The nursing home failed to protect residents from abuse and neglect by others. Cited June 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: J
Nursing home report
Alvarado Meadows Nursing & Rehabilitation
Alvarado, TX · Medicare-certified · 115 beds
Needs attention
Abuse citationFor-profitChain member
1 of 5 overall
Alvarado Meadows Nursing & Rehabilitation has an overall 1-star rating, with 1-star staffing and quality scores and 2-star health inspection results. It reports 3.34 nurse hours per resident per day versus the 4.1 federal benchmark, has $21,831 in fines in the last 24 months, and has a recent abuse citation.
Facility ratings
Health inspections
Staffing
3.3413 hrs/resident/day
Quality measures
Last inspection: June 10, 2025Penalties, last 24 months: $21,831recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3413.
Staffing detail
- Registered nurses
- 0.33
- Licensed practical nurses
- 0.75
- Nurse aides
- 2.26
- Weekend nursing
- 3.02
Hours per resident per day.
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).
Long-stay residents on antipsychotic medication
17.9%16.1%Improving
Residents with a fall causing major injury
3.8%0%Improving
Residents with pressure ulcers (bedsores)
1.8%1.7%No change
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
2.4%4.3%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
33.3%15.2%Improving
Residents whose ability to walk got worse
29.4%20.2%Improving
Long-stay residents on antianxiety or sleep medication
23.9%14.3%Improving
Short-stay residents newly given an antipsychotic
—2.3%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
20.9%13.4%Improving
Residents with depressive symptoms
0%1.9%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
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
—100%—
Short-stay residents given the pneumonia vaccine
100%88%Worsening
What the inspectors found
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited August 2023 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 755 — 42 CFR §483.45 — S/S: J
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited December 2022 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
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 March 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: E
The nursing home failed to provide needed care and help with daily activities for residents who could not do them on their own. Cited March 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 677 — 42 CFR §483.24(a)(2) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- PENALTY
A federal fine of $10,361 was recorded.
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $4,329 was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $7,141 was recorded.
Penalties & enforcement
On record with Medicare: 5 fines · $85,294 in total fines · 1 payment denial.
- $10,361
Federal fine
Jun 10, 2025
- $4,329
Federal fine
Feb 9, 2025
- $7,141
Federal fine
May 22, 2024
- 5 days
Medicare/Medicaid payment denial
Mar 15, 2024
- $44,925
Federal fine
Mar 15, 2024
- $18,538
Federal fine
Aug 26, 2023
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of CREATIVE SOLUTIONS IN HEALTHCARE · 149 homes · 2.3 stars avg
- Occupancy
- 62 residents on an average day (54% of 115 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 40 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.