Cheyenne Medical Lodge
750 HIGHWAY 352, Mesquite, TX, 75149
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- Government - Hospital district · Chain: Foursquare Healthcare
- Certified beds
- 139 · avg 127 residents/day
- Total nursing staff turnover
- 49.5% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 16.7% — lower than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
State licensing & capacity
- License number
- 311603
- Service type
- Medicare/medicaid
- Licensed capacity
- 139 beds
- Bed type breakdown
- 15 Medicare-only · 124 Medicaid/Medicare
- Current license effective
- September 1, 2023
- Current license expires
- September 1, 2026
- Initial license date
- September 3, 2019
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Nocona Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Foursquare Texas 16 Llc
- Administrator
- Diana D Woolverton
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Foursquare Healthcare chain — 10 facilities. Chain-wide average overall rating 3.3 / 5.
Disclosed owners (28 on record)
- Foursquare Texas 16 Llc
Adp of The Snf · since 2025
- David w Miller
Operational/managerial Control · since 2023
- David w Miller gs Trust
Operational/managerial Control · since 2023
- Don Edward Miller
5% or Greater Mortgage Interest · since 2023
- Dwm 5x5 Trust
5% or Greater Mortgage Interest · 6% · since 2023
- Fairbrook Partners, lp
5% or Greater Mortgage Interest · 8% · since 2023
+ 22 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of April 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 21)
- E0880·May 6, 2025Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0812·May 6, 2025Complaint
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0761·May 6, 2025Complaint
Pharmacy Service Deficiencies
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.
- D0755·May 6, 2025Complaint
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E0689·May 6, 2025Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E0656·May 6, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D0558·May 6, 2025Complaint
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
- D0557·May 6, 2025Complaint
Resident Rights Deficiencies
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Fire-safety citations
6 Life-Safety-Code citations on file. Most recent: May 6, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Cheyenne Medical Lodge is a 139-bed nursing home in Mesquite, Texas, licensed under Nocona Hospital District and managed by Foursquare Healthcare. CMS rates it 4 stars overall, with a 5-star quality-of-care rating and a 4-star health inspection score. The staffing rating is 1 star — the lowest tier — a meaningful gap in an otherwise strong record. Current license runs through September 2026.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 1 star — the lowest level. Each resident receives about 179 minutes of nursing care per day, roughly 62 minutes less than at a 4-star-staffing facility in Texas. Registered nurses account for 21 of those minutes, compared to 37 minutes at the 4-star threshold. About 38% of Texas nursing homes share this 1-star staffing rating, so this facility is not an outlier in the state, but the gap from the higher tier is real. Residents here require more hands-on care than at a typical facility — more dependent or medically complex on average — so the same staffing hours stretch thinner than the raw minutes suggest.
RN turnover tells a different story: roughly 2 in 10 registered nurses left in the past year. That sits below the state's 25th-percentile cutoff — better than about three-quarters of nursing homes in Texas on this measure. Low RN turnover means the nurses who are present tend to know the residents.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Covering shifts when understaffed
With a 1-star staffing rating and 179 daily nursing minutes per resident, ask how the facility fills gaps when scheduled staff call out.
RN presence on evenings and weekends
Reported weekend nursing hours run at 2.6 minutes per resident per hour — ask specifically whether a registered nurse is on-site overnight and on weekends.
Staffing plan for higher-needs residents
Residents here require more hands-on care than average; ask how staffing assignments are adjusted when a resident's needs increase.
Role of the Resident and Family Councils
Both councils are active — ask how frequently they meet and how concerns raised there have led to changes in care or operations.
Management company's day-to-day authority
Licensee is Nocona Hospital District but day-to-day management runs through Foursquare Healthcare — ask which entity sets staffing budgets and care policies.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.