Meadowbrook Care Center: Care Plan Failures - TX
The Director of Nursing called staff for mandatory in-service training the evening before the January 31 inspection concluded, then again the following morning. The Weekend Supervisor confirmed receiving calls "last night for the in-service and also that morning."
Staff interviews revealed gaps in basic transfer safety protocols. The MDS Nurse said the training covered proper use of gait belts, checking if they were "too loose or too tight," and operating mechanical lifts including Hoyer lifts and sit-to-stand equipment.
"The DON instructed them to check the Kardex always to make sure the right transfer would be done," the MDS Nurse told inspectors. Staff were told that "if ever in doubt about what kind of transfer, ask the nurse."
The Business Office Manager said she received training on "transferring the resident safely and not transferring if not trained." The Director of Nursing and Director of Rehabilitation demonstrated how to use gait belts and mechanical lifting equipment during the sessions.
Even non-clinical staff participated. The Activity Director, who said she "did not do transfers," attended because "the in-service was good food for the brain just in case extra help was needed."
A housekeeper explained he was educated on protocols if he discovered a resident on the floor, saying "he needed to call the nurses in case a resident fell."
CNA A, reached by telephone, confirmed she received training on "safe transfer and handling of the residents" and needed to ensure "she was following how the residents were transferred to ensure resident safety."
The immediate jeopardy citation affected few residents, but prompted facility-wide retraining on fundamental safety procedures.
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: June 20, 2026 · Our methodology
MEADOWBROOK CARE CENTER in VAN ALSTYNE, TX was cited for violations during a health inspection on January 31, 2026.
"The DON instructed them to check the Kardex always to make sure the right transfer would be done," the MDS Nurse told inspectors.
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.