Alvarado Meadows Nursing & Rehabilitation: Staffing, Turnover, and Inspection Record
Alvarado Meadows Nursing & Rehabilitation is a 115-bed for-profit nursing home in Alvarado, Texas, part of Creative Solutions in Healthcare. In the CMS August 2026 release it reported 2.24 nurse aide hours per resident per day, 12% above the Texas average of 2.00, and 95.7% nursing staff turnover (Texas average 55.3%).
Alvarado Meadows Nursing & Rehabilitation
101 N ParkwayAlvarado, TX 76009
Johnson County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Alvarado Meadows Nursing & Rehabilitation, nurse aides logged 2.24 hours per resident per day, 12% above the Texas average. With about 58 residents a day, that works out to roughly 131 aide hours a day, or about 16 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 11% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.24 | 2.00 | 2.32 |
| Licensed practical nurses | 0.79 | 0.95 | 0.86 |
| Registered nurses | 0.33 | 0.43 | 0.69 |
| All nursing staff | 3.36 | 3.39 | 3.86 |
| All nursing staff, weekends | 2.99 | 2.98 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
95.7% of nursing staff at Alvarado Meadows Nursing & Rehabilitation left over the year CMS measured, against a Texas average of 55.3% and a US average of 45.8%. Registered nurse turnover was 81.8%. 1 administrator left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on May 6, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 5 health deficiencies (Texas average 9.3). CMS lists 5 fines totaling $85,479 and 1 payment denial in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Jun 10, 2025 | Fine | $10,546 |
| Feb 9, 2025 | Fine | $4,329 |
| May 22, 2024 | Fine | $7,141 |
| Mar 15, 2024 | Fine | $44,925 |
| Mar 15, 2024 | Payment Denial | 5 days from Apr 12, 2024 |
| Aug 26, 2023 | Fine | $18,538 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Alvarado Meadows Nursing & Rehabilitation holds 3 of 5 overall; the Texas average is 2.6.
About Alvarado Meadows Nursing & Rehabilitation
- Ownership: For profit - Limited Liability company
- Chain: Creative Solutions in Healthcare, 149 homes
- Legal name: Alvarado I Enterprises, LLC
- Medicare and Medicaid certified since: Nov 5, 1985
- Councils: resident council
- Area: urban
Nursing homes near Alvarado Meadows Nursing & Rehabilitation
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Town Hall Estates Keene Inc Keene | 6.7 | 126 | 2.06 | 3.18 | 45.6% | 3 | $16,209 |
| Grandview Nursing and Rehabilitation Center Grandview | 9.6 | 82 | 2.68 | 3.84 | 44.3% | 5 | $21,125 |
| Advanced Rehabilitation & Healthcare of Burleson Burleson | 10.7 | 121 | 2.13 | 3.36 | 63.6% | 2 | $17,804 |
| 600 Maple Ave. Burleson | 11.0 | 120 | 1.37 | 2.87 | 56.4% | 3 | None |
| Colonial Manor Nursing Center Cleburne · abuse citation | 11.4 | 137 | 2.24 | 3.78 | 52.8% | 3 | $51,594 |
| Heritage Trails Nursing and Rehabilitation Center Cleburne | 12.0 | 122 | 1.48 | 2.76 | 53.2% | 4 | $67,124 |
| Avir at Mansfield Mansfield | 12.2 | 127 | 1.45 | 2.71 | 30.9% | 4 | None |
| Mansfield Medical Lodge Mansfield | 12.8 | 118 | 1.81 | 3.17 | 46.6% | 4 | $6,032 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.