Alvarado Meadows Nursing & Rehabilitation
101 N Parkway, Alvarado, TX 76009
Alvarado Meadows Nursing & Rehabilitation is a nursing home in Alvarado, Texas. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
At a glance
- CMS overall star rating2 of 5
- Last standard health inspectionMay 6, 2026 (6 months ago)
- Health citations since February 7, 202418 (Texas average 28)
- Fines in the past three years4, $66,941 in total
- CMS flagsNone listed by CMS
Get an email when CMS publishes something new about this home
One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.
Email alerts for this home open soon.
CMS flags
CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 28, 2026
Star rating
The CMS overall star rating changed from 3 of 5 to 2 of 5.
Star rating
The CMS staffing star rating changed from 2 of 5 to 1 of 5.
Star rating
The CMS quality measures star rating changed from 2 of 5 to 3 of 5.
CMS update of July 29, 2026
Star rating
The CMS overall star rating changed from 1 of 5 to 3 of 5.
Star rating
The CMS health inspection star rating changed from 2 of 5 to 3 of 5.
Star rating
The CMS staffing star rating changed from 1 of 5 to 2 of 5.
Star rating
The CMS quality measures star rating changed from 1 of 5 to 2 of 5.
CMS abuse icon
CMS removed its abuse icon from this home.
Health inspection on July 2, 2026
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0580. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
CMS lists it as corrected on July 3, 2026.
CMS update of June 24, 2026
Fine
CMS changed the fine from June 10, 2025 from $10,361 to $10,546.
Health inspection on May 6, 2026
4 citationsCMS lists this as a standard inspection.
Show the 4 citations
Citation F0550. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS lists it as corrected on May 7, 2026.
Citation F0755. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS lists it as corrected on May 7, 2026.
Citation F0812. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on May 7, 2026.
Citation F0637. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Assess the resident when there is a significant change in condition
CMS lists it as corrected on May 7, 2026.
Fire safety inspection on May 6, 2026
3 citationsCMS lists this as a standard inspection.
Show the 3 citations
Citation K0211. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Keep aisles, corridors, and exits free of obstruction in case of emergency.
CMS lists it as corrected on June 19, 2026.
Citation K0321. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
CMS lists it as corrected on June 19, 2026.
CMS has cited this home for K0321 2 times since 2025.
Citation K0353. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on June 19, 2026.
CMS update of April 29, 2026
Fine
CMS changed the fine from June 10, 2025 from $15,940 to $10,361.
CMS update of February 25, 2026
Star rating
The CMS quality measures star rating changed from 2 of 5 to 1 of 5.
Name
CMS lists a new legal business name for this home.
Fine
CMS changed the fine from May 22, 2024 from $12,667 to $7,141.
CMS update of January 14, 2026
Fine
CMS changed the fine from February 9, 2025 from $4,147 to $4,329.
CMS update of November 20, 2025
Star rating
The CMS quality measures star rating changed from 1 of 5 to 2 of 5.
Name
CMS lists a new legal business name for this home.
CMS update of July 30, 2025
Fine
CMS changed the fine from February 9, 2025 from $6,380 to $4,147.
Health inspection on June 10, 2025
5 citationsCMS lists this as a complaint inspection.
Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
407 of 1,177 Texas homes (35%) got a citation at the immediate jeopardy level in 2025.
CMS fine of $10,546 on June 10, 2025.
Show the 5 citations
Citation F0600. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS lists it as corrected on June 5, 2025.
CMS has cited this home for F0600 3 times since 2024.
Citation F0558. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Reasonably accommodate the needs and preferences of each resident.
CMS lists it as corrected on June 11, 2025.
Citation F0644. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
CMS lists it as corrected on June 11, 2025.
Citation F0656. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on June 11, 2025.
CMS has cited this home for F0656 3 times since 2024.
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on June 11, 2025.
Health inspection on March 6, 2025
3 citationsCMS lists this as a standard inspection and a complaint inspection.
Show the 3 citations
Citation F0656. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on March 7, 2025.
Citation F0677. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS lists it as corrected on March 7, 2025.
Citation F0600. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS lists it as corrected on February 21, 2025.
Fire safety inspection on March 6, 2025
2 citationsCMS lists this as a standard inspection.
Show the 2 citations
Citation K0131. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Meet requirements for sections of health care facilities separated by fire resistive construction.
CMS lists it as corrected on March 6, 2025.
Citation K0321. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
CMS lists it as corrected on March 6, 2025.
CMS update of February 26, 2025
Fine
CMS changed the fine from May 22, 2024 from $12,464 to $12,667.
Health inspection on February 9, 2025
1 citationCMS lists this as a complaint inspection.
CMS fine of $4,329 on February 9, 2025.
Show the 1 citation
Citation F0622. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
CMS lists it as corrected on February 10, 2025.
CMS update of December 20, 2024
Name
CMS lists a new name for this home. It was ALVARADO LTC PARTNERS INC.
CMS update of October 30, 2024
Star rating
The CMS quality measures star rating changed from 2 of 5 to 1 of 5.
Ownership
CMS lists this home under a new chain.
Fine
CMS changed the fine from March 15, 2024 from $98,991 to $44,925.
Fine
CMS changed the fine from May 22, 2024 from $19,175 to $12,464.
CMS update of August 29, 2024
Star rating
The CMS overall star rating changed from 2 of 5 to 1 of 5.
Star rating
The CMS health inspection star rating changed from 3 of 5 to 2 of 5.
CMS abuse icon
CMS added its abuse icon to this home.
CMS update of July 31, 2024
Star rating
The CMS quality measures star rating changed from 3 of 5 to 2 of 5.
CMS update of May 29, 2024
Star rating
The CMS overall star rating changed from 1 of 5 to 2 of 5.
Star rating
The CMS health inspection star rating changed from 2 of 5 to 3 of 5.
Health inspection on May 22, 2024
1 citationCMS lists this as a complaint inspection.
Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
411 of 1,177 Texas homes (35%) got a citation at the immediate jeopardy level in 2024.
CMS fine of $7,141 on May 22, 2024.
Show the 1 citation
Citation F0600. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS lists it as corrected on May 23, 2024.
CMS update of April 25, 2024
Star rating
The CMS quality measures star rating changed from 2 of 5 to 3 of 5.
April 12, 2024
Payment stoppedCMS stopped payment for new admissions from April 12, 2024, for 5 days.
CMS update of March 28, 2024
Fine
CMS changed the fine from August 26, 2023 from $18,325 to $18,538.
March 15, 2024
FineCMS fine of $44,925 on March 15, 2024.
Health inspection on February 7, 2024
3 citationsCMS lists this as a standard inspection and a complaint inspection.
Show the 3 citations
Citation F0636. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
CMS lists it as corrected on March 12, 2024.
Citation F0656. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on March 4, 2024.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on March 12, 2024.
Fire safety inspection on February 7, 2024
2 citationsCMS lists this as a standard inspection.
Show the 2 citations
Citation K0918. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on April 8, 2024.
Citation K0223. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
CMS lists it as corrected on April 8, 2024.
CMS update of January 31, 2024
Star rating
The CMS overall star rating changed from 2 of 5 to 1 of 5.
Star rating
The CMS health inspection star rating changed from 3 of 5 to 2 of 5.
Star rating
The CMS quality measures star rating changed from 3 of 5 to 2 of 5.
CMS star ratings
- 2 of 5CMS overall star rating
- 3 of 5CMS health inspection star rating
- 1 of 5CMS staffing star rating
- 3 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (817) 790-3304
- Last standard health inspection
- May 6, 2026 (6 months ago)
- Certified beds
- 115
- Residents per day, on average
- 62.1
- Ownership type
- For profit - Limited Liability company
- Legal business name
- Alvarado I Enterprises, LLC
- Chain
- Creative Solutions in Healthcare
- Takes part in
- Medicare and Medicaid
Fewer health citations than the Texas average (18 vs 28).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- ALVARADO I ENTERPRISES, LLC5% or greater direct ownership interest · 100% · since 08/01/2024
- ALVARADO I ENTERPRISES, LLCOperational/managerial control · not applicable · since 08/01/2024
- CREATIVE SOLUTIONS IN HEALTHCARE INCOperational/managerial control · not applicable · since 08/01/2024
- BLAKE, GARYOperational/managerial control · not applicable · since 08/01/2024
- BLAKE, MALISAOperational/managerial control · not applicable · since 08/01/2024
Show 4 more
- CLANTON, AUSTONOperational/managerial control · not applicable · since 08/01/2024
- EAMIGUEL, CHRISTOPHEROperational/managerial control · not applicable · since 08/01/2024
- HUGGINS, LINDAOperational/managerial control · not applicable · since 08/01/2024
- WILLIG, ZACHARYOperational/managerial control · not applicable · since 08/01/2024
Questions
When was Alvarado Meadows Nursing & Rehabilitation last inspected?
CMS lists May 6, 2026 as the date of its most recent standard health inspection.
How many citations (violations) does Alvarado Meadows Nursing & Rehabilitation have?
CMS lists 18 health citations since February 7, 2024. CMS also calls these deficiencies.
Has Alvarado Meadows Nursing & Rehabilitation been fined?
CMS lists 4 fines in the past three years, $66,941 in total.
What is the CMS star rating of Alvarado Meadows Nursing & Rehabilitation?
Its CMS overall star rating is 2 of 5.
Is Alvarado Meadows Nursing & Rehabilitation a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.