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Nursing home report

The Meadows

Registered name: Coryell Health Rehab Living at the Meadows

Gatesville, TX · Medicare-certified · 106 beds

Needs attention
Government-run
Data as of July 1, 2026
4 of 5 overall

The Meadows in Gatesville, TX has an overall 4-star rating, with 4 stars for health inspections, 3 stars for staffing, and 2 stars for quality measures. Its reported nurse staffing is 4.08 hours per resident per day, just below the 4.1 federal benchmark, and it had $20,622 in fines in the last 24 months with a recent federal penalty.

Facility ratings

Health inspections

Staffing

4.0793 hrs/resident/day

Quality measures

Last inspection: February 12, 2026Penalties, last 24 months: $20,622recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.0793.

Staffing detail

Registered nurses
0.35
Licensed practical nurses
1.06
Nurse aides
2.67
Weekend nursing
3.83

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

8.7%17.5%Worsening

Residents with a fall causing major injury

6.5%8.4%Worsening

Residents with pressure ulcers (bedsores)

1.4%3.5%Worsening

Residents with a urinary tract infection

1.3%7.4%Worsening

Residents who lost too much weight

1.8%7.7%Worsening

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

25.9%50.8%Worsening

Residents whose ability to walk got worse

36.9%33.9%Improving

Long-stay residents on antianxiety or sleep medication

24.1%22.4%Improving

Short-stay residents newly given an antipsychotic

2.5%1.6%Improving

Residents with a long-term catheter

1.2%0%Improving

Residents with new or worsening incontinence

18.3%17.7%Improving

Residents with depressive symptoms

1.4%0%Improving

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

97.4%94%Worsening

Short-stay residents given the seasonal flu vaccine

93.8%

Short-stay residents given the pneumonia vaccine

86.5%62.5%Worsening

What the inspectors found

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited November 2024 — widespread issue, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: F

The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited February 2026 — limited pattern, potential for harm.

View the original federal record

F-Tag 755 — 42 CFR §483.45 — S/S: E

The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited February 2026 — limited pattern, potential for harm.

View the original federal record

F-Tag 880 — 42 CFR §483.80(a) — S/S: E

The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited November 2024 — limited pattern, potential for harm.

View the original federal record

F-Tag 550 — 42 CFR §483.10(a) — S/S: E

The home failed to ensure residents’ medications were free from unnecessary drugs. Cited November 2024 — limited pattern, potential for harm.

View the original federal record

F-Tag 757 — 42 CFR §483.45(d) — S/S: E

Recent history

  1. PENALTY

    A federal fine of $20,622 was recorded.

  2. PENALTY

    A federal fine of $16,702 was recorded.

  3. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  4. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found
  5. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  6. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  7. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found
  8. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 1 fine · $20,622 in total fines.

  • Federal fine

    May 2, 2026

    $20,622

Operator & ownership

Ownership
Government - Hospital district
Occupancy
97.1 residents on an average day (92% of 106 beds)
Resident voice
Resident council
Medicare history
Certified for 24 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.