Mexia Ltc Nursing and Rehab

601 Terrace Ln · Mexia, TX · 76667 · 2545625400

66 certified beds For profit - Corporation Chain: Gulf Coast Ltc Partners

Why this verdict

  • Inspection results are getting worse cycle over cycle, not better.

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Red flags

1 immediate-jeopardy citation in prior inspection cycles

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

67% 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 65
Serious harm & abuse 20% 94
Staffing 20% 67
Federal penalties 15% 72
Trend 10% 38
Context 5% 100

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

CMS ratings & staffing

Overall: 4 of 5 Inspections: 4 of 5 Staffing: 4 of 5 Quality measures: 2 of 5

Total nurse hours / resident-day4.103.48 min · 4.1 strong
RN hours / resident-day0.470.55–0.75
Weekend hours / resident-day3.66≈ weekday level
Nursing turnover / year67%median 45%
Fines (3-yr window)1 · $19,822

Inspection citations (16 in the current record)

  • Potential for harm · D December 18, 2025

    Ensure each resident receives an accurate assessment.

    Corrected December 19, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E December 18, 2025

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

    Corrected December 19, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D November 15, 2025 · found via complaint

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected November 21, 2025 · Resident Assessment and Care Planning

  • Potential for harm · F November 15, 2025 · found via complaint

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    Corrected December 15, 2025 · Environmental

  • Potential for harm · D August 5, 2025 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected August 21, 2025 · Quality of Life and Care

  • Potential for harm · D September 25, 2024

    Reasonably accommodate the needs and preferences of each resident.

    Corrected October 15, 2024 · Resident Rights

  • Potential for harm · D September 25, 2024

    Ensure each resident receives an accurate assessment.

    Corrected October 15, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D September 25, 2024

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

    Corrected October 15, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E September 25, 2024

    Provide and implement an infection prevention and control program.

    Corrected October 15, 2024 · Infection Control

  • Immediate jeopardy · J August 8, 2023

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected September 8, 2023 · Quality of Life and Care

  • Potential for harm · E August 8, 2023

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    Corrected September 8, 2023 · Resident Rights

  • Potential for harm · D August 8, 2023

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

    Corrected September 8, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D August 8, 2023

    Ensure each resident receives an accurate assessment.

    Corrected September 8, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D August 8, 2023

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

    Corrected September 8, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D August 8, 2023

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    Corrected September 8, 2023 · Quality of Life and Care

  • Potential for harm · D August 8, 2023

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

    Corrected September 8, 2023 · Quality of Life and Care

Federal penalties

DateTypeAmount / length
August 8, 2023Fine$19,822

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675903 · certified since March 31, 1974. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.