Meadowbrook Care Center: Immediate Jeopardy Safety - TX
The immediate jeopardy designation, the most serious level of harm federal inspectors can assign, meant residents were at risk of serious injury or death. What triggered it was a breakdown in how staff were transferring residents, and whether they were using the right equipment to do it.
The facility's response was a scramble. The Director of Nursing and the Director of Rehabilitation ran in-services the night before and again the morning of the inspection. CNA D said she was handed an updated Kardex listing the correct transfer method for every resident. CNA E said the DON ran through gait belts, Hoyer lifts, and sit-to-stand devices, and staff were checked off on how to put on a gait belt and operate the machines. The MDS Nurse said staff were told that if they were ever unsure what kind of transfer a resident needed, they should stop and ask a nurse.
The training reached people with no transfer duties at all. The activity director said she participated because it was "good food for the brain just in case extra help was needed." A housekeeper named HK Y said he was told what to do if he found a resident on the floor: call the nurses.
The DOR said she also ran a virtual session for therapists so they would feel confident transferring residents if needed.
What the inspection report does not say is how the breakdown happened in the first place, or which residents were affected. The immediate jeopardy finding noted that few residents were involved. It does not say whether anyone was injured before inspectors arrived.
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 immediate jeopardy violations during a health inspection on January 31, 2026.
The immediate jeopardy designation, the most serious level of harm federal inspectors can assign, meant residents were at risk of serious injury or death.
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.