Skilled Care of Mexia
501 E Sumpter St · Mexia, TX · 76667 · 2544720630
80 certified beds Government - Hospital district Chain: Creative Solutions in Healthcare
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
RN staffing in the bottom 10% nationally
0.28 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
99% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 4 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.28 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.28 | 0.55–0.75 |
| Weekend hours / resident-day | 2.97 | ≈ weekday level |
| Nursing turnover / year | 99% | median 45% |
| Fines (3-yr window) | 2 · $24,634 |
Inspection citations (17 in the current record)
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Immediate jeopardy · J October 17, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 5, 2025 · Quality of Life and Care
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Potential for harm · E July 17, 2025
Provide and implement an infection prevention and control program.
Corrected July 18, 2025 · Infection Control
-
Immediate jeopardy · K December 31, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected November 18, 2024 · Resident Assessment and Care Planning
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Immediate jeopardy · K December 31, 2024 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected November 18, 2024 · Quality of Life and Care
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Potential for harm · D December 31, 2024 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected January 1, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 30, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected May 31, 2024 · Resident Rights
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Potential for harm · D May 30, 2024
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.
Corrected May 31, 2024 · Pharmacy Service
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Potential for harm · D May 30, 2024
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected May 31, 2024 · Nutrition and Dietary
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Potential for harm · D April 30, 2024 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected March 27, 2024 · Resident Rights
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Potential for harm · D July 24, 2023 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected August 28, 2023 · Resident Rights
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Potential for harm · D April 6, 2023
Reasonably accommodate the needs and preferences of each resident.
Corrected April 6, 2023 · Resident Rights
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Potential for harm · D April 6, 2023
Ensure each resident receives an accurate assessment.
Corrected April 6, 2023 · Resident Assessment and Care Planning
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Potential for harm · D April 6, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 6, 2023 · Resident Assessment and Care Planning
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Potential for harm · E April 6, 2023
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 6, 2023 · Quality of Life and Care
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Potential for harm · D April 6, 2023
Provide safe and appropriate respiratory care for a resident when needed.
Corrected April 6, 2023 · Quality of Life and Care
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Potential for harm · E April 6, 2023
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 6, 2023 · Pharmacy Service
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Potential for harm · D April 6, 2023
Provide and implement an infection prevention and control program.
Corrected April 6, 2023 · Infection Control
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| October 17, 2025 | Fine | $9,113 |
| December 31, 2024 | Fine | $15,521 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676427 · certified since July 25, 2017. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.