Alvarado Meadows Nursing & Rehabilitation

Nursing Home · Alvarado, TX

CMS overall rating 3/5 For profit - Limited Liability company

CMS certification number455601

Contact & location

101 N Parkway
Alvarado, TX 76009
Johnson County
Phone
(817) 790-3304
ZIP code
76009 – all care providers

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Facility details

Certified beds
115
Residents per day
58.4 (51% occupied)
Ownership
For profit - Limited Liability company
Legal name
Alvarado I Enterprises, LLC
Chain
Creative Solutions in Healthcare (149 facilities, avg 2.1★)
Medicare certified since
November 5, 1985
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 3/5
State avg 2.6
Health inspections★★★★★ 3/5
State avg 2.8
Staffing★★★★★ 2/5
State avg 1.9
Quality measures★★★★★ 2/5
State avg 3.7
Long-stay quality★★★★★ 2/5
Short-stay quality★★★★★ 3/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.36 (state 3.39 · U.S. 3.86)
Registered nurses (RN)
0.33 (state 0.43 · U.S. 0.69)
Licensed practical nurses
0.79 (state 0.95 · U.S. 0.86)
Nurse aides
2.24 (state 2.00 · U.S. 2.32)
Weekend total
2.99 (state 2.98 · U.S. 3.42)
Nursing staff turnover
95.7 (state 55.3 · U.S. 45.8)%
RN turnover
81.8 (state 54.6 · U.S. 42.9)%
Administrators who left
1 in the last year

Inspections

Last standard inspection
May 6, 2026
Health deficiencies (last cycle)
5.0 (state 9.3 · U.S. 9.3)
From complaints
1
Citations on record (3 years)
20 health · 7 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-07-02 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-07-03
2026-05-06 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2026-05-07
2026-05-06 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2026-05-07
2026-05-06 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2026-05-07
2026-05-06 Assess the resident when there is a significant change in condition
F0637 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-05-07
2025-06-10 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
J
Immediate jeopardy to resident health or safety
Corrected 2025-06-05
2025-06-10 Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-06-11
2025-06-10 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
F0644 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-06-11
2025-06-10 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-06-11
2025-06-10 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-06-11
2025-03-06 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-03-07
2025-03-06 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-03-07
2025-03-06 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-02-21
2025-02-09 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.
F0622 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-02-10
2024-05-22 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
J
Immediate jeopardy to resident health or safety
Corrected 2024-05-23
2024-02-07 Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
F0636 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-03-12
2024-02-07 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-03-04
2024-02-07 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-03-12
2023-08-26 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection
J
Immediate jeopardy to resident health or safety
Corrected 2023-08-27
2023-08-26 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2023-08-27

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

6 penalties in the last three years, including $85,479 in fines.

DateTypeAmount
2025-06-10Fine$10,546
2025-02-09Fine$4,329
2024-05-22Fine$7,141
2024-03-15Payment Denial5 days payment denial
2024-03-15Fine$44,925
2023-08-26Fine$18,538

Ownership & management

NameRoleSince
Alvarado I Enterprises, LLC (organization)5%+ Direct Ownership Interest · 100%
Bedford, Cody (individual)Administrator · NOT APPLICABLE
Bigham, Gene (individual)Administrator · NOT APPLICABLE
Blake, Gary (individual)Administrator · NOT APPLICABLE
Blake, Malisa (individual)Administrator · NOT APPLICABLE
Clanton, Auston (individual)Administrator · NOT APPLICABLE
Creative Solutions in Healthcare INC (organization)Administrator · NOT APPLICABLE
Eamiguel, Christopher (individual)Administrator · NOT APPLICABLE
Huggins, Linda (individual)Administrator · NOT APPLICABLE
Willig, Zachary (individual)Administrator · NOT APPLICABLE
Alvarado I Enterprises, LLC (organization)Operational/managerial Control · NOT APPLICABLE
Blake, Gary (individual)Operational/managerial Control · NOT APPLICABLE
Blake, Malisa (individual)Operational/managerial Control · NOT APPLICABLE
Clanton, Auston (individual)Operational/managerial Control · NOT APPLICABLE
Creative Solutions in Healthcare INC (organization)Operational/managerial Control · NOT APPLICABLE
Eamiguel, Christopher (individual)Operational/managerial Control · NOT APPLICABLE
Huggins, Linda (individual)Operational/managerial Control · NOT APPLICABLE
Willig, Zachary (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Alvarado Meadows Nursing & Rehabilitation?

Alvarado Meadows Nursing & Rehabilitation has a 3-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.

How many beds does Alvarado Meadows Nursing & Rehabilitation have?

It has 115 certified beds and cares for about 58 residents per day.

Has Alvarado Meadows Nursing & Rehabilitation been fined?

Yes. CMS lists 6 penalties totaling $85,479 in the last three years.

Who owns Alvarado Meadows Nursing & Rehabilitation?

It is part of Creative Solutions in Healthcare and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Alvarado Meadows Nursing & Rehabilitation?

(817) 790-3304. The facility is located at 101 N Parkway, Alvarado, TX 76009.

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.