Alvarado Meadows Nursing & Rehabilitation
Nursing Home · 101 N Parkway, Alvarado, TX 76009 · 8177903304
D+
graded on 75% of our rubric
Public records for this provider include abuse or neglect findings. Review the underlying records before deciding.
Why you can trust this grade. HearthGrades is independent and free to use. Every grade is computed from public CMS and state records on a fixed, published rubric — safety inspections, staffing, clinical outcomes, enforcement and financial stability. This provider was graded on 75% of that rubric. No facility can pay to change its grade or where it appears, and we take no money from the providers we grade. See the full methodology.
Scores by dimension
| Dimension | Score | Data confidence |
|---|---|---|
| Safety & compliance | 1.0 / 5 | high |
| Staffing | 2.5 / 5 | high |
| Clinical outcomes | 2.6 / 5 | high |
| Enforcement | 0.7 / 5 | high |
| Financial stability | 3.3 / 5 | med |
Key facts
| Care type | Nursing Home |
| Beds | 115 |
| Ownership | For Profit - Corporation |
| Operator | Alvarado I Enterprises, Llc |
| Chain size | 149 facilities |
| Certified since | 1985-11-05 |
| CMS overall star | 1 / 5 |
| Accepts Medicaid | Yes |
Inspection & enforcement record
- Health-inspection citations: 3 immediate jeopardy · 0 actual harm · 20 potential for harm · 0 minor
- Federal fines: $85,294 · payment denials: 1 · penalty actions: 6
Recent inspection findings
The 8 most recent health-inspection deficiencies on file with CMS, newest first. Severity is the CMS scope/severity scale (A–L); G and above mean actual harm or immediate jeopardy. "Corrected" shows the date the facility certified the fix.
| Date | Finding | Severity | Status |
|---|---|---|---|
| 2025-06-10 | Reasonably accommodate the needs and preferences of each resident. (Resident Rights Deficiencies, tag 0558) | D | corrected 2025-06-11 |
| 2025-06-10 | 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, tag 0600) | J · immediate jeopardy | corrected 2025-06-05 |
| 2025-06-10 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. (Resident Assessment and Care Planning Deficiencies, tag 0644) | D | 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. (Resident Assessment and Care Planning Deficiencies, tag 0656) | D | corrected 2025-06-11 |
| 2025-06-10 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. (Quality of Life and Care Deficiencies, tag 0684) | D | 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. (Resident Assessment and Care Planning Deficiencies, tag 0656) | E | corrected 2025-03-07 |
| 2025-03-06 | Provide care and assistance to perform activities of daily living for any resident who is unable. (Quality of Life and Care Deficiencies, tag 0677) | E | 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. (Freedom from Abuse, Neglect, and Exploitation Deficiencies, tag 0600) | D | corrected 2025-02-21 |
Staffing
Nurse hours per resident per day (CMS Payroll-Based Journal) — the strongest objective predictor of care. "Expected" is what CMS's case-mix model says this facility's resident acuity calls for.
- Total nurse staffing: 3.34 hrs/resident/day (expected 3.46 for this facility's resident acuity — below expected) (US median 3.69 · TX 3.27)
- Registered-nurse staffing: 0.33 hrs/resident/day (expected 0.61 for this facility's resident acuity — below expected) (US median 0.58)
- Breakdown: nurse aide 2.26 · LPN 0.75 hrs/resident/day
- Weekend total staffing: 3.02 hrs/resident/day (expected 3.07 for this facility's resident acuity — below expected)
- Resident acuity (nursing case-mix index): 1.24 (1.0 ≈ national average; higher = more care-intensive residents)
Clinical outcomes — the measures behind the score
The 8 CMS MDS quality measures (2025Q1-2025Q4) driving this facility's clinical score — the same measures behind the CMS QM star. All are adverse-event rates: lower is better. Worst first. The quarterly column shows the four most recent quarters (Q1→Q4); benchmarks are the national percentile and the TX state median.
| Measure | 4-qtr avg | Quarterly (Q1→Q4) | Benchmark |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased (long stay) | 26.9% | 33.3 → 20.5 → 40 → 15.2 | worse than 91% of US homes · TX median 14.8% |
| Percentage of long-stay residents whose ability to walk independently worsened (long stay) | 24.2% | · → · → 29.4 → 20.2 | worse than 83% of US homes · TX median 13% |
| Percentage of short-stay residents who newly received an antipsychotic medication (short stay) | 2.3% | not reported | worse than 77% of US homes · TX median 0.7% |
| Percentage of long-stay residents who received an antipsychotic medication (long stay) | 19.8% | 17.9 → 18.9 → 25.7 → 16.1 | worse than 73% of US homes · TX median 8.1% |
| Percentage of long-stay residents experiencing one or more falls with major injury (long stay) | 2.9% | 3.8 → 4.9 → 3 → 0 | worse than 50% of US homes · TX median 3% |
| Percentage of long-stay residents with a urinary tract infection (long stay) | 0.9% | 0 → 1.7 → 1.5 → 0 | better than 52% of US homes · TX median 0.3% |
| Percentage of long-stay residents with pressure ulcers (long stay) | 3.6% | 1.8 → 3.3 → 6.7 → 1.7 | better than 62% of US homes · TX median 3.4% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder (long stay) | 0% | 0 → 0 → 0 → 0 | better than 100% of US homes · TX median 0% |
What this costs
- This facility's reported avg daily charge: not computable from its filing — reported figures fail plausibility checks
- Payer mix (resident days): 74% Medicaid · 6% Medicare · 20% other/private
- Texas median (quoted rates): $185/day semi-private · $250/day private (national: $315 · $355)
- Accepts Medicaid: yes
- This facility's quoted rate: not public. This facility's quoted private rate isn't published by any federal or state source. Medicare covers short rehab stays (up to 100 days, copays after day 20); long-term stays are private pay until savings spend down to Medicaid. How to get the real number →
Market medians: CareScout Cost of Care Survey 2025 (collected July–November 2025), state-level — individual providers vary widely around a median. Facility-level prices aren't published by any government source; how to get a real quote.
Hospitals serving Johnson County
Hospitals in the same county — those with an emergency department first, then by CMS hospital star rating. Useful for transfers and emergencies.
| Hospital | City | ER | CMS star | Type |
|---|---|---|---|---|
| Texas Health Harris Methodist Hospital Cleburne | Cleburne | Yes | 5★ | Acute care |
| Baylor Scott and White Emergency Hospital | Burleson | Yes | — | Acute care |
Compare nearby
- B+ Ridgeview Rehabilitation And Skilled Nursing · Cleburne
- B Avir At Burleson · Burleson
- B- Heritage Trails Nursing And Rehabilitation Center · Cleburne
- C+ Town Hall Estates Keene, Inc. · Keene
- C+ Grandview Nursing And Rehabilitation Center · Grandview
- C Advanced Rehabilitation & Healthcare Of Burleson · Burleson
Full interactive report card → Facility's own website ↗ CMS Care Compare ↗
Source: CMS Provider Information + Health Deficiencies + Penalties (as of 2026-05). Part of our Johnson County nursing homes coverage. Spot an error? Tell us.