Elder Care Record

Texas › Dallas County › Mesquite

Mesquite Tree Nursing Center

434 Paza Dr., Mesquite, TX 75149

CCN 675033 · Government, hospital district · 143 certified beds · chain Advanced Healthcare Solutions

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Mesquite Tree Nursing Center is a Government, hospital district nursing home in Mesquite, Texas, certified for 143 beds and caring for about 83 residents a day.

CMS gives it 4 of 5 stars overall, above the Texas median of 3; the health inspection rating is 3, staffing 2 and quality measures 5.

Inspectors recorded 27 health deficiencies across the three most recent survey cycles (9, 9, 9 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 18.9 per 100 beds, about the same as the state median of 22.5.

CMS lists no fines or payment denials against the facility in the period covered.

Reported nurse staffing is 3.2 hours per resident per day (0.4 RN), close to the Texas median of 3.3; nursing staff turnover is 58.8%.

27health deficiencies, 3 survey cycles1 at actual harm or worse
$0fines listed by CMS0 penalties in period
3.2nurse hours per resident per daystate median 3.3
58%occupancy (residents ÷ beds)83 residents a day

Compared with county, state and nation

MeasureThis facilityDallas Co. medianTexas medianUS average
Overall star rating4233.0
Health citations, 3 cycles27282528.7
Citations per 100 beds18.922.022.526.8
Total nurse hours per resident day3.23.33.33.9
RN hours per resident day0.40.40.40.7
Nursing staff turnover58.8%55.5%52.1%45.8%
Fines listed$0$25,390$16,801—

County and state figures are medians across facilities (81 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)9
Cycle 29
Cycle 39

Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 5 Mar 2026, 20 Dec 2024.

Severity mix: J ×1 D ×15 E ×11

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
24 Jun 2026F0800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.EComplaint investigationDeficient, Provider has no plan of correction
24 Jun 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EComplaint investigationDeficient, Provider has no plan of correction
20 May 2026F0641Ensure each resident receives an accurate assessment.DComplaint investigation5 Jun 2026
5 Mar 2026F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard survey31 Mar 2026
5 Mar 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey31 Mar 2026
11 Feb 2026F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DComplaint investigation7 Mar 2026
16 Sep 2025F0695Provide safe and appropriate respiratory care for a resident when needed.EComplaint investigation17 Sep 2025
16 Sep 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation17 Sep 2025
16 Sep 2025F0919Make sure that a working call system is available in each resident's bathroom and bathing area.DComplaint investigation17 Sep 2025
11 Jun 2025F0850Hire a qualified full-time social worker in a facility with more than 120 beds.EComplaint investigation11 Jul 2025
20 Dec 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EComplaint investigation2 Feb 2025
20 Dec 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint investigation2 Feb 2025
20 Dec 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EComplaint investigation2 Feb 2025
20 Dec 2024F0558Reasonably accommodate the needs and preferences of each resident.DStandard survey2 Feb 2025
20 Dec 2024F0880Provide and implement an infection prevention and control program.DComplaint investigation2 Feb 2025
23 Oct 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint investigation22 Nov 2024
23 Oct 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation23 Feb 2024
23 Oct 2024F0880Provide and implement an infection prevention and control program.DComplaint investigation22 Nov 2024
26 Oct 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EComplaint investigation24 Dec 2023
26 Oct 2023F0584Honor 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.DComplaint investigation24 Dec 2023
26 Oct 2023F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey24 Dec 2023
26 Oct 2023F0695Provide safe and appropriate respiratory care for a resident when needed.DComplaint investigation24 Dec 2023
26 Oct 2023F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation24 Dec 2023
26 Oct 2023F0761Ensure 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.DStandard survey24 Dec 2023
26 Oct 2023F0880Provide and implement an infection prevention and control program.DComplaint investigation24 Dec 2023
27 Aug 2023F0760Ensure that residents are free from significant medication errors.JComplaint investigation26 Aug 2023
2 Aug 2023F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation30 Aug 2023

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing3.23 h
Nurse aides2.13 h
LPN0.7 h
RN0.4 h
Weekend total2.86 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 58.8%, RNs 50.0%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityTexas medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay11.3%14.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.0%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.0%0.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay1.5%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.0%0.7%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay5.5%12.4%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay2.7%3.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay3.1%8.3%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: government, hospital district. Legal business name: Hamilton County Hospital District. Chain: Advanced Healthcare Solutions (28 facilities).

OrganisationRole in the CMS recordInterestSince
Mesquite Hc SNF LLCOperational/managerial controlNOT APPLICABLE03/01/2024
434 Paza Drive LLCAdp of the snfNOT APPLICABLE02/18/2025
Red Brass Holdco LLCAdp of the snfNOT APPLICABLE02/18/2025

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Dallas County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Avir At IrvingIrving845421821.4—26 Feb 2026
Brentwood Place OneDallas1205511512.5—9 Apr 2026
C C Young Memorial HomeDallas12955586.2—15 Jan 2026
Cheyenne Medical LodgeMesquite1395422014.4—16 Jun 2026
Crestview CourtCedar Hill1255422116.8$17K14 Jun 2025
Las Brisas Rehabilitation and Wellness CenterIrving128552107.8—8 Jan 2026
Pure Health Transitional Care At Texas Health PresDallas4955448.2—2 Jul 2025
Ventana By BucknerDallas725451419.4—18 Mar 2026

All 81 facilities in Dallas County

Questions and answers

How many deficiencies has Mesquite Tree Nursing Center been cited for?

27 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.

Has Mesquite Tree Nursing Center been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Mesquite Tree Nursing Center compare?

Reported total nurse staffing is 3.2 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.

Who operates Mesquite Tree Nursing Center?

It is part of the Advanced Healthcare Solutions chain. Ownership type is government, hospital district. Organisations in the CMS ownership record include Mesquite Hc SNF LLC. Individual owners and managers are not listed on this site.

When was Mesquite Tree Nursing Center last inspected?

The most recent survey or investigation in the CMS record is dated 24 Jun 2026; the most recent standard health survey was 5 Mar 2026.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.