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 HHS 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 HHS licensing registry · as of April 16, 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 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.