Midtowne Meadows Health & Rehab
110 Dylan Way, Midlothian, TX 76065 · Ellis County · (972) 775-5538
121 certified beds, about 105 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2023
CMS Care Compare ratings, data as of September 1, 2026 · CCN 745039 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on September 4, 2025, inspectors cited 0 health deficiencies (the Texas average is 9.4, the national average 9.2).
None of its 2 health citations since June 2023 was rated as actual harm or immediate jeopardy.
CMS lists 5 fines totaling $20,131 in the last three years; the largest was $9,116, and the latest is dated February 12, 2024.
Nurses and nurse aides worked 3.77 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.40 of those hours.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 2 health citations on file.
September 4, 2025Standard inspection · 0 citations
August 15, 2024Standard inspection, Complaint inspection · 2 citations
- E Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observations, interviews and record reviews, the facility failed to ensure that residents' environment remained free of accident hazards as was possible for 3 (Resident #27, #60, and #64) of 4 residents reviewed for accident prevention. The facility failed to obtain physician orders or a physician assessment as of 08/13/2024 for Residents #27, #60, and #64 for the usage of a Bolster mattress prior to installing the mattress to assist in fall prevention. This failure could prevent residents from having an environment that was free and clear of accidents and hazards.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review, it was determined the facility failed to maintain an infection control program designed to help prevent the development and transmission of disease and infection for 2 (Resident #57, Resident #217) of 2 residents reviewed for infection control. 1. CNA A failed to perform hand hygiene (hand washing) after removing soiled gloves and before putting on clean gloves on 08/14/24 08:26 AM, during incontinence care for Resident #57. 2. The facility failed to ensure Resident #217's foley catheter bag was not touching the floor. This failure could place residents in the facility at risk for the development and transmission of infections.
June 20, 2023Standard inspection · 0 citations
Fire safety inspections
6 fire safety citations on file: 1 on September 4, 2025, 5 on August 15, 2024.
Every fire safety citation6 citations
- F Install an approved automatic sprinkler system.
- E Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- D Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D Install smoke barrier doors that can resist smoke for at least 20 minutes.
- D Have properly installed electrical wiring and gas equipment.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| February 12, 2024 | Fine | $3,798 |
| January 22, 2024 | Fine | $9,116 |
| January 8, 2024 | Fine | $2,279 |
| January 2, 2024 | Fine | $1,764 |
| December 11, 2023 | Fine | $3,174 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Texas | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.77 | 3.39 | 3.86 |
| Registered nurses | 0.40 | 0.43 | 0.69 |
| All nursing staff on weekends | 3.50 | 2.98 | 3.42 |
| Nurse aides | 2.52 | ||
| Licensed practical nurses | 0.85 | ||
| Nursing staff turnover (share who left in a year) | not reported | 55.3% | 45.8% |
| Registered nurse turnover | not reported | 54.6% | 42.9% |
| Administrators who left | not reported |
CMS expects 3.82 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.87 on weekdays and 3.50 on weekends, 10% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.4% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.28 in April to June 2025 to 3.77 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.77 | 0.40 | 3.87 | 3.50 | 0.4% | 0 of 90 | 105 |
| Jul to Sep 2025 | 4.04 | 0.21 | 4.19 | 3.65 | 0.0% | 0 of 92 | 102 |
| Apr to Jun 2025 | 4.28 | 0.25 | 4.47 | 3.79 | 0.0% | 0 of 91 | 101 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Texas, Jan to Mar 2026 | 3.33 | 0.40 | 3.50 | 2.93 | 2.2% | 0.7% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
Official wage estimates for Texas
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Texas, all employers | |||
| CNAs (nursing assistants) | $18.03 | $16.97 to $20.71 | 88,680 |
| LPNs and LVNs | $29.92 | $27.46 to $32.89 | 57,560 |
| Registered nurses | $46.14 | $38.06 to $50.53 | 271,380 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Texas | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 20.8 | 15.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.9 | 0.3 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.4 | 0.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.7 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.5 | 1.5 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 38.1 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.7 | 3.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 3.1 | 9.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 29.2 | 25.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 7.1 | 12.3 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.9 | 2.2 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.4 | 2.1 | 1.8 |
Owners and operators
Legal business name: NOCONA HOSPITAL DISTRICT.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Nocona Hospital District | 5% or greater direct ownership interest | Organization | 100% | 07/01/2025 |
| Ellis Mid Healthcare LLC | 5% or greater mortgage interest | Organization | 12/24/2022 | |
| Meekins, Greg | Corporate officer | Individual | 09/01/2006 | |
| Haco Health Midtowne LLC | Operational/managerial control | Organization | 07/01/2025 | |
| Hawley, Gracen | Operational/managerial control | Individual | 07/01/2025 | |
| Hawley, Russell | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 10/02/2025 | |
| Ellis Mid Healthcare LLC | Adp of the SNF | Organization | 12/24/2022 | |
| Haco Health Midtowne LLC | Adp of the SNF | Organization | 10/02/2025 | |
| Nocona Hospital District | Adp of the SNF | Organization | 11/26/2025 | |
| Arze, Steven | Adp of the SNF | Individual | 06/01/2023 | |
| Hawley, Gracen | Adp of the SNF | Individual | 09/01/2023 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on August 15, 2024: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on August 15, 2024: "Provide and implement an infection prevention and control program."
Other nursing homes nearby
- Midlothian Healthcare Center Midlothian, 0.4 mi · 4 of 5 stars · 14 citations
- Mansfield Medical Lodge Mansfield, 7.6 mi · 4 of 5 stars · 12 citations
- Cedar Hill Healthcare Center Cedar Hill, 7.9 mi · 2 of 5 stars · 26 citations
- Focused Care of Waxahachie Waxahachie, 8.9 mi · 1 of 5 stars · 37 citations
- Crestview Court Cedar Hill, 9 mi · 5 of 5 stars · 22 citations
- Legend Oaks Healthcare and Rehabilitation - Waxaha Waxahachie, 9 mi · 1 of 5 stars · 36 citations
- The Pavilion at Creekwood Mansfield, 9.5 mi · 2 of 5 stars · 25 citations
- Park Village Healthcare and Rehabilitation Desoto, 10 mi · 2 of 5 stars · 52 citations
Texas contacts for a concern about a nursing home
These are the official offices in Texas. NursingHomeClear cannot take or act on complaints.
- Resident advocate: Texas Office of the State Long-Term Care Ombudsman, 800-252-2412. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
Common questions
- What is Midtowne Meadows Health & Rehab's Medicare star rating?
- CMS rates Midtowne Meadows Health & Rehab 4 out of 5 stars overall, with 5 for health inspections, 1 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Midtowne Meadows Health & Rehab get at its last inspection?
- 0 health deficiencies at the standard inspection on September 4, 2025. The Texas average is 9.4.
- Has Midtowne Meadows Health & Rehab been fined?
- Yes. CMS lists 5 fines totaling $20,131 in the last three years.
- Does Midtowne Meadows Health & Rehab accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Midtowne Meadows Health & Rehab?
- CMS lists 11 owners and managers. Legal business name: NOCONA HOSPITAL DISTRICT.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.