Home›Texas›Johnson County›Alvarado Meadows Nursing & Rehabilitation
D
Poor

Alvarado Meadows Nursing & Rehabilitation

101 N Parkway · Alvarado, TX 76009

8177903304 · For profit - Corporation

115 beds67 residents95 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
D
Poor
RN Staff
D
Poor
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Alvarado Meadows Nursing & Rehabilitation receives an overall staffing grade of D (Poor). With 3.1499 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.331 HPRD, below the recommended 0.75. It is 0.75 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 17.08% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (3)

⚠️Had 1 day with zero registered nurse hours this quarter. While below the 4-day threshold for an auto 1-star rating, any zero-RN day is a concern.
🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.1499 HPRD — needs 0.33 more hours per resident per day.
⚠️RN staffing (0.331 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (1)

✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
3.1499hrs/resident/day▼ 0.75
CMS benchmark: 3.48
RN HPRD
0.331hrs/resident/day▼ 0.35
Recommended: 0.75
Weekend Drop-off
17.08%
3.3096 weekday → 2.7444 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
1days this quarter
4+ days = auto 1-star
CNA HPRD
1.7884hrs/resident/day
Direct care aides
LPN HPRD
0.7123hrs/resident/day
Licensed practical nurses
Consistency
0.3751std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Johnson County Average-0.10 HPRD
3.25
03.15 HPRD
vs. Texas State Average-0.25 HPRD
3.40
03.15 HPRD
vs. National Average-0.75 HPRD
3.90
03.15 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Alvarado Meadows Nursing & Rehabilitation ★
Alvarado · This facility
—
D
3.14990.331★☆☆☆☆
COLONIAL MANOR NURSING CENTER
CLEBURNE
11.3 mi
D
3.71940.302★★★★☆
PARK BEND REHABILITATION AND HEALTHCARE CENTER
BURLESON
13.4 mi
F
3.28410.1168★★★☆☆
WEDGEWOOD NURSING HOME
FORT WORTH
20.1 mi
B
3.91280.5743★★☆☆☆
Focused Care of Waxahachie
Waxahachie
20.7 mi
F
2.660.187★☆☆☆☆
RENAISSANCE PARK MULTI CARE CENTER
FORT WORTH
22.7 mi
B
3.93380.6826★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

7
Inspections
23
Total Deficiencies
$90,873
Fines Assessed
Jun 10, 2025Health
5 deficiencies cited· Includes actual harm
▼
Mar 6, 2025Health
3 deficiencies cited
▼
Feb 9, 2025Health
1 deficiency cited
▼
May 22, 2024Health
1 deficiency cited· Includes actual harm
▼
Feb 7, 2024Health
3 deficiencies cited
▼
Aug 26, 2023Health
2 deficiencies cited· Includes actual harm
▼
Dec 15, 2022Health
8 deficiencies cited
▼

Penalty History

Jun 10, 2025Fine
$15,940
Feb 9, 2025Fine
$4,329
May 22, 2024Fine
$7,141
Mar 15, 2024Fine
$44,925
Mar 15, 2024Payment Denial
Aug 26, 2023Fine
$18,538
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.