Meadowbrook Care Center
Nursing home · 632 WINDSOR WAY, Van Alstyne, TX 75495 · Grayson County
Prices
Texas HHSC publishes no prices or facility websites, so we show none. Ask the facility directly.
Facility
- Type
- Nursing home · Nursing · MEDICARE/MEDICAID · certified
- Capacity
- 60
- State license
- 004608
- Medicare CCN
- 675151
- Licensed entity
- DALLAS COUNTY HOSPITAL DISTRICT
- Chain
- FUNDAMENTAL HEALTHCARE
- Ownership
- For profit - Limited Liability company
- Phone
- (903) 482-6455
- Nurse staffing
- 3.01 hours per resident per day; 60.0% nursing staff turnover
- Medicare ratings
- Inspections 2★ · Staffing 2★ · Quality 5★
- Official record
- Texas HHSC provider search (TULIP)
- Official record
- Medicare Care Compare
Penalties
- Jan 31, 2026 — Fine ($14,069)
Inspection findings
-
May 5, 2026 Health · 1 finding
-
Not serious
Scope/severity D
Complaint
F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected Jun 30, 2026 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
-
Jan 31, 2026 Health · 3 findings
-
Not serious
Scope/severity E
Complaint
F0641 Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Corrected Feb 16, 2026 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0656 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.
Corrected Feb 16, 2026 · CMS health inspection
-
Serious
Scope/severity J
Complaint
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Feb 16, 2026 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
-
Jul 3, 2025 Health · 13 findings
-
Not serious
Scope/severity D
Complaint
F0550 Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected Jul 31, 2025 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0583 Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Corrected Jul 31, 2025 · CMS health inspection
-
Not serious
Scope/severity E
F0584 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.
Corrected Jul 31, 2025 · CMS health inspection
-
Not serious
Scope/severity D
F0689 Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Jul 31, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0695 Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Corrected Jul 31, 2025 · CMS health inspection
-
Not serious
Scope/severity E
Complaint
F0755 Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected Jul 31, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0761 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.
Corrected Jul 31, 2025 · CMS health inspection
-
Not serious
Scope/severity E
F0812 Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected Jul 31, 2025 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Jul 31, 2025 · CMS health inspection
-
Not serious
Scope/severity E
K0211 Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected Jul 11, 2025 · CMS fire safety
-
Not serious
Scope/severity C
K0521 Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected Jul 11, 2025 · CMS fire safety
-
Not serious
Scope/severity F
K0712 Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Corrected Dec 11, 2024 · CMS fire safety
-
Not serious
Scope/severity F
K0918 Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Corrected Jul 11, 2025 · CMS fire safety
-
Not serious
Scope/severity D
Complaint
-
Jun 6, 2024 Health · 4 findings
-
Not serious
Scope/severity E
Complaint
F0791 Quality of Life and Care Deficiencies
Provide or obtain dental services for each resident.
Corrected Jun 17, 2024 · CMS health inspection
-
Not serious
Scope/severity D
Complaint
F0880 Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Corrected Jun 17, 2024 · CMS health inspection
-
Not serious
Scope/severity E
K0374 Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected Jul 17, 2024 · CMS fire safety
-
Not serious
Scope/severity C
K0521 Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected Jul 17, 2024 · CMS fire safety
-
Not serious
Scope/severity E
Complaint
-
Apr 6, 2023 Health · 4 findings
-
Not serious
Scope/severity E
F0804 Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected May 4, 2023 · CMS health inspection
-
Not serious
Scope/severity F
F0812 Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 4, 2023 · CMS health inspection
-
Not serious
Scope/severity D
K0351 Smoke Deficiencies
Install an approved automatic sprinkler system.
Corrected May 15, 2023 · CMS fire safety
-
Not serious
Scope/severity C
K0521 Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected Apr 28, 2023 · CMS fire safety
-
Not serious
Scope/severity E
Owners and managers (as published by CMS)
- CASTANEDA, EDMUNDO — corporate director, NOT APPLICABLE, since 01/10/2022
- MISTRETTA, CASSANDRA — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 03/25/2026
- PFEIFER, MARY — operational/managerial control, NOT APPLICABLE, since 10/01/2025
- SHAH, JAGDISH — operational/managerial control, NOT APPLICABLE, since 04/19/2024
- SHAH, JAGDISH — adp of the snf, NOT APPLICABLE, since 04/19/2024
- SMITH, KASHA — operational/managerial control, NOT APPLICABLE, since 07/24/2023
- SMITH, KASHA — adp of the snf, NOT APPLICABLE, since 07/24/2023
- 632 WINDSOR WAY LLC — adp of the snf, NOT APPLICABLE, since 10/01/2025
- DALLAS COUNTY HOSPITAL DISTRICT — 5% or greater direct ownership interest, 100%, since 04/01/2017
- EMPOWER HEALTHCARE MANAGEMENT LLC — adp of the snf, NOT APPLICABLE, since 10/01/2025
- EMPOWER OPCO LLC — adp of the snf, NOT APPLICABLE, since 10/01/2025
- TEXAS SENIOR REALTY VENTURES LLC — adp of the snf, NOT APPLICABLE, since 10/01/2025
- VANALSTYNETX LLC — operational/managerial control, NOT APPLICABLE, since 10/01/2025
Sources: Texas Health and Human Services Commission, Long-term Care Regulation (directory and closures) and CMS Care Compare (nursing homes). “Harm or jeopardy level” is CMS scope/severity G–L. About this data.