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 HHS 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 HHS licensing registry · as of April 16, 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 HHS 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.