Federal inspection record · CMS data as of October 1, 2026
Cheyenne Medical Lodge
750 Highway 352, Mesquite, TX · (972) 788-8900
- Certified beds
- 139
- Residents per day
- 134
- Ownership
- For-Profit
- Chain
- Foursquare Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- August 28, 2019
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.
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Staffing
★★★★★−1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Texas homes
Cheyenne Medical Lodge carries 53 inspection points. That is fewer than 64% of Texas's 1,166 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Texas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–26 pts
- 4★ 26–51 pts
- 3★ 51–85 pts
- 2★ 85–145.75 pts
- 1★ over 145.75 pts
Bars show every rated home in Texas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
21 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Pharmacy Service6E
- E
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.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure medication error rates are not 5 percent or greater.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
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.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Resident Rights5E
- E
Keep residents' personal and medical records private and confidential.
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Quality of Life and Care4E
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Resident Assessment and Care Planning3E
- D
Ensure each resident receives an accurate assessment.
- D
Ensure each resident receives an accurate assessment.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Infection Control2E
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Nutrition and Dietary1E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspection history
2026-06-16
10 health deficiencies · 1 fire-safety deficiencies
Top issue: Pharmacy Service (3 deficiencies)
2025-05-06
8 health deficiencies · 1 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
2024-03-28
3 health deficiencies · 5 fire-safety deficiencies
Top issue: Pharmacy Service (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 3 h 32 min of nursing staff time a day, 29 min of it from a registered nurse.
This home
3 h 32 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 52% of nursing staff and 38% of registered nurses left in the past year, along with 2 administrators.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$13,065 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-09-02 | Fine | $13,065 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.1 pts better | 1.9 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.9 pts better | 1.1 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.6 pts better | 100.0% | 96.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3 pts better | 100.0% | 97.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.2 pts worse | 3.4% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms31.1 pts worse | 33.4% | 2.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.5 pts better | 1.4% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication1.8 pts better | 16.0% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication2.7 pts better | 7.1% | 9.8% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened5.3 pts better | 7.6% | 12.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2 pts better | 13.8% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.1 pts worse | 0.4% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.3 pts better | 0.5% | 0.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.4 pts worse | 17.9% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.2 pts better | 2.5% | 3.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine10.4 pts better | 99.1% | 88.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit5.3 pts better | 6.9% | 12.2% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.4 pts better | 0.0% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine7.9 pts better | 93.3% | 85.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission3.3 pts better | 22.2% | 25.5% | 23.4% |
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Who owns and runs it
38 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Boatler, Keith | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Boatler, Keith | Adp Of The SNF · Individual | 0% | 1 facilities |
| Campbell, John | Operational/Managerial Control · Individual | 0% | 12 facilities |
| Campbell, Kenneth | Operational/Managerial Control · Individual | 0% | 12 facilities |
| David W Miller Gs Trust | Operational/Managerial Control · Organization | 0% | 8 facilities |
| Dwm 5x5 Trust | 5% Or Greater Mortgage Interest · Organization | 0% | 7 facilities |
| Dwm 5x5 Trust | Adp Of The SNF · Organization | 0% | 7 facilities |
| Elmahi, Mutaz | Adp Of The SNF · Individual | 0% | 1 facilities |
| Fairbrook Partners, LP | 5% Or Greater Mortgage Interest · Organization | 0% | 10 facilities |
| Fairbrook Partners, LP | Adp Of The SNF · Organization | 0% | 10 facilities |
| Foursquare Texas 16 LLC | Operational/Managerial Control · Organization | 0% | 7 facilities |
| Foursquare Texas 16 LLC | Adp Of The SNF · Organization | 0% | 7 facilities |
| Jec Gs Trust | Operational/Managerial Control · Organization | 0% | 8 facilities |
| Jem 5x5 Trust | 5% Or Greater Mortgage Interest · Organization | 0% | 9 facilities |
| Jem 5x5 Trust | Adp Of The SNF · Organization | 0% | 9 facilities |
| John E Miller Gs Trust | Operational/Managerial Control · Organization | 0% | 8 facilities |
| Kingsbury Capital LLC Series F | Operational/Managerial Control · Organization | 0% | 8 facilities |
| Kjc Gs Trust | Operational/Managerial Control · Organization | 0% | 8 facilities |
| Lewis, Shane | Operational/Managerial Control · Individual | 0% | 12 facilities |
| Lion Plaza LP | Operational/Managerial Control · Organization | 0% | 8 facilities |
| Meekins, Greg | Corporate Director · Individual | 0% | 22 facilities |
| Miller, David | Operational/Managerial Control · Individual | 0% | 16 facilities |
| Miller, Don | 5% Or Greater Mortgage Interest · Individual | 0% | 10 facilities |
| Miller, John | Operational/Managerial Control · Individual | 0% | 25 facilities |
| Miller, Richard | Operational/Managerial Control · Individual | 0% | 18 facilities |
| Mnh-Inv Series LLC Series D | Operational/Managerial Control · Organization | 0% | 8 facilities |
| Montague Nh, LP | 5% Or Greater Mortgage Interest · Organization | 0% | 12 facilities |
| Montague Nh, LP | Adp Of The SNF · Organization | 0% | 12 facilities |
| Nocona Hospital District | 5% Or Greater Mortgage Interest · Organization | 0% | 22 facilities |
| Richard M Miller Gs Trust | Operational/Managerial Control · Organization | 0% | 8 facilities |
| Rmm 5x5 Trust | 5% Or Greater Mortgage Interest · Organization | 0% | 7 facilities |
| Rmm 5x5 Trust | Adp Of The SNF · Organization | 0% | 7 facilities |
| Rockett, LP | 5% Or Greater Mortgage Interest · Organization | 0% | 7 facilities |
| Rockett, LP | Adp Of The SNF · Organization | 0% | 7 facilities |
| Sdl Gs 5x5 Trust | 5% Or Greater Mortgage Interest · Organization | 0% | 12 facilities |
| Sdl Gs 5x5 Trust | Adp Of The SNF · Organization | 0% | 12 facilities |
| Sv Nh Realty Ltd | 5% Or Greater Mortgage Interest · Organization | 0% | 1 facilities |
| Sv Nh Realty Ltd | Adp Of The SNF · Organization | 0% | 1 facilities |
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Fire safety
7 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke3F
- E
Provide properly protected cooking facilities.
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
Egress2D
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Miscellaneous1F
- F
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Gas, Vacuum, and Electrical Systems1F
- F
Have generator or other power source capable of supplying service within 10 seconds.
·
Other homes nearby
-
Mesquite Tree Nursing Center
Mesquite, TX · Advanced Healthcare Solutions
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 13 min
- Fines
- $0
-
Mesquite Village Wellness & Rehabilitation
Mesquite, TX · Opco Skilled Management
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 2 h 30 min
- Fines
- $8,021
-
Edgewood Rehabilitation And Care Center
Mesquite, TX · Fundamental Healthcare
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 17 min
- Fines
- $0