Meadowbrook Care Center: Assessment Failures - TX
The citation, the most serious level CMS assigns, indicated the lapses put resident health or safety at immediate risk. The inspection, conducted January 31, 2026, was a complaint survey.
What followed was a scramble. The Director of Nursing and the Director of Rehabilitation ran back-to-back in-services for nurses, certified nursing assistants, therapists, and even staff who don't perform transfers. The Business Office Manager was trained. The Activity Director was trained. A housekeeper named HK Y was pulled in and told what to do if he found a resident on the floor: call a nurse.
The training covered gait belts, Hoyer lifts, and sit-to-stand devices. Staff were shown how to check whether a gait belt was too loose or too tight, how to operate the mechanical lifts, and how to clean the equipment after use. An updated Kardex listing the correct transfer method for every resident was distributed. CNA D said she received the new Kardex. CNA E said the DON ran the in-service and the DOR provided visual demonstrations. The Weekend Supervisor said the DON called her the night before and again that morning.
"If ever in doubt about what kind of transfer, ask the nurse," the MDS Nurse recalled being told.
The DOR said she also ran a virtual session for therapists who weren't physically present, so they would be confident if they needed to transfer a resident. Nine staff members signed an Ad-Hoc QAPI sheet dated January 30, 2026, the night before inspectors arrived.
The inspection report does not identify which residents were harmed or placed at risk, or what specific transfer failures prompted the complaint. It records only that a risk assessment was completed for two new admissions and that therapy recommendations were issued.
What it does record is a facility that, in the span of roughly 24 hours, found it necessary to teach its entire staff, including the woman who cleans the rooms, the basics of how to move a person safely.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Meadowbrook Care Center from 2026-01-31 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: August 4, 2026 · Our methodology
MEADOWBROOK CARE CENTER in VAN ALSTYNE, TX was cited for violations during a health inspection on January 31, 2026.
The citation, the most serious level CMS assigns, indicated the lapses put resident health or safety at immediate risk.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.