Meadowbrook Care Center

632 Windsor Way · Van Alstyne, TX · 75495 · 9034826455

60 certified beds For profit - Limited Liability company Chain: Fundamental Healthcare

Why this verdict

  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Inspection results are getting worse cycle over cycle, not better.

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Red flags

1 immediate-jeopardy citation in the most recent inspection cycle

Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.

Score breakdown

Inspection record 30% of score 39
Serious harm & abuse 20% 64
Staffing 20% 58
Federal penalties 15% 57
Trend 10% 18
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day3.213.48 min · 4.1 strong
RN hours / resident-day0.450.55–0.75
Weekend hours / resident-day2.95≈ weekday level
Nursing turnover / year50%median 45%
Fines (3-yr window)2 · $30,956

Inspection citations (17 in the current record)

  • Immediate jeopardy · J January 31, 2026 · found via complaint

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

    Corrected February 16, 2026 · Quality of Life and Care

  • Potential for harm · E January 31, 2026 · found via complaint

    Ensure each resident receives an accurate assessment.

    Corrected February 16, 2026 · Resident Assessment and Care Planning

  • Potential for harm · E January 31, 2026 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected February 16, 2026 · Resident Assessment and Care Planning

  • Potential for harm · E July 3, 2025

    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.

    Corrected July 31, 2025 · Resident Rights

  • Potential for harm · D July 3, 2025

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

    Corrected July 31, 2025 · Quality of Life and Care

  • Potential for harm · E July 3, 2025

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

    Corrected July 31, 2025 · Nutrition and Dietary

  • Potential for harm · D July 3, 2025 · found via complaint

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

    Corrected July 31, 2025 · Resident Rights

  • Potential for harm · E July 3, 2025 · found via complaint

    Keep residents' personal and medical records private and confidential.

    Corrected July 31, 2025 · Resident Rights

  • Potential for harm · D July 3, 2025 · found via complaint

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

    Corrected July 31, 2025 · Quality of Life and Care

  • Potential for harm · E July 3, 2025 · found via complaint

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

    Corrected July 31, 2025 · Pharmacy Service

  • Potential for harm · D July 3, 2025 · found via complaint

    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.

    Corrected July 31, 2025 · Pharmacy Service

  • Potential for harm · D July 3, 2025 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected July 31, 2025 · Infection Control

  • Potential for harm · E June 6, 2024 · found via complaint

    Provide or obtain dental services for each resident.

    Corrected June 17, 2024 · Quality of Life and Care

  • Potential for harm · D June 6, 2024 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected June 17, 2024 · Infection Control

  • Actual harm · G June 30, 2023 · found via complaint

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

    Corrected July 31, 2023 · Quality of Life and Care

  • Potential for harm · E April 6, 2023

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected May 4, 2023 · Nutrition and Dietary

  • Potential for harm · F April 6, 2023

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

    Corrected May 4, 2023 · Nutrition and Dietary

Federal penalties

DateTypeAmount / length
January 31, 2026Fine$21,645
June 30, 2023Fine$9,311

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675151 · certified since June 9, 1993. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.