Meadowbrook Care Center
632 WINDSOR WAY, Van Alstyne, TX, 75495
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 Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: Fundamental Healthcare
- Certified beds
- 60 · avg 30 residents/day
- Total nursing staff turnover
- 40.9% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $30,956 total
State licensing & capacity
- License number
- 147576
- Service type
- Medicare/medicaid
- Licensed capacity
- 60 beds
- Bed type breakdown
- 7 Medicare-only · 53 Medicaid/Medicare
- Current license effective
- April 1, 2026
- Current license expires
- April 1, 2029
- Initial license date
- September 1, 1971
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Dallas County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Vanalstynetx Llc
- Administrator
- Kasha Smith
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Fundamental Healthcare chain — 69 facilities across 7 states. Chain-wide average overall rating 2.4 / 5.
Disclosed owners (5 on record)
- Dallas County Hospital District
5% or Greater Direct Ownership Interest · 100% · since 2017
- John Dohlman
W-2 Managing Employee · since 2017
- Meadowbrook Health Care Llc
Operational/managerial Control · since 2017
- Frederick p Cerise
Corporate Director · since 2014
- Marilyn Callies
Corporate Director · since 2013
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, 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 17)
- J0689·Jan 31, 2026Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E0656·Jan 31, 2026Complaint
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.
- E0641·Jan 31, 2026Complaint
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
- D0880·Jul 3, 2025Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0761·Jul 3, 2025Complaint
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- E0755·Jul 3, 2025Complaint
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D0695·Jul 3, 2025Complaint
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
- E0583·Jul 3, 2025Complaint
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Federal penalties
By year
- 20261 fine · $22K
- 20231 fine · $9,311
Most recent events
- Jan 31, 2026Fine · $22K
- Jun 30, 2023Fine · $9,311
Largest single fine on record: $22K.
Fire-safety citations
8 Life-Safety-Code citations on file. Most recent: Jul 3, 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
Meadowbrook Care Center is a 60-bed Medicare/Medicaid nursing home in Van Alstyne, Grayson County, operated by Vanalstynetx LLC under a Hospital District license. CMS rates it 2 stars overall, with a 2-star health inspection rating and 3-star quality measures. Staffing rates 4 stars. Two CMS fines totaling $30,956 have been issued. The facility is currently running at about 50% of its licensed beds, with roughly 30 residents on a given day.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing 4 stars here — placing it in roughly the top 9% of Texas nursing homes on staffing. Each resident receives about 213 minutes of nursing care per day, which exceeds the Texas threshold for a 1-star staffing rating (186 minutes) and approaches the 4-star floor (241 minutes). RN coverage runs about 42 minutes per resident per day, above the state's 4-star RN threshold of 37 minutes.
About 4 in 10 nursing staff left in the past year. That sits below Texas's 25th-percentile cutoff of 42% — better than roughly three-quarters of nursing homes in the state on this measure.
CMS issued 2 fines totaling $30,956 since the facility's data period. The state median for fines among facilities that receive any is $20,699, and about 30% of Texas nursing homes have none. These fines sit above the state median, though the overall rating and inspection score reflect the broader deficiency picture.
The facility is operating at roughly 50% of its 60 licensed beds — about 30 residents on an average day. Paired with a 2-star overall rating and moderate fines, low occupancy at a facility of this size can reflect reduced referral volume from hospitals or discharge planners responding to inspection history.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
What drove the two CMS fines
Two fines totaling $30,956 have been issued — ask what deficiencies triggered them and what specific changes followed each citation.
Why occupancy is near half
With roughly 30 residents in a 60-bed building, ask whether the low census reflects a planned transition, referral slowdowns, or staffing constraints.
Short-stay outcomes vs. long-stay
CMS rates long-stay quality measures 5 stars but short-stay just 2 — ask what accounts for that gap and how post-hospital rehab residents are tracked.
Management company's day-to-day role
The licensee is a Hospital District, but day-to-day management runs through Vanalstynetx LLC — ask which entity sets staffing levels, hires staff, and handles complaints.
Resident Council meeting frequency
A Resident Council is on record but no Family Council — ask how often the Resident Council meets and how family members can raise concerns formally.
Weekend staffing coverage
Reported weekend nursing hours run about 3.0 minutes per resident per day, below the weekday figure of 3.5 — ask how staffing is scheduled on Saturdays and Sundays.
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.