Alvarado Meadows Nursing & Rehabilitation — nursing home in Alvarado, TX

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 115 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 62.1 CMS, MDS-derived
CMS Certification Number: 455601
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Nov 5, 1985
Ownership type: For profit - Limited Liability company
Operator (legal business name): Alvarado I Enterprises, LLC
CMS chain: Creative Solutions in Healthcare 150 facilities
Phone: (817) 790-3304
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

10

latest Jul 2, 2026

Citations

25

18 health · 7 fire

Harm or worse

2

2 immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J2	K·	L·
Actual harm	G·	H·	I·
Potential harm	D14	E8	F1
Minimal	A·	B·	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

4

$66,941

Payment denials

1

Latest

Jun 10, 2025

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 455601
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 115
First approved: Nov 5, 1985
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Texas.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Jul 2, 2026	Health	Health Complaint	1	Potential harm	—	Open →
May 6, 2026	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
May 6, 2026	Health	Health Standard	4	Potential harm	—	Open →
Jun 10, 2025	Health	Health Complaint	5	Immediate jeopardy	—	Open →
Mar 6, 2025	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
Mar 6, 2025	Health	Health Complaint, Health Standard	3	Potential harm	—	Open →
Feb 9, 2025	Health	Health Complaint	1	Potential harm	—	Open →
May 22, 2024	Health	Health Complaint	1	Immediate jeopardy	—	Open →
Feb 7, 2024	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
Feb 7, 2024	Health	Health Complaint, Health Standard	3	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

Date	Type	Amount	Payment denial	Record
Jun 10, 2025	Civil money penalty (fine)	$10,546	—	455601\|Fine\|113937
Feb 9, 2025	Civil money penalty (fine)	$4,329	—	455601\|Fine\|113574
May 22, 2024	Civil money penalty (fine)	$7,141	—	455601\|Fine\|112904
Mar 15, 2024	Denial of payment for new admissions	—	Apr 12, 2024 · 5 days	455601\|Payment Denial\|2024-04-12
Mar 15, 2024	Civil money penalty (fine)	$44,925	—	455601\|Fine\|112513

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J2	K·	L·
Actual harm	G·	H·	I·
Potential harm	D14	E8	F1
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Jul 2, 2026	F-0580	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jul 3, 2026	Complaint
May 6, 2026	K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jun 19, 2026
May 6, 2026	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jun 19, 2026
May 6, 2026	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jun 19, 2026
May 6, 2026	F-0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected May 7, 2026
May 6, 2026	F-0637	Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 7, 2026
May 6, 2026	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected May 7, 2026
May 6, 2026	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected May 7, 2026
Jun 10, 2025	F-0600	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	J · Immediate jeopardy Isolated	Past non-compliance Jun 5, 2025	Complaint
Jun 10, 2025	F-0558	Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jun 11, 2025	Complaint
Jun 10, 2025	F-0644	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 11, 2025	Complaint
Jun 10, 2025	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 11, 2025	Complaint
Jun 10, 2025	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 11, 2025	Complaint
Mar 6, 2025	K-0131	Meet requirements for sections of health care facilities separated by fire resistive construction. Construction Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Mar 6, 2025
Mar 6, 2025	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Mar 6, 2025
Mar 6, 2025	F-0600	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Past non-compliance Feb 21, 2025	Complaint
Mar 6, 2025	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Mar 7, 2025
Mar 6, 2025	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Mar 7, 2025
Feb 9, 2025	F-0622	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. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Feb 10, 2025	Complaint
May 22, 2024	F-0600	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	J · Immediate jeopardy Isolated	Corrected May 23, 2024	Complaint
Feb 7, 2024	K-0223	Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Apr 8, 2024
Feb 7, 2024	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Apr 8, 2024
Feb 7, 2024	F-0636	Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 12, 2024
Feb 7, 2024	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 4, 2024
Feb 7, 2024	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Mar 12, 2024	Complaint

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 2.8

Health inspectionsstate 2.8

Staffingstate 1.9

Quality measuresstate 3.8

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.09

State avg 3.42US avg 3.90

Registered nurse (RN)0.31

State avg 0.44US avg 0.69

Licensed practical nurse0.79

State avg 0.94US avg 0.86

Nurse aide2.00

State avg 2.03US avg 2.35

Weekend total nurse2.70

State avg 2.99US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.65 (case-mix index 1.19).

Staff turnover

Total nursing staff turnover74.2%

State avg 50.8%US avg 45.3%

Registered nurse turnover66.7%

State avg 49.8%US avg 42.5%

Administrators who left1

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: May 6, 2026
Cycle 1 health score: 32
Total weighted score: 58.75

Operating entity

Alvarado I Enterprises, LLC

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Creative Solutions in Healthcare

150 facilities in 1 states. CMS chain ID 169.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 2.3

Ownership disclosures

Disclosures

18

Organizations

2

Individuals

14

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Alvarado I Enterprises, LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Aug 1, 2024

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Alvarado I Enterprises, LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Aug 1, 2024
Alvarado I Enterprises, LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Aug 1, 2024
Creative Solutions in Healthcare Inc	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Aug 1, 2024
Gary Blake	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Aug 1, 2024
Malisa Blake	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Aug 1, 2024
Auston Clanton	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Aug 1, 2024
Christopher Eamiguel	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Aug 1, 2024
Linda Huggins	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Aug 1, 2024
Zachary Willig	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Aug 1, 2024
Creative Solutions in Healthcare Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Aug 1, 2024
Cody Bedford	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jul 15, 2025
Gene Bigham	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jul 15, 2025
Gary Blake	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Aug 1, 2024
Malisa Blake	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Aug 1, 2024
Auston Clanton	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Aug 1, 2024
Christopher Eamiguel	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Aug 1, 2024
Linda Huggins	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Aug 1, 2024
Zachary Willig	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Aug 1, 2024

Same chain in Texas

All 149 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Buena Vida Nursing and Rehab-San Antonio 5027 Pecan Grove, San Antonio, TX 78222 CCN 455390SFF CandidateAbuse icon	222	Jul 24, 2026	595 IJ1 harm	$198k
Mesa Vista Inn Health Center 5756 North Knoll Drive, San Antonio, TX 78240 CCN 455444	144	Jul 2, 2026	531 IJ	$8,160
Mountain View Health & Rehabilitation 1600 Muchison Rd, El Paso, TX 79902 CCN 455471	187	Jul 2, 2026	836 IJ	$123k
Vista Hills Health Care Center 1599 Lomaland Drive, El Paso, TX 79935 CCN 455493	120	Aug 24, 2026	832 IJ	$40k
Pleasant Springs Healthcare Center 2003 North Edwards Avenue, Mount Pleasant, TX 75455 CCN 455532SFF CandidateAbuse icon	90	Aug 7, 2026	774 IJ2 harm	$66k
Amistad Nursing and Rehabilitation Center 200 Riverside Drive, Uvalde, TX 78801 CCN 455536	200	Aug 7, 2026	44	—
Heritage at Longview Healthcare Center 112 Ruthlynn Dr, Longview, TX 75605 CCN 455569	140	Apr 28, 2026	401 IJ1 harm1 open	$82k
Mineral Wells Nursing & Rehabilitation 316 Southwest 25th Avenue, Mineral Wells, TX 76067 CCN 455570	109	Jun 24, 2026	19	—

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 101 N Parkway, Alvarado, TX 76009
ZIP: 76009
County: Johnson County FIPS 48251
State: Texas
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Town Hall Estates Keene Inc 207 S Old Betsy Rd, Keene, TX 76059 CCN 676047	10.8 km	126	Aug 4, 2026	252 harm	$16k
Advanced Rehabilitation & Healthcare of Burleson 275 SE John Jones Drive, Burleson, TX 76028 CCN 676496	17.1 km	121	Jun 29, 2026	452 IJ	$18k
Burleson Nursing and Rehabilitation Center 600 Maple St., Burleson, TX 76028 CCN 675144	17.7 km	120	Nov 21, 2025	34	—
Colonial Manor Nursing Center 2035 N Granbury St, Cleburne, TX 76031 CCN 455631Abuse icon	18.3 km	137	Apr 9, 2026	142 IJ1 harm	$52k
Heritage Trails Nursing and Rehabilitation Center 301 Lincoln Park Dr, Cleburne, TX 76033 CCN 675748	19.4 km	122	Aug 6, 2026	272 IJ1 harm	$67k
Avir at Mansfield 1402 E. Broad St., Mansfield, TX 76063 CCN 675792	19.7 km	127	Aug 6, 2026	61	—
Park Bend Rehabilitation and Healthcare Center 301 Huguley Blvd., Burleson, TX 76028 CCN 455763	21.6 km	178	Mar 11, 2026	317 IJ	$66k
Crowley Nursing and Rehabilitation 920 E Fm 1187, Crowley, TX 76036 CCN 676176	21.6 km	120	Aug 20, 2026	331 harm13 open	$18k

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	455601	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	455601	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 455601

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction