Alvarado Meadows Nursing & Rehabilitation
101 NORTH PARKWAY DRIVE, Alvarado, TX, 76009
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Abuse Flag
CMS has flagged this facility for a substantiated finding of resident abuse, neglect, or exploitation in its current or recent inspection cycle. Ask the facility for the specific citation and corrective-action plan during your visit, and consider contacting your state's long-term care ombudsman for context.
Source: CMS Care Compare.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: Creative Solutions In Healthcare
- Certified beds
- 115 · avg 67 residents/day
- Administrators who left
- 2 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 5 fines · $90,873 total
- Payment denials
- 1 denial
State licensing & capacity
- License number
- 312035
- Service type
- Medicare/medicaid
- Licensed capacity
- 115 beds
- Bed type breakdown
- 15 Medicare-only · 100 Medicaid/Medicare
- Current license effective
- August 1, 2024
- Current license expires
- August 1, 2027
- Initial license date
- August 31, 1991
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Alvarado I Enterprises, Llc (Limited Liability Company (LLC))
- Operator / manager
- Creative Solutions In Healthcare, Inc
- Administrator
- Kathryn Mata
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Creative Solutions in Healthcare chain — 149 facilities. Chain-wide average overall rating 2.7 / 5.
Disclosed owners (11 on record)
- Cody Bedford
Adp of The Snf · since 2025
- Gene Bigham
Adp of The Snf · since 2025
- Alvarado i Enterprises, Llc
5% or Greater Direct Ownership Interest · 100% · since 2024
- Auston Clanton
Operational/managerial Control · since 2024
- Christopher Eamiguel
Operational/managerial Control · since 2024
- Creative Solutions in Healthcare Inc
Operational/managerial Control · since 2024
+ 5 additional owners on the federal record.
Recent change of ownership
August 2024 (1 year ago) · acquired from Alvarado Meadows Nursing And Rehabilitation Center
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 23)
- D0684·Jun 10, 2025Complaint
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D0656·Jun 10, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D0644·Jun 10, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- J0600·Jun 10, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D0558·Jun 10, 2025Complaint
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
- D0600·Mar 6, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- E0677·Mar 6, 2025
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E0656·Mar 6, 2025
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Federal penalties
By year
- 20252 fines · $20K
- 20242 fines · $52K · 1 payment denial
- 20231 fine · $19K
Most recent events
- Jun 10, 2025Fine · $16K
- Feb 9, 2025Fine · $4,329
- May 22, 2024Fine · $7,141
- Mar 15, 2024Payment denial · 5 days · starting Apr 12, 2024
- Mar 15, 2024Fine · $45K
- Aug 26, 2023Fine · $19K
Largest single fine on record: $45K.
Fire-safety citations
6 Life-Safety-Code citations on file. Most recent: Mar 6, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Alvarado Meadows Nursing & Rehabilitation is a 115-bed Medicare- and Medicaid-certified nursing home in Alvarado, Johnson County, operated by Creative Solutions In Healthcare. CMS rates it 1 star overall, with 1-star ratings on staffing, long-stay outcomes, and short-stay outcomes. CMS has substantiated findings of resident abuse or neglect within the past 36 months, and the facility has received 5 fines totaling $90,873 since its last inspection cycle. Two administrators have left in the past year.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 1 star — the bottom tier. Each resident receives about 189 minutes of nursing care per day, roughly 52 minutes less than at a 4-star-staffing facility in Texas. Of that, only 20 minutes comes from a registered nurse. About 38% of Texas nursing homes share this 1-star staffing rating. Residents here also require more hands-on care than at a typical facility — more dependent or medically complex on average — so those 189 minutes stretch thinner than the raw number suggests.
CMS has substantiated findings of resident abuse or neglect at this facility within the past 36 months. That determination comes from CMS inspection and complaint investigation records, not from self-reporting by the facility.
The facility has received 5 CMS fines totaling $90,873. Texas's median fine total across fined facilities is $20,699, and about 30% of Texas nursing homes have received no fines at all.
Two administrators have left in the past year. Leadership transitions at that frequency affect hiring, staff scheduling, and continuity of care-plan oversight for residents.
The facility is operating at roughly 58% of its 115 licensed beds — about 67 residents on an average day. Paired with the safety flags and staffing rating, that low occupancy level is part of the overall picture families are working with.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Abuse findings and current safeguards
CMS has substantiated abuse or neglect findings here within the past 36 months — ask what specific incidents occurred, what corrective steps were taken, and what monitoring is now in place.
Two administrators in one year
Two administrators have left in the past year — ask who holds the role now, how long they have been in place, and whether department leadership has also changed.
Registered nurse coverage daily
Reported RN time runs about 20 minutes per resident per day — ask how many hours a registered nurse is physically on the floor each day and whether that coverage extends to evenings and weekends.
Five CMS fines and what changed
The facility has received 5 fines totaling $90,873 — ask which deficiencies triggered each fine and what specific policy or staffing changes followed.
Current occupancy and waitlist status
About 67 of 115 beds are occupied on an average day — ask whether that reflects recent discharges, referral patterns, or other factors affecting current staffing and services.
Resident council access and meeting schedule
The facility has a Resident Council but no Family Council — ask how family members surface concerns formally, and how often the Resident Council meets and reports to administration.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.