2231 Highway 80 E, Mesquite, TX 75150 · Dallas County · (972) 279-3601
162 certified beds, about 131 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1994
CMS Care Compare ratings, data as of September 1, 2026 · CCN 675272 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on January 22, 2026, inspectors cited 13 health deficiencies (the Texas average is 9.4, the national average 9.2).
Of 31 health citations since September 2023, 4 were rated as actual harm or immediate jeopardy to residents (4 immediate jeopardy).
CMS lists 2 fines totaling $24,247 in the last three years; the largest was $16,801, and the latest is dated January 17, 2024.
Nurses and nurse aides worked 3.51 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 0.27 of those hours.
52.9% of nursing staff left within the year CMS measured (Texas average 55.3%).
CMS links it to The Ensign Group, an affiliated group of 344 nursing homes.
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.
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 31 health citations on file.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to ensure the resident's right to personal privacy during medical treatment for three (Resident #10, #29, and #36) of eight residents reviewed for resident rights. 1. The facility failed to ensure LVN C closed Resident #10's door while checking his blood sugar and administering his insulin on 01/21/2026.2. The facility failed to ensure LVN C closed Resident #36's door before lifting his shirt to turn off his life vest on 01/20/2026.3. The facility failed to ensure RN E pulled the privacy curtain while changing Resident #29's g-tube (gastrostomy feeding tube: a tube that is surgically inserted through the skin of the belly and into the stomach) dressing on 01/20/2026. [...]
Inspectors wroteBased on observation, interview and record review the facility failed to ensure residents had the right to a safe, clean, comfortable, and homelike environment including housekeeping and maintenance services necessary to maintain a sanitary, orderly, and comfortable interior for 10 of 20 resident rooms (room [ROOM NUMBER], #2, #3, #4, #5, #6, #7, #8, #9, and #10) observed for cleanliness. The facility failed to ensure Resident Rooms #1, #2, #3, #4, #5, #6, #7, #8, #9, and #10 were thoroughly cleaned and sanitized. This deficient practice could place residents at risk of living in an unclean and unsanitary environment which could lead to a decreased quality of life.
Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to ensure that residents who were unable to carry out activities of daily living received the necessary services to maintain good nutrition, grooming, and personal and oral hygiene for 4 of 8 residents (Resident #28, # 87, #136, and #147) reviewed for ADL care provided to dependent residents. The facility failed to ensure Residents #28, #87, #136, and #147 received their scheduled showers for January 2026. This failure could place residents at risk of not receiving necessary services to maintain good personal hygiene, skin integrity, or decreased self- esteem.
Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to ensure that residents' environment remained free of hazards as was possible for five of eighteen residents (Residents #22, #27, #49, #105, and #122) and three of six direct staff (ADON A, MA G, and LVN H) reviewed for accident hazard.1. The facility failed to ensure Resident #22 did not have 2 cans of aerosol air freshener spray in his room on 01/20/2026. 2. The facility failed to ensure Resident #27 did not have a can of Lysol spray in his room on 01/20/2026. 3. The facility failed to ensure Resident #49 did not have a pump bottle of hand sanitizer, a can of Lysol spray, and sanitizing wipes in his room on 01/20/2026.4. The facility failed to ensure Resident #105 did not have a can of aerosol air freshener spray in his room on 01/20/2026.5. [...]
Inspectors wroteBased on observation, interview and record review the facility failed to ensure that a resident who needed respiratory care, was provided such care, consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences for five of sixteen residents (Residents #12, #87, #32, #91, and #102 ) reviewed for respiratory care.1. The facility failed to ensure Resident #12's BiPAP mask was stored in a bag when not in use on 01/20/2026.2. The facility failed to ensure Resident #87's breathing mask was stored in a bag when not in use on 01/20/2026. 3. The facility failed to ensure Resident #32's nasal cannula (flexible tube used to deliver oxygen to the nose through two prongs) was stored properly when not in use on 01/20/2026. 4. [...]
Inspectors wroteBased on observations, interviews, and record review, the facility failed to ensure, in accordance with State and Federal laws, all drugs and biologicals were stored in locked compartments under property temperature controls, and permitted only authorized personnel to have access to the keys for four of eighteen residents (Residents #35, #105, #102, and #150) reviewed for medication storage.1. The facility failed to ensure LVN H did not leave Resident #35's medication on top of the medication aide's cart unattended on 01/21/2026. 2. The facility failed to ensure a bottle of over-the-counter peroxide was not in Resident #105's room on 01/20/2026.3. The facility failed to ensure that a nasal spray was not inside Resident #102's room on 01/20/2026.4. [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for the facility's only kitchen, reviewed for food and nutrition services. Specifically, the facility failed to ensure that the dining area coffee station and ice machines were maintained in a clean and sanitary manner to prevent contamination of food and beverages. These failures could place residents at risk for cross contamination and air-borne illnesses.
Inspectors wroteBased observation, interview and record review the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for four of twelve residents (Residents #73, #29, #36, and #117) reviewed for infection control. 1. The facility failed to ensure CNA K performed hand hygiene while providing incontinent care for Resident #73 on 01/21/2026.2. The facility failed to ensure RN E wore a gown while changing Resident #29's g-tube dressing on 01/20/2026.3. The facility failed to ensure LVN C wore a gown while doing Resident #36's treatment, who had an indwelling catheter (flexible tube inserted into the bladder to remove the urine), on 01/20/2026.4. [...]
Inspectors wroteBased on observations, interviews, and record review, the facility failed to treat each resident with respect and dignity and care for each resident in a manner and in an environment that promoted maintenance or enhancement of his or her quality of life for two (Resident #81 and Resident #93) of twenty-one residents reviewed for dignity.1. The facility failed to ensure RN E was not standing when assisting Resident #81 with his drinks on 01/20/2026.2. The facility failed to ensure RN E was not standing when assisting Resident #93 with her food on 01/20/2026. These failures could place the residents at risk of not having their right to a dignified existence maintained that could lead to embarrassment.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to ensure the right to reside and receive services in the facility with reasonable accommodation of resident needs and preferences for one (Resident #102) of eighteen residents reviewed for reasonable accommodation of needs. The facility failed to ensure the call light system in Resident #102 room was in a position that was accessible to the resident on 01/20/2026. This failure could place the residents at risk of being unable to obtain assistance when needed and help in the event of an emergency.
Inspectors wroteBased on observations, interviews and record review, the facility failed to develop and implement a comprehensive person-centered care plan for each resident, consistent with the resident rights set forth that included measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that were identified in the comprehensive assessment for two of eight residents (Resident #87 and Resident #12) reviewed for care plans. 1. The facility failed to ensure Resident #87's Comprehensive Care Plan reflected oxygen therapy and nebulizer with a breathing mask (used to receive medication by breathing in mist through the nose and mouth).2. The facility failed to ensure Resident #12's Comprehensive Care Plan reflected a BiPAP machine (noninvasive ventilation that helps you breathe). [...]
Inspectors wroteBased on observation, interview and record review the facility failed to provide pharmaceutical services, including procedures that assured the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals that met the needs of each resident for one (LVN D) of three LVNs and reviewed for pharmaceutical services. The facility failed to ensure LVN D did not put and leave her personal beverage on top of the nurse's cart on 01/20/2026. This failure could place residents at risk for potential overdose, adverse effects, cross contamination, and potential interference with medication preparation.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to follow policies, in accordance with applicable Federal, State, and local laws and regulations, regarding smoking, smoking areas, and smoking safety for 1 of 6 residents (Resident #102) reviewed for safe smoking. The facility failed to complete a Smoking assessment for Resident #102 upon his admittance to the facility on [DATE]. This failure could place the resident at risk of harming himself when smoking.
Inspectors wroteBased on observations, interviews and record reviews the facility failed to ensure all alleged violations involving abuse, neglect, including injuries of unknown source were reported immediately, but not later than 2 hours after the allegation was made, if the events that caused the allegation involved abuse or resulted in serious bodily injury, to the administrator of the facility and to other officials (including to the State Survey Agency where state law provides for jurisdiction in long-term care facilities) in accordance with State law through established procedures for one (Resident #1) of five residents reviewed for neglect allegations. The facility failed to ensure they reported the FM's concern about the care Resident #1 received at this Nursing Facility. [...]
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure a safe and decent living environment for one (Common Area) of 2 common areas reviewed for decent living environment. The facility failed to ensure Medication Aide A did not speak loudly and inappropriately while on a personal call around a group of residents in the common area on 09/04/2025. This failure could place residents at risk for a less peaceful and decent living environment.
Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to ensure residents received care and treatment consistent with professional standards of practice to promote healing and to prevent further development of skin breakdown or pressure ulcers for three (Resident #22, Resident #30, and Resident #87) of five residents reviewed for pressure ulcers. 1. The facility failed to ensure Resident #22's and Resident #87's wounds were measured on the weekly skin assessment per facility policy. 2. The facility failed to ensure Resident #22, Resident #30, and Resident #87 were repositioned or turned to prevent skin breakdown and promote healing of pressure sores per facility policy, care plans, and physician orders. These failures could place residents at risk for worsening pressure ulcers, new pressure ulcers, or discomfort.
Inspectors wroteBased on interview and record review, the facility failed to include pertinent information when notifying the resident's emergency contact and failed to immediately notify the responsible party when there was a change in condition for one (Resident #13) of four residents reviewed for notification of changes. The facility failed to ensure Resident #13's responsible party was notified on 2/24/2025 that Resident #13 was transferred to the hospital for dehydration and acute renal failure. The facility failed to ensure Resident #13's emergency contacts were notified what hospital Resident #13 was transferred to on 2/24/2025. These failures could place residents' responsible parties at risk of not being informed of changes in the residents' conditions and of not knowing where residents were located.
Inspectors wroteBased on interview and record review the facility failed to ensure residents received adequate supervision and assistance to prevent accidents for one (Resident #99) of five residents reviewed for falls. CNA B failed to reposition Resident #99 safely while in a shower chair in the shower room causing Resident #99 to have a fall on 2/17/2025. This failure could affect the residents by placing them at risk for discomfort, pain, and/or injury.
Inspectors wroteBased on interview and record review the facility failed to implement the facility's own written abuse and neglect prevention policy and procedure for one (Resident #32) of six residents reviewed for abuse and neglect. The Administrator failed to immediately suspend one staff member (the CNA) pending investigation when an allegation of physical abuse of Resident #32 was made in a verbal statement by family member on 1/28/25. This failure could place residents at risk of a lack of protection from being abused pending the investigation of an allegation of abuse.
Inspectors wroteBased on interview and record review, the facility failed to ensure all alleged violations involving abuse was reported to state agencies no later than 2 hours for one (Resident #32) of six residents reviewed for reporting allegations. The ADM failed to notify officials/state agency of the allegation of abuse regarding Resident #32 being transferred in a rough manner (kicked and thrown in the bed) by CNA on 01/28/2025. This failure placed residents at risk of continued abuse, trauma, and psychosocial harm.
Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to provide a safe, clean, comfortable, and homelike environment for 4 (Resident #80, Resident #75, Resident #41, and Resident #84) of 6 resident's bathrooms and for 2 (both shower rooms on redwood hall) of 3 shower rooms reviewed for environment. 1. The facility failed to ensure resident's bathrooms were sanitary and clean for Resident #80, Resident #41, Resident #75, and Resident #84. 2. The facility failed to provide a shower curtain for Resident #75. 3. The facility failed to ensure 2 shower rooms were sanitary and clean. These failures could place residents at risk of psychosocial harm and feeling uncomfortable due to living in an environment that was not homelike.
Inspectors wroteBased on observation, interview, and record review the facility failed to store food in accordance with professional standards for food service safety in the facility's only kitchen, reviewed for food safety. 1. The facility failed to correctly label and date a storage bag full of sliced cheese. 2. The facility failed to correctly label a package of diced peppers stored in the refrigerator. 3. The facility failed to label and date 5 supplemental meal bags intended for Dialysis patients. 4. The facility failed to discard the remaining sugar by the written use by date. 5. The facility failed to change the label on a container identified as flour to the actual substance being stored in the container to sugar. These failures could place residents at risk for food-borne illness and cross contamination.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure all assistive devices were maintained and free of hazards for one (Resident #73) of three residents reviewed for essential equipment. The facility failed to properly maintain the bedside commode for Residents #73. This failure could place residents at risk for equipment that is in unsafe operating condition, which could cause injury.
Inspectors wroteBased on observation, interviews, and record review the facility failed to ensure that medications were secure and inaccessible to unauthorized staff and residents for 1 (one medication room for Whispering Way) of four medication rooms reviewed for medication storage. The facility failed to ensure medication supplies were all stored in locked compartments and permit only authorized personnel to have keys when LVN E left the medication room for Hall Whispering Way was left unlocked and unattended by LVN E. This failure could result in resident access and ingestion of medications leading to a risk for harm and possible drug diversion.
Inspectors wroteBased on observation, interview and record review the facility failed to immediately inform the resident, consult with the resident's physician, and notify consistent with his or her authority, the resident representative when there was a significant change in the resident's physical, mental, or psychosocial status for one of five residents (Resident #1) reviewed for notification of changes. -The facility failed to notify the physician when LVN C observed and documented a new wound on Resident #1's left toe, when Resident #1 was a high risk for infection due to comorbidities. -The facility failed to notify Resident #1's RP when LVN C observed and documented a new wound on Resident #1's left toe, when Resident #1 was a high risk for infection due to comorbidities. The noncompliance was identified as PNC. The IJ began on 12/11/23 and ended on 12/18/23. [...]
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure appropriate treatment and care was provided in accordance with professional standards, comprehensive person-centered care plan and resident choices for 1 of 5 residents (Resident #1) reviewed for quality of care. -The facility failed to notify the physician and provide interventions to monitor and treat Resident #1 when LVN C observed and documented a new wound on his left toe. Resident #1 was high risk for infection due to comorbidities. The noncompliance was identified as PNC. The IJ began on 12/11/23 and ended on 12/18/23. The facility had corrected the noncompliance before the survey began. This failure could place residents at risk of not having their physician notified concerning their medical needs which would cause a delay in treatment and a decline in health.
Inspectors wroteBased on interview and record review, the facility failed to ensure residents had the right to be free from abuse for one (Resident #1) of three residents reviewed for post-surgical aftercare. The facility failed to ensure Resident #1 received the necessary level of assistance and that staff were aware of physician's orders and PT evaluations to prevent injury. Resident #1 required revision surgery to the right shoulder. The noncompliance was identified as PNC. The IJ began on 09/13/23 and ended on 09/15/23. The facility had corrected the noncompliance before the survey began. This failure placed residents at risk of not receiving care and/or treatment recommended by physician.
Inspectors wroteBased on observations, interviews, and record reviews the facility failed to provide a safe, functional, sanitary, and comfortable environment for one (Main Dining Room) of two dining rooms reviewed for environment. The facility failed to have an effective maintenance communication system for when items needed to be repaired or discarded, which resulted in a very large accumulation of medical equipment, appliances, furniture, clothing, and miscellaneous boxes in the Resident's Main Dining room. This failure could place residents potentially at risk of tripping, falling, choking or cross contamination, which could cause injury, pain, distress and gastro-intestinal illnesses and result in a decrease in their health and psycho-social well-being.
Inspectors wroteBased on observations, interview and record review, the facility failed to ensure the resident had the right to be free from abuse for 1 of 24 (Residents #95) residents reviewed for abuse. The facility failed to ensure to ensure CNA A was adequately trained to deescalate Resident #95's aggressive behaviors when CNA A and Resident #95 had a verbal altercation in which CNA A aggressively responded to Resident #95's verbal abuse by calling him a derogatory name and threatened she would spit in his face. An Immediate Jeopardy was identified on 09/13/23 at 5:18 PM. The IJ Template was provided to the facility on [DATE] at 5:20 PM. [...]
Inspectors wroteBased on interview and record review, the facility failed to coordinate assessments with the pre-admission screening and resident review (PASRR) and refer all level II residents and all residents with possible serious mental disorder, intellectual disability, or a related condition for one (Resident #51) of three residents reviewed for PASRR screenings. The facility failed to ensure Resident #51's PASRR Level One screening accurately reflected her diagnosis of mental illness. This failure placed residents at risk of not receiving specialized therapy and equipment services they may benefit from.
Inspectors wroteBased on interview and record review, the facility failed to provide pharmaceutical services, including procedures that assured accurate administering of all drugs to meet the needs of the residents, for one (Residents #137) of 8 residents reviewed for medication regimen. MA Y did not accurately document on the Medication Administration Record that she administered Resident #137's scheduled medications on Sunday, 09/03/23 at 8 PM and 9 PM according to the medication administration requirements and facility policy. These failures placed residents at risk for not receiving the therapeutic benefits of the prescribed medications.
20 fire safety citations on file: 4 on January 22, 2026, 5 on October 16, 2024, 11 on September 15, 2023.
| Date | Penalty | Amount or length |
|---|---|---|
| January 17, 2024 | Fine | $16,801 |
| November 3, 2023 | Fine | $7,446 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 3.51 | 3.39 | 3.86 |
| Registered nurses | 0.27 | 0.43 | 0.69 |
| All nursing staff on weekends | 3.13 | 2.98 | 3.42 |
| Nurse aides | 2.11 | ||
| Licensed practical nurses | 1.14 | ||
| Nursing staff turnover (share who left in a year) | 52.9% | 55.3% | 45.8% |
| Registered nurse turnover | 40.0% | 54.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.85 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 3.67 on weekdays and 3.13 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.56 in April to June 2025 to 3.51 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 | 3.51 | 0.27 | 3.67 | 3.13 | 0.0% | 0 of 90 | 131 |
| Oct to Dec 2025 | 3.59 | 0.25 | 3.74 | 3.19 | 0.0% | 0 of 92 | 126 |
| Jul to Sep 2025 | 3.47 | 0.18 | 3.60 | 3.15 | 0.0% | 0 of 92 | 121 |
| Apr to Jun 2025 | 3.56 | 0.18 | 3.71 | 3.20 | 0.0% | 0 of 91 | 119 |
| 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
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. If you work here, your report helps start one.
| 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.
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 | 32.7 | 15.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.3 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.3 | 0.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.0 | 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 | 41.6 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.7 | 3.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 2.7 | 9.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 28.9 | 25.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 5.8 | 12.3 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.9 | 2.2 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.1 | 2.1 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Willowbend Nursing and Rehabilitation Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (54.9% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
54.9% this home
No different from the national rate
US median of homes 51.5% · Texas: 116 better, 50 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 165 eligible stays.
10.5% this home
No different from the national rate
US median of homes 10.7% · Texas: 0 better, 9 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 186 eligible stays.
7.5% this home
No different from the national rate
US median of homes 7.1% · Texas: 4 better, 11 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 103 eligible stays.
63.3% this home
Median of homes: Texas57.3% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 60 residents counted.
1.1% this home
Median of homes: Texas0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 95 residents counted.
0.0% this home
Median of homes: Texas1.3% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 95 residents counted.
100.0% this home
Median of homes: Texas98.5% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 46 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: EASTLAND MEMORIAL HOSPITAL DISTRICT. CMS links this home to The Ensign Group, a group of 344 nursing homes averaging 3.2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Eastland Memorial Hospital District | 5% or greater direct ownership interest | Organization | 100% | 02/20/2015 |
| Daheshpour, Sepehr | Managing control - governing body | Individual | 03/01/2025 | |
| Niccum, Kevin | Managing control - governing body | Individual | 03/01/2007 | |
| Burnam, Soon | Corporate officer | Individual | 02/09/2007 | |
| Keetch, Chad | Corporate officer | Individual | 03/01/2011 | |
| Taylor, Stephen | Corporate officer | Individual | 07/01/2025 | |
| Town East Healthcare, Inc. | Operational/managerial control | Organization | 02/20/2015 | |
| Daheshpour, Sepehr | Operational/managerial control | Individual | 03/01/2025 | |
| Niccum, Kevin | Operational/managerial control | Individual | 03/01/2007 | |
| Caretrust Gp LLC | Adp of the SNF | Organization | 03/01/2007 | |
| Caretrust Reit Inc | Adp of the SNF | Organization | 03/01/2007 | |
| Ctr Partnership LP | Adp of the SNF | Organization | 03/01/2007 | |
| Ensign Services Inc | Adp of the SNF | Organization | 03/01/2007 | |
| Mesquite Health Holdings LLC | Adp of the SNF | Organization | 03/01/2007 | |
| Town East Healthcare, Inc. | Adp of the SNF | Organization | 08/12/2025 | |
| Daheshpour, Sepehr | Adp of the SNF | Individual | 03/01/2025 | |
| Niccum, Kevin | Adp of the SNF | Individual | 03/01/2007 |
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.
Chosen from this home's own inspection record.
These are the official offices in Texas. NursingHomeClear cannot take or act on complaints.