Federal inspection record · CMS data as of October 1, 2026
Midtowne Meadows Health & Rehab
110 Dylan Way, Midlothian, TX · (972) 775-5538
- Certified beds
- 121
- Residents per day
- 102
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- June 20, 2023
1
How this home got 5 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
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Texas homes
Midtowne Meadows Health & Rehab carries 3 inspection points. That is fewer than 100% 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
2 health citations on record since 2024. 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
Quality of Life and Care1E
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Inspection history
2025-09-04
0 health deficiencies · 1 fire-safety deficiencies
No concentrated health issue counts in this cycle.
2024-08-15
2 health deficiencies · 5 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2023-06-20
0 health deficiencies · 0 fire-safety deficiencies
No concentrated health issue counts in this cycle.
4
Nursing time per resident, per day
Each resident here gets about 3 h 58 min of nursing staff time a day, 24 min of it from a registered nurse.
This home
3 h 58 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
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
$20,131 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-02-12 | Fine | $3,798 |
| 2024-01-22 | Fine | $9,116 |
| 2024-01-08 | Fine | $2,279 |
| 2024-01-02 | Fine | $1,764 |
| 2023-12-11 | Fine | $3,174 |
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 days0.6 pts better | 1.4 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.1 pts worse | 91.3% | 96.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.7 pts better | 98.7% | 97.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.8 pts better | 0.4% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms0.2 pts better | 2.1% | 2.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight4.5 pts worse | 7.4% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication12.6 pts worse | 30.4% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication6.3 pts better | 3.5% | 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 worsened22.5 pts worse | 35.4% | 12.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased5 pts worse | 20.8% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.6 pts worse | 1.9% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.4 pts better | 0.4% | 0.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence6.3 pts worse | 18.8% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.9 pts better | 1.8% | 3.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine1.5 pts worse | 87.2% | 88.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit4.1 pts better | 8.1% | 12.2% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.1 pts better | 0.3% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine5.3 pts worse | 80.1% | 85.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission6.4 pts worse | 31.9% | 25.5% | 23.4% |
·
Who owns and runs it
11 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 |
|---|---|---|---|
| Nocona Hospital District | 5% Or Greater Direct Ownership Interest · Organization | 100% | 22 facilities |
| Arze, Steven | Adp Of The SNF · Individual | 0% | 4 facilities |
| Ellis Mid Healthcare LLC | 5% Or Greater Mortgage Interest · Organization | 0% | 1 facilities |
| Ellis Mid Healthcare LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Haco Health Midtowne LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Haco Health Midtowne LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Hawley, Gracen | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Hawley, Gracen | Adp Of The SNF · Individual | 0% | 2 facilities |
| Hawley, Russell | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 2 facilities |
| Meekins, Greg | Corporate Officer · Individual | 0% | 22 facilities |
| Nocona Hospital District | Adp Of The SNF · Organization | 0% | 22 facilities |
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Fire safety
6 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke3F
- F
Install an approved automatic sprinkler system.
- D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Egress2E
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E
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.
Services1D
- D
Have properly installed electrical wiring and gas equipment.
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Other homes nearby
-
Midlothian Healthcare Center
Midlothian, TX · The Ensign Group
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 25 min
- Fines
- $0
-
Mansfield Medical Lodge
Mansfield, TX · Priority Management
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 9 min
- Fines
- $6,032
-
Cedar Hill Healthcare Center
Cedar Hill, TX · Southwest Ltc
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 1 min
- Fines
- $22,503