Mesquite Post Acute Care

4510 27th St · Lubbock, TX · 79410 · 8067954368

120 certified beds Government - Hospital district Chain: The Ensign Group

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • Staffing levels are well below research benchmarks for safe care.
  • Federal penalties on record: $8,176 in fines in the last 24 months.
  • Inspection results have improved across recent cycles.

Red flags

5 immediate-jeopardy citations in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

5 abuse-related citations at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

RN staffing in the bottom 10% nationally

0.25 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.

81% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 28
Serious harm & abuse 20% 60
Staffing 20% 39
Federal penalties 15% 34
Trend 10% 92
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 2 of 5

Total nurse hours / resident-day3.063.48 min · 4.1 strong
RN hours / resident-day0.250.55–0.75
Weekend hours / resident-day2.71≈ weekday level
Nursing turnover / year81%median 45%
Fines (3-yr window)3 · $132,185

Inspection citations (36 in the current record)

  • Potential for harm · E November 19, 2025 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected November 20, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E March 27, 2025

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected March 28, 2025 · Pharmacy Service

  • Potential for harm · D March 27, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected March 28, 2025 · Nutrition and Dietary

  • Potential for harm · D March 27, 2025

    Provide and implement an infection prevention and control program.

    Corrected March 28, 2025 · Infection Control

  • Potential for harm · D March 27, 2025 · found via complaint

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    Corrected March 28, 2025 · Resident Rights

  • Potential for harm · E March 27, 2025 · found via complaint

    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.

    Corrected March 28, 2025 · Resident Rights

  • No harm found · B March 27, 2025

    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

    Corrected March 28, 2025 · Environmental

  • Immediate jeopardy · J August 16, 2024 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected July 15, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D April 18, 2024 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected May 12, 2024 · Infection Control

  • Potential for harm · E February 15, 2024

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Corrected March 11, 2024 · Resident Rights

  • Potential for harm · D February 15, 2024

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    Corrected March 11, 2024 · Resident Rights

  • Potential for harm · E February 15, 2024

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected March 11, 2024 · Quality of Life and Care

  • Potential for harm · F February 15, 2024

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    Corrected March 11, 2024 · Nursing and Physician Services

  • Potential for harm · D February 15, 2024

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    Corrected March 11, 2024 · Pharmacy Service

  • Potential for harm · D February 15, 2024

    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.

    Corrected March 11, 2024 · Pharmacy Service

  • Potential for harm · F February 15, 2024

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected March 11, 2024 · Nutrition and Dietary

  • Potential for harm · E February 15, 2024

    Provide and implement an infection prevention and control program.

    Corrected March 11, 2024 · Infection Control

  • No harm found · B February 15, 2024

    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

    Corrected March 11, 2024 · Environmental

  • Potential for harm · E February 7, 2024 · found via complaint

    Protect each resident from the wrongful use of the resident's belongings or money.

    Corrected March 2, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D February 7, 2024 · found via complaint

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Corrected March 2, 2024 · Resident Rights

  • Potential for harm · F February 7, 2024 · found via complaint

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    Corrected March 2, 2024 · Nursing and Physician Services

  • Potential for harm · E February 7, 2024 · found via complaint

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected March 2, 2024 · Pharmacy Service

  • Potential for harm · D February 7, 2024 · found via complaint

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected March 2, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D December 22, 2023 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected January 19, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D December 22, 2023 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected January 19, 2024 · Freedom from Abuse, Neglect, and Exploitation

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
August 16, 2024Fine$8,176
February 7, 2024Fine$4,112
September 27, 2023Fine$119,897

Family & resident reviews — a separate signal, never mixed into the score

No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.

Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.

Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676163 · certified since January 27, 2008. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.