Meadowbrook Care Center
Van Alstyne, Grayson County, Texas · CCN 675151 · For-profit (LLC) · part of Fundamental Healthcare (66 facilities, chain average 2.4 stars)
CMS rates Meadowbrook Care Center 3 of 5 overall as of August 2026. 60 certified beds, 31 residents a day on average. 17 citations on record from the current inspection cycles, 1 at immediate jeopardy; 1 fine totalling $14,069.
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 | ★★☆☆☆ 2 of 5 |
| Staffing | ★★☆☆☆ 2 of 5 |
| Quality measures | ★★★★★ 5 of 5 |
| Quality: long-stay / short-stay | 5 / 3 of 5 |
Staffing
| Total nurse staffing | 3.01096 hours per resident per day |
|---|---|
| Registered nurses | 0.46555 hours per resident per day |
| Weekend total | 2.7164 hours per resident per day |
| Nursing staff turnover | 60% |
| Administrators who left | 0 |
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 |
|---|---|---|---|
| 2026-05-05 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 2026-06-30 |
| 2026-01-31 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
J Immediate jeopardy to resident health or safety; isolated | Deficient, Provider has date of correction 2026-02-16 |
| 2026-01-31 complaint survey |
Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-02-16 |
| 2026-01-31 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 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-02-16 |
| 2025-07-03 complaint survey |
Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · tag F0583 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-07-31 |
| 2025-07-03 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · tag F0584 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-07-31 |
| 2025-07-03 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 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-07-31 |
| 2025-07-03 | 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 2025-07-31 |
| 2025-07-03 complaint survey |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · tag F0550 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-07-31 |
| 2025-07-03 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-07-31 |
| 2025-07-03 complaint survey |
Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-07-31 |
| 2025-07-03 complaint survey |
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. Pharmacy Service Deficiencies · tag F0761 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-07-31 |
| 2025-07-03 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 2025-07-31 |
| 2024-06-06 complaint survey |
Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · tag F0791 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-06-17 |
| 2024-06-06 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 2024-06-17 |
| 2023-04-06 | 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 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2023-05-04 |
| 2023-04-06 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · tag F0804 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-05-04 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2026-01-31 | Fine | $14,069 |
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 |
|---|---|---|---|
| Dallas County Hospital District Organization | 5% or greater direct ownership interest | 100% | 2017-04-01 |
| 632 Windsor Way LLC Organization | adp of the snf | — | 2025-10-01 |
| Empower Healthcare Management LLC Organization | adp of the snf | — | 2025-10-01 |
| Empower Opco LLC Organization | adp of the snf | — | 2025-10-01 |
| Texas Senior Realty Ventures LLC Organization | adp of the snf | — | 2025-10-01 |
| Vanalstynetx LLC Organization | operational/managerial control | — | 2025-10-01 |
| Shah, Jagdish Individual | adp of the snf | — | 2024-04-19 |
| Smith, Kasha Individual | adp of the snf | — | 2023-07-24 |
| Castaneda, Edmundo Individual | corporate director | — | 2022-01-10 |
| Mistretta, Cassandra Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2026-03-25 |
| Pfeifer, Mary Individual | operational/managerial control | — | 2025-10-01 |
| Shah, Jagdish Individual | operational/managerial control | — | 2024-04-19 |
| Smith, Kasha Individual | operational/managerial control | — | 2023-07-24 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
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 Meadowbrook Care Center.
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 Grayson County.