Nursing HomeInspections

Skilled Care of Mexia

Nursing home in Mexia, TX

Medicare & Medicaid certified3★ overall (CMS)

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Public-record details

Address
501 E Sumpter St, Mexia, TX 76667
Phone
(254) 472-0630
Listed under
Government-owned
Medicare CCN
676427
Overall star rating
3 of 5 ★★★☆☆
Health inspection rating
4 of 5
Staffing rating
1 of 5
Quality measures rating
3 of 5
Certified beds
80
Average residents per day
73
Ownership
Government, hospital district
Legal business name
West Wharton County Hospital District
Chain
Creative Solutions in Healthcare (150 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jul 25, 2017
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 676427. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Jul 17, 2025. CMS lists 16 health citations for this facility across its last three standard inspection cycles and complaint inspections (Apr 6, 2023 to Oct 17, 2025): 5 from complaint inspections, 3 at the “actual harm” level or higher, including 3 at “immediate jeopardy”.

InspectionCitationSeverity
Oct 17, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		J
Immediate jeopardy, isolated
Jul 17, 2025Provide and implement an infection prevention and control program.
Infection Control		E
Potential for more than minimal harm, pattern
Dec 31, 2024Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
Dec 31, 2024Develop 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 · complaint inspection		K
Immediate jeopardy, pattern
Dec 31, 2024Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care · complaint inspection		K
Immediate jeopardy, pattern
May 30, 2024Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights		D
Potential for more than minimal harm, isolated
May 30, 2024Ensure 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…
Pharmacy Service		D
Potential for more than minimal harm, isolated
May 30, 2024Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary		D
Potential for more than minimal harm, isolated
Apr 30, 2024Reasonably accommodate the needs and preferences of each resident.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Apr 6, 2023Reasonably accommodate the needs and preferences of each resident.
Resident Rights		D
Potential for more than minimal harm, isolated
Apr 6, 2023Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Apr 6, 2023Develop 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		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 16. 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 Oct 1, 2026.

Fines and payment denials

CMS records 2 fines totalling $24,634 in the last three years.

Oct 17, 2025Fine: $9,113
Dec 31, 2024Fine: $15,521

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

Staffing

Total nurse staffing per resident per day
2.72 hours
Registered nurse (RN) time per resident per day
0.24 hours
Nurse aide time per resident per day
1.66 hours
Total nurse staffing on weekends
2.39 hours
Nursing staff turnover (yearly)
46%
RN turnover (yearly)
57%
Administrators who left in the past year
1

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.

Other nursing homes in Mexia

The Manor Healthcare Residence831 Tehuacana Hwy · Mexia, TX 76667 · (254) 562-3867 · For-profit16 health citations in 3 inspection cycles · last standard inspection Dec 11, 2025 · no CMS fines in 3 yrsMedicare & Medicaid certified5★ overall (CMS)
MEXIA LTC Nursing and Rehabilitation601 Terrace Ln · Mexia, TX 76667 · (254) 562-5400 · For-profit16 health citations in 3 inspection cycles · last standard inspection Dec 18, 2025 · no CMS fines in 3 yrsMedicare & Medicaid certified3★ overall (CMS)

All 3 in Mexia →

Public record, not an endorsement. This listing was compiled from public records as of 2026-11-07 and may be incomplete or out of date. Nursing Home Inspections does not vet, employ, recommend or guarantee nursing homes; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Nursing Home Inspections is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error