1 of 5 stars overall. ALVARADO CARE CENTER has a 1-star health inspection rating, a recent federal penalty, and $90,600 in fines over the last 24 months; staffing is 3.98 hours per resident day, slightly below the federal benchmark of 4.1.
Last inspection: January 23, 2026Penalties, last 24 months: $90,600recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.9803.
Staffing detail
Registered nurses
0.44
Licensed practical nurses
1.05
Nurse aides
2.49
Weekend nursing
3.63
Hours per resident per day.
Total staff turnover: 24%
Registered nurse turnover: 22%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
42.9%34.6%Improving
Residents with a fall causing major injury
1.8%1.8%No change
Residents with pressure ulcers (bedsores)
4.4%1.8%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
14.8%4.1%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
6.5%15.4%Worsening
Residents whose ability to walk got worse
16.8%4.9%Improving
Long-stay residents on antianxiety or sleep medication
18.2%10.9%Improving
Short-stay residents newly given an antipsychotic
8.7%12.9%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
11.7%7.6%Improving
Residents with depressive symptoms
2.3%14%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—96.5%—
Short-stay residents given the pneumonia vaccine
98.1%98.8%Improving
What the inspectors found
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited August 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: J
The nursing home failed to protect residents from abuse and neglect by others. Cited May 2023 — isolated incident, actual harm.
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F-Tag 600 — 42 CFR §483.12 — S/S: G
The nursing home failed to ensure residents were free from significant medication errors. Cited January 2026 — limited pattern, potential for harm.
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F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: E
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited January 2026 — limited pattern, potential for harm.
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F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: E
The home failed to complete and keep the resident’s care plan properly prepared, reviewed, and updated by the right health professionals. Cited January 2026 — limited pattern, potential for harm.
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F-Tag 657 — 42 CFR §483.21(b)(2) — S/S: E
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 15 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
PENALTY
A federal payment denial was recorded.
PENALTY
A federal fine of $49,200 was recorded.
PENALTY
A federal fine of $41,400 was recorded.
Penalties & enforcement
On record with Medicare: 2 fines · $90,600 in total fines · 1 payment denial.
Medicare/Medicaid payment denial
Aug 22, 2025
2 days
Federal fine
Aug 22, 2025
$49,200
Federal fine
Jun 26, 2024
$41,400
Operator & ownership
Ownership
For profit - Limited Liability company
Occupancy
68.3 residents on an average day (95% of 72 beds)
Resident voice
Resident council
Medicare history
Certified for 46 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.