Nursing HomeInspections

Mesquite Tree Nursing Center

Nursing home in Mesquite, TX

Medicare & Medicaid certified4★ overall (CMS)

Call (972) 288-6489Send a messageMap ↗

Public-record details

Address
434 Paza Dr., Mesquite, TX 75149
Phone
(972) 288-6489
Listed under
Government-owned, 4–5 star overall rating, No fines in 3 years
Medicare CCN
675033
Overall star rating
4 of 5 ★★★★☆
Health inspection rating
3 of 5
Staffing rating
2 of 5
Quality measures rating
5 of 5
Certified beds
143
Average residents per day
83
Ownership
Government, hospital district
Legal business name
Hamilton County Hospital District
Chain
Advanced Healthcare Solutions (28 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Mar 1, 1992
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 675033. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Mar 5, 2026. CMS lists 27 health citations for this facility across its last three standard inspection cycles and complaint inspections (Aug 2, 2023 to Jun 24, 2026): 22 from complaint inspections, 1 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

InspectionCitationSeverity
Jun 24, 2026Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Nutrition and Dietary · complaint inspection
E
Potential for more than minimal harm, pattern
Jun 24, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · complaint inspection
E
Potential for more than minimal harm, pattern
May 20, 2026Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · complaint inspection
D
Potential for more than minimal harm, isolated
Mar 5, 2026Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning
E
Potential for more than minimal harm, pattern
Mar 5, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary
E
Potential for more than minimal harm, pattern
Feb 11, 2026Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights · complaint inspection
D
Potential for more than minimal harm, isolated
Sep 16, 2025Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Sep 16, 2025Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental · complaint inspection
D
Potential for more than minimal harm, isolated
Sep 16, 2025Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · complaint inspection
E
Potential for more than minimal harm, pattern
Jun 11, 2025Hire a qualified full-time social worker in a facility with more than 120 beds.
Administration · complaint inspection
E
Potential for more than minimal harm, pattern
Dec 20, 2024Reasonably accommodate the needs and preferences of each resident.
Resident Rights
D
Potential for more than minimal harm, isolated
Dec 20, 2024Provide and implement an infection prevention and control program.
Infection Control · complaint inspection
D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 27. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.23 hours
Registered nurse (RN) time per resident per day
0.40 hours
Nurse aide time per resident per day
2.13 hours
Total nurse staffing on weekends
2.86 hours
Nursing staff turnover (yearly)
59%
RN turnover (yearly)
50%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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