Midtowne Meadows Health & Rehab
110 DYLAN WAY, Midlothian, TX, 76065
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
- Certified beds
- 121 · avg 102 residents/day
- Total nursing staff turnover
- 53.4% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 70% — 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)
- 5 fines · $20,131 total
State licensing & capacity
- License number
- 312584
- Service type
- Medicare/medicaid
- Licensed capacity
- 121 beds
- Bed type breakdown
- 31 Medicare-only · 90 Medicaid/Medicare
- Current license effective
- July 1, 2025
- Current license expires
- July 1, 2028
- Initial license date
- June 20, 2023
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Nocona Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Haco Health Midtowne Llc
- Administrator
- Gracen Hawley
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Disclosed owners (7 on record)
- Nocona Hospital District
Adp of The Snf · since 2025
- Haco Health Midtowne Llc
Adp of The Snf · since 2025
- Gracen Hawley
Operational/managerial Control · since 2025
- (unnamed Owner)
Adp of The Snf · since 2023
- Steven e Arze
Adp of The Snf · since 2023
- Ellis Mid Healthcare Llc
5% or Greater Mortgage Interest · 100% · since 2022
+ 1 additional owner on the federal record.
Recent change of ownership
July 2025 (10 months ago) · acquired from Midtowne Meadows Health And Rehab
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Change of Ownership, as of April 2026.
Federal inspection record
Recent health-deficiency citations (most recent 2 of 2)
- D0880·Aug 15, 2024Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0689·Aug 15, 2024
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Federal penalties
By year
- 20244 fines · $17K
- 20231 fine · $3,174
Most recent events
- Feb 12, 2024Fine · $3,798
- Jan 22, 2024Fine · $9,116
- Jan 8, 2024Fine · $2,279
- Jan 2, 2024Fine · $1,764
- Dec 11, 2023Fine · $3,174
Largest single fine on record: $9,116.
Fire-safety citations
6 Life-Safety-Code citations on file. Most recent: Sep 4, 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
Midtowne Meadows Health & Rehab is a 121-bed nursing home in Midlothian, Texas, licensed under Nocona Hospital District and managed by Haco Health Midtowne LLC. CMS rates it 5 stars overall, with a 5-star health inspection rating and a 5-star rating for long-stay resident outcomes. Staffing earns 2 stars, and short-stay outcomes rate 1 star — two areas that diverge from the strong overall picture.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here 2 stars — a level shared by about 32% of Texas nursing homes. Each resident receives about 242 minutes of nursing care per day, which just clears the 4-star threshold for total hours (241 minutes). However, registered nurse time sits at roughly 12 minutes per resident per day, compared to 37 minutes at a 4-star-staffing facility in Texas. Most of the staffing hours come from aides and licensed practical nurses, not registered nurses.
RN turnover runs at a rate of roughly 7 in 10 registered nurses leaving in the past year — the facility's total nursing staff turnover of 53.4% sits near the Texas median, but RN-specific churn is high enough that a long-stay resident will likely cycle through several registered nurses over a year.
Five CMS fines totaling $20,131 have been issued; about 30% of Texas nursing homes have no fines at all. The total here is just below the Texas median fine amount of $20,699 across penalized facilities.
The facility has a Resident Council but no Family Council. A Family Council provides a structured channel for families to raise concerns collectively; its absence means that mechanism is not currently in place.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
RN coverage on a typical day
With registered nurse time averaging about 12 minutes per resident per day, ask how many RNs are on the floor during day, evening, and overnight shifts.
Short-stay outcomes rating
CMS rates short-stay resident outcomes 1 star — ask which specific measures drive that rating and what the facility is doing to address them.
RN turnover over the past year
Roughly 7 in 10 registered nurses left in the past year; ask how current RN staffing compares to six months ago and whether open positions exist.
Family Council formation
The facility has no Family Council; ask whether one has been considered and how families currently raise concerns to management.
The five CMS fines
Five fines totaling $20,131 have been issued — ask what deficiencies triggered them and what corrective steps were taken.
Management company's role
Day-to-day operations are managed by Haco Health Midtowne LLC under a hospital district license; ask how long this management arrangement has been in place and who oversees clinical operations.
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.