Government - Hospital district · 143 certified beds · CMS number 675033

Mesquite Tree Nursing Center, Mesquite, TX

CMS records 25 health deficiencies at Mesquite Tree Nursing Center in Mesquite, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Mar 5, 2026. The highest severity cited is E (no actual harm, potential for more than minimal harm). CMS lists no fines or payment denials in the last three years.

Inspections and deficiencies

CMS findings for Mesquite Tree Nursing Center as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Mesquite Tree Nursing Center may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare

Most recent cycle (9 deficiencies)

Standard inspection Mar 5, 2026. CMS counts 9 health deficiencies and 5 fire safety deficiencies in this cycle.

Jun 24, 2026 · Complaint inspection

2 deficiencies, highest E

F812 · Food safety and sanitation

Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jun 26, 2026

F800 · Nourishing, well-balanced diet

Requirement cited (CMS): Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jun 26, 2026

May 20, 2026 · Complaint inspection

1 deficiency, highest D

F641 · Accurate resident assessments

Requirement cited (CMS): Ensure each resident receives an accurate assessment.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jun 5, 2026

Mar 5, 2026 · Standard inspection

2 deficiencies, highest E

F812 · Food safety and sanitation

Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Mar 31, 2026

F656 · Comprehensive person-centered care plan

Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Mar 31, 2026

Feb 11, 2026 · Complaint inspection

1 deficiency, highest D

F628 · Discharge paperwork, notices, and bed-hold information

Requirement cited (CMS): Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Mar 7, 2026

Sep 16, 2025 · Complaint inspection

3 deficiencies, highest E

F919 · Working call system

Requirement cited (CMS): Make sure that a working call system is available in each resident's bathroom and bathing area.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Sep 17, 2025

F695 · Respiratory and oxygen care

Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Sep 17, 2025

F677 · Help with daily care

Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Sep 17, 2025
Previous cycle: 9 deficiencies (standard inspection Dec 20, 2024)

Standard inspection Dec 20, 2024. CMS counts 9 health deficiencies and 8 fire safety deficiencies in this cycle.

Jun 11, 2025 · Complaint inspection

1 deficiency, highest E

F850 · Full-time social worker in larger homes

Requirement cited (CMS): Hire a qualified full-time social worker in a facility with more than 120 beds.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jul 11, 2025

Dec 20, 2024 · Standard + complaint inspection

5 deficiencies, highest E

F880 · Infection prevention and control program

Requirement cited (CMS): Provide and implement an infection prevention and control program.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Feb 2, 2025

F812 · Food safety and sanitation

Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Feb 2, 2025

F677 · Help with daily care

Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Feb 2, 2025

F656 · Comprehensive person-centered care plan

Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Feb 2, 2025

F558 · Accommodating individual needs and preferences

Requirement cited (CMS): Reasonably accommodate the needs and preferences of each resident.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Feb 2, 2025

Oct 23, 2024 · Complaint inspection

3 deficiencies, highest E

F880 · Infection prevention and control program

Requirement cited (CMS): Provide and implement an infection prevention and control program.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Nov 22, 2024

F677 · Help with daily care

Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Nov 22, 2024

F600 · Freedom from abuse and neglect

Requirement cited (CMS): Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Past non-compliance (fixed before the inspection), Feb 23, 2024
Earlier cycle: 7 deficiencies (standard inspection Oct 26, 2023)

Standard inspection Oct 26, 2023. CMS counts 7 health deficiencies and 3 fire safety deficiencies in this cycle.

Oct 26, 2023 · Standard + complaint inspection

7 deficiencies, highest E

F880 · Infection prevention and control program

Requirement cited (CMS): Provide and implement an infection prevention and control program.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Dec 24, 2023

F812 · Food safety and sanitation

Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Dec 24, 2023

F761 · Drug labeling and secure storage

Requirement cited (CMS): 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.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Dec 24, 2023

F755 · Pharmacy services and a consultant pharmacist

Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Dec 24, 2023

F695 · Respiratory and oxygen care

Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Dec 24, 2023

F677 · Help with daily care

Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Dec 24, 2023

F584 · Safe, clean, homelike surroundings

Requirement cited (CMS): Honor 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.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Dec 24, 2023

Tags cited in more than one inspection

5 tags cited on more than one inspection date at Mesquite Tree Nursing Center; each date counts once and does not mean the same incident. PNC = past non-compliance.

TagInspectionsDates
F677 Help with daily care4Sep 16, 2025; Dec 20, 2024; Oct 23, 2024; Oct 26, 2023
F812 Food safety and sanitation4Jun 24, 2026; Mar 5, 2026; Dec 20, 2024; Oct 26, 2023
F880 Infection prevention and control program3Dec 20, 2024; Oct 23, 2024; Oct 26, 2023
F656 Comprehensive person-centered care plan2Mar 5, 2026; Dec 20, 2024
F695 Respiratory and oxygen care2Sep 16, 2025; Oct 26, 2023

Fines and payment denials

CMS lists no fines or payment denials for this nursing home in the last three years.

Staffing and CMS ratings

Total nurse staff hours per resident per day
3.23 h (about the same as the Texas median of 3.27 h)
RN hours per resident per day
0.40 h (about the same as the Texas median of 0.38 h)
Weekend nurse staff hours per resident per day
2.86 h
Nursing staff turnover
58.8% (Texas median 52.1%)
Administrators who left
0
CMS overall rating
4 of 5
Health inspection rating
3 of 5
Staffing rating
2 of 5
Quality measure rating
5 of 5

CMS figures for Mesquite Tree Nursing Center, copied as published; Texas medians are ours.

Facility details

Address
434 Paza Dr., Mesquite, TX 75149
Phone
(972) 288-6489
County
Dallas
Accepts
Medicare and Medicaid
Ownership
Government - Hospital district
Chain (CMS)
Advanced Healthcare Solutions
Certified beds
143
Average residents per day
83.3
In Medicare/Medicaid since
Mar 1, 1992
Inside a hospital
No
Continuing care retirement community
No
Resident and family council
Resident
Sprinklers in all required areas
Yes

Questions to ask on a visit

Based on the tags cited most often here.

  • How often do residents who need help get assistance with bathing, grooming, and mouth care? (F677, cited 4 times)
  • When was the kitchen last inspected, and how are food temperatures checked? (F812, cited 4 times)
  • How do staff track and report infections among residents? (F880, cited 3 times)
  • How are a resident's goals and preferences written into the care plan? (F656, cited 2 times)

Other nursing homes in Mesquite and the same chain

Source

CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.

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