Mesquite Tree Nursing Center
434 PAZA DR., 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
- For profit - Limited Liability company · Chain: Advanced Healthcare Solutions
- Certified beds
- 143 · avg 87 residents/day
- Total nursing staff turnover
- 46.2% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 55.6% — higher 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
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $26,046 total
State licensing & capacity
- License number
- 311843
- Service type
- Medicare/medicaid
- Licensed capacity
- 144 beds
- Bed type breakdown
- 1 licensed-only · 17 Medicare-only · 126 Medicaid/Medicare
- Current license effective
- March 1, 2024
- Current license expires
- March 1, 2027
- Initial license date
- April 1, 1975
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Hamilton County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Mesquite Hc Snf Llc
- Administrator
- Genetta M Beasley
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Advanced Healthcare Solutions chain — 30 facilities. Chain-wide average overall rating 3.2 / 5.
Disclosed owners (12 on record)
- 434 Paza Drive Llc
Adp of The Snf · since 2025
- Brass tx Trust
Adp of The Snf · since 2025
- Gold tx Trust
Adp of The Snf · since 2025
- Jyotsna s Prasad
Adp of The Snf · since 2025
- Red Brass Holdco Llc
Adp of The Snf · since 2025
- Silver tx Trust
Adp of The Snf · since 2025
+ 6 additional owners on the federal record.
Recent change of ownership
March 2024 (2 years ago) · acquired from Mesquite Tree Nursing Center
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 27)
- D0919·Sep 16, 2025Complaint
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
- E0695·Sep 16, 2025Complaint
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
- D0677·Sep 16, 2025Complaint
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E0850·Jun 11, 2025Complaint
Administration Deficiencies
Hire a qualified full-time social worker in a facility with more than 120 beds.
- D0880·Dec 20, 2024Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0812·Dec 20, 2024Complaint
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E0677·Dec 20, 2024Complaint
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E0656·Dec 20, 2024Complaint
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.
Federal penalties
By year
- 20232 fines · $26K
Most recent events
- Aug 2, 2023Fine · $13K
- May 4, 2023Fine · $13K
Largest single fine on record: $13K.
Fire-safety citations
14 Life-Safety-Code citations on file. Most recent: Dec 20, 2024. 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
Mesquite Tree Nursing Center is a 144-bed nursing home in Mesquite (Dallas County) accepting Medicare and Medicaid residents. CMS rates it 4 stars overall, with a 5-star quality-of-care rating but a 2-star staffing rating. Two CMS fines totaling $26,046 have been assessed. The facility is operated under a management agreement by Mesquite Hc Snf Llc, licensed to Hamilton County Hospital District, and is part of the Advanced Healthcare Solutions chain.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 2 stars — about 31% of Texas nursing homes share that rating. Each resident receives roughly 191 minutes of nursing care per day, around 50 minutes less than at a 4-star-staffing facility in Texas. Of those 191 minutes, only 23 come from a registered nurse. The 4-star staffing threshold in Texas sits at 241 total minutes and 37 RN minutes per resident per day.
Two CMS fines totaling $26,046 have been assessed. The state median fine total for Texas nursing homes that receive any fines is $20,699, and about 30% of Texas facilities have no fines at all.
The facility is operating at roughly 61% of its licensed beds — 87 residents in a home licensed for 144. That occupancy level is below what most nursing homes in this state carry day-to-day.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing on nights and weekends
With 191 daily nursing minutes per resident — 50 below the Texas 4-star threshold — ask how many nurses and aides are on duty during evenings, nights, and weekends specifically.
RN coverage during the day
Reported RN time is 23 minutes per resident per day; ask whether a registered nurse is on-site around the clock or only during daytime hours.
What the two fines were for
Two CMS fines totaling $26,046 have been assessed; ask what deficiencies triggered them and what changes were made afterward.
Why occupancy is lower than typical
The facility is running at about 61% of its licensed capacity; ask whether that reflects a planned reduction, a waitlist policy, or something else currently affecting admissions.
Management company's day-to-day role
The license is held by Hamilton County Hospital District but day-to-day operations run through Mesquite Hc Snf Llc; ask who sets staffing budgets and care policies in practice.
How the Resident Council works
A Resident Council meets here but no Family Council is listed; ask how family members raise concerns when they arise and who responds.
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.