Midlothian Healthcare Center

900 George Hopper Rd · Midlothian, TX · 76065 · 9727755105

120 certified beds For profit - Corporation Chain: The Ensign Group

Why this verdict

  • 3 citations involved actual harm to residents.
  • Inspection results have improved across recent cycles.

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Red flags

2 immediate-jeopardy citations in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

2 abuse-related citations at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

RN staffing in the bottom 10% nationally

0.22 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.

71% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 44
Serious harm & abuse 20% 50
Staffing 20% 43
Federal penalties 15% 32
Trend 10% 91
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 3 of 5 Staffing: 1 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day3.243.48 min · 4.1 strong
RN hours / resident-day0.220.55–0.75
Weekend hours / resident-day2.95≈ weekday level
Nursing turnover / year71%median 45%
Fines (3-yr window)4 · $50,830

Inspection citations (17 in the current record)

  • Potential for harm · D January 31, 2026 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected February 1, 2026 · Infection Control

  • Potential for harm · D December 2, 2025 · found via complaint

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected December 3, 2025 · Resident Rights

  • Actual harm · G December 18, 2024 · found via complaint

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected January 22, 2025 · Pharmacy Service

  • Actual harm · G December 18, 2024 · found via complaint

    Ensure that residents are free from significant medication errors.

    Corrected January 22, 2025 · Pharmacy Service

  • Potential for harm · D December 4, 2024

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected December 23, 2024 · Quality of Life and Care

  • Potential for harm · E December 4, 2024

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    Corrected December 23, 2024 · Nutrition and Dietary

  • Potential for harm · E December 4, 2024

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected December 23, 2024 · Nutrition and Dietary

  • Potential for harm · E December 4, 2024 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected December 23, 2024 · Infection Control

  • Actual harm · G October 26, 2023 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected November 14, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D October 26, 2023

    Reasonably accommodate the needs and preferences of each resident.

    Corrected November 17, 2023 · Resident Rights

  • Potential for harm · F October 26, 2023

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected November 14, 2023 · Nutrition and Dietary

  • Potential for harm · F October 26, 2023

    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

    Corrected November 10, 2023 · Administration

  • Potential for harm · D October 26, 2023

    Provide and implement an infection prevention and control program.

    Corrected November 14, 2023 · Infection Control

  • Immediate jeopardy · J August 28, 2023 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected August 29, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · J August 28, 2023 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected August 29, 2023 · Quality of Life and Care

  • Potential for harm · D August 28, 2023 · found via complaint

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected August 29, 2023 · Resident Rights

  • Potential for harm · E September 9, 2022

    Provide and implement an infection prevention and control program.

    Corrected October 19, 2022 · Infection Control

Federal penalties

DateTypeAmount / length
September 11, 2023Fine$2,447
September 5, 2023Fine$2,098
August 28, 2023Fine$42,091
August 14, 2023Fine$4,194

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676374 · certified since February 19, 2015. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.