{
 "id": "455601",
 "kind": "snf",
 "kind_label": "Nursing home",
 "name": "Alvarado Meadows Nursing & Rehabilitation",
 "slug": "alvarado-meadows-nursing-rehabilitation",
 "path": "/tx/johnson/alvarado/alvarado-meadows-nursing-rehabilitation",
 "address": {
  "street": "101 N Parkway",
  "city": "Alvarado",
  "county": "Johnson",
  "state": "TX",
  "state_name": "Texas",
  "zip": "76009"
 },
 "phone": "8177903304",
 "coords": [
  32.407542,
  -97.218165
 ],
 "capacity": 115,
 "residents_per_day": 58.4,
 "status": "Medicare and Medicaid",
 "licensee": "Alvarado I Enterprises, LLC",
 "administrator": null,
 "licensed_since": "1985-11-05",
 "last_visit": "2026-05-06",
 "visits_total": null,
 "citations": {
  "type_a": null,
  "type_b": null,
  "basis": "Not applicable: certified federally, not cited by the state"
 },
 "citations_by_visit_type": {
  "complaint": {
   "visits": null,
   "type_a": null,
   "type_b": null
  },
  "inspection": {
   "visits": null,
   "type_a": null,
   "type_b": null
  },
  "other": {
   "visits": null,
   "type_a": null,
   "type_b": null
  }
 },
 "allegations": {
  "substantiated": null,
  "inconclusive": null,
  "unsubstantiated": null,
  "unfounded": null,
  "investigated": null
 },
 "capabilities": {},
 "capabilities_raw": null,
 "reports_on_file": 0,
 "reports": [],
 "federal": {
  "ownership_type": "For profit - Limited Liability company",
  "chain": "CREATIVE SOLUTIONS IN HEALTHCARE",
  "in_hospital": false,
  "ccrc": false,
  "abuse_icon": false,
  "special_focus": null,
  "ratings": {
   "overall": 3,
   "health_inspection": 3,
   "staffing": 2,
   "quality": 2
  },
  "cycle1": {
   "date": "2026-05-06",
   "total": 4,
   "standard": 4,
   "complaint": 0
  },
  "fines": {
   "count": 5,
   "dollars": 85479,
   "penalties": 6
  },
  "staffing": {
   "nurse_hours_per_resident_day": 3.36145,
   "turnover_pct": 95.7
  },
  "on_record": {
   "immediate_jeopardy": 3,
   "actual_harm": 0,
   "potential_harm": 16,
   "minimal": 0
  },
  "penalties_on_file": {
   "count": 6,
   "dollars": 85479
  },
  "owners": [
   {
    "name": "ALVARADO I ENTERPRISES, LLC",
    "role": "Organization",
    "since": "since 08/01/2024",
    "share": "100%"
   },
   {
    "name": "ALVARADO I ENTERPRISES, LLC",
    "role": "Organization",
    "since": "since 08/01/2024",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "CREATIVE SOLUTIONS IN HEALTHCARE INC",
    "role": "Organization",
    "since": "since 08/01/2024",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "BLAKE, GARY",
    "role": "Individual",
    "since": "since 08/01/2024",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "BLAKE, MALISA",
    "role": "Individual",
    "since": "since 08/01/2024",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "CLANTON, AUSTON",
    "role": "Individual",
    "since": "since 08/01/2024",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "EAMIGUEL, CHRISTOPHER",
    "role": "Individual",
    "since": "since 08/01/2024",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "HUGGINS, LINDA",
    "role": "Individual",
    "since": "since 08/01/2024",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "WILLIG, ZACHARY",
    "role": "Individual",
    "since": "since 08/01/2024",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "CREATIVE SOLUTIONS IN HEALTHCARE INC",
    "role": "Organization",
    "since": "since 08/01/2024",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "BEDFORD, CODY",
    "role": "Individual",
    "since": "since 07/15/2025",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "BIGHAM, GENE",
    "role": "Individual",
    "since": "since 07/15/2025",
    "share": "NOT APPLICABLE"
   }
  ]
 },
 "deficiencies": [
  {
   "date": "2026-05-06",
   "tag": "0550",
   "sev": "E",
   "complaint": false
  },
  {
   "date": "2026-05-06",
   "tag": "0755",
   "sev": "E",
   "complaint": false
  },
  {
   "date": "2026-05-06",
   "tag": "0812",
   "sev": "E",
   "complaint": false
  },
  {
   "date": "2026-05-06",
   "tag": "0637",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2025-06-10",
   "tag": "0600",
   "sev": "J",
   "complaint": true
  },
  {
   "date": "2025-06-10",
   "tag": "0558",
   "sev": "D",
   "complaint": true
  },
  {
   "date": "2025-06-10",
   "tag": "0644",
   "sev": "D",
   "complaint": true
  },
  {
   "date": "2025-06-10",
   "tag": "0656",
   "sev": "D",
   "complaint": true
  },
  {
   "date": "2025-06-10",
   "tag": "0684",
   "sev": "D",
   "complaint": true
  },
  {
   "date": "2025-03-06",
   "tag": "0656",
   "sev": "E",
   "complaint": false
  },
  {
   "date": "2025-03-06",
   "tag": "0677",
   "sev": "E",
   "complaint": false
  },
  {
   "date": "2025-03-06",
   "tag": "0600",
   "sev": "D",
   "complaint": true
  },
  {
   "date": "2025-02-09",
   "tag": "0622",
   "sev": "D",
   "complaint": true
  },
  {
   "date": "2024-05-22",
   "tag": "0600",
   "sev": "J",
   "complaint": true
  },
  {
   "date": "2024-02-07",
   "tag": "0636",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2024-02-07",
   "tag": "0656",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2024-02-07",
   "tag": "0880",
   "sev": "D",
   "complaint": true
  },
  {
   "date": "2023-08-26",
   "tag": "0755",
   "sev": "J",
   "complaint": true
  },
  {
   "date": "2023-08-26",
   "tag": "0600",
   "sev": "D",
   "complaint": true
  }
 ],
 "source": {
  "name": "Centers for Medicare & Medicaid Services, Nursing Home Care Compare",
  "retrieved": "2026-07-29",
  "licence_number": "455601"
 }
}