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Nursing HomeMedicaid

Skilled Care of Mexia

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

501 East Sumpter Street, Mexia, TX 7666780 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
4.1/5

based on 42 Google reviews

5
4
3
2
1
Skilled Care of Mexia Nursing Home in Mexia, TX — Street View
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What this means for your family

This facility offers an impressive, clean environment and excellent dining options that many residents enjoy. However, families must be extremely vigilant regarding medication management and hygiene care, as multiple reviews have raised serious alarms about neglect and staff integrity.

Google Reviews

Google Reviews

42 reviews analyzed
Families often praise this facility for its clean, modern environment and a highly compassionate therapy and nursing team that treats residents with dignity. However, there are serious, recurring allegations regarding medication mismanagement, neglectful hygiene care, and unprofessionalism in certain nursing staff members.

Quality Themes

Tap a score for details
Food9.0Staff6.0Clean9.0Activities7.0Meds1.0MemoryN/AComms5.0ValueN/A

Strengths

  • Clean and well-maintained facility
  • Compassionate therapy and nursing staff
  • High-quality, delicious meal options
  • Welcoming and professional administration

Concerns

  • Allegations of medication theft and mismanagement (mentioned by 2 reviewers)
  • Neglect regarding hygiene and timely changing of residents (mentioned by 2 reviewers)
  • Inconsistency in nursing staff knowledge and professionalism (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2345.0'18(15)3.23.0'20(2)3.74.2'23(5)2.85.0'25(1)4.0'26(8)

Distribution

5
26
4
3
3
0
2
1
1
6

How They Respond to Reviews

23%response rate
Generic

The owner uses highly repetitive, templated responses that follow a strict formula: apologizing, stating that the experience is not the standard of care, and directing the reviewer to a single Customer Care Line. While they personalize the greeting with the reviewer's name, they fail to address the specific allegations (such as feeding tube errors or hygiene issues) within the text of the response.

Questions for Your Tour

  • 1I've heard wonderful things about the quality of the meals here; could you tell me more about the menu and how much variety there is for residents?
  • 2How does your nursing team ensure that medication is administered accurately and tracked closely every single shift?
  • 3With the high marks for your therapy team, how do you coordinate daily physical therapy sessions with a resident's regular nursing care?
  • 4What specific protocols do you have in place to ensure residents are checked frequently for hygiene and comfort throughout the day?
  • 5How does the administration stay involved in the day-to-day care to ensure the staff is consistently following professional standards?
  • 6What kind of daily social activities or group outings are available to help residents stay engaged with one another?

Personalized based on this facility's data


Key Review Excerpts

I transferred my mom to this facility from another and have been shocked at the differences between the old facility and Skilled Care of Mexia.

Long-term resident's family · 2026★★★★★

The team at Skilled Care goes above and beyond to treat every resident with the dignity, respect, and love they deserve.

Long-term resident's family · 2025★★★★★

All the administration staff, housekeeping staff, dietary, and therapy staff were absolutely amazing. The nursing staff were exceptionally compassionate and helpful when he passed away.

Deceased resident's family · 2023★★★★★
Source: 42 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.28hrs
37%
Registered nurses for medical care
Total Nursing
3.28hrs
80%
All nurses + aides combined
Staff Turnover
99%
Lower is better (< 30% = good)
RN Turnover
100%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

10

measures

Worse Than Avg

4

measures

Mixed Results

3

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility7.0%
Better than Avg
Here
7.0%
US
19.5%
TX
18.4%
Limestone
25.6%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility4.4%
Better than Avg
Here
4.4%
US
19.4%
TX
14.2%
Limestone
13.4%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.5%
Mixed vs Avgs
Here
0.5%
US
12.1%
TX
2.5%
Limestone
0.1%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
TX
96.9%
Limestone
98.2%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility19.2%
Worse than Avg
Here
19.2%
US
15.3%
TX
14.9%
Limestone
13.3%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
TX
98.0%
Limestone
98.0%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
79.7%
TX
88.0%
Limestone
79.8%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
81.8%
TX
89.2%
Limestone
95.1%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
TX
1.5%
Limestone
2.7%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

2deficiencies
2penalties
Well below state avg (9.1)
7 complaint-triggered
$24,634 in fines

Families have filed multiple complaints over the past year citing concerns about care planning, nutrition, and safety supervision, indicating ongoing resident care issues. The facility shows recurring problems with resident rights, care planning, medication management, and safety measures that persist across multiple surveys from 2023 to 2024. While the facility corrects deficiencies when cited, the pattern of repeated violations in core care areas suggests systemic challenges that warrant careful consideration.

Oct 17, 2025Complaint
1
0689Severe

Quality of Life and Care Deficiencies

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

Jul 17, 2025Routine
3
0037ModerateCorrected

Emergency Preparedness Deficiencies

Establish staff and initial training requirements.

0521ModerateCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0880ModerateCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Dec 31, 2024Complaint
3
0656Severe

Resident Assessment and Care Planning Deficiencies

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

0692Severe

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0641MinorCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

May 30, 2024Routine
5
0355ModerateCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0550MinorCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0761MinorCorrected

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.

0805MinorCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

0324MinorCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

Apr 30, 2024Complaint
2
0558Minor

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0558Minor

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

Jul 24, 2023Complaint
1
0550MinorCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Federal Penalties

Fine

Oct 17, 2025

$9,113

Fine

Dec 31, 2024

$15,521

Ownership & Operations

Who Operates This Facility

Owner / Operator

West Wharton County Hospital District

Organization Type

for profit

Management Company

MEXIA II ENTERPRISES, LLC

Administrator

JONATHAN D MOORE

Chain Affiliation

Chain Name

Creative Solutions in Healthcare

Chain Size

149 facilities nationwide

Chain avg rating: 2.7/5 · Rank 28 of 148

Ownership & Management

Key personnel

Huggins, LindaW-2 Managing EmployeeMak, DavidOfficer / DirectorMexia II Enterprises, LLCManagerBlake, GaryManagerBlake, MalisaManager
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

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