Nursing home report
Mexia, TX · Medicare-certified · 80 beds
Skilled Care of Mexia has a 3-star overall rating, with strong health inspection and quality scores (4 stars each) but a very low staffing rating of 1 star. It reported 3.28 nurse staffing hours per resident per day versus the 4.1 federal benchmark, and it had $24,634 in fines in the last 24 months with a recent federal penalty.
Health inspections
Staffing
3.2754 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2754.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited December 2024 — limited pattern, immediate jeopardy to residents.
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: K
The home failed to provide enough food and fluids to keep residents healthy. Cited December 2024 — limited pattern, immediate jeopardy to residents.
F-Tag 692 — 42 CFR §483.25(g) — S/S: K
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited October 2025 — isolated incident, immediate jeopardy to residents.
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited July 2025 — limited pattern, potential for harm.
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The nursing home failed to provide needed care and help with daily activities for residents who could not do them on their own. Cited April 2023 — limited pattern, potential for harm.
F-Tag 677 — 42 CFR §483.24(a)(2) — S/S: E
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
A federal fine of $9,113 was recorded.
Health inspection found 1 health deficiency.
Health inspection found 1 health deficiency.
A federal fine of $15,521 was recorded.
Health inspection found 3 health deficiencies.
On record with Medicare: 2 fines · $24,634 in total fines.
Federal fine
Oct 17, 2025
Federal fine
Dec 31, 2024
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.
