Texas › Limestone County › Mexia
Skilled Care of Mexia
501 E Sumpter St, Mexia, TX 76667
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.
Skilled Care of Mexia, in Mexia, Texas, is certified for 80 beds under government, hospital district ownership and belongs to the Creative Solutions In Healthcare chain.
CMS gives it 3 of 5 stars overall, equal to the Texas median; the health inspection rating is 4, staffing 1 and quality measures 4.
Inspectors recorded 16 health deficiencies across the three most recent survey cycles (2, 6, 8 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 20.0 per 100 beds, about the same as the state median of 22.5.
CMS lists 2 penalties in the period covered: fines totalling $25K.
Reported nurse staffing is 3.2 hours per resident per day (0.3 RN), close to the Texas median of 3.3; nursing staff turnover is 97.2%.
Compared with county, state and nation
| Measure | This facility | Limestone Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 16 | 16 | 25 | 28.7 |
| Citations per 100 beds | 20.0 | 20.0 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.2 | 3.3 | 3.3 | 3.9 |
| RN hours per resident day | 0.3 | 0.3 | 0.4 | 0.7 |
| Nursing staff turnover | 97.2% | 52.4% | 52.1% | 45.8% |
| Fines listed | $24,634 | $0 | $16,801 | — |
County and state figures are medians across facilities (5 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 17 Jul 2025, 30 May 2024.
Severity mix: J ×1 K ×2 D ×10 E ×3
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)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 17 Oct 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 5 Oct 2025 |
| 17 Jul 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 18 Jul 2025 |
| 31 Dec 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | K | Complaint investigation | 18 Nov 2024 |
| 31 Dec 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | K | Complaint investigation | 18 Nov 2024 |
| 31 Dec 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Complaint investigation | 1 Jan 2025 |
| 30 May 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 31 May 2024 |
| 30 May 2024 | F0761 | Ensure 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. | D | Standard survey | 31 May 2024 |
| 30 May 2024 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Standard survey | 31 May 2024 |
| 30 Apr 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 27 Mar 2024 |
| 6 Apr 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 6 Apr 2023 |
| 6 Apr 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 6 Apr 2023 |
| 6 Apr 2023 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 6 Apr 2023 |
| 6 Apr 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 6 Apr 2023 |
| 6 Apr 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 6 Apr 2023 |
| 6 Apr 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 6 Apr 2023 |
| 6 Apr 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 6 Apr 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 17 Oct 2025 | Fine | $9,113 | |
| 31 Dec 2024 | Fine | $15,521 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 97.2%, RNs 88.9%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 17.1% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.4% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.0% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.8% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 14.8% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.6% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 13.1% | 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: West Wharton County Hospital District. Chain: Creative Solutions In Healthcare (149 facilities).
No organisations are listed in the CMS ownership record for this facility.
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 Limestone County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Groesbeck LTC Nursing and Rehabilitation | Groesbeck | 90 | 5 | 5 | 2 | 6 | 6.7 | — | 22 May 2025 |
| The Manor Healthcare Residence | Mexia | 66 | 5 | 5 | 3 | 16 | 24.2 | — | 11 Dec 2025 |
| Mexia LTC Nursing and Rehabilitation | Mexia | 66 | 2 | 4 | 1 | 16 | 24.2 | — | 18 Dec 2025 |
| Windsor Healthcare Residenceabuse icon | Groesbeck | 90 | 2 | 2 | 2 | 12 | 13.3 | $34K | 28 Aug 2025 |
All 5 facilities in Limestone County
Questions and answers
How many deficiencies has Skilled Care of Mexia been cited for?
16 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Skilled Care of Mexia been fined?
Yes. CMS lists fines totalling $25K in the period covered.
How does staffing at Skilled Care of Mexia 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 Skilled Care of Mexia?
It is part of the Creative Solutions In Healthcare chain. Ownership type is government, hospital district. Individual owners and managers are not listed on this site.
When was Skilled Care of Mexia last inspected?
The most recent survey or investigation in the CMS record is dated 17 Oct 2025; the most recent standard health survey was 17 Jul 2025.
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.