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Alvarado Meadows Nursing & Rehabilitation

101 N Parkway, Alvarado, TX 760098177903304Ownership: For profit - Limited Liability companyCertified beds: 115Avg. daily residents: 58Chain: Creative Solutions In Healthcare (149 facilities)County: Johnson

The complete public record on Alvarado Meadows Nursing & Rehabilitation, a Medicare & Medicaid–certified nursing home in Alvarado, Texas, from the CMS Care Compare database (August 2026 release). Every figure below is published by federal regulators; ClearPath adds the state comparisons and the plain-English reading.

CMS Star Ratings

Overall rating
★★★☆☆
CMS’s composite of the three ratings below. Texas average: 2.6 stars.
Health inspection
★★★☆☆
Based on the last three years of on-site inspections and complaint investigations — the rating CMS weights most heavily.
Staffing
★★☆☆☆
Nurse and aide hours per resident per day, adjusted for how much care residents need, plus staff turnover.
Quality measures
★★☆☆☆
Clinical outcomes CMS tracks, such as falls with injury, pressure ulcers and hospital readmissions.
Alvarado Meadows Nursing & Rehabilitation holds a 3-star overall rating, CMS’s middle tier. Nursing staff turnover of 96% is well above the Texas average of 55%; high turnover is one of the strongest predictors of inconsistent care. Federal regulators have fined this facility $85,479 in the last three years. None of this tells you whether a bed is open, whether your insurance is in network, or whether the facility will accept a given level of care — confirm those three directly with the facility before you commit.

Staffing

3.36 total nurse staff hours per resident per day
about the state average (3.39)
0.33 RN hours per resident per day
below the state average (0.43)
2.99 weekend nurse staff hours per resident per day
95.7% total nursing staff turnover
above the state average (55.3)
81.8% RN turnover
1 administrator left in the reporting period

Hours are per resident per day, from payroll-based journal data facilities submit to CMS. Turnover is the share of nursing staff who left over the past year.

Inspections & Penalties

May 6, 2026 most recent standard health inspection
5 health deficiencies cited in the most recent inspection cycle
below the state average (9.3)
13 health deficiencies in the two prior cycles combined
$85,479 in federal fines across 5 penalties (last 3 years)
above the state average ($45,542)
1 payment denial
CMS withholding Medicare/Medicaid payment for new admissions until problems were fixed

Recent Inspection Citations

20 citations on record across recent inspections, 3 at the actual-harm or immediate-jeopardy level. Showing the most recent inspection. Severity uses CMS’s A–L scope-and-severity scale; G and above means residents were actually harmed.

InspectionTagWhat was citedSeverity
July 2, 20260580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the… ComplaintD · Potential for more than minimal harm
May 6, 20260550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E · Potential for more than minimal harm
May 6, 20260755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E · Potential for more than minimal harm
May 6, 20260812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with…E · Potential for more than minimal harm
May 6, 20260637Assess the resident when there is a significant change in conditionD · Potential for more than minimal harm
June 10, 20250600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. ComplaintJ · Immediate jeopardy
June 10, 20250558Reasonably accommodate the needs and preferences of each resident. ComplaintD · Potential for more than minimal harm
June 10, 20250644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. ComplaintD · Potential for more than minimal harm
June 10, 20250656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. ComplaintD · Potential for more than minimal harm
June 10, 20250684Provide appropriate treatment and care according to orders, resident’s preferences and goals. ComplaintD · Potential for more than minimal harm

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Source: CMS Care Compare (data.cms.gov), August 2026 monthly release. Figures are as published by CMS and change monthly; ClearPath refreshes automatically. ClearPath Senior Guide is an independent information service, accepts no referral fees or placement incentives from any facility, and does not recommend facilities. Verify current details with the facility.