All states › Texas › Alvarado › Alvarado Meadows Nursing & Rehabilitation
101 N Parkway Alvarado, TX 76009 · Johnson County
CMS certification number 455601 · See this home on Medicare Care Compare
Is Alvarado Meadows Nursing & Rehabilitation a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Alvarado Meadows Nursing & Rehabilitation as of October 2026.
CMS rates it 2 out of 5 stars overall, below the Texas average of 2.8.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.09 hours per resident per day at Alvarado Meadows Nursing & Rehabilitation, below the Texas median of 3.30 (US median: 3.72). About 0.31 of those hours are from registered nurses. On weekends it falls to 2.70 hours, 13% below its all-week average. 74.2% of nursing staff left within a year (Texas median 50.2%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.
About this nursing home
Paying for care at Alvarado Meadows Nursing & Rehabilitation: Medicare and Medicaid
Alvarado Meadows Nursing & Rehabilitation is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Texas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on May 6, 2026 and found 4 deficiencies, plus 1 from complaint inspections in the same period. In total, inspectors issued 18 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 18 citations at Alvarado Meadows Nursing & Rehabilitation across 7 inspection dates, 10 of them from complaint investigations. 2 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on June 10, 2025 (complaint inspection). The most common areas cited were resident assessment and care planning (6) and resident rights (4). The most serious was cited under the CMS rule to "protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody" (tag F0600, level J, June 10, 2025). 3 citations were under CMS's abuse, neglect and exploitation rules.
July 2, 2026 · 1 citation · includes complaint inspection
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
May 6, 2026 · 4 citations
EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DAssess the resident when there is a significant change in condition
June 10, 2025 · 5 citations, includes immediate jeopardy · includes complaint inspection
JProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DReasonably accommodate the needs and preferences of each resident.
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
March 6, 2025 · 3 citations · includes complaint inspection
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
EProvide care and assistance to perform activities of daily living for any resident who is unable.
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
February 9, 2025 · 1 citation · includes complaint inspection
DNot transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
May 22, 2024 · 1 citation, includes immediate jeopardy · includes complaint inspection
JProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
February 7, 2024 · 3 citations · includes complaint inspection
DAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide and implement an infection prevention and control program.
Questions to ask on a tour of Alvarado Meadows Nursing & Rehabilitation
- Inspectors cited the home at the immediate-jeopardy level on June 10, 2025 under the rule on freedom from abuse, neglect, and exploitation. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on June 10, 2025. How are staff trained, and how are concerns reported?
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Nursing staff turnover was 74.2% a year. How many of the staff come from agencies?
- CMS rates short-stay quality 2 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
- The home averages about 54% of its beds filled. Are any units closed?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
5 penalties in the last three years, including $66,941 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Jun 10, 2025 | Fine | $10,546 |
| Feb 9, 2025 | Fine | $4,329 |
| May 22, 2024 | Fine | $7,141 |
| Mar 15, 2024 | Fine | $44,925 |
| Mar 15, 2024 | Payment Denial | 5 days of payments denied |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 2/5 | 3/5 | 1/5 | 3/5 |
| August 2026 | 3/5 | 3/5 | 2/5 | 2/5 |
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Location
Hospitals near Alvarado Meadows Nursing & Rehabilitation
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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11.3 mi
Texas Health Hospital Mansfield MansfieldEmergency room ★★★★★ Medicare overall 5 of 5Median ER visit 2h 37m for patients treated and sent home
- 11.8 mi
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13.1 mi
Baylor Scott and White Emergency Hospital BurlesonEmergency roomMedian ER visit 1h 35m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
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Affiliation comes from CMS's affiliated-entity data, October 2026. All 150 Creative Solutions In Healthcare nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.