facebook tracking Alvarado Meadows Nursing & Rehabilitation, Alvarado TX
Skip to content

Alvarado Meadows Nursing & Rehabilitation

All states › Texas › Alvarado › Alvarado Meadows Nursing & Rehabilitation

101 N Parkway Alvarado, TX 76009 · Johnson County

(817) 790-3304

Accepts Medicare Accepts Medicaid 115 certified beds For profit

CMS certification number 455601 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

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. Inspectors issued 18 citations in the last three years. CMS imposed 5 penalties, including $66,941 in fines, in that time. For short-term rehab patients CMS rates quality 2 out of 5; for long-term residents, 3 out of 5.

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.

Nursing care per resident per day 3.09 hours
Below the Texas median of 3.30 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.31 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 2.70 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 74.2% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 66.7% a year Share of registered nurses who left over a year.
Administrators who left 1 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds115
Residents per day 62 About 54% of beds filled, on average
OwnershipFor profit - Limited Liability company
Payment acceptedMedicare and Medicaid
Certified sinceNovember 1985
Part of a chainCreative Solutions In Healthcare
Legal business nameALVARADO I ENTERPRISES, LLC

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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0580 · Complaint inspection · Deficient, Provider has date of correction (Jul 3, 2026)

May 6, 2026 · 4 citations

EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0550 · Deficient, Provider has date of correction (May 7, 2026)

EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Deficient, Provider has date of correction (May 7, 2026)

EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (May 7, 2026)

DAssess the resident when there is a significant change in condition

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0637 · Deficient, Provider has date of correction (May 7, 2026)

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.

Immediate jeopardy · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Complaint inspection · Past Non-Compliance (Jun 5, 2025)

DReasonably accommodate the needs and preferences of each resident.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0558 · Complaint inspection · Deficient, Provider has date of correction (Jun 11, 2025)

DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0644 · Complaint inspection · Deficient, Provider has date of correction (Jun 11, 2025)

DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Complaint inspection · Deficient, Provider has date of correction (Jun 11, 2025)

DProvide appropriate treatment and care according to orders, resident’s preferences and goals.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Complaint inspection · Deficient, Provider has date of correction (Jun 11, 2025)

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.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (Mar 7, 2025)

EProvide care and assistance to perform activities of daily living for any resident who is unable.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0677 · Deficient, Provider has date of correction (Mar 7, 2025)

DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Complaint inspection · Past Non-Compliance (Feb 21, 2025)

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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0622 · Complaint inspection · Deficient, Provider has date of correction (Feb 10, 2025)

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.

Immediate jeopardy · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Complaint inspection · Deficient, Provider has date of correction (May 23, 2024)

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.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0636 · Deficient, Provider has date of correction (Mar 12, 2024)

DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (Mar 4, 2024)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Complaint inspection · Deficient, Provider has date of correction (Mar 12, 2024)

Questions to ask on a tour of Alvarado Meadows Nursing & Rehabilitation

  1. 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?
  2. CMS cited the home under its abuse and neglect rules on June 10, 2025. How are staff trained, and how are concerns reported?
  3. CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  4. Nursing staff turnover was 74.2% a year. How many of the staff come from agencies?
  5. 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?
  6. The home averages about 54% of its beds filled. Are any units closed?
  7. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  8. 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.

DateTypeAmount 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 monthOverallInspectionStaffingQuality
October 2026 2/5 3/5 1/5 3/5
August 2026 3/5 3/5 2/5 2/5
Add this rating badge to your websiteFree. Shows Alvarado Meadows Nursing & Rehabilitation's Medicare star rating and updates itself.

Size and colour

Preview

Alvarado Meadows Nursing & Rehabilitation Medicare star rating badge

Paste it where the badge should appear: in WordPress, a Custom HTML block or a footer widget; on other sites, any spot that accepts HTML. The badge updates itself when CMS publishes new ratings.

Examples, sizes and help on the badge page ›

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.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Town Hall Estates Keene Keene · 6.7 mi away ★★★☆☆ Inspection 3/5 · Staffing 2/5 126 beds · Medicaid
Grandview Nursing and Rehabilitation Center Grandview · 9.6 mi away ★★★★★ Inspection 4/5 · Staffing 2/5 82 beds · Medicaid
Advanced Rehabilitation & Healthcare of Burleson Burleson · 10.7 mi away ★★★☆☆ Inspection 2/5 · Staffing 2/5 121 beds · Medicaid
600 Maple Ave Burleson · 11.0 mi away ★★★☆☆ Inspection 4/5 · Staffing 1/5 120 beds · Medicaid
Colonial Manor Nursing Center Cleburne · 11.4 mi away ★★★☆☆ Inspection 2/5 · Staffing 4/5 137 beds · Medicaid

More nursing homes near Alvarado Meadows Nursing & Rehabilitation ›   All nursing homes in Alvarado ›

Compare Alvarado Meadows Nursing & Rehabilitation with the 3 closest homes side by side ›

Higher-rated nursing homes within 10 miles

Other Creative Solutions In Healthcare nursing homes in Texas

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.

Compare

https://www.nursinghomesineachstate.com/texas/alvarado/alvarado-meadows-nursing-and-rehabilitation/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.