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Nursing HomeMedicaid Investigative

Town East Rehabilitation and Healthcare Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

3617 O'hare Dr, Meadowdale · Mesquite, TX 75150130 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.6/5

based on 247 Google reviews

5
4
3
2
1
Town East Rehabilitation and Healthcare Center Nursing Home in Mesquite, TX — Street View
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8/ 10
critical Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Abuse citation on record
  • Low overall rating (2/5 stars)
  • Low staffing rating (2/5 stars)
  • Above-median deficiencies (12 vs median 8.0)
  • High staff turnover (53%)
  • High RN turnover (54%)

Below average in Texas · Critically understaffed (RN) · Worst in DALLAS COUNTY HOSPITAL DISTRICT chain · $38,860 in fines · Abuse citation

Source: Medicare data

What this means for your family

This facility is an excellent choice for families prioritizing cleanliness and a compassionate, professional nursing staff. However, if you are concerned about immediate responsiveness, you should verify that there is adequate coverage for phone inquiries and visitor entry during evening and weekend hours.

Google Reviews

Google Reviews

247 reviews on Google
Families considering Town East Rehabilitation and Healthcare Center can expect a highly praised, clean, and professional environment with a standout therapy and nursing team. While the vast majority of reviewers celebrate the compassionate care and well-maintained facility, a small number of visitors have noted issues with communication responsiveness and occasional lapses in hygiene during specific shifts.

Quality Themes

Tap a score for details
Food7.0Staff9.0Clean9.0Activities8.0MedsN/AMemoryN/AComms6.0ValueN/A

Strengths

  • Compassionate and attentive nursing staff
  • Exceptionally clean and well-maintained facility
  • Excellent physical therapy and rehabilitation services
  • Welcoming and professional administrative/reception staff

Concerns

  • Slow response to phone calls and visitor entry (mentioned by 2 reviewers)
  • Occasional reports of poor hygiene/neglect during specific shifts (mentioned by 2 reviewers)
  • Inconsistent food quality/blandness (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2345.02023(99)5.02024(49)4.72025(56)3.72026(3)

Distribution · 207 analyzed

5
194
4
9
3
0
2
0
1
4
34 reviews posted between Sep 27, 2023Oct 7, 2023 · 34 were 5-star
20 reviews posted between Oct 1, 2023Oct 7, 2023 · 20 were 5-star

How They Respond to Reviews

77%response rate
Good

The owner provides personalized responses that frequently use the reviewer's name and acknowledge specific details, such as the names of loved ones being cared for. The tone is consistently warm, professional, and emphasizes a sense of community and honor in providing care.

Questions for Your Tour

  • 1It is wonderful to see how clean and well-maintained the facility looks; how do you ensure this level of cleanliness is consistent across all shifts?
  • 2I noticed the administration team is very responsive to feedback; how does the leadership team use resident and family input to improve care?
  • 3We are looking for great rehabilitation support; can you tell us more about the specific physical therapy programs available here?
  • 4What is the process for notifying family members in the event of a medical emergency or a change in health status?
  • 5How do you ensure that the high standard of attentive nursing care remains consistent during the night or weekend shifts?
  • 6What kind of daily activities or social events are planned to keep residents engaged and connected with one another?

Personalized based on this facility's data


Key Review Excerpts

The staff all around are amazing. A very clean facility. I’m glad God guided my family to choose this location for her. I don’t worry about her when I’m at work.

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

The staff was amazing at making my grandmother feel safe and comfortable.

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

The therapy team was amazing. They worked with my mother on what they could around her weight bearing status.

Rehab patient's family · 2023★★★★★
Source: 247 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.30hrs
40%
Registered nurses for medical care
Total Nursing
3.26hrs
80%
All nurses + aides combined
Staff Turnover
61%
Lower is better (< 30% = good)
RN Turnover
80%
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
5/ 5
Better Than Avg

12

measures

Worse Than Avg

4

measures

Mixed Results

1

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.3%
Better than Avg
Here
0.3%
US
12.1%
TX
2.5%
Dallas
2.0%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚶

Residents whose walking got worse

↓ Lower is better
This Facility25.1%
Worse than Avg
Here
25.1%
US
15.3%
TX
14.9%
Dallas
17.1%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility23.8%
Worse than Avg
Here
23.8%
US
14.4%
TX
16.1%
Dallas
18.1%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility6.5%
Better than Avg
Here
6.5%
US
15.4%
TX
9.4%
Dallas
10.8%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility12.0%
Better than Avg
Here
12.0%
US
19.5%
TX
18.4%
Dallas
16.2%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
TX
96.9%
Dallas
95.6%
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%
Dallas
78.8%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility90.0%
Better than Avg
Here
90.0%
US
81.8%
TX
89.2%
Dallas
86.4%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.0%
Better than Avg
Here
1.0%
US
1.6%
TX
1.5%
Dallas
1.3%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

13deficiencies
2penalties
Above state avg (9.1)
17 complaint-triggered
$38,860 in fines

This facility has a concerning pattern of complaint-triggered deficiencies, with families filing 16 reports that led to federal citations across multiple surveys. The most recurring issues involve daily care assistance, medication management, and safety hazards, with problems persisting across different time periods rather than being fully resolved. While all deficiencies show correction dates, the repeated nature of complaints and citations in core care areas suggests ongoing quality concerns that warrant careful consideration.

Feb 3, 2026Complaint
1
0656Potential for harm · IsolatedCorrected

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.

Dec 6, 2025Complaint
2
0600Immediate jeopardy · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Dec 2, 2025Complaint
2
0761Potential for harm · WidespreadCorrected

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.

0693Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Sep 5, 2025Routine
10
0689Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0677Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0919Potential for harm · PatternCorrected

Environmental Deficiencies

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

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0511Potential for harm · PatternCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0656Potential for harm · IsolatedCorrected

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.

0693Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Jan 23, 2025Complaint
4
0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0656Potential for harm · IsolatedCorrected

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.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Jul 11, 2024Routine
3
0900Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Meet Health Care Facilities Code mechanical requirements.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0372Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Federal Penalties

Fine

Dec 2, 2025

$9,110

Fine

Sep 5, 2025

$16,149

Ownership & Operations

Who Operates This Facility

Owner / Operator

Dallas County Hospital District

Organization Type

for profit

Management Company

JS MESQUITE OPERATIONS LP

Administrator

LINDA R CARCANO

Chain Affiliation

Chain Name

Dallas County Hospital District

Chain Size

5 facilities nationwide

Chain avg rating: 2.8/5 · Rank 5 of 5 (Worst)

Ownership & Management

Owners

Dallas County Hospital District

Owner · Organization

100%

Key personnel

Bradley, ShannanW-2 Managing EmployeeScott, TrackeaW-2 Managing EmployeeBradley, ShannanOfficer / DirectorCastaneda, EdmundoOfficer / DirectorCerise, FrederickOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

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.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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