Mesquite Tree Nursing Center
434 Paza Dr, Mesquite, TX, 75149
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Order the reportFederal 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 June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: Advanced Healthcare Solutions
- Certified beds
- 143 · avg 84 residents/day
- Total nursing staff turnover
- 55.6% — near the Texas averageTexas avg: 53.8% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 50% — near the Texas averageTexas avg: 52.8% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.7 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $13,397 total
Medicare certification
- CMS Certification Number
- 675033
- Certified beds
- 143 beds · avg 84 residents/day
- Ownership type
- For profit - Limited Liability company
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Hamilton County Hospital District
- Chain affiliation
- Advanced Healthcare Solutions
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Advanced Healthcare Solutions chain — 30 facilities. Chain-wide average overall rating 3.0 / 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 May 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)
- D0628·Feb 11, 2026Complaint
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- 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.
Federal penalties
By year
- 20231 fine · $13K
Most recent events
- Aug 2, 2023Fine · $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 Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Mesquite Tree Nursing Centerinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.