Nursing Home Alerts

Skilled Care of Mexia

501 E Sumpter St, Mexia, TX 76667

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Skilled Care of Mexia is a nursing home in Mexia, Texas. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.

At a glance

This page uses data from the Centers for Medicare & Medicaid Services (CMS), published on October 28, 2026. CMS updates its data about once a month.

Get an email when CMS publishes something new about this home

One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.

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CMS flags

CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.

Inspections, fines and changes

This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.

  1. CMS update of October 28, 2026

    • Star rating

      The CMS quality measures star rating changed from 4 of 5 to 3 of 5.

    • Staffing

      Total nurse staffing reported to CMS went from 3.2 to 2.7 hours per resident per day.

  2. CMS update of April 29, 2026

    • Star rating

      The CMS overall star rating changed from 4 of 5 to 3 of 5.

    • Star rating

      The CMS staffing star rating changed from 3 of 5 to 1 of 5.

  3. CMS update of March 25, 2026

    • Fine

      CMS changed the fine from October 17, 2025 from $14,020 to $9,113.

  4. CMS update of February 25, 2026

    • Star rating

      The CMS health inspection star rating changed from 3 of 5 to 4 of 5.

    • Star rating

      The CMS staffing star rating changed from 4 of 5 to 3 of 5.

    • Star rating

      The CMS quality measures star rating changed from 5 of 5 to 4 of 5.

  5. CMS update of January 14, 2026

    • Star rating

      The CMS overall star rating changed from 5 of 5 to 4 of 5.

    • Star rating

      The CMS health inspection star rating changed from 4 of 5 to 3 of 5.

  6. CMS update of November 20, 2025

    • Star rating

      The CMS overall star rating changed from 4 of 5 to 5 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

      The CMS health inspection star rating changed from 3 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

      The CMS staffing star rating changed from 3 of 5 to 4 of 5.

    • Fine

      CMS changed the fine from December 31, 2024 from $15,239 to $15,521.

  7. Health inspection on October 17, 2025

    1 citation

    CMS lists this as a complaint inspection.

    Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.

    407 of 1,177 Texas homes (35%) got a citation at the immediate jeopardy level in 2025.

    CMS fine of $9,113 on October 17, 2025.

    Show the 1 citation
    • Citation F0689. Severity J: immediate jeopardy, isolated.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on October 5, 2025.

    See this home on CMS Care Compare

  8. CMS update of July 30, 2025

    • Star rating

      The CMS overall star rating changed from 3 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

      The CMS staffing star rating changed from 4 of 5 to 3 of 5.

    • Star rating

      The CMS quality measures star rating changed from 3 of 5 to 5 of 5.

  9. Health inspection on July 17, 2025

    1 citation

    CMS lists this as a standard inspection.

    Show the 1 citation
    • Citation F0880. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on July 18, 2025.

      CMS has cited this home for F0880 2 times since 2023.

    See this home on CMS Care Compare

  10. Fire safety inspection on July 17, 2025

    2 citations

    CMS lists this as a standard inspection.

    Show the 2 citations
    • Citation E0037. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Establish staff and initial training requirements.

      CMS lists it as corrected on August 14, 2025.

    • Citation K0521. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

      CMS lists it as corrected on August 26, 2025.

    See this home on CMS Care Compare

  11. CMS update of May 28, 2025

    • Fine

      CMS changed the fine from December 31, 2024 from $23,445 to $15,239.

  12. CMS update of April 30, 2025

    • Star rating

      The CMS staffing star rating changed from 3 of 5 to 4 of 5.

    • Star rating

      The CMS quality measures star rating changed from 4 of 5 to 3 of 5.

  13. CMS update of March 26, 2025

    • Star rating

      The CMS overall star rating changed from 4 of 5 to 3 of 5.

    • Star rating

      The CMS health inspection star rating changed from 4 of 5 to 3 of 5.

  14. CMS update of February 26, 2025

    • Star rating

      The CMS staffing star rating changed from 2 of 5 to 3 of 5.

    • Star rating

      The CMS quality measures star rating changed from 3 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.

  15. Health inspection on December 31, 2024

    3 citations

    CMS lists this as a complaint inspection.

    Severity K is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.

    411 of 1,177 Texas homes (35%) got a citation at the immediate jeopardy level in 2024.

    CMS fine of $15,521 on December 31, 2024.

    Show the 3 citations
    • Citation F0656. Severity K: immediate jeopardy, pattern.

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

      CMS lists it as corrected on November 18, 2024.

      CMS has cited this home for F0656 2 times since 2023.

    • Citation F0692. Severity K: immediate jeopardy, pattern.

      The rule CMS cited: Provide enough food/fluids to maintain a resident's health.

      CMS lists it as corrected on November 18, 2024.

    • Citation F0641. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure each resident receives an accurate assessment.

      CMS lists it as corrected on January 1, 2025.

      CMS has cited this home for F0641 2 times since 2023.

    See this home on CMS Care Compare

  16. CMS update of October 30, 2024

    • Star rating

      The CMS overall star rating changed from 3 of 5 to 4 of 5.

    • Star rating

      The CMS health inspection star rating changed from 3 of 5 to 4 of 5.

  17. CMS update of July 31, 2024

    • Star rating

      The CMS overall star rating changed from 2 of 5 to 3 of 5.

    • Star rating

      The CMS health inspection star rating changed from 2 of 5 to 3 of 5.

    • Star rating

      The CMS quality measures star rating changed from 4 of 5 to 3 of 5.

  18. Health inspection on May 30, 2024

    3 citations

    CMS lists this as a standard inspection.

    Show the 3 citations
    • Citation F0550. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

      CMS lists it as corrected on May 31, 2024.

    • Citation F0761. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on May 31, 2024.

    • Citation F0805. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

      CMS lists it as corrected on May 31, 2024.

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  19. Fire safety inspection on May 30, 2024

    2 citations

    CMS lists this as a standard inspection.

    Show the 2 citations
    • Citation K0355. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Properly select, install, inspect, or maintain portable fire extinguishes.

      CMS lists it as corrected on February 6, 2025.

    • Citation K0324. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide properly protected cooking facilities.

      CMS lists it as corrected on January 24, 2025.

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  20. Health inspection on April 30, 2024

    1 citation

    CMS lists this as a complaint inspection.

    Show the 1 citation
    • Citation F0558. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Reasonably accommodate the needs and preferences of each resident.

      CMS lists it as corrected on March 27, 2024.

      CMS has cited this home for F0558 2 times since 2023.

    See this home on CMS Care Compare

  21. CMS update of April 25, 2024

    • Star rating

      The CMS quality measures star rating changed from 3 of 5 to 4 of 5.

  22. CMS update of January 31, 2024

    • Star rating

      The CMS overall star rating changed from 1 of 5 to 2 of 5.

    • Star rating

      The CMS staffing star rating changed from 1 of 5 to 2 of 5.

  23. Health inspection on April 6, 2023

    7 citations

    CMS lists this as a standard inspection.

    Show the 7 citations
    • Citation F0677. Severity E: potential for more than minimal harm, pattern.

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

      CMS lists it as corrected on April 6, 2023.

    • Citation F0755. Severity E: potential for more than minimal harm, pattern.

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

      CMS lists it as corrected on April 6, 2023.

    • Citation F0558. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Reasonably accommodate the needs and preferences of each resident.

      CMS lists it as corrected on April 6, 2023.

    • Citation F0641. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure each resident receives an accurate assessment.

      CMS lists it as corrected on April 6, 2023.

    • Citation F0656. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on April 6, 2023.

    • Citation F0695. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide safe and appropriate respiratory care for a resident when needed.

      CMS lists it as corrected on April 6, 2023.

    • Citation F0880. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on April 6, 2023.

    See this home on CMS Care Compare

  24. Fire safety inspection on April 6, 2023

    1 citation

    CMS lists this as a standard inspection.

    Show the 1 citation
    • Citation K0918. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Have generator or other power source capable of supplying service within 10 seconds.

      CMS lists it as corrected on July 29, 2023.

    See this home on CMS Care Compare

CMS star ratings

Facts from CMS

Phone
(254) 472-0630
Last standard health inspection
July 17, 2025 (1 year ago)
Certified beds
80
Residents per day, on average
72.5
Ownership type
Government - Hospital district
Legal business name
West Wharton County Hospital District
Chain
Creative Solutions in Healthcare
Takes part in
Medicare and Medicaid

Fewer health citations than the Texas average (16 vs 28).

Owners and managers

CMS lists these owners and managers for this home. Names are as CMS writes them.

Questions

When was Skilled Care of Mexia last inspected?

CMS lists July 17, 2025 as the date of its most recent standard health inspection.

How many citations (violations) does Skilled Care of Mexia have?

CMS lists 16 health citations since April 6, 2023. CMS also calls these deficiencies.

Has Skilled Care of Mexia been fined?

CMS lists 2 fines in the past three years, $24,634 in total.

What is the CMS star rating of Skilled Care of Mexia?

Its CMS overall star rating is 3 of 5.

Is Skilled Care of Mexia a Special Focus Facility?

No. CMS does not list it as a Special Focus Facility or a candidate.

Other nursing homes in Mexia