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 HHS 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 HHS licensing registry · as of April 16, 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 HHS 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.