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.
based on 42 Google reviews

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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 detailsStrengths
- 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
Distribution
How They Respond to Reviews
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.”
“The team at Skilled Care goes above and beyond to treat every resident with the dignity, respect, and love they deserve.”
“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.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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
10
measures
4
measures
3
measures
Residents on anti-anxiety or sleep medication
Residents whose bladder or bowel control got worse
Residents with depression symptoms
Residents vaccinated for pneumonia
Residents whose walking got worse
Residents vaccinated for the flu
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
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, 2025Complaint1
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, 2025Routine3
Emergency Preparedness Deficiencies
Establish staff and initial training requirements.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Dec 31, 2024Complaint3
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.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
May 30, 2024Routine5
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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.
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Smoke Deficiencies
Provide properly protected cooking facilities.
Apr 30, 2024Complaint2
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Jul 24, 2023Complaint1
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
West Wharton County Hospital District
for profit
MEXIA II ENTERPRISES, LLC
JONATHAN D MOORE
Chain Affiliation
Creative Solutions in Healthcare
149 facilities nationwide
Chain avg rating: 2.7/5 · Rank 28 of 148
Ownership & Management
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
42 reviews from families & visitors
Official Website
Visit skilledcareofmexia.com
Medicare data downloads
Original nursing home datasets
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