Meadowbrook Care Center
MEADOWBROOK CARE CENTER in VAN ALSTYNE, TX — inspection on January 31, 2026.
Found 3 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
During an interview on 01/30/2026 at 7:44 a.m., the DON stated the resident's MDS should reflect their mode of transfer because sometimes the MDS was the basis of what should be included in the care plan.
She said she already coordinated with the MDS Nurse to fix the issue.
During an interview on 01/30/2026 at 10:26 a.m., the Administrator stated if the MDS Assessment needed to reflect that residents were using a mechanical lift, then the residents' MDS should display it.
She said she knew the DON and the MDS Nurse already started fixing the issue.
Record review of the facility policy, Comprehensive Assessment and the Care Delivery Process Nursing Services Policy and Procedure Manual for Long-Term Care revised December 2016 revealed Policy Statement: Comprehensive assessments will be conducted to assist in developing person-centered care plans . 2.
Assessment and information . a.
Assess the individual . (1) Gather relevant information from multiple sources . (a) Observation; (b) Physical assessment; (c) Symptom or condition-related assessments; (d) Resident and family interview . (h) Evaluations from other disciplines.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
01/31/2026
STREET ADDRESS, CITY, STATE, ZIP CODE
Meadowbrook Care Center
632 Windsor Way Van Alstyne, TX 75495
SUMMARY STATEMENT OF DEFICIENCIES
is the policy of this facility to develop and implement a comprehensive person-centered care plan for each resident, consistent with resident rights, that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs and ALL services that are identified in the resident's comprehensive assessment and meet professional standards of quality .
Policy Explanation and Compliance Guidelines . 6.
The comprehensive care plan will include measurable objectives and timeframes to meet the resident's needs as identified in the resident's comprehensive assessment.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
01/31/2026
STREET ADDRESS, CITY, STATE, ZIP CODE
Meadowbrook Care Center
632 Windsor Way Van Alstyne, TX 75495
SUMMARY STATEMENT OF DEFICIENCIES
During an interview on 01/31/2026 at 1:34 p.m., the MDS Nurse said the DON in-serviced the staff about proper means of transferring alongside the DOR.
She said if the resident was a one person assist, the staff must use a gait belt and must check if too loose or too tight.
She said she was educated on how to operate the Hoyer lift and the sit-to-stand.
She said the DON instructed them to check the Kardex always to make sure the right transfer would be done.
She said they were told that, if ever in doubt about what kind of transfer, ask the nurse.
During an interview on 01/31/2026 at 1:42 p.m., the Weekend Supervisor stated they had an in-service about different kinds of transfers and safe handling.
She said the machines should be checked before using.
She said the DON called her last night for the in-service and also that morning.During an interview on 01/31/2026 at 1:49 p.m., the Activity Director stated she participated in the in-service about safety of residents during transfer.
She said she did not do transfers but the in-service was good food for the brain just in case extra help was needed.
During an interview on 01/31/2026 at 1:56 p.m., the BOM stated she was in-serviced about transferring the resident safely and not transferring if not trained.
She said the DON and the DOR showed them how to use the gait belt and the machines like the Hoyer lift and the sit-to-stand.
During an interview on 01/31/2026 at 2:08 p.m., HK Y stated he did not do transfers but was educated on what to do if he saw a resident on the floor. He said he needed to call the nurses in case a resident fell.During a telephone interview on 01/31/2026 at 2:16 p.m., CNA A said she was in-serviced about safe transfer and handling of the residents.
She said she needed to make sure that she was following how the residents were transferred to ensure resident safety.During a telephone interview on 01/31/2026 at 2:23
Facility ID: