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Nursing homeFAID #13988

Meadowbrook Care Center

632 WINDSOR WAY, VAN ALSTYNE, TX, 75495
(903) 482-6455
60 licensed beds
★★★★★3/5CMS Five-Star overall2/5 health inspections2/5 staffing5/5 quality measuresSource: CMS Care Compare

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Public record summary

What we can show you for free.
Bed capacity
60
CMS facility ID
675151
Care type
Nursing home
County
Grayson
Facility name
Meadowbrook Care Center
Street address
632 WINDSOR WAY
City / state / ZIP
Van Alstyne, TX 75495
Phone
(903) 482-6455

About this facility — Meadowbrook Care Center

Meadowbrook Care Center is a Medicare/Medicaid-certified skilled nursing facility in Van Alstyne, Texas. It is licensed for 60 beds — well below the median for skilled nursing facilities in Texas (120 beds).

It is one of 2 senior care facilities in Van Alstyne and 1,178 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Meadowbrook Care Center 25 times across 10 inspections in the last three years, including 3 food-safety citations, and CMS has imposed $14,069 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 August 31, 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
Fundamental Healthcare
Ownership type
For profit - Limited Liability company

Registered owners & officers

Dallas County Hospital District
Direct owner — 100% stake — since 2017
632 Windsor Way Llc
Additional disclosable party — since 2025
Castaneda, Edmundo
Director — since 2022
Empower Healthcare Management Llc
Additional disclosable party — since 2025
Empower Opco Llc
Additional disclosable party — since 2025
Mistretta, Cassandra
Owner of a disclosable party — since 2026
Pfeifer, Mary
Operational control — since 2025
Shah, Jagdish
Operational control · Additional disclosable party — since 2024
Smith, Kasha
Operational control · Additional disclosable party — since 2023
Texas Senior Realty Ventures Llc
Additional disclosable party — since 2025
Vanalstynetx Llc
Operational control — since 2025

Regulatory standing

Licensed / certified since
1993-06-09
CMS overall rating
3 of 5 stars
Health deficiencies
13 at the last standard inspection
Federal fines
$14,069 total
Last standard inspection
2025-07-03
Nurse staffing
3.0 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$297 per day (≈ $9,030/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
66% Medicaid · 7% Medicare · 27% private/other
Occupancy
67% (fiscal year 2023)
Vs. state median
7% above the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds
60
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. 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 3 food-safety citations on its three-year record — flagged below among the inspections.
2026-05-05Health inspectionComplaint-triggered1 citation
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 2026-06-30
2026-01-31Health inspectionComplaint-triggered3 citations
F-0641
E · No harm foundFrom a complaint
Ensure each resident receives an accurate assessment.
Corrected 2026-02-16
F-0656
E · 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 2026-02-16
F-0689
J · Immediate jeopardyFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-02-16
6 earlier / fire-safety inspections (21 citations)
2025-07-03Health inspectionComplaint-triggered9 citations
F-0550
D · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-07-31
F-0583
E · No harm foundFrom a complaint
Keep residents' personal and medical records private and confidential.
Corrected 2025-07-31
F-0584
E · No harm found
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.
Corrected 2025-07-31
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-07-31
F-0695
D · No harm foundFrom a complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-07-31
F-0755
E · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-07-31
F-0761
D · No harm foundFrom a complaint
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.
Corrected 2025-07-31
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 2025-07-31
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2025-07-31
2024-06-06Health inspectionComplaint-triggered2 citations
F-0791
E · No harm foundFrom a complaint
Provide or obtain dental services for each resident.
Corrected 2024-06-17
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2024-06-17
2023-04-06Health inspection2 citations
F-0804
E · No harm foundFood safety
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2023-05-04
F-0812
F · 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 2023-05-04
2025-07-03Fire-safety inspection4 citations
K-0211
E · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-07-11
K-0521
C · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-07-11
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2024-12-11
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-07-11
2024-06-06Fire-safety inspection2 citations
K-0374
E · No harm found
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-07-17
K-0521
C · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-07-17
2023-04-06Fire-safety inspection2 citations
K-0351
D · No harm found
Install an approved automatic sprinkler system.
Corrected 2023-05-15
K-0521
C · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-04-28

Federal penalties

2026-01-31Fine$14,069
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 675151.

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 2026-08-31
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