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Nursing HomeMedicaid Investigative

Meadowbrook Care Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

632 Windsor Way, Van Alstyne, TX 7549560 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
5.0/5

based on 2 Google reviews

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3/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (2/5 stars)
  • Above-median deficiencies (12 vs median 8.0)

Below average in Texas · Below recommended RN staffing · Above average staffing · Below chain average · $30,956 in fines

Source: Medicare data

What this means for your family

This facility has areas of concern that warrant careful consideration. Registered Nurse hours are only 60% of the national benchmark, which can affect medication management and response times. The facility has 12 deficiencies, which is above the state average. We recommend asking the administrator directly: "How are you addressing recent staffing shortfalls?" These are not reasons to panic, but they are reasons to ask tough questions and visit in person.

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.45hrs
60%
Registered nurses for medical care
Total Nursing
3.21hrs
78%
All nurses + aides combined
Staff Turnover
50%
Lower is better (< 30% = good)

Both 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

Medicare Rating
4/ 5
Better Than Avg

13

measures

Worse Than Avg

3

measures

Mixed Results

1

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
15.4%
TX
9.4%
Grayson
11.0%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility4.4%
Better than Avg
Here
4.4%
US
19.4%
TX
14.2%
Grayson
14.0%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility14.1%
Better than Avg
Here
14.1%
US
19.5%
TX
18.4%
Grayson
28.8%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
TX
2.5%
Grayson
2.9%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility4.2%
Better than Avg
Here
4.2%
US
15.3%
TX
14.9%
Grayson
11.7%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility5.6%
Better than Avg
Here
5.6%
US
14.4%
TX
16.1%
Grayson
16.6%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility48.0%
Worse than Avg
Here
48.0%
US
79.7%
TX
88.0%
Grayson
85.8%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility54.4%
Worse than Avg
Here
54.4%
US
81.8%
TX
89.2%
Grayson
85.1%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
TX
1.5%
Grayson
1.9%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

12deficiencies
2penalties
Above state avg (9.1)
12 complaint-triggered
$30,956 in fines

Meadowbrook Care Center shows concerning patterns with multiple family complaints triggering inspections and several serious uncorrected safety violations as of the most recent survey. Recurring issues span safety hazards, care planning failures, infection control, medication management, and heating/ventilation system problems across multiple years. Most troubling, the facility currently has no correction plan for critical safety and care planning deficiencies identified in January 2026 following family complaints.

Jan 31, 2026Complaint
3
0689SevereCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0641ModerateCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0656ModerateCorrected

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.

Jul 3, 2025Routine
7
0712Moderate

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0918ModerateCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0584ModerateCorrected

Resident Rights Deficiencies

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.

0812ModerateCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0211ModerateCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0689MinorCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0521MinorCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Jul 3, 2025Complaint
6
0583ModerateCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

0755ModerateCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0695MinorCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0761MinorCorrected

Pharmacy Service Deficiencies

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.

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0550MinorCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Jun 6, 2024Complaint
2
0791ModerateCorrected

Quality of Life and Care Deficiencies

Provide or obtain dental services for each resident.

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Jun 6, 2024Routine
2
0374ModerateCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

0521MinorCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Jun 30, 2023Complaint
1
0697ModerateCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

Federal Penalties

Fine

Jan 31, 2026

$21,645

Fine

Jun 30, 2023

$9,311

Ownership & Operations

Who Operates This Facility

Owner / Operator

Dallas County Hospital District

Organization Type

for profit

Management Company

MEADOWBROOK HEALTH CARE LLC

Administrator

KAREN L CLARK

Chain Affiliation

Chain Name

Fundamental Healthcare

Chain Size

69 facilities nationwide

Chain avg rating: 2.8/5 · Rank 22 of 26

Ownership & Management

Owners

Dallas County Hospital District

Owner · Organization

100%

Key personnel

Dohlman, JohnW-2 Managing EmployeeCallies, MarilynOfficer / DirectorCerise, FrederickOfficer / DirectorDallas County Hospital DistrictManagerMeadowbrook Health Care LLCManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 3 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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