Alvarado Meadows Nursing & Rehabilitation
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 29 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Abuse citation on record
- Low overall rating (1/5 stars)
- Low staffing rating (1/5 stars)
Bottom 25% in Texas · Critically understaffed (RN) · Worst in CREATIVE SOLUTIONS IN HEALTHCARE chain · $90,873 in fines · Abuse citation
What this means for your family
This facility appears to have undergone a major turnaround under new ownership, with recent families reporting exceptional care and communication. However, because of documented historical issues with neglect, you should specifically ask how they monitor hygiene and medication administration during shift changes.
Google Reviews
Google Reviews
29 reviews on Google“Families will find a facility that has undergone significant positive changes under new ownership, with many recent reviewers praising the compassionate, family-like care and excellent communication from leadership. While recent sentiment is overwhelmingly positive, older reviews from 2022 and earlier highlight serious historical concerns regarding neglect and lack of responsiveness.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate and attentive nursing staff
- Strong leadership and administrative communication
- Welcoming and community-focused atmosphere
- Effective coordination with hospice services
Concerns
- Historical issues with patient neglect and hygiene (mentioned by 2 reviewers)
- Slow response times to resident needs (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 34 analyzed
How They Respond to Reviews
This facility rarely responds to reviews.
Questions for Your Tour
- 1I noticed some families have shared how much they appreciate the leadership and communication here; how does the administration stay in touch with families regarding daily updates?
- 2Could you tell me more about how the nursing team manages medication schedules to ensure everything is handled accurately and on time?
- 3What steps are being taken to ensure that dining experiences and meal quality are meeting the needs and preferences of all residents?
- 4How does the staff prioritize responding to call lights or resident requests, especially during the busier night shifts?
- 5What is the protocol for handling a medical emergency or coordinating with outside physicians after regular business hours?
- 6What kind of daily activities or community events do you have planned to keep the residents engaged and social with one another?
Personalized based on this facility's data
Key Review Excerpts
“The staff treated my mom like family. When the time came, they were caring, served our family, and mourned with us when mom passed away.”
“The facility director Latifou Amoussa and the admissions coordinator Dzenana Barrett are absolutely amazing, and they came to visit us at our home and meet our family member who is now a resident there”
“This facility has gone to the right direction with new ownership!! I appreciate the team and the administrator for listening to our concerns and addressing the issues and being very communicative at all times!!”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
10
measures
4
measures
3
measures
Residents needing more daily help over time
Residents on antipsychotic medication
Residents on anti-anxiety or sleep medication
Residents whose bladder or bowel control got worse
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose walking got worse
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has significant concerns with 11 complaint-triggered deficiencies from families reporting problems, including recurring issues with protecting residents from abuse and neglect that appeared in multiple years (2023-2025). The most frequent problem areas involve care planning, resident rights, and safety systems, with many deficiencies corrected but patterns suggesting ongoing challenges with fundamental resident protection and quality care delivery.
Jun 10, 2025Complaint5
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
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.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Mar 6, 2025Routine4
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.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Construction Deficiencies
Meet requirements for sections of health care facilities separated by fire resistive construction.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Mar 6, 2025Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Feb 9, 2025Complaint1
Resident Rights Deficiencies
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.
May 22, 2024Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Feb 7, 2024Routine4
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Egress Deficiencies
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Resident Assessment and Care Planning Deficiencies
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
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Federal Penalties
Fine
Jun 10, 2025
$10,361
Fine
Feb 9, 2025
$4,329
Fine
May 22, 2024
$7,141
Fine
Mar 15, 2024
$44,925
Payment Denial
Mar 15, 2024
5-day denial
Fine
Aug 26, 2023
$18,538
Ownership & Operations
Who Operates This Facility
Alvarado I Enterprises, LLC
for profit
CREATIVE SOLUTIONS IN HEALTHCARE, INC
KATHRYN MATA
Chain Affiliation
Creative Solutions in Healthcare
149 facilities nationwide
Chain avg rating: 2.7/5 · Rank 120 of 148 (Worst)
Ownership & Management
Owners
Alvarado I Enterprises, LLC
Owner · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
29 reviews from families & visitors
Official Website
Visit alvaradomeadows.com
Medicare data downloads
Original nursing home datasets
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