median: 50%

Resident outcomes

On 21 federal quality measures, this facility does better than the Texas average on 7 and worse on 9. Differences within 10% of the average are shown as near average.

Long-stay residentsThis facilityStateUSCompared with state
Need for help with daily activities has increased28.0%15.8%13.5%Worse than state
Lose too much weight5.9%2.9%5.1%Worse than state
With a catheter inserted and left in their bladder0.0%0.3%0.7%Better than state
With a urinary tract infection0.4%0.8%1.5%Better than state
Have depressive symptoms3.1%2.3%13.5%Worse than state
Were physically restrained0.0%0.0%0.1%Better than state
Experiencing one or more falls with major injury2.1%3.2%3.2%Better than state
Assessed and appropriately given the pneumococcal vaccine100.0%96.4%93.7%Near state average
Ability to walk independently worsened22.5%12.9%12.7%Worse than state
Received an antianxiety or hypnotic medication12.8%17.8%19.5%Better than state
Assessed and appropriately given the seasonal influenza vaccine98.5%97.0%95.3%Near state average
With pressure ulcers2.7%3.7%4.5%Better than state
With new or worsened bowel or bladder incontinence16.3%12.5%18.3%Worse than state
Received an antipsychotic medication17.2%9.8%15.4%Worse than state
Hospitalizations per 1000 long-stay resident days2.282.051.81Worse than state
Outpatient emergency department visits per 1000 long-stay resident days1.821.971.69Near state average
Short-stay residentsThis facilityStateUSCompared with state
Assessed and appropriately given the pneumococcal vaccine95.2%88.7%82.3%Near state average
Newly received an antipsychotic medication6.4%1.4%1.5%Worse than state
Were assessed and appropriately given the seasonal influenza vaccine93.8%85.4%80.1%Near state average
Were rehospitalized after a nursing home admission43.0%25.5%23.4%Worse than state
Had an outpatient emergency department visit6.6%12.2%11.8%Better than state
Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

  • F-0600 3 inspections. Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  • F-0656 3 inspections. Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  • K-0321 2 inspections. Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Verify & compare

Where to check, and what's nearby.

Who to contact in Texas

  • Licensing: Texas Health and Human Services
  • File a complaint: 800-458-9858 · Online
  • Long-Term Care Ombudsman: 800-252-2412. A free advocate for residents and families.
  • Adult Protective Services: 800-252-5400. Some states send facility cases to licensing instead. In an emergency, call 911.
  • Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

  • Baylor Scott and White Emergency Hospital, about 13 miles.
  • Methodist Mansfield Medical Center, about 13 miles. CMS rating 4 of 5.
  • Texas Health Harris Methodist Hospital Cleburne, about 14 miles. CMS rating 5 of 5.
Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Visitor reviews

What people say on Google.
3.831 ratings on Google
★★★★★Jarrette Robertson IV · 2026-05-24 · via Google

“I have been in that facility. The staff was very pleasant and the place was very clean and it did not have that normal nursing home smell you've come accustomed to. I say that they have an outstanding environmentalist group. Because I grew up going in and out of nursing homes with most of my family working in them and I've never smelt one that smell good when you walked in but you do when you go i…”

★★★★★Bethany Nichols · 2025-04-02 · via Google

“I can't enough good things about Alvarado Meadows. The staff treated my mom like family. When the time came, they were caring, served our family, and mourned with us when mom passed away. They worked as a team with Wings Over Texas Hospice to provide mom the best care and environment during her last days. The Activities Director is one in a million. She has created a community environment for t…”

★★★★★Eddie Jaramillo · 2025-06-19 · via Google

“I cannot say enough great things about the facility and staff at Alvarado Meadows. Everyone there is so kind and attentive to their residents and truly makes them feel at home. Whether you’re looking into Alvarado for short term therapy or long term care, you will not be disappointed. You have direct access to everyone in their leadership team as well and they will make sure your loved ones are w…”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 25 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
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Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-11-06
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered