Alvarado Meadows Nursing & Rehabilitation
Alvarado, Johnson County, Texas · CCN 455601 · For-profit (LLC) · part of Creative Solutions In Healthcare (149 facilities, chain average 2.1 stars)
CMS rates Alvarado Meadows Nursing & Rehabilitation 3 of 5 overall as of August 2026. 115 certified beds, 58 residents a day on average. 20 citations on record from the current inspection cycles, 3 at immediate jeopardy; 5 fines totalling $85,479 and 1 payment denial.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★☆☆ 3 of 5 |
|---|---|
| Health inspections | ★★★☆☆ 3 of 5 |
| Staffing | ★★☆☆☆ 2 of 5 |
| Quality measures | ★★☆☆☆ 2 of 5 |
| Quality: long-stay / short-stay | 2 / 3 of 5 |
Staffing
| Total nurse staffing | 3.36145 hours per resident per day |
|---|---|
| Registered nurses | 0.33123 hours per resident per day |
| Weekend total | 2.98871 hours per resident per day |
| Nursing staff turnover | 95.7% (registered nurses 81.8%) |
| Administrators who left | 1 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-07-02 complaint survey |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · tag F0580 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 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. Resident Rights Deficiencies · tag F0550 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 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. Pharmacy Service Deficiencies · tag F0755 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 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. Nutrition and Dietary Deficiencies · tag F0812 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-05-07 |
| 2026-05-06 | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · tag F0637 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-05-07 |
| 2025-06-10 complaint survey |
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 F0600 |
J Immediate jeopardy to resident health or safety; isolated | Past Non-Compliance 2025-06-05 |
| 2025-06-10 complaint survey |
Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · tag F0558 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-06-11 |
| 2025-06-10 complaint survey |
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · tag F0644 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-06-11 |
| 2025-06-10 complaint survey |
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 F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-06-11 |
| 2025-06-10 complaint survey |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 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 F0656 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 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 F0677 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-03-07 |
| 2025-03-06 complaint survey |
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 F0600 |
D No actual harm, with potential for more than minimal harm; isolated | Past Non-Compliance 2025-02-21 |
| 2025-02-09 complaint survey |
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. Resident Rights Deficiencies · tag F0622 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-02-10 |
| 2024-05-22 complaint survey |
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 F0600 |
J Immediate jeopardy to resident health or safety; isolated | Deficient, Provider has date of correction 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. Resident Assessment and Care Planning Deficiencies · tag F0636 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 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. Resident Assessment and Care Planning Deficiencies · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-04 |
| 2024-02-07 complaint survey |
Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-12 |
| 2023-08-26 complaint survey |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
J Immediate jeopardy to resident health or safety; isolated | Deficient, Provider has date of correction 2023-08-27 |
| 2023-08-26 complaint survey |
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 F0600 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-08-27 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2025-06-10 | Fine | $10,546 |
| 2025-02-09 | Fine | $4,329 |
| 2024-05-22 | Fine | $7,141 |
| 2024-03-15 | Payment denial for 5 days from 2024-04-12 | — |
| 2024-03-15 | Fine | $44,925 |
| 2023-08-26 | Fine | $18,538 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Alvarado I Enterprises, LLC Organization | 5% or greater direct ownership interest | 100% | 2024-08-01 |
| Creative Solutions In Healthcare Inc. Organization | adp of the snf | — | 2024-08-01 |
| Alvarado I Enterprises, LLC Organization | operational/managerial control | — | 2024-08-01 |
| Creative Solutions In Healthcare Inc. Organization | operational/managerial control | — | 2024-08-01 |
| Bedford, Cody Individual | adp of the snf | — | 2025-07-15 |
| Bigham, Gene Individual | adp of the snf | — | 2025-07-15 |
| Blake, Gary Individual | adp of the snf | — | 2024-08-01 |
| Blake, Malisa Individual | adp of the snf | — | 2024-08-01 |
| Clanton, Auston Individual | adp of the snf | — | 2024-08-01 |
| Eamiguel, Christopher Individual | adp of the snf | — | 2024-08-01 |
| Huggins, Linda Individual | adp of the snf | — | 2024-08-01 |
| Willig, Zachary Individual | adp of the snf | — | 2024-08-01 |
| Blake, Gary Individual | operational/managerial control | — | 2024-08-01 |
| Blake, Malisa Individual | operational/managerial control | — | 2024-08-01 |
| Clanton, Auston Individual | operational/managerial control | — | 2024-08-01 |
| Eamiguel, Christopher Individual | operational/managerial control | — | 2024-08-01 |
| Huggins, Linda Individual | operational/managerial control | — | 2024-08-01 |
| Willig, Zachary Individual | operational/managerial control | — | 2024-08-01 |
What changed
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Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Alvarado Meadows Nursing & Rehabilitation.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Johnson County.