MEADOWBROOK CARE CENTER in Van Alstyne, TX has a 2-star overall rating, with 2-star health inspection and staffing scores but a 4-star quality measures rating. It has recent federal penalties totaling $21,645, and reported nurse staffing is 3.21 hours per resident per day, below the federal benchmark of 4.1.
Last inspection: January 31, 2026Penalties, last 24 months: $21,645recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2123.
Staffing detail
Registered nurses
0.45
Licensed practical nurses
0.86
Nurse aides
1.91
Weekend nursing
2.95
Hours per resident per day.
Total staff turnover: 50%
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
—0%—
Residents with a fall causing major injury
4%0%Improving
Residents with pressure ulcers (bedsores)
0%3.6%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
—0%—
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
—0%—
Residents whose ability to walk got worse
—4.2%—
Long-stay residents on antianxiety or sleep medication
—13%—
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
10.2%0%Improving
Residents with depressive symptoms
0%0%No change
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
—88.9%—
Long-stay residents given the pneumonia vaccine
88%96.3%Improving
Short-stay residents given the seasonal flu vaccine
—48%—
Short-stay residents given the pneumonia vaccine
32%77.8%Improving
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited January 2026 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to provide safe, appropriate pain management for a resident who needed it. Cited June 2023 — isolated incident, actual harm.
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F-Tag 697 — 42 CFR §483.25(k) — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited April 2023 — 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 make sure each resident got an accurate assessment of their needs and condition. Cited January 2026 — limited pattern, potential for harm.
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F-Tag 641 — 42 CFR §483.20(g) — 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
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
PENALTY
A federal fine of $21,645 was recorded.
INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 9 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 2 health deficiencies.
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Penalties & enforcement
On record with Medicare: 2 fines · $30,956 in total fines.
Federal fine
Jan 31, 2026
$21,645
Federal fine
Jun 30, 2023
$9,311
Operator & ownership
Ownership
For profit - Limited Liability company
Chain
Part of FUNDAMENTAL HEALTHCARE · 69 homes · 2.4 stars avg
Occupancy
29.1 residents on an average day (49% of 60 beds)
Resident voice
Resident council
Medicare history
Certified for 33 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.