Skilled Care Of Mexia
501 EAST SUMPTER STREET, Mexia, TX, 76667
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: Creative Solutions In Healthcare
- Certified beds
- 80 · avg 68 residents/day
- Total nursing staff turnover
- 50.8% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 50% — near the Texas averageTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $24,634 total
State licensing & capacity
- License number
- 308672
- Service type
- Medicare/medicaid
- Licensed capacity
- 80 beds
- Bed type breakdown
- 80 Medicaid/Medicare
- Current license effective
- June 1, 2025
- Current license expires
- June 1, 2028
- Initial license date
- September 1, 1971
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- West Wharton County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Mexia Ii Enterprises, Llc
- Administrator
- Jonathan D Moore
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Creative Solutions in Healthcare chain — 149 facilities. Chain-wide average overall rating 2.7 / 5.
Disclosed owners (7 on record)
- Gary r Blake
Operational/managerial Control · 50% · since 2022
- Honor x Enterprises, Llc
Other · 100% · since 2022
- Linda f Huggins
W-2 Managing Employee · since 2022
- Malisa a Blake
Operational/managerial Control · 50% · since 2022
- Mexia ii Enterprises, Llc
Operational/managerial Control · 100% · since 2022
- West Wharton County Hospital District
5% or Greater Direct Ownership Interest · 100% · since 2022
+ 1 additional owner on the federal record.
Recent change of ownership
June 2022 (3 years ago) · acquired from Skilled Care of Mexia
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 17)
- J0689·Oct 17, 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.
- E0880·Jul 17, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- K0692·Dec 31, 2024Complaint
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
- K0656·Dec 31, 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.
- D0641·Dec 31, 2024Complaint
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
- D0805·May 30, 2024
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
- D0761·May 30, 2024
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.
- D0550·May 30, 2024
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Federal penalties
By year
- 20251 fine · $9,113
- 20241 fine · $16K
Most recent events
- Oct 17, 2025Fine · $9,113
- Dec 31, 2024Fine · $16K
Largest single fine on record: $16K.
Fire-safety citations
5 Life-Safety-Code citations on file. Most recent: Jul 17, 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
Skilled Care of Mexia is an 80-bed nursing home in Mexia, Texas, licensed for Medicare and Medicaid, managed by Mexia II Enterprises, LLC under a government hospital district license. CMS rates it 4 stars overall, with a 5-star rating for long-stay resident outcomes and a 3-star staffing rating. Two CMS fines totaling $24,634 have been issued. The facility is operating at roughly 85% of licensed capacity.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 3 stars — about 190 minutes of nursing care per resident per day, roughly 51 minutes less than at a 4-star-staffing facility in Texas. Only about 19% of Texas nursing homes share this staffing rating, placing this facility in the lower-middle tier statewide. RN coverage specifically runs about 19 minutes per resident per day, compared to 37 minutes at the 4-star threshold.
One administrator has turned over in the past year — an elevated rate relative to typical Texas facilities. Residents and their families may notice continuity gaps in leadership or changes to day-to-day policies during a transition period.
Two CMS fines totaling $24,634 have been issued. Texas's median fine total across facilities that receive any fine is about $20,699, placing this facility's total modestly above that midpoint.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Current administrator tenure
One administrator has left in the past year — ask how long the current administrator has been in the role and whether further leadership changes are expected.
What the two fines covered
CMS issued two fines totaling $24,634 — ask what deficiencies triggered them and what corrective steps were taken.
Staffing levels on nights and weekends
Reported weekend nursing hours run at 2.95 hours per resident per day, below the weekday figure — ask how staffing is structured on evenings and weekends.
RN presence during each shift
Reported RN hours average about 19 minutes per resident per day — ask whether a registered nurse is on-site for every shift or available on-call.
Relationship between licensee and manager
The facility is licensed to West Wharton County Hospital District but managed by Mexia II Enterprises, LLC — ask how day-to-day decisions are made between those two entities.
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.