Federal inspection record · CMS data as of October 1, 2026
Skilled Care of Mexia
501 E Sumpter St, Mexia, TX · (254) 472-0630
- Certified beds
- 80
- Residents per day
- 73
- Ownership
- Government
- Chain
- Creative Solutions In Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- July 25, 2017
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
★★★★★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
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Texas homes
Skilled Care of Mexia carries 36 inspection points. That is fewer than 81% 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
16 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.
Harm and immediate-jeopardy citations (3)
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J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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K
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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K
Provide enough food/fluids to maintain a resident's health.
Everything else, by area of care
Resident Assessment and Care Planning3D
- D
Ensure each resident receives an accurate assessment.
- D
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Rights3D
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Reasonably accommodate the needs and preferences of each resident.
Infection Control2E
- E
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Pharmacy Service2E
- 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.
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Quality of Life and Care2E
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Nutrition and Dietary1D
- D
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Inspection history
2025-07-17
2 health deficiencies · 2 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2024-05-30
6 health deficiencies · 2 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2023-04-06
8 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 2 h 43 min of nursing staff time a day, 14 min of it from a registered nurse.
This home
2 h 43 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 46% of nursing staff and 57% of registered nurses left in the past year, along with 1 administrator.
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
$24,634 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-10-17 | Fine | $9,113 |
| 2024-12-31 | Fine | $15,521 |
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 days1.4 pts better | 0.6 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.8 pts better | 1.2 | 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 injury3.2 pts better | 0.0% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1.9 pts better | 0.4% | 2.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.7 pts worse | 3.6% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication12.1 pts better | 5.7% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1.6 pts worse | 11.4% | 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 worsened3.5 pts worse | 16.4% | 12.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased5.7 pts worse | 21.5% | 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 infection0.8 pts better | 0.0% | 0.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.8 pts better | 6.7% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2 pts worse | 5.7% | 3.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine11.3 pts better | 100.0% | 88.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.5 pts worse | 13.7% | 12.2% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.4 pts worse | 1.8% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine14.6 pts better | 100.0% | 85.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission0.3 pts better | 25.2% | 25.5% | 23.4% |
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Who owns and runs it
5 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 |
|---|---|---|---|
| Blake, Gary | Operational/Managerial Control · Individual | 0% | 139 facilities |
| Blake, Malisa | Operational/Managerial Control · Individual | 0% | 139 facilities |
| Huggins, Linda | W-2 Managing Employee · Individual | 0% | 138 facilities |
| Mak, David | Corporate Officer · Individual | 0% | 28 facilities |
| Mexia Ii Enterprises, LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
·
Fire safety
5 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke2E
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
- D
Provide properly protected cooking facilities.
Emergency Preparedness1F
- F
Establish staff and initial training requirements.
Services1F
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Gas, Vacuum, and Electrical Systems1D
- D
Have generator or other power source capable of supplying service within 10 seconds.
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Other homes nearby
-
The Manor Healthcare Residence
Mexia, TX · Coryell County Memorial Hospital Authority
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 18 min
- Fines
- $0
-
MEXIA LTC Nursing and Rehabilitation
Mexia, TX · Gulf Coast Ltc Partners
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- —
- Fines
- $0
-
Teague Nursing And Rehabilitation
Teague, TX · Gulf Coast Ltc Partners
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 9 min
- Fines
- $0