Mesa Springs Healthcare Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 137 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (2/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (12 vs median 8.0)
- High staff turnover (72%)
- High RN turnover (62%)
Below average in Texas · Below recommended RN staffing · Above average staffing · Very high staff turnover · Below chain average · $8,190 in fines
What this means for your family
This facility offers exceptional physical therapy and a very compassionate group of CNAs and nurses. However, families should closely monitor medication administration and check in frequently regarding response times to call lights, as several recent reports indicate lapses in these critical areas.
Google Reviews
Google Reviews
137 reviews analyzed“Mesa Springs Healthcare Center is frequently praised for its exceptionally kind, professional, and dedicated nursing and therapy staff. However, families should be aware of serious reports regarding delayed response times to call buttons and inconsistent cleanliness in some resident rooms. While many residents enjoy the renovated facility and active social programs, some reviewers have noted significant lapses in medication management and basic hygiene care.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate and attentive nursing staff
- Outstanding physical therapy department
- Clean and recently renovated facility
- Engaging activities and social programs
Concerns
- Delayed response to call buttons and resident needs (mentioned by 4 reviewers)
- Issues with cleanliness and unpleasant odors (mentioned by 3 reviewers)
- Inconsistent medication management and delivery (mentioned by 2 reviewers)
- Staffing shortages or understaffing (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution
How They Respond to Reviews
The owner provides personalized responses that frequently use the reviewer's name and acknowledge specific details in positive reviews. For negative reviews, they maintain a professional tone, acknowledging the issue and offering a direct line of communication to management.
Questions for Your Tour
- 1I noticed the facility has been recently renovated; could you tell me more about how the new updates have improved the living environment for residents?
- 2With the high praise for your physical therapy department, how do you work with families to set and track rehabilitation goals?
- 3How does the nursing team ensure that call buttons are answered promptly, especially during busier shifts?
- 4What specific protocols are in place to ensure medication is delivered accurately and on a consistent schedule every day?
- 5Could you describe some of the social programs or daily activities available to help residents stay engaged with one another?
- 6In the event of a medical emergency after hours, what is the specific process for notifying the family and coordinating care?
Personalized based on this facility's data
Key Review Excerpts
“The care I received from the Physical Therapy department was outstanding. But I have two that stand out was Tyson and Michael. The aides were really good to me.”
“When he was transferred over, the person wheeled him into his room, shut the door and he was left for almost 2 hours. Someone happened to come into his room and asked who he was because they didn't know they were getting anyone new. They delivered his supper, but did not bring his insulin beforehand.”
“The staff is not only professional but also genuinely compassionate and attentive. One standout team member is Jared, an exceptional CNA who goes above and beyond in his role.”
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
11
measures
2
measures
4
measures
Residents whose walking got worse
Residents with depression symptoms
Residents on antipsychotic medication
Residents on anti-anxiety or sleep medication
Residents needing more daily help over time
Residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility shows concerning patterns with 23 of 33 deficiencies triggered by family complaints, indicating ongoing resident or family dissatisfaction. The most recurring issues involve medication management, abuse prevention policies, and care planning. Recent violations as of 2025 in medication services, infection control, and food safety suggest persistent problems despite claimed corrections, with abuse prevention deficiencies appearing multiple times across different surveys.
Jun 6, 2025Complaint2
Resident Rights Deficiencies
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.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Jan 16, 2025Routine1
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Jan 16, 2025Complaint10
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Administration Deficiencies
Provide timely, quality laboratory services/tests to meet the needs of residents.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Rights Deficiencies
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.
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Pharmacy Service Deficiencies
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.
Nov 21, 2024Complaint1
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Jun 25, 2024Complaint2
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Nov 30, 2023Complaint2
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Pharmacy Service Deficiencies
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.
Federal Penalties
Fine
Oct 12, 2023
$8,190
Ownership & Operations
Who Operates This Facility
Eastland Memorial Hospital District
for profit
FORREST HILL HEALTHCARE LLC
KIMBERLY EICKHOLT--1
Chain Affiliation
The Ensign Group
338 facilities nationwide
Chain avg rating: 2.9/5 · Rank 62 of 84
Ownership & Management
Owners
Eastland Memorial Hospital District
Owner · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
137 reviews from families & visitors
Official Website
Visit mesaspringsvillage.com
Medicare data downloads
Original nursing home datasets
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