Government - Hospital district · 80 certified beds · CMS number 676427
Skilled Care of Mexia, Mexia, TX
CMS records 16 health deficiencies at Skilled Care of Mexia in Mexia, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Jul 17, 2025. The highest severity cited is K (immediate jeopardy to resident health or safety). 3 citations were at the immediate jeopardy level, 3 of them recorded as past non-compliance (fixed before the inspection). CMS lists 2 fines totaling $24,634 in the last three years.
- 16deficiencies, 3 cycles (TX median 25)
- 2in the latest cycle (TX median 8)
- Khighest severity · Immediate jeopardy
- $24,634fines, last 3 years
- 3CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Skilled Care of Mexia as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Skilled Care of Mexia may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (2 deficiencies)
Standard inspection Jul 17, 2025. CMS counts 2 health deficiencies and 2 fire safety deficiencies in this cycle.
Oct 17, 2025 · Complaint inspection
1 deficiency, highest J
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Past non-compliance (fixed before the inspection), Oct 5, 2025
Jul 17, 2025 · Standard inspection
1 deficiency, highest E
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jul 18, 2025
Previous cycle: 6 deficiencies (standard inspection May 30, 2024)
Standard inspection May 30, 2024. CMS counts 6 health deficiencies and 2 fire safety deficiencies in this cycle.
Dec 31, 2024 · Complaint inspection
3 deficiencies, highest K
F692 · Nutrition and hydration
Requirement cited (CMS): Provide enough food/fluids to maintain a resident's health.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Past non-compliance (fixed before the inspection), Nov 18, 2024
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
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Past non-compliance (fixed before the inspection), Nov 18, 2024
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 Jan 1, 2025
May 30, 2024 · Standard inspection
3 deficiencies, highest D
F805 · Food prepared for individual needs
Requirement cited (CMS): Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 31, 2024
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 May 31, 2024
F550 · Dignity and the right to exercise rights
Requirement cited (CMS): Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 31, 2024
Earlier cycle: 8 deficiencies (standard inspection Apr 6, 2023)
Standard inspection Apr 6, 2023. CMS counts 8 health deficiencies and 1 fire safety deficiency in this cycle.
Apr 30, 2024 · Complaint inspection
1 deficiency, highest D
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
- Past non-compliance (fixed before the inspection), Mar 27, 2024
Apr 6, 2023 · Standard 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 Apr 6, 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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 6, 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 Apr 6, 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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 6, 2023
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
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 6, 2023
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 Apr 6, 2023
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 Apr 6, 2023
Tags cited in more than one inspection
4 tags cited on more than one inspection date at Skilled Care of Mexia; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F558 Accommodating individual needs and preferences | 2 | Apr 30, 2024 (PNC); Apr 6, 2023 |
| F641 Accurate resident assessments | 2 | Dec 31, 2024; Apr 6, 2023 |
| F656 Comprehensive person-centered care plan | 2 | Dec 31, 2024 (PNC); Apr 6, 2023 |
| F880 Infection prevention and control program | 2 | Jul 17, 2025; Apr 6, 2023 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Oct 17, 2025 | Fine | $9,113 |
| Dec 31, 2024 | Fine | $15,521 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.17 h (about the same as the Texas median of 3.27 h)
- RN hours per resident per day
- 0.26 h (below the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.86 h
- Nursing staff turnover
- 97.2% (Texas median 52.1%)
- Administrators who left
- 1
- CMS overall rating
- 3 of 5
- Health inspection rating
- 4 of 5
- Staffing rating
- 1 of 5
- Quality measure rating
- 4 of 5
CMS figures for Skilled Care of Mexia, copied as published; Texas medians are ours.
Facility details
- Address
- 501 E Sumpter St, Mexia, TX 76667
- Phone
- (254) 472-0630
- County
- Limestone
- Accepts
- Medicare and Medicaid
- Ownership
- Government - Hospital district
- Chain (CMS)
- Creative Solutions in Healthcare
- Certified beds
- 80
- Average residents per day
- 69.9
- In Medicare/Medicaid since
- Jul 25, 2017
- 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 does the home adapt rooms and routines for residents with limited mobility, vision, or hearing? (F558, cited 2 times)
- How does the home check that resident assessments match what staff actually observe? (F641, cited 2 times)
- How are a resident's goals and preferences written into the care plan? (F656, cited 2 times)
- How do staff track and report infections among residents? (F880, cited 2 times)
Other nursing homes in Mexia and the same chain
- MEXIA LTC Nursing and Rehabilitation
Mexia · 16 deficiencies - The Manor Healthcare Residence
Mexia · 16 deficiencies - Franklin Heights Nursing & Rehabilitation
El Paso · 76 deficiencies - St. Teresa Nursing & Rehab Center
El Paso · 75 deficiencies - Mountain View Health & Rehabilitation
El Paso · 72 deficiencies - Pleasant Springs Healthcare Center
Mount Pleasant · 66 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.